The increase in asthma incidence

Asthma prevalences in 1975 were consistent with those of previous studies in Finland and Sweden. The present study detected only a slight rise in the prevalence of asthma during 1975 to 1990, whereas a Finnish study on conscripts showed as high as a sixfold increase in recent decades. The age distribution of our study group differed from that of Haahtela et al, because our data included no young adults 30 years old in prevalence calculations. Thus, the greater rise in asthma prevalence of other studies is probably because of an increase among children and young adults. Moreover, our prevalence figures are based on subjects aged 30 to 59 years old at the time of each survey, and thus on different subjects from our incidence analysis. Canadian pharmacy viagra

Cumulative incidence provides an estimate of the probability, or risk, that an individual will develop a disease during a specified period of time. The probability of developing asthma during the 15-year period was approximately 2% for both men and women, but risk was dependent on age, even though all subjects were adults. Thus, on average, 1.6 new asthma diagnoses were made annually per 1,000 adults, which is consistent with the annual age and sex adjusted incidence for definite asthma (1.38/ 1,000) in the study of Yunginger et al and with the standardized incidence (2.10/1,000/yr) found by McWhorter et al. The probability of being diagnosed with hay fever during the same period was higher, with men having a risk of almost 10% and women, 13.6%, although age had no effect. This means that annually there is an average of six new hay fever diagnoses among 1,000 adult men and nine among 1,000 adult women.

The increase in asthma incidence between 1976 to 1981 and 1982 to 1990 was more obvious among men than women, although neither was statistically significant; at the same time the incidence of chronic bronchitis decreased. It is possible that these trends are partly because of changes in diagnostic criteria, especially among men, with a preference for an asthma diagnosis. Atopy is found to be a predisposing factor for chronic bronchitis, but allergic Kamagra Australia subjects with symptoms such as cough and phlegm are more likely to be considered as asthmatics than chronic bronchitis sufferers. One reason is that in Finland the costs of asthma medication have been better subsidized by the Social Insurance Institution of Finland throughout the whole study period, whereas medication costs for chronic bronchitis have been included in this higher subsidy category only since 1986.

Treatment by Mind and HQ Pharmacy

How are TB cases treated today? They put them to bed without moving. They are under a special diet and nothing more. No. Let the patient be free to do whatever he wants. If he wants to rest, let him rest. If he wants to go for a walk, let him go for a walk. However, he shall start pronouncing every day the words: “I will recover”. He shall gradually increase the number of repetitions of these words until he reaches 1000 – 2000 repetitions a day. Let him say these words 100 times during the first day, on the second day -120 times, on the third day -150 times and so on until he reaches 1000 – 2000 times. Every disease Sildenafil Canada, every discouragement may be treated in this way. Thus, the heavy, dark atmosphere around the patient becomes cheerful, bright, and pleasant and he feels better and better. Then all healthy people will start to visit that man.

Let’s say that you have a little difficulty. Your finger hurts and you cannot stand it. In order to heal yourself, or to be more precise, in order to be able to stand it, imagine that somebody has hammered a big nail in your hand. This bigger pain will replace the less one. If you can reproduce mentally that hammering of the nail into the hand, transformation of the pain will take place in your mind.

If you fall ill do not rush to call the doctor. Apply one, second, third method, concentrate your mind on the pain and say mentally several times the following: “I will recover.” Sometimes you can say only ten times that you will recover and this will happen, but at other times, it will be necessary these words to be said thousands of times. No matter how many times you say these words, just do not discourage. Be persistent and you will get good results. In this way you can treat yourself and your friends.

A special atmosphere will be created around you if you know how to pronounce the words life’, ‘goodness’, ‘love’, ‘wisdom’, ‘spring’, ‘Christ’, ‘Spirit’.

If there is something wrong with your eyes, every night before falling asleep, you shall say: “When I open my eyes tomorrow, I will be better.” One, who has faith, is capable of everything.

If there is a wart or lichen: a Bulgarian would go to a grocer, steal a lump of salt, because by stealing it, it will become positive, and he is also positive. And when the moon is emptying, he will surround the wart by the lump of salt and say: “Let the wart disappear in the same way, in which the moon is emptying and this lump of salt melts.”, he throws the salt and the wart disappears. You explain that to yourself that the salt, as a channel, has attracted those flows in Nature, which support these warts.


So, what makes NO break down and divert from the reaction function that we require? The culprits are called free radicals and we have explored them extensively in the introduction to this Step. So, for our purposes we need to strive for a diet that helps production of NO and fights the free radicals with antioxidants. My recommended diet at the end of this Step does this. As knowledge is power, I’d like to explain some of the nutrition inputs specifically for NO production and defence against free radicals:

1. L-Arginine. We discussed L-Arginine in Step 2: Supplements. The average amount present in a normal diet is around 5 grams, which is the level required for normal NO production. I repeat, I don’t recommend you take supplements as chronic expression of L-arginine causes problems like nausea, diarrhoea and gastrointestinal tract discomfort. Dickxy further reports that in a study of men buy viagra online in Canada who suffered heart attacks, 9 grams of L-Arginine increased deaths! This makes sense as NO is associated with inflammation. So, get your L-Arginine from the recommended dietary sources as follows:

a. Animal sources: dairy products (cottage cheese, ricotta, milk, whey protein drinks), pork (bacon and ham), poultry (chicken and light turkey meat), wild game (pheasant, quail), seafood (tuna, halibut, salmon, shrimps, lobsters).

b. Plant sources: wheat germ and flour, buckwheat, granola, oatmeal, nuts (coconut, pecans, peanuts, cashews, walnuts, almonds, brazil nuts, hazelnuts, pine nuts), seeds (pumpkin, sesame, sunflower), chick peas, cooked soybeans.

2. Antioxidants. Dickxy has researched PubMed, the free US National Library of Medicine and reports the following findings:

a. Men with ED are deficient in intracellular antioxidant defences (PMID 15910541) and also that paraoxinase-1, one of most important circulating antioxidants, was lower in young men with ED (PMID 17554394). Paraoxinase-1 is an antioxidant enzyme synthesized by the liver and consequently, any form of liver impairment or disease is not useful.

b. Other good antioxidants to seek are: polyphenols found in plants and especially in pomegranate (PMID 166269820); berries with skin (PMID 19298192); and red wine (PMID 12575978). We have also mentioned, tocotrienols (members of the Vitamin E family) and ly-copene ( found to be helpful against risk or prostate cancer – Journal of the American College of Nutrition).

3. Green tea (PMID 16872562);is a particularly important antioxidant because it also reduces the incidence of prostate cancer. As we have seen in Step 3: Sources of ED , prostate cancer treatment can cause irreparable damage to the blood vessels and consequent ED. Be aware that decaf-feination removes some of the beneficial antioxidants in tea and should be avoided. – main page Australian Pharmacy viagra.

4. Vitamins С and E. I have already mentioned that they may lessen some of the awful effects of smoking. Again stay away from supplements as excessive doses of E and A have been linked to higher mortality rates. Dickxy reports that large amounts of vitamin E (more than 200 III) has been associated with a higher risk of death from all causes (PMID 15537682) and can cause severe bleeding for men also taking a daily aspirin. Also, large doses of Vitamin С have been associated with heartburn. So, instead of taking С and E supplements and peeing very expensive urine, why not rely on your diet and let your body design get what it needs. My recommended nutrition should provide all the vitamin С and E you need.

5. Coenzyme 10Q. Its antioxidant value comes from its ability to accept and donate electrons in the transformation of carbohydrates and fats to energy used by cells. It is also used by the body to protect cells from oxidation. Apart from its work on free radicals it also regenerates Vitamin E. As it is synthesised by the body it is not defined as a vitamin. It is very important in organs that need a lot of energy such as the heart, liver and kidney. The good news is that you don’t need supplements as the body makes its own CoQIO and the recommended nutrition provides adequate sources such as meat, poultry, fish, soybeans and nuts for the body to source.

5. Folic Acid prevents high blood pressure, improves blood vessel health and is good for NO production. Yet again, the story on supplements is than same. Dickxy reports that high supplements of Folic Acid may exacerbate existing colon cancer! Best to take it from natural sources and the main ones included in my recommended nutrition are:

a. Broccoli; spinach; asparagus; peas; leeks; brussels sprouts; parsley; Asian green leafy veggies b. Avocado; beetroot; green pepper; lettuce; cabbage; parsnip; turnip; cauliflower
c. Lentils; pinto beans; black eyed peas; soya beans; tofu; bean sprouts
d. Peanuts; walnuts; cashews; almonds; sesame seeds; sunflower seeds
e. Tomato juice
f. Wheat germ; all brans; whole meal flour; soy flour g-Eggs
h. Cooked brown rice and wholemeal pasta

This is a big list and you should be able to include some of these sources in your nutrition.

6. Flavonoids found in cocoa have been associated with lowering blood pressure due to their stimulation of NO and blood vessel dilation. This is confirmed by a recent study reported in The Cochrane Collaboration 2012. Look for dark chocolate that has at least 80% cocoa (PMID 14654748).

The above are all positives for the production of NO and to minimise the damage from free radicals. They have been included in the recommended Nutrition from the most helpful sources. Before we get into the recommended nutrition, let’s look at maintaining normal levels of testosterone naturally.

Your Dick’s Support Group

The testis (testicles or balls to you and me) are two ball-like glands inside the scrotum that produce sperm and hormones, including testosterone.

– The epididymis is the tube in which sperm mature. It takes around three months for sperm to mature! An epididymis leads from each testicle to each vas deferens. It stores sperm before ejaculation. It is tightly coiled on top of and behind each testicle.

– A vas deferens is a long, narrow tube that carries sperm from the epididymis to the seminal vesicles during ejaculation. There are two of them — one connected to each epididymis.

– The prostate gland produces a fluid that helps sperm move through your ejaculatory tract. The prostate gland is about the size of a walnut or golf ball. The prostate is sensitive to pressure and to touch — sometimes even referred to as the male С spot!

– The Cowper’s glands are beneath the prostate and attach to the urethra. They produce a fluid — pre-ejaculate or pre-cum — that prepares the urethra for ejaculation. Pre-ejaculate reduces friction in the urethra, making it easier for semen to pass through. Cowper’s glands are also called bulbourethral glands.

– Seminal vesicles are two small organs that produce seminal fluid. The seminal vesicles are located below the bladder.

So, with so many players to contend with, an ejaculation is quiet a journey with a sequence of events, a few stops and a lot of lubrication to help the sperm on the way.

There is one more important player we have to take into account. It is called the skin. It is the largest organ of your body and therefore the largest sex support organ. It carries a network of highly sensitive nerves all over your body, sending feedback to the brain, so that any body part may be stimulated for sexual arousal. This is just as true for men as it is for women.

Any part of your body that is sensitive to sensual touch is called an erogenous zone. For both women and men, this may include your breasts and nipples, your anus, the back of your neck, your lips, your mouth and tongue, the small of your back, your fingers and toes, the palms of your hands, the soles of your feet, the lobes of your ears, your inner thighs, etc. You are probably a walking erogenous zone ready to be stimulated! Nice thought.

Now for some hard truths. Although your Dick (and his alter ego) may be inclined to hog the spotlight, he is actually a small part of your Sexual Persona and not even in control. Your whole sexual anatomy – consisting of your Dick, his support group, your skin and his mate the Brain, form your Sexual Persona and guess what, he is not in charge! He may be trying to impress you with his juggling skills.

But, with so many party players that have to attend for an orgasmic sex encounter, there has to be someone in control to make sure all the starts and stops and lubrication is applied at the right time and place. There is only one source of the required computing power. Our mate, the Brain. You may have come across the statement that some men allow their Dicks Nolvadex in Canada to control their lives and that they usually end up in bad sex encounters and have to visit clinics for very distasteful courses of antibiotics. Not true. It is Brain that controls everything and it’s worth spending some time on developments in Neuroscience about how your brain works and how it controls your sex encounters.

Young Adult Cancer Survivors

Dr Chatham called last night with the results of your biopsy, Brad. He’d like for you to check into the hospital tomorrow morning to run some additional tests. The preliminary results show that you have Hodgkin’s disease. It’s a form of cancer, and you’re going to have to put your life on hold for about a year while you undergo treatment.

Although the doctor said my chances for cure were high, I thought ‘But it’s still cancer!’ and I wondered if I would become some sickly kind of guy for the rest of my life. Fortunately, I’ve been far from sickly. I am, and have been for almost 20 years, in full recovery. Since having cancer I have been hiking and backpacking and bicycling all over the United States. I went to graduate school and am now a Professor of Social Work at the University of Southern California where I am researching how cancer impacts the lives of patients and their families. Most notably, three years ago I achieved a milestone that I thought for a long time would never happen due to the effects of chemo-therapy on my fertility. I became a father. Canadian pharmacy viagra – cheap viagra medications online pharmacy.

Life tasks and challenges in adolescent and young adult cancer survivors

The end of cancer treatment, returning to school or work, leaving home, dating, starting a family and/or a career and establishing regular and appropriate health care are all important stages of young adult cancer survivors’ lives. These life stages carry with them the potential for new understandings of cancer’s impact, new worries or concerns, and new challenges to physical health and abilities. It may be that at certain life transitions some survivors find their worries realized, find it difficult to obtain insurance or employment, recognize the limitations of their mental abilities or social skills, or understand the meaning and realities of chemotherapy’s effect on fertility. These life stages also may be times when the cancer experience becomes a personal resource that motivates survivors to help others, or instils in them an inner sense of confidence, purpose and knowledge about what is important in life.

Coping with cancer throughout survivorship requires an individual to continuously appraise cancer’s threat and potential for change as it appears and reappears in different forms at various times throughout the remainder of life (for example, as threat to reproduction; as discrimination when seeking insurance or employment; when starting a family; when certain environmental stimuli remind the survivor of his/her experience; when other friends or family members are diagnosed with cancer; if or when a recurrence or second cancer is diagnosed). Cancer survivors confront, on various occasions, reminders of their cancer and thus have multiple opportunities to experience either positive or negative feelings associated with the illness. They see television programmes and commercials with cancer-related themes, receive announcements regarding support groups, picnics and celebrations, hear through various media outlets about meetings with other cancer survivors and learn of family members, friends or acquaintances diagnosed with cancer. All these messages may evoke, or help survivors express and experience, a new or renewed sense of self. They may cause them to perceive, perhaps for the very first time, strong feelings related to having had cancer as a child or teenager.

Good-Enough Male and Couple Sexuality

The Good-Enough Sex model of male and couple sexuality is the most challenging as well as most important concept in this book. The traditional male sex model has been all about a big, powerful penis and perfect Viagra pharmacy in Canada intercourse performance to prove yourself to the woman and be competitive with male peers. Sexually, men were either winners or losers. Being thought of as a sexual loser is a controlling male fear. The essence of being a loser is not having a penis ready for action any time and any place. By that definition, the truth is that 95% of men are losers and the remaining 5% are afraid it would eventually happen to them. In the traditional perfect performance male model, you are always one failure away from devastating your sexual self-confidence.

The Good-Enough Sex model challenges that self-defeating performance criterion. Focus on enjoying pleasurable sex; you do not have to prove any-thing to yourself or anyone else. It is about acceptance, pleasure, and positive, realistic sexual and relationship expectations. This is an opportunity for you as a man, for your male friends, for couples, and for our culture to change the understanding and meaning for men’s sexual health.

With the Good-Enough Sex model, intimacy and satisfaction are the ultimate purpose, with pleasure as important as function and mutual acceptance as the context. Sex is integrated into the man’s and couple’s daily life and daily life is integrated into your sex life to create a unique couple sexual style. Living daily life well as both a person and a couple with its responsibilities, stresses, conflicts as well as joys, moments of plea-sure, special erotic experiences, and emotional and sexual satisfaction is vital. – Buy Kamagra online at the best price.

Good-Enough Sex provides the opportunity to experience a range of sensual, playful, erotic, and intercourse experiences which will enhance your sexuality. The ultimate goal of couple sex is relationship intimacy and satisfaction.

The traditional criterion of male sexual confidence has been perfect control over erection, intercourse, and orgasm. Sex as a pass – fail test. This new approach emphasizes that the essence of sex is self-confidence grounded on giving and receiving pleasure-oriented touching and that 85% of the time this will flow to intercourse and orgasm. Touching has value in itself whether affectionate touch, sensual touch, playful touch, erotic touch, or intercourse. Intercourse is a special pleasuring/erotic experience, not the pass–fail measure of sexual prowess. Touching experiences that do not result in intercourse can be normal and enjoyable, not viewed as a failure. The essence of sexual confidence is sharing pleasure, not perfect performance.

What Science Tells Us About Men and Women’s Sexual Behaviors

Sex research gives us perspective on the similarities and differences between men and women. Be careful about information available in the media and on the Internet, as it is usually not based on reliable scientific research. Remember that we live in a commercial society where selling something as a problem and a product to fix it are common.

Surveys of particular groups like readers of Playboy or Glamour do not give the full picture of the entire community. A representative survey is scientifically structured to gain data from the entire community.

Consider that readers of Penthouse may answer differently than readers of the Christian Science Monitor. So rely on scientific studies for accurate information.

The National Health and Social Life (NHSL) data surveyed a large representative U.S. sample that includes different ages, racial, ethnic, religious, and geographic areas. Compare these scientific data with what you have heard on TV or read in magazines about the use of fantasy, erotic materials, the frequency of sex, number of partners, and behaviors such as oral sex, masturbation, and orgasm.

Sexual Thoughts (Fantasy) and Use of Erotic Materials

A major disparity between men and women is the level of sexual fantasy and their different use of erotic materials. Men have more frequent fantasies and make greater use of erotic materials than do women. The NHSL survey reported that 54% of men and 19% of women enjoyed fantasies at least “everyday” or “several times a day” while 43% of men and 67% of women reported “a few times a week” or “a few times a month.” Only 4% of men and 14% of women reported having sexual fantasies “less than once a month” or “never.” Canadian sildenafil citrate pharmacy

Comparisons that focus on visual erotica are uncertain because women’s erotica is less visual and more emotional, such as sexual stories with romantic content, romance novels, or movies like Gone with the Wind, Sleepless in Seattle, or Three Weddings and a Funeral. Romance movies and novels are sometimes described as “women’s pornography.” This is a healthy use of sexual fantasies as bridges to desire and/or bridges to high arousal and orgasm.

Frequency and Duration of Sex

The best scientific data regarding couple sex contrary to common media presentations show that adults do not have a secret life of abundant sex. Among Americans between the ages of 18 and 59, one third have sex as often as twice a week, one third a few times a month, and one third a few times a year. The average frequency of intercourse is 6–7 times a month. There is a slight decline in frequency with aging, and yet sexual satisfaction increases with age, especially among serious and married couples. For 70% of couples, their sexual encounters (not just intercourse) last between 15 minutes and 1 hour each time.

Oral Phosphodiesterase Inhibitors

Cardiovascular Assessment

There is now increasing evidence and knowledge about endothelial dysfunction and NO in both ED and cardiovascular disease, and it has become essential to identify and diagnose patients with ED and assess their cardiovascular status. It is also an important part in counseling patients prior to initiating therapy, as there are some risk factors that make sexual intercourse not advisable. In 2000, the Princeton Consensus Panel came up with a model to stratify patients into low-risk, intermediate-risk, and high-risk and then made decisions about treatment accordingly. The consensus study from the Second Princeton Consensus Conference in 2005 corroborates and clarifies the algorithm and emphasizes the importance of risk factor evaluation and management for all patients with ED. Below are the cardiovascular risk factors and risk categories along with an algorithm for treatment.

The take-home message is that if a patient is in the intermediate or high-risk group, they should be evaluated by a cardiologist prior to treatment for ED and initiation of sexual activity. This is a key component when considering oral pharmacotherapy treatment for ED.

Comparison of PDE-5 Inhibitors

With the available information about the different PDE­5 inhibitors, is there any way to know what will be the best option for the patient? Carson and Lue looked at all the different drugs and trials and concluded there is no feasible way to compare sildenafil, vardenafil, and tadalafil with the current data. These drugs have all been shown to be effective in the treatment of ED and are well tolerated. Even in the more difficult to treat patients (diabetic ED, or postprostatectomy) they have the ability to improve erectile function. The Sildenafil Diabetes Study Group showed that over 50% of men with ED and diabetes mellitus had improved erections as compared to placebo. Several studies have shown the benefit of PDE­5 inhibitors post prostatectomy, while the best results are in men who have had nerve sparing surgery.

After prescribing a drug for ED, the patient must be followed up and patient preference and partner satisfaction should be evaluated. If the patient is discouraged about lack of effectiveness, there has been data to show that with continued use, the probability of success increases. McCullough et al. showed there is increased success after the first 9–10 attempts with sildenafil canadian pharmacy. There have also been trials to show improvement in erectile function with vardenafil in sildenafil nonresponders. It is advisable to try a different oral therapy if the first one fails.

Even though over 60% of men will respond, there are still reasons men will not be compliant with effective therapy. Klotz et al. looked at 234 patients with successful response to sildenafil and determined that only 161 (69%) refilled their prescription. Of the 73 patients that did not refill the prescription, the most common reason was lack of opportunity or desire for sexual intercourse (45%). Lack of partner interest (23%) was the second most common reason with high cost of medication (12%) and adverse effects (5%) as less prevalent reasons. This information highlights the importance of communication with the patient to meet their goals in treatment for ED.

Аpomorphine. This is a dopamine agonist that acts in the PVN. The peak plasma concentration is reached at 40–60 min and the t ½ is 3 h. Several studies have been done to look at apomorphine versus placebo and other oral agents. Dula et al. showed that apomorphine was better than placebo in attaining firm erections and increasing intercourse rate. However, in men who are diabetic or who have undergone radical prostatectomy, there has been no evidence to show that apomorphine is effective. There are also side effects, including dizziness, nausea, and vomiting that limit patient use. When compared to sildenafil, most patients preferred sildenafil and had better satisfaction scores. Although safe, apomorphine has not been shown to be very effective. Canadian health care mall cialis – cheap tadalafil meds online.

Yohimbine is another centrally acting agent that also works at the peripheral a adrenoreceptors as an antagonist. Yohimbine is a substance from the Corynanthe yohimbe tree, which has been touted as an aphrodisiac.

Can sexual problems be completely cured?

Viagra Australia is a drug for erectile dysfunction prescribed by doctors for patients who have a permanent form of ED and are not able to have erections.

The drug is used as the symptomatic treatment, sometimes in even younger men, while most of the time for older men. Erectile dysfunction is a condition that usually occurs in men around 60 or even older, but there were many other cases in which the age of the recepient was different. Some men show signs of erectile dysfunction in their 50s, while those really unfortunate have to live with it by their 40s.

The symptoms of erectile dysfunction can be treated with Viagra, but cannot be completely cured. The only way a complete rehabilitation of the genital area can be made is whether erectile dysfunction was only a temporary problem. However, this usually does not mean that the patient will be prescribed drugs to overcome the situation.

Viagra contains sildenafil citrate and other chemical elements that are capable of producing an increased flow of blood in the body. Initially, it was developed as a drug for hypertension and angina, and is still prescribed as such in patients with patients suffering from high blood pressure. But thanks to its properties, sildenafil is able to dilate the blood vessels, making it thinner and reaching the genital area faster.

Once the genital area is reached, the drug effects start to reduce muscle tension, and finally create the means for the erection. With the desired effect is achieved, the man will be able to have sex. Viagra canadian pharmacy is a simple but very effective solution and always does what it promises.

The drug is a real treatment and should be taken seriously by anyone interested in taking it. Immediate benefits can be seen after taking Viagra after approximately 30 minutes. The drug helps to alleviate any problems of self-esteem of men who encounter erectile dysfunction sometime in their life.

How A Smoker Becomes A Bum With A Butler

When we think of some guy having his own butler, we are forced to accept the fact that this man must have means and tremendous power in the affairs of his domain. Even quite rich people don’t bother with butlers… It’s almost like it’s archaic. But there are men of note who feel that they need one-just to help them keep up with things.

I remember Bob Hope flying to St. Louis to give a speech and finding out-when he reached St. Louis-he’d left his script behind-and sending his butler back to California to fetch it and return quickly.(You can do that with a butler.)

I have a personal friend who has a butler; and both he and his butler are really colorful guys… And no one begrudges my friend his aid-because he seems to do well for himself as well as for others.

…But let’s discuss a smoker now. Just how would a smoker- just being a smoker-need to have a butler on hand? If he’s recognized as being a bum, he would…And how would he get recognized?

It strikes me-first of all-that a bum is someone who may have cash but never seems to be able to take care of his God-given blessings of health, and personal responsibilities to the folks around him.

He may have been knocked down in life, but instead of getting up and thanking his God for his bad luck, he just stays down.

So… if a smoker fits these very low standards, then he just might need a butler. And here’s where his butler plays a key role for him. Let’s say he’s down; and no one helps. That is when the smoker calls out for his butler– in this case, his ‘own cigarette’…So now he gets up strength to hold that cigarette with steady hands and lights it up.

Unlike the butlers of all men, his cigarette could never say, “Hey, Boss… Easy… Maybe I better help you up and get some help!” One might almost attribute to his cigarette-butler a keen satisfaction in seeing that his boss stays down. For what does the butler do, who’s boss gets up and no longer needs a cigarette?

It’s enough to make those cigarette concerns weep!

…Is there any solution here? Yes… if a miracle should come to his mind and conjure up an image of him- as I have just described- a bum counting on his butler to help him keep smoking- if he really sees that as clearly as he can- then maybe he will resist the urge to call his butler-and will instead make sure he finds some plan to help him quit.

It’s no big deal to quit; it is a big deal to understand you have got to quit.

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