Pls tell me that i am not the only smoker

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I am having surgery on Monday, January 26, 2009,  I am a smoker, I have just read the smoking thread for about the 100th time.  I am so embarrassed to ask, but has anyone had a cigarette on the day of surgery?  I am so very nervous, do not have to be at the hospital until 10:00 am.  My regular doctor has given me a prescription for Chantex and I plan to have it filled after I get through this terrifying week.  I was not afraid at all until yesterday.  Now I am very afraid, I do not think that it is  possible to stop at this moment.  I tried Chantex once before and quit for seven months, then you know the deal, I was glad that I quit, but not a happy girl.  If you have a moment, please let me know your thoughts and what you did.

Thank you all so much! 

Allie

Comments

  • nobleanna007
    nobleanna007 Member Posts: 641
    edited January 2009

    Allie,

          Its okay don't beat your self up over this. Its very stressfull and hard thing emotionally to deal with. Of course its better to quit at least a few weeks before surgery but I did not so if you don't your bloodvessels are still going to be comprimized. So if you need to have one then do but I can tell you I healed okay but often wondered and blame myself for losing my expander due to the smoking. I don't know for sure and will never know but I do feel in my heart that I did it. I just went to Boston for a consult for a Diep and under know circumstances am I to smoke a month befor and a month afterwards. She told me point blank if I test positive for nicotine that morning she will not do the surgery. I can respect that cause it would not be her fault it would be mine but her record would reflect the outcome. Please come on the stop smoking thread with us. We will support you and I am also hoping to get the support. I find myself very embarrased to admit this but I have a sickness and I need to quit its its crazy. And I always find excuses why I can't on this day or that day. I just need to do it!!! I have cutback and am trying to stop my usual triggers for smoking like talking on the phone and having to have one so I am getting there. I am retraining my brain. All I can say is good-luck to you and try try try to cut back at least before surgey every little bit helps!!!!

                                                  Your Friend-Bridget

  • AnnNYC
    AnnNYC Member Posts: 4,484
    edited January 2009

    Allie, I know that feeling ashamed is one of the things that KEPT me smoking!  When I was finally able to quit, it was when I had moved into feeling that I deserved APPLAUSE for resisting an urge to have a particular cigarette!

    I definitely had cigarettes on my way to biopsies, MRIs, lumpectomy.  I had my last 3 weeks before mastectomy.  I know there are women on this board who smoked through treatment, whose doctors said it was too stressful a time to quit.

    My plastic surgeon said "it would be really great if you could quit at least 3 weeks before and 3 weeks after mastectomy/reconstruction." (I had expander/implant, not a DIEP or flap surgery -- I was afraid those would be too compromised by smoking). I think his kindness and his suggestion that it was "temporary" was enormously helpful in my quitting.  I'm so glad I did -- but I know that the removal of the feeling of shame really helped me.  Also the idea that you're just refusing one cigarette at a time!  That concept helped me quit permanently! 

    (A friend who has done AA for years told me, "tell yourself you're just not having a cigarette NOW -- there are still cigarettes in the world, but you're not having one NOW."  And I would call her up to say "congratulate me -- I wanted one 5 minutes ago, but I didn't have it, and now I don't want one!"  That approach was how I finally quit -- after years of trying patches, etc.)

    Wishing you the very best,

    hugs,

    Ann

  • malleme
    malleme Member Posts: 210
    edited February 2009

    Please tell me why the expanders didn't work and how could you tell.  I had my bi-lateral mast on the 26th and tissue expander put in.  The surgeon has checked then every 3 days since and so far said everythin is ok.  I was black and blue but now the skin is turning yellowish he said that was normal.  Any clue you can tell me would be great.  I have been sneaking cigarettes left and right.

  • jancie
    jancie Member Posts: 2,631
    edited February 2009

    Chantrix and Valium - that is the best way to quit!!  I haven't smoked since Tuesday - ok so it has only been 4 days but I smoked for 30 years straight.  The Chantrix gets rid of all of your nicotine withdrawals - believe me it does!  You have to deal with the mental withdrawals which are just as bad so I pop Valium here and there when I really need it!

    You can take valium for MRI, bone scans, biopsys, etc. but if they are going to give you general anesthesia then you need to let them know if you have taken valium or ask them if it is ok because you are having a MAJOR ANXIETY ATTACK.

  • malleme
    malleme Member Posts: 210
    edited February 2009

    Janic your a great support person God Bless you

  • Janzin
    Janzin Member Posts: 502
    edited February 2009

    Allie1075,

    I am not saying you should do this as everyone is different and you never know the risks but I did smoke 2 cigs before surgery. I think I had about 3 hours free before going under. I would suggest staying up late so you can sleep in longer and don't have to go through as many urges during this stressful time. Cutting down will make you feel better too.

    So far I have been healing fine with my expanders but it is still early so that is a constant stress. Come join our quit smoking thread, the group is awesome and you will find more support, the more the merrier.

    Good luck with your surgery and let us know how you are doing.

    Best,
    Janet

  • Britt
    Britt Member Posts: 731
    edited February 2009

    Hi, allie -

    I, too, am a smoker. I did not smoke before my surgery - but did five hours afterwards when I was home (it was a lumpectomy and SNB) - no problems healing at all.  Tomorrow I go for ALND surgery (since they found borderline micromets in the sentinel node) - thankfully, I have to be at the hospital at 5:15 am and surgery at 7 am - if all goes well, should be home around 1pm.

    believe me, I know it's not the best thing for anyone - smoking - but I understand the incredible stress we are all under and it's the worst time to quit.  I admire those who are trying.  I really do.  But I can't - not right now. 

    A fellow smoker!

  • kmccraw423
    kmccraw423 Member Posts: 3,596
    edited February 2009

    Okay - do NOT blame yourself because the expander failed!  Mine failed too and I haven't had a cigarette in 5 years.  If it hadn't been so bad to quit and stay off cigarettes, bc would have had me smoking again.  However, if I am ever diagnosed with a terminal disease where there is absolutely no hope, first thing I am going to do is buy a carton of cigarettes.

  • Raye99
    Raye99 Member Posts: 1,350
    edited February 2009

    Hi Allie -

    Don't be embarrassed to ask anything. For my first surgery (mast), I played by the rules and didn't smoke the 48 hours prior to surgery. When I had my prophy mast, I did have one cigarette that morning.

    When dx'd, I had successfully quit smoking, but was sneaking here and there (well, not that successful, I guess) while out with the girls or on a girls' vacation, but otherwise not smoking at all. When I got the call, I started smoking like a fiend, until surgery and then stopped for two weeks then smoked lightly intermittently throughout chemo. RADS: the rads onc told me to never ever smoke again due to risk of lung ca. I did well all throughout rads and then started smoking here and there again about six months after.

    I just quit smoking again (hopefully, this will be the time it sticks) on January 1 - so it has been almost six weeks without a cig. Cold turkey this time, as I was not really smoking too much. When I was a heavier smoker, I used Zyban, which I feel worked really well.

    Good luck to you! Sorry for the LONG post.

    Raye

  • lalady
    lalady Member Posts: 9
    edited February 2009

    I smoke every chance I get. I am stage IV mets to liver. I smoked the morning of surgery and as soon as I got home. No problems with any of my 17 surgeries including bilateral mastectomies/expanders or anything else. Lungs are clear and sound as a bell. I used to try to quit but now....NOT. I am through being embarrassed.

    Any surgeon/MD who says they won't do surgery is thinking there are not OTHER MD's out there. 30 years of being a nurse tells me this person is a jackass and does not deserve to get your money. No MD has the right to beat you into submission. Particularly when they know you are so vulnerable. You are in control and don't let anyone tell you different.

    If you want to quit and can stand the stress, go for it, but do it because you want to! Now is not the time to let anyone strong arm you.

    Good luck sweetheart.

  • nobleanna007
    nobleanna007 Member Posts: 641
    edited February 2009

    I was told by my new PS she will not do a Diep if I have smoked a month before and she says she will know the day of surgery if I have. Plus no smoking after for 1 month. I do want to quit and I know the sucess rate is better but it did kind of turned me off being forced. My PS in Maine new I smoked and did tell me the pros and cons but he never told me he would not do the implants. So I guess when I quit then I will get my surgery I am not booking it until I have quit at least a month and know I will stick with it.

  • rascal_gal
    rascal_gal Member Posts: 75
    edited February 2009

    I smoke. I quit last year for 6 months using patches, but the PS didn't want me using them. She gave me chantix. I did well on it till I had to stop taking it. Not sure if it was causing side effect or my Crohn's was flaring.

    My PS told me she would do the surgeries she HAD to do, but any thing following that wasn't medically necessary she wouldn't unless I quit. So it's quit now or quit later. I'm not having the DEIP done, just silicone gel implants after the expanders. But she says that the nicotine may interfere with the healing process. I've never had a problem before with surgeries, but I'm afraid to chance this one

    I know they can detect a chemical in your blood if you smoke,Cotinine . Nicotine doesn't stay in your blood for long, that's why you have the craving for it.  And I think they can check your carbon monoxide levels too. I just wonder if she'd go to the trouble of testing me for smoking. For some reason, I am afraid to take that chance.

    I wish you the best on quitting! I hope it goes smoothly!

  • flfish
    flfish Member Posts: 423
    edited February 2009

    Allie, don't be embarrassed to ask anything.  I too had a smoke on my way to surgery for my lumpectomy, and had quite a few after.  I just tried to quit on January 1st.  It is tougher than I imagined, but when I screw up (which has happened) I just get right back on the no smoking band wagon the next day.  I don't know if I will ever get over it for good, but I will give it my best effort.  If you have quit for 7 months in the past, then you are already a pro at it and you can do it again.  I wish you best wishes in your quest to quit!

    Ellie

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