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Discussion In this large nationally representative study of childhood smoking and COPD risk, age of onset for cigarette smoking before 15 years of age was significantly associated with COPD risk, independent of cigarette pack years, current smoking status, secondhand smoke exposure, and smoking duration

We as clinicians have the responsibility to keep our eyes open for such clinical outliers, Oxnard says, because they may provide unique insights on a more deep biological level. References Couraud, S

If it was vanity, even at seventeen, that led me to smoke in the first place, the desire to be more desirable, the wish to be sexier, more free, more dangerous, more like Humphrey Bogart, then it was vanity that led me to stop smoking forty years later, imagining my pitiful self pulling that canister of oxygen along behind me like an anchor

I will @ your ass if I want to