From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
In April 2000, at Medicine Grand Rounds, Nancy A. Rigotti MD, discussed
a 36-year-old woman who was addicted to cigarettes. Ms V, the patient, described
a pattern of heavy smoking dating back to the age of 12 years. She tried to
quit several times, including quitting "cold turkey," using nicotine patches
and gum, and trying hypnosis. None of these methods worked for her, and her
longest cigarette-free interval was 9 days. Using bupropion hydrochloride
and the nicotine patch, she abstained from smoking for 24 days. Her medical
history was notable for type 1 diabetes mellitus, hyperlipidemia, and frequent
bouts of bronchitis and sinusitis. Ms V stated that she could not imagine
herself without a cigarette and perceived cigarettes as an "old friend." Nevertheless,
she described disliking her addiction and the criticism from family and friends.
Parker RA, Hartman EE. A 36-Year-Old Woman Who Smokes Cigarettes, 1 Year Later. JAMA. 2001;285(20):2636. doi:10.1001/jama.285.20.2636