I wish I have seen this earlier. But, looks like you are doing very well thus far. It is very good to involve people around you with your attempt at quitting. The more people that know, the more support you will have for this arduous task.
I have some suggestions:
It seems like you and your wife are good at making some rules about smoking. She does not smoke in the home, but does in the car. Make that a new rule, if she can manage. A lot of time is spent in vehicles and an odor-free environment will help you.
It was once thought, and I too believed it, that sheer will-power is the overall deciding factor on ones ability to quit. Unfortunately that is a myth. Nicotine is the most powerful addictive substance. There is a 3-link chain of addiction with tobacco. Statistics show that quitting cold-turkey is not as effective as using nicotine replacement therapy (NRTs) and/or cessation classes.
Cold-turkey worked for me too, but my addiction levels were not even half of yours. People with higher levels of nicotine use have a more difficult time in quitting tobacco.
Do you have a "Quit Plan?" It is a Smoker's Helpline brochure that gives some great tips and suggestions for dealing with those little bumps in the road, like dealing with hunger, dealing with cravings, etc. If you have a well developed plan, you can have the ammunition ready to combat these obstacles. I can send you one if you need it.
Simple phrases for dealing with urges are paramount. In my first three attempts to quit cold-turkey, I was unaware of how to deal with cravings. On my forth attempt, I received advise from a radiologists, former smoker, that would repeat the phrase: "I don't smoke any more" I used this phrase and kept repeating it until the urges to smoke went away. It usually lasts for less than 3 minutes. This works very well if you are around others that smoke, like at a bar or pool hall.
Ryan, developing COPD at your age is alarming. Is there a history of COPD (emphysema or chronic bronchitis) in your family?
Did your doctor have you perform a spirometry test? It's a test where you blow into a tube and it measures how much and how fast you can exhale. If you have not done this you need to. It confirms the diagnosis of COPD and can rule out asthma as a differential diagnosis. If need be I can perform this test for you next time I am up in Glendale.
Those affected by COPD at such a young age should be tested for a genetic form of COPD called Alpha-1 antitrypsin deficiency. This is a protein secreted by the liver that breaks down essential enzymes known to cause tissue damage in the lungs. Tobacco smoke makes it more likely that one with AAT will develop COPD at a younger age. You should ask your doctor about testing for this as well. If they do nto agree, you can contact the Alpha-1 research center and they offer a home test kit, where you ***** your finger and send in a sample of blood. If you do have this rare form of AAT caused COPD, there is treatment for it.
If I can help you with anything else, please call me at the office, 520-323-1812. Like Doglover, I have access to many resources that can help you or anyone else for that matter looking for assistance with tobacco control or COPD.
Here is a list of resources for you to check into:
http://www.ashline.org/ (Smoker's Helpline)
http://www.ashline.org/downloads/downloads.html (Link to coping tips and withdraw tips)
http://www.nhlbi.nih.gov/health/public/lung/copd/index.htm (COPD Facts and Information)
http://www.alpha1.org/newlyDiag/should_be_tested.php (Alpha-1 testing criteria. Call me if you would like contact info for home testing)
Scott Cerreta
American Lung Association
COPD Program Manager â€"œ Provider Educator