Musings from Brian J. Noggle

A Doctor With Perspective

At the risk of imperiling my marriage, I shall link to this piece, entitled Second Hand Joke, wherein Dr. Sydney Smith recognizes that smoking's bad, but also that trampling individual rights for abstractions such as "public health" or "the good of the individual" are worse. Read:

Smoking is a filthy habit. It causes bad breath. It stains the fingers and the teeth. It rots the lungs and it takes the breath away. Spend a day in any doctor's office and you can quickly spot the long time smokers, such is its impact on the body. And death by tobacco is a truly horrible death, with the final days spent gasping for breath and drowning in ones own secretions while the doctors look on helplessly.

And yet, as loathsome as smoking is, it's hard not to feel sorry for smokers. Every morning I pass small clusters of them in front of the hospital, just around the corner from the "No Smoking" sign, like high school hoodlums who smoke just a step away from school property. Some of them are hospital employees, puffing off job stress during their breaks. Others are patients, with nothing but flimsy hospital gowns and robes to protect them against the elements while they seek solace in tobacco. It seems cruel to make them smoke outside. The hospital has a special room for prayer. Couldn't they have a special room for smoking?

But then, the world has become a cruel place for smokers. Not only must they huddle outside at work to indulge, they increasingly must also huddle outside when they're enjoying a night on the town. Over a hundred cities in the U.S. have banned smoking in public places such as bars and nightclubs. Last month, Ireland banned smoking in pubs. Now Scotland is under pressure to do the same, and the EU is flirting with its own ban.

The rationale for these bans is that smoking in public is not only a nuisance for non-smokers, but a health threat. While it's true that an asthmatic non-smoker may have problems working or relaxing in a smokey bar, anti-smoking advocates have lately drastically stepped up their claims regarding the dangers of second hand smoke. A CDC official, writing in the British Medical Journal warned people with heart disease to avoid all buildings that allowed any smoking, claiming that just thirty minutes of inhaling second hand smoke could cause heart attacks. Apparently, even miniscule amounts of tobacco smoke can turn your coronary arteries from this into this.

- posted by Brian J. @ 11:03 PM