The Secret of Change

change 7I was sitting in my office with a patient of mine the other day having a conversation I find myself having frequently.  She was a long time smoker who I had diagnosed with severe COPD (the lung disease caused by damage from smoking).  She had been hospitalized and was close to needing oxygen.  Yet, in spite of my warnings and castigations, she had broken her brief period of abstinence and was back up to “only a half pack a day”.  She was staring at the floor unable to look me in the eye like a child caught misbehaving by their parents. Continue reading

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