ZUSTIN – SMOKE FREE FROM 40 to Zero in 15 days. ICanCaRe Tobacco Cessation Program at MAX Vaishali
ZUSTIN USE TO TAKE 40-50 Cigarettes per day for 15 years. Referred by Dr. Sharad Joshi, Pulmonologist to ORAL CARE & TOBACCO CESSATION CENTRE, at MAX Vaishali.
With ICanCaRe ‘ABCD’ of Tobacco Cessation Intervention he is completely Tobacco-free in 15 days. and continues to be free at 3 months. He is extremely happy and thanks the team at MAX – ICanCaRe ORAL CARE & TOBACCO CESSATION PROGRAM at MAX Vaishali for the excellent outcome.
ICanCaRe ‘ABCD’ TOBACCO CESSATION – HOW WE DO IT –
TOBACCO CESSATION IS EASY WHEN DONE MEDICALLY EVIDENCE-BASED ‘ABCD’ INTERVENTION –
A – ACTIVE MOTIVATION for TOBACCO CESSATION
B – BEHAVIOURAL INTERVENTION and COMMITMENT
C – COMORBIDITY MANAGEMENT – managing associated diseases
D – DRUGS and MEDICATIONS. Specific medications for tobacco Cessation intervention are individualized as per addiction level and willpower index.
YES, IT IS POSSIBLE TO QUIT TOBACCO
CONTACT –
ORAL CARE AND TOBACCO CESSATION CENTRE at MAX INSTITUTE OF CANCER CARE TOWER 2, 6th Floor MAX – VAISHALI
The global burden of oral cancer has continued to rise, especially in India, mainly due to the high consumption of tobacco and betel quid. Current research has helped elucidate the relationship between tobacco use and the spread of oral cancer, but more still needs to be understood. Rigorous prevention programs and well-established supportive infrastructure are vital to reducing the number of tobacco-related oral cancer cases.
In light of World No Tobacco Day, join us for a special session, organized in association with SIPHER, on “Tobacco and Oral Cancers” with the renowned Surgical Oncologist Dr. Pawan Gupta on 10th June 2023, 5 PM IST onwards.
Session Highlights:
Tobacco Cessation in Western methodology cannot be copied for Indian patients
What is Chota Dana Campaign?
How can cessation of tobacco cure many lesions in the oral cavity?
Deep Breathing Exercise for Stress Relief and Cravings Management
This is the one most important armamentarium to control the cravings along with the first D (Drink Plenty of Water). Whatever form of tobacco you have used – smoke or chew tobacco, Deep Breathing controls cravings and relaxes you.
Stress, tension associated with work or while quitting smoking, light-headedness, loss of concentration, fatigue, weakness- these are some of the withdrawals taken care by deep breathing exercise. DBE makes you relaxed, calms, peaceful, quiet and lively.
Deep Breathing Exercise- How Does it work – Oxygenation, Relaxation and toxin release
Deep breathing opens up the lungs the collapsed alveoli get activated. This increases oxygenation as more alveoli are recruited for gas exchange.
Fast breathing, takes away oxygen from the brain causing anxiety and light-headedness. With controlled breathing, ‘feel good’ chemicals endorphin is secreted from the brain.
Breathing helps clear away the gaseous toxins and also stimulates cough to release accumulated deposits in the lungs (Related reading – Smokers cough what to do)
Some techniques of Deep Breathing Exercise
Breathing is natural. Average breathing rate 10-16 per minute. It is simple and routine.
Smokers usually have the tendency to breath more deeply when they have smoke to get the maximum of the nicotine, this Deep inhalation partly explains the sense of relaxation associated with smoking!
However, when they first quit there is a tendency to shallow breath, just the opposite of what one should be doing to stay focused and calm. Once you deep breath you would be amazed at the quick and profound calming effect it produces on your mind. Initially you would have to do it consciously and once you have mastered it would come naturally.
Ayurveda – meditation and pranayam have described many methods and having attended many such camps I have learnt the basics of deep breathing. One must make it simple, part of their daily routine without assigning it to any particular Yogi! The basic needs to be understood and once mastered can adopt various versions.
BASICS of DEEP BREATHING Exercise –
Deep breath in (5 Seconds) – hold (5 Seconds) – Deep breath out (fully – 5 Seconds) – hold (5 Seconds) and continue the cycle
During the process keep your eyes closed, and fully concentrate on your breath. Have a smile on your face.
Deep breath in till your abdomen rises (abdominal/diaphragmatic breathing), this may take some practice.
The exhale time should be double the inhale time. Exhale should be complete.
While you inhalation feel the energy flowing into your body and spreading from the mind to every part till the little toe.
When you exhale relax your body. With each breath become stronger and relaxed
The cycle is to be repeated at least 10 times
As you go on and master the technique you would feel the change in your body, and it is important that you notice these changes – The drop of the shoulders, loosening of your face, and any other feelings you may have.
VERSIONS –
OHM Chanting – Take a deep breath in and while exhaling chant OHM.
Instead of OHM some of my patients just say ‘SHANTI’, ‘RELAX’, ‘I CAN WIN’ or any other words that makes them calm.
Role your tongue to touch the hard palate, breath in through your nose and breath out slowly through your mouth.
Breath in through your nose, pinch your lip and slowly in a controlled manner blow out through your mouth.
WHEN to do
First thing in the morning – before getting out of the bed. This relaxes you and takes care of the morning craving.
Before going to bed– while going to bed as a ritual do it, the relaxation gives you a sound sleep, takes care of the much-needed oxygenation during the night and you get up fresh in the morning.
During cravings – DBE has a magical effect. Consciously do 10 cycles of Deep Breathing following 2 glasses of Water (7 Ds of Cravings).
Most of tobacco users smoke or chew tobacco for relaxation, the fact is that smoking or chewing only fixes the nicotine level in the body, and in actuality it is a depressant and stress producer not a stress buster. The relaxation felt by a smoker can be attributed to some extent to the deep breathing associated with smoking. Tobacco is actually creating a negative vibe in the body.
Friends, deep breathing is a wonderful tool to control cravings. One can do it anytime, standing, sitting or lying down, and no one would even notice you doing this.
Let us practice this and master it, initially it may take some efforts once you get a hang of it, you would do it as routine, with every reminders (triggers) and off-course there is rewards. (related reading – 3Rs of habit formation)
The ICanCaRe tobacco Cessation Specialists and ICanCaRe quit Coach works with you to make the quit journey easy, interesting and achievable.
Do visit the ICanCaRe Tobacco Wellness Centres or register online by visiting our page or call ICanCaRe quitline 011-430-77695.
