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Considering that the average smoker goes through less than 15 cigarettes every day, comparing a single cigarette to puffs presents a more realistic number

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Eric Genden, a New York City surgeon who specializes in cancers of the head and neck, called smoking after a cancer diagnosis a "bad idea." He told the paper, "In patients with a history of carcinoma of the throat, smoking represents an exceptionally high risk to developing a recurrence and even dying from the disease." If Douglas was smoking tobacco, he's far from the only cancer survivor to have trouble beating tobacco addition

Circulation 99 , 14111415 (1999)

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