Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

When it comes to smoking, I am a militant

Stewart Segal, MD
Physician
January 15, 2012
Share
Tweet
Share

It is obvious to those who know me that I am an avid anti-smoker and work hard to help those afflicted with a tobacco addiction break their habit.

Knowing your shortcomings is an important part of being successful. One of my short comings is not knowing when to quit. When it comes to helping smokers stop smoking, I am a zealot. Today, I went to work on one of my smokers, hammering at the health hazards of smoking and techniques she could use to stop. Halfway through my spiel, I stated, “I know I can be obnoxious when it comes to you smoking.”

My patient answered, “You’re not obnoxious. You are ‘militant.’ You are fighting a battle and militant is good.” While I never saw myself as militant, I liked the idea. I am fighting a battle. The stakes are high. I can see the future and it’s not pretty.

I am currently dealing with patients who are at the end of their shortened lives. Every year, I have a new batch of smokers who run out of useful lungs. They were all told that smoking would eventually destroy the quality of their lives or even kill them. They just didn’t believe it. They all have the same thing in common: they are miserable. They also make their families miserable. Their children get to watch in horror as daddy coughs and gets short of breath doing nothing. Their daughters either cry or steel themselves against the devastating thought of losing their parent.

Yes, I’m militant. I am fighting an enemy that hides in the shadows, slowly destroying life from within. My enemy is a suicide bomber, seemingly harmless and dressed in seductive apparel. She tempts you with her nicotine. She lets you fondle her while all along she plots how to kill you. She is a sadist, designing a slow painful death for those who fall for her allure.

My job as a militant is to reveal her, that evil cigarette, for who she is. I use every trick in the book to root her out and extinguish her fire. I look forward to the day when she is finally vanquished. Unfortunately, as long as there are still governments who condone her harmful presence, there will be those who fall for her seduction. And fall they will. Eventually most smokers will fall ill, getting sicker with every puff.

Militant, zealot or just obnoxious; call me what you want. I have a job to do. Preserve and improve life is an important job. Without health, everything else is worthless.

If you know or love a smoker, join my army. Send this blog far and wide. Recruit other anti-smoking militants to our cause. The life you save may be your father’s, your mother’s, your husband’s, or your wife’s. The life you save may even be your child’s.

Stewart Segal is a family physician who blogs at Livewellthy.org.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

The covenant between doctor and patient is sacred

January 15, 2012 Kevin 1
…
Next

Robotics can revolutionize the delivery of medical care

January 16, 2012 Kevin 6
…

Tagged as: Primary Care

< Previous Post
The covenant between doctor and patient is sacred
Next Post >
Robotics can revolutionize the delivery of medical care

ADVERTISEMENT

More by Stewart Segal, MD

  • a desk with keyboard and ipad with the kevinmd logo

    I dream of practicing free medicine

    Stewart Segal, MD
  • a desk with keyboard and ipad with the kevinmd logo

    I have a problem and my problem is me

    Stewart Segal, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Click, click, click: How can I help you today?

    Stewart Segal, MD

More in Physician

  • Why a chief wellness officer hid her medication use for 13 years

    Michael F. Myers, MD
  • Physician patient advocacy: Fighting insurance denials effectively

    Neil Baum, MD
  • Health care’s Upside Down: Addressing systemic dysfunction and burnout

    Ganesh Asaithambi, MD, MBA
  • In the age of AI, what makes a physician REAL?

    Harvey Castro, MD, MBA
  • The cost of clinician absence in the boardroom: a 30-year perspective

    Christopher Mastino, MD
  • My wife wants me to retire

    Sandy Brown, MD
  • Most Popular

  • Past Week

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
    • Why medical education assessment kills curiosity in residents

      Mythili Ransdell, MD | Education
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Mobile wound care in 2026: Navigating regulatory pressures

      John F. Curtis IV, MD | Conditions
    • Why smaller hospitals may be faster for cancer diagnosis

      Gerald Kuo | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
    • Why medical education assessment kills curiosity in residents

      Mythili Ransdell, MD | Education
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Mobile wound care in 2026: Navigating regulatory pressures

      John F. Curtis IV, MD | Conditions
    • Why smaller hospitals may be faster for cancer diagnosis

      Gerald Kuo | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

When it comes to smoking, I am a militant
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...