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Quitting smoking before surgery?

Started by GQjoey, May 08, 2014, 05:26:58 PM

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GQjoey

I know I need to quit, regardless. I'm having surgery May 19th, and although my surgeon recommended quitting just because its a terrible habit, it isn't a requirement to have the surgery. I went from almost a pack a day, down to 4-5. I got an e-cig that has only flavored vapor, no nicotine, but it does absolutely nothing for me. I know I need to be strong and stick to my guns, but I find myself day dreaming about cigarettes, its really sad! Did you smoke before surgery? If not, what worked best to stop?

Also, how long after you wake up from surgery, do you start to feel clear headed? My Dr said only 10% of her patients have had to stay the night after surgery, I'd like to not be in that 10%.
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Kreuzfidel

Congrats on taking those first steps!

I stopped smoking 11 years before my surgery, so wasn't an issue really.  But, I stopped because I had a chest cold so I couldn't breathe at all nearly and cigs were likely to kill me, so....  After I recovered, I was tempted of course to light up - but I just ended up replacing my cravings for a cig with popping peppermint candy...not a healthy alternative really, but meh.  It helped me quit.

It's a damn good idea to quit before surgery - smoking robs the blood of oxygen and can delay or even complicate healing.

Also, in regards to feeling clear-headed, I'd say I felt clear-headed the day after my surgery.  Here in Australia, they keep people in hospital for at least 2 days post-op in most cases, so I can't comment on how long you'll have to stay in. 

Basically, I think it's just common practice to observe you, and if you're not swelling, in severely abnormal amounts of pain, bleeding, or having other complications they seem to let you go home the same day in the States.
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Ayden

I'm quitting now. Cold turkey since May 2nd (the 1st in the states). My surgeon recommended that I stop 2 weeks prior. I decided to cut alcohol and tobacco two months ahead of my date. I tried the "cutting back" approach several times and it never worked for me. So, cold stop it was. The first three days are the worst. I've been taking a lot if showers and gargling mouthwash whenever I get a bad craving. I also have a penalty jar: when I really want smokes I drop that 450 yen (about $5) into the jar. It's the standard price here and I have dropped $30+ in there. I'm buying myself a custom fit suit with what I save. Quitting is hampering my writing right now, but I am determined to just suck it up. I managed a 2500 word article without it so I know it's possible, just slow going right now.

Good luck with quitting. It really is better for you. I feel a lot better physically after a week or so.
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Jack_M

I felt clear headed in under an hour after waking. I actually struggled to sleep that night! I wasn't even drowsy. But I'm actually used to surgery due to childhood injuries and lifelong ear issues. Everyone reacts differently.

But yeah, quitting smoking will help recovery. Smoking messes up clotting and overall healing as a result. It increases liklihood of complications, so it's a really good idea to quit. I'm surprised they even say it's not a requirement for surgery. My friend broke his nose and it bled quite a bit and he was told not to even think about smoking or he risked potentially serious complications. It's never too late to quit but strictly speaking you're cutting it close with surgery that soon so get gutsy and get it quit!!! Best of luck!
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Tossu-sama

I had my top surgery on August 15 and I quit smoking August 1st (these were last year). I was planning to quit earlier but that was all the time I had between the surgery and getting the letter about it. :D

I quit by using an e-cig. Not gonna lie, it was difficult. Especially since my fiancée is a smoker. But it gets easier very soon. The first day was the worst for me, and strangely the fifth day as well. I just got this ridiculous craving for a cigarette out of nowhere but I didn't give up.
For some time (several months) I was missing smoking as an action, I didn't need the nicotine anymore. It was just the act of smoking itself since it had become a habit for me but since I didn't have addiction to drive me towards smoking it was easy to brush it off and continue like it was nothing.

One "side effect" of quitting for me was the difficulty of focusing on things. It was really annoying, especially if I tried to draw since I couldn't keep my thoughts together at all. But it went away with time and now I get art blocks for different reasons. |D

I personally think my mindset kinda helped to quit as well. I've always heard things like "you'll relapse many times before you'll be able to quit for good" so I was all like "oh really? we'll see about that!" 8)

Nowadays I don't even think about smoking anymore and sometimes I don't even remember that I used to smoke. :D Good luck for you in quitting. :)

About waking up, I kinda woke up twice. The first time was in the room where they take the patients to... well, wake up but I fell asleep again pretty fast (after I got some meds and a heated blanket because I was complaining about cold lol). But when I woke up for the second time I felt very clear headed and my mom was surprised that I was awake when they took me back to my room. I just kept falling asleep randomly if I had nothing to do (= no one to talk to).
I also stayed the night at the hospital, there was really no other option and I had some difficulties to sleep that night, too most likely because I had those random falling asleep moments so much and I kinda wanted to watch some late night programs as well... The nurses didn't really like that. :'D
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Tristan_Markus

so i am/was a heavy smoker (a pack or more a day). i was told quite for 30 days before surgery. My date is actually may 21st and i've only had 2 cigs since april 22nd.i know its hard but it will be worth it.
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Felix

I quit a year or two or more before surgery, I don't remember exactly. I had been smoking regularly for over a decade. I did relapse countless times over the years before being able to quit. I'm not sure what made it finally stick.

Try to keep your general health and reasonable goals in mind. Before quitting, I cut down to ten or five or 2 a day before trying to abstain completely. After breaking the addiction, I could not smoke at all for 6 months or more because it was just too compelling. Then I gradually went back to occasional smoking, maybe 5 a month at most. Before surgery, I stopped completely for a month or two. After surgery, I waited a month at least before taking a drag again. My top surgery was I think close to a year ago.

I continue to smoke tobacco occasionally but if I feel like I really need it then I wait until I think I merely want it, even if that takes a day or two or longer. I am a little bit terrified of becoming addicted again and so I try to err on the side of caution. I also try to always feel like I'm "allowed" to smoke so it doesn't become some kind of intense forbidden fruit.

Keep aware of how well you heal from bruises and papercuts when you haven't smoked much, and that can help a lot with feeling confident and making rational decisions in the leadup to surgery.

I don't know if it is because I am on medicaid, but I was discharged quickly after surgery. I had frequent and careful followup later, but the hospital rushed me out fast on the day of. I did wake up once in the room where you come to or whatever, and I was babbling nonsense and fell asleep again. The next time I awoke was in a different area, and I was still disoriented but they gave me ice to eat and handed me paperwork to sign and removed my IV and told me to follow the instructions on the forms. I had an adult with me who filled in a lot of the details I couldn't remember. I might possibly be prone to more effect from anesthetic and maybe would be confused afterward even if I had cadillac insurance, but your location and coverage might drastically change your experience.

If you quit smoking for good, or quit smoking regularly, you do need to be realistic about what you are giving up. It's horrible for your lungs and skin and lifespan and loved ones and all that, indescribably bad of course, but it does have some objective perks. When I was frustrated by the hardest parts of letting cigarette habits go I had to give myself permission to be a bit scatterbrained, and to overeat a little, and to spend some time more dullwitted and unfriendly than normally would fit for me. The worst of it passed and in hindsight I definitely overestimated tobacco's benefits back when it felt more serious.




everybody's house is haunted
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Bimmer Guy

Quote from: Felix on May 11, 2014, 12:58:22 AM

I don't know if it is because I am on medicaid, but I was discharged quickly after surgery. I had frequent and careful followup later, but the hospital rushed me out fast on the day of.



Off topic alert - but I can't help it.  :)

It is interesting to me that people (not speaking to you, Felix, I mean people in general), think that health care systems don't like Medicaid.  For most health care visits/procedures in general, Medicaid pays more than private insurance companies (I know this for certain when it comes to mental health care, but pretty damn sure for somatic care, as well).  Medicare is the one that pays for ->-bleeped-<-.

I don't think think that it matters how long you hang out in a hospital when it comes to how much an insurance can charge (unless you are "admitted").  They either thought you were ok, or needed the space for another patient (or they were jerks!  :( )

You're lucky to live in a state whose Medicaid will pay for surgery.  I think eventually this will be the case for all states.
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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Felix

Quote from: Brett on May 11, 2014, 09:23:42 AM
Off topic alert - but I can't help it.  :)

It is interesting to me that people (not speaking to you, Felix, I mean people in general), think that health care systems don't like Medicaid.  For most health care visits/procedures in general, Medicaid pays more than private insurance companies (I know this for certain when it comes to mental health care, but pretty damn sure for somatic care, as well).  Medicare is the one that pays for ->-bleeped-<-.

I don't think think that it matters how long you hang out in a hospital when it comes to how much an insurance can charge (unless you are "admitted").  They either thought you were ok, or needed the space for another patient (or they were jerks!  :( )

You're lucky to live in a state whose Medicaid will pay for surgery.  I think eventually this will be the case for all states.
I went to Legacy Good Samaritan, and my medicaid does NOT pay for transgender surgery. They have a prioritized list they approve every fiscal cycle, and top surgery will probably never make the cut in my lifetime.

I opted to get the entirety of my breast tissue removed on the basis that both my biological mother and her mother had breast cancer. I do understand that is a kind of a loophole for a trans person, but the referring doctor, the surgeon, the insurance rep assigned to the case, my public assistance social worker, and the insurance people who answer the phone when you call the Salem medicaid line all understood what I was doing and agreed that it was the only way I could get surgery without waiting for civil rights legalities to catch up. No one was in the dark, but the situation isn't something most people can access. Also, by reputation, Good Sam is an excellent hospital. I could have gone to Emmanuel or Providence for that or for other procedures I've had, but I specifically chose Good Samaritan because it is known for being well-funded and in a liberal neighborhood.

My suspicions about medicaid may equally apply to any reputation my records leave from the years I spent uninsured. Maybe it isn't my coverage, but the fact that they fixed my ankle when I broke it without insurance, and that they had to deal with my tiny payments for years afterward. Or the fact that my kid has a tendency to assault people. I used to work in hospitals, and it's hard to forget the level of gossip that happens on top of any billing issues.
everybody's house is haunted
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Bimmer Guy

Quote from: Felix on May 13, 2014, 04:27:36 AM
I went to Legacy Good Samaritan, and my medicaid does NOT pay for transgender surgery. They have a prioritized list they approve every fiscal cycle, and top surgery will probably never make the cut in my lifetime.

I opted to get the entirety of my breast tissue removed on the basis that both my biological mother and her mother had breast cancer. I do understand that is a kind of a loophole for a trans person, but the referring doctor, the surgeon, the insurance rep assigned to the case, my public assistance social worker, and the insurance people who answer the phone when you call the Salem medicaid line all understood what I was doing and agreed that it was the only way I could get surgery without waiting for civil rights legalities to catch up. No one was in the dark, but the situation isn't something most people can access. Also, by reputation, Good Sam is an excellent hospital. I could have gone to Emmanuel or Providence for that or for other procedures I've had, but I specifically chose Good Samaritan because it is known for being well-funded and in a liberal neighborhood.

My suspicions about medicaid may equally apply to any reputation my records leave from the years I spent uninsured. Maybe it isn't my coverage, but the fact that they fixed my ankle when I broke it without insurance, and that they had to deal with my tiny payments for years afterward. Or the fact that my kid has a tendency to assault people. I used to work in hospitals, and it's hard to forget the level of gossip that happens on top of any billing issues.

Ok, I hear what you are saying in terms of the discrimination issue (that is what I meant when I said "or they were jerks"). 

I was heartened to learn recently (a week or so ago, through this site), that there are now 5 state's whose Medicaid is paying for top surgery.  I have recently become part of am advocacy group that is pushing for my state Medicaid to pay for this.
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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Spiritwlker

My girlfriend quit smoking regular cigarettes and now uses a vapor e-cigarette exclusively. She uses the vapor liquid that actually does have nicotine in it. I know the jury is still out on the 'safety' of the vapor smokes but I can tell you from experience that she feels much better using them. She doesn't have congested lungs or smokers cough anymore and her doctor was impressed with improvements in her blood pressure as well.

Anyway, I digress... one of the biggest danger for smokers after surgery are blood clots in the legs. That being said hospitals are much more proactive about using special socks to help circulation and SCD's which are pneumatic 'leggings' that inflate and deflate to keep the blood moving while you rest in bed after surgery. You'll also likely have more breathing exercises after surgery as well. If you can quit, that would definitely be great! But if you can't just be honest with the nurse educator that does your pre-surgery workup about how much you smoke so they can manage your care appropriately.
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GQjoey

Thanks for all the feedback! I smoked my last cigarette Sunday morning. I went back to my ecig. I mixed juice with no nicotine, with a little juice with nicotine, figure it's better than cigs! i'm going to try to not smoke it at all this weekend, being my surgery is Monday, but we'll see how that goes. I know I need to quit for health reasons, and when I sit and think about cigarettes, they're truly disgusting, but I REALLY enjoy smoking them during certain times. I've noticed the mornings are the hardest, when I'm drinking coffee driving to work.
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KayCeeDee

I saw this pop up on recent topics, and just happen to have a thing from my doctor i had to sign stating I would smoke one month prior to and after surgery. It says "I understand clearly that smoking is very detrimental to any form of surgery especially facial procedures. Smoking not only causes coughing which raises the blood pressure and results in increased bruising, but the nicotine is a potent constrictor of blood vessels which can delay healing, cause skin death or loss of hair. Rehabilitation can go on for months or years and will possibly end in totally unsatisfactory or even catastrophically negative results."

Granted, this is for vaginoplasty so we're talking about the teeny tiny blood vessels supplying the graft, but I also have a family friend who ruined her face after a facelift because she wouldn't stop smoking.

Good luck GQJoey.
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Jill F

Good for you, to all of you that have quit smoking.  I applaud your willpower. 

I am SO thankful that I quit 2 1/2 years ago after 25 years, I am at a loss for words.  I wanted to kill sh*t for about 2 weeks, but I never went back.

Every time I wanted a smoke, I took a hot shower.  I was wet a lot, mind you, but it got me through that tough time.
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RaptorChops

I'm 29 and started smoking when I was about 16 (tried it a few times when I was 12) I quit as soon as I my Endo told me that he wouldn't treat me if I smoked. So I quit cold turkey. If you have a problem where it's extremely hard then I recommend getting yourself a vaporizer. http://www.whiterhinoproducts.com.
You can get vape juice without nicotine too. I have one just for recreational use.  I'm not saying it's healthy for you but it's definitely an option. Also you won't smell like crap anymore either lol.
Goodluck :)
¯\_(ツ)_/¯ I dunno.
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Lyric

I've never understood why people deliberately barbeque their own lungs. There's nothing that's not completely idiotic and stupid about smoking. Find some way to stop doing it and stay that way. Unforch, nicotine is one of the most addictive drugs on Earth, so expect to struggle for year or two, but there's absolutely nothing you can do that will be better for yourself than that.
"Your time is limited, so don't waste it living someone else's life." - Steve Jobs
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aleon515

I just want to say, don't smoke and never did. But smoking is a serious health risk and I don't think people are deliberately getting into it. Normally people make the "decision" (if you can call it that) at a really early age when rebelling against their parents seems like a good idea.  I think most smokers have tried to stop. It's a really powerful addiction with more in common with quitting heroin than perhaps a lot of addictive substances. I know trans brother and activist Matt Kailey just died from it at a fairly young age. If you get the chance to stop, it's worth working on.
The only thing encouraging is a LOT of people have stopped. I think support groups or whatever are useful.

I don't think the risks are limited to facial surgery.

--Jay
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Kreuzfidel

Quote from: Lyric on May 25, 2014, 02:12:56 PM
I've never understood why people deliberately barbeque their own lungs. There's nothing that's not completely idiotic and stupid about smoking. Find some way to stop doing it and stay that way. Unforch, nicotine is one of the most addictive drugs on Earth, so expect to struggle for year or two, but there's absolutely nothing you can do that will be better for yourself than that.

I get your overall message, but I don't agree with the harshness of that judgment.  Yes, it's not a good choice to pick up the habit, but "idiotic" and "stupid" is unnecessary.  Everyone makes bad decisions for different reasons.
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aleon515

Quote from: Kreuzfidel on May 26, 2014, 03:19:24 AM
I get your overall message, but I don't agree with the harshness of that judgment.  Yes, it's not a good choice to pick up the habit, but "idiotic" and "stupid" is unnecessary.  Everyone makes bad decisions for different reasons.

My point too. I think a LOT of people make the "decision" to smoke as kind of a cool thing when they are very young and think it's a cool way to be rebellious. Then they end up as quite addicted (though it seems I know quite a number of kids who were able to stop before they got addicted). The cigarette companies intentional market to children to get them to start because they know how hard it is to quit.


--Jay
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Ayden


Quote from: Lyric on May 25, 2014, 02:12:56 PM
I've never understood why people deliberately barbeque their own lungs. There's nothing that's not completely idiotic and stupid about smoking. Find some way to stop doing it and stay that way. Unforch, nicotine is one of the most addictive drugs on Earth, so expect to struggle for year or two, but there's absolutely nothing you can do that will be better for yourself than that.

I wasn't going to respond to this, but I can't help it. As someone who recently quit, this is not helpful. We know its bad for us, but we hear all the negatives all the time. Is tobacco addictive? Yes. Some people have no problem with it and some people do. It's a lot like alcohol in that regard.

If you have never smoked, congrats. But don't look down on people who do. This is so frustrating about western society and moreso from Americans. Tobacco built America and any American who denies that is not taking years of history into account. There are a lot of reasons people start smoking. Like Jay pointed out, it isn't a "choice". No one wants to be addicted to anything. "Addict" is a nasty word and a terrible label, and a lot of smokers have had that kind of negativity thrown at then by people who think "I didnt do something so nasty, so I'm better than you". From ex-smokers it's worse. I've heard ex-smokers tell me that I'm a degenerate, weak, pathetic... The whole 9 yards.

Is smoking bad? Of course. But then if you look at the longest lived people in the world, the Japanese, they smoke like the world is ending tomorrow. Somehow they still live to be 90 years old and die of natural causes unrelated to smoking. I'm not saying it will make you live longer. I am saying that how it's demonized by westerners is a little extreme. For the record, I'm American and I grew up hearing that if I ever put a cigarette in my mouth I should just pop a gun in there and pull the trigger.

There are a lot of things that are not tobacco related that are dangerous. Drinking too much soda/coffee/alcohol, binge eating, restrictive eating, no exercise, too much exercise, watching TV/being on the Internet (smart phone addiction is awful), sex and porn addiction... All these things are destructive as well. Saying that tobacco is more addictive than meth or heroine is naive. My mother put down cigarettes years ago, but when she's that needle she goes crazy. She went through drug detox 5 times before she got clean. Am I being an ass? Probably. But that holier than thou attitude is why I hate going home.

To the OP: it's hard. I'm not gonna lie to ya my friend. But, here's the encouraging news: if I quit you can. I can see a tobacco shop from my balcony. It's cheaper here than anywhere in the rest of the 1st world nations. The first week is rough and as a writer, it about killed me creatively. I had four really bad days; numbers 3, 5, 7 and 10. After the first 5-7 days the nicotine is out of your system. By day 10 my craving was completely mental and I gargled mouthwash and did 50 push-ups. Find something to replace it with. It doesn't have to be oral either. I started playing guitar and knitting again. I am having no trouble writing anymore. I wrote two full length 6000+ word chapters in my second novel and an article in a week without smoking. I feel better, I think I look better, I had enough energy to deep clean my whole apartment including my tatami in the bedroom. Stick with it. You don't have to battle with addiction for years or go through physical withdrawals forever. That's ridiculous. After a month I think about it but that's as far as it goes. It's a "a smoke would be nice... Lets do 100 push-ups! Gotta get those pecs built up for surgery!"
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