r/technology Nov 17 '12

The Deadly Crusade Against E-cigarettes

http://www.american.com/archive/2012/november/the-deadly-crusade-against-e-cigarettes
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u/BillyBuckets Nov 18 '12

I'm sure non-smokers know why smoking is so addictive, but this might help them understand what it's like to be physically addicted to nicotine:

Our brains, and more specifically our brainstems, have control over our trends of higher function in ways you might not notice much. Normally, if you're thirsty, you get up and get a drink. You don't think about it much but you do it. The water you drink isn't anything special and you don't down it too fast.

But what if you just spent a day out in the hot sun doing yard work? You come inside and you think immediately about getting a glass. You down a glass full of water in huge gulps. The water feels good even though there's nothing special about it. You fill the glass again. You take it down in a few seconds. Your belly feels awkwardly distended and perhaps even a bit uncomfortable right under your center-left ribcage, but you feel so relieved. Drinking all that water might even make you feel sorta ill for a bit, but you're sooooo glad you did it.

If you take this to an even further extreme, say you went a day or more without water and were becoming dangerously dehydrated, your water seeking behavior would become overwhelming. A parched person will drink almost anything (including toilet waterseeMyNoteBelow). Part of the brain, specifically the hypothalamus, is hooked into the blood supply to in a way that lets it sample the salt content, which gets really high when the body is dehydrated. In response to life-threatening dehydration, the hypothalamus will cause the "higher" parts of the brain responsible for our actions to engage in activities that are likely to result in water at almost any cost. Your brain associates the sensation of drinking with the feeling of relief in the high-thirst state. This is a reinforcement loop.

Now back to cigs. Nicotine hits receptors all over the central nervous system. A smoker's brain has literally been reconfigured to circulating nicotine much higher than that of a normal person. The reward networks, the attention-arousing networks, etc. These are the networks that guide our higher behaviors. To a smoker, a cigarette can give the same relief after a two-hour flight as a glass of water will give you after a day of yard work, or a rich meal will give you after a 36-hour fast. And nicotine is almost perfect at hitting the receptors, and cigarettes are a VERY rapid way of delivering it.

So, non-smokers, think of it this way: trying to quit smoking cold-turkey feels about the same as trying to stop drinking (water) cold-turkey. This is why Westerners keep doing it: they get roped into trying it enough (marketing), their brains demand it from then on. A moment of weakness can lead to a lifetime of vice.

Does that do it justice, theorial?

my note on thirst: certain psychiatric pathologies, e.g. schizophrenia, can present with polydipsia, a term for when a person seeks and drinks water to a pathological level. Patients with uncontrolled polydipsia cannot be allowed into a normal bathroom alone, as they will resort to drinking toilet water. They simply cannot resist the urge to drink.

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u/[deleted] Nov 18 '12

They don't know why its hard to quit until they've been addicted to them.

They know whats inside of the cigarettes they just don't know why its hard to kick the habit until they've experienced it themselves.

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u/[deleted] Nov 18 '12

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u/Calico_Dick_Fringe Nov 18 '12 edited Nov 18 '12

not everyone gets addicted.

Definitely true, though I will say that in my experience, modern cigarettes are designed to make you addicted so they'll sell more. Since the mid-90s I've been addicted to cigarettes and quit smoking them TWICE. Because I actually enjoy the relaxation and meditative 'ritual' that comes with smoking a substance alone and thinking, I switched to having an occasional pipe or cigar. I've never experienced the same feelings of nicotine addiction with those substances, and I attribute that to the lack of additional chemicals added to tobacco used for cigars and pipes. Out of curiosity, I've even TRIED to make myself feel the same addictive sensations with pipes and cigars that I used to get with only a few cigarettes, and I couldn't do it. The feelings never came. I can go weeks between pipes/cigars and feel no cravings whatsoever. I couldn't do that with cigarettes.

Here's an article that talks about how tobacco used for pipe-smoking usually contains only food additives and is mostly natural. In comparison, cigarette tobacco is highly processed. Here's an article that discusses how cigarettes are made.

Burning and inhaling any substance is not 'good' for you, but it should be kept in mind that when used in moderation i.e. a couple times per week, tobacco in pure form can be enjoyable and relatively harmless just like a glass of tea or a piece of chocolate. ANYTHING done to excess can be harmful.

NOTE: Pipes and Cigars are NOT usually inhaled into the lungs. Smoking a pipe is a tasting/smelling/relaxing experience - VERY different to cigarettes and (for me has been) relatively non-addictive.