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  1. We know intuitively that cigarette smoking imparts irreparable damage. Toxins that spew out of the lit end promote death not health. Oxygen no longer bathes the nascent human cell and, worse yet, is replaced by carbon monoxide, the very antithesis of well-being. Forget about the cigarettes: save money! Just pucker up to your exhaust pipe. Each cigarette causes vasoconstriction for up to 12 hours, diminishing blood flow, life sustaining oxygen and nutrients, the very essence of what we need to mend our wounds. These vital substances are replaced by over 40 known carcinogens and toxins that most assuredly will be the ruin of skillful surgery; yet we question the responsibility of asking our patients to totally suspend cigarette smoking.

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