Advice : Morning everyone, hope we are... - The Roy Castle Lu...

The Roy Castle Lung Cancer Foundation

5,952 members3,549 posts

Advice

Paulo1976 profile image
8 Replies

Morning everyone, hope we are all keeping well. I have previously posted on here about mum, who has severe COPD and SCLC. She has undergone horrendous chemo and finished palliative radiotherapy. Her side effects of radiotherapy have dispersed and she is now feeling a little better. Unfortunately, I have caught her smoking again and vaping. I don't know how long this has been going on for. It's truly devastating.

I know I am not the person who is fighting this horrible disease, caused by the very thing she is doing again. I have never been a smoker, so don't know how it feels. I know it's not about me but being the loved one who has stood by her side throughout this, taking her to appointments, helping at home, you name it. Probably done what any other person would do for their parent.

I suppose I would like to know how to deal with this. Anyone done this ? What further damage will it cause? What can I do?

Its hard to describe really, it's not a pity party and not about me..Can't help how I feel and feels like a knife through the heart.

Any advice, experience of this appreciated.

Thank you for reading.

Paul

Written by
Paulo1976 profile image
Paulo1976
To view profiles and participate in discussions please or .
Read more about...
8 Replies
RoyCastleHelpline profile image
RoyCastleHelplinePartnerAsk the NurseRoy Castle

Hello Paulo1974,

For your mother this will be a very difficult time, dealing with her diagnosis and treatment. There is no doubt that smoking is harmful and that nicotine in cigarettes and vapes can be extremely addictive. Your mother will be under a great deal of stress and returning to smoking may be her way of self-medicating, nicotine reaches the brain in around 10 seconds and creates an immediate sense of relaxation, this will make her feel that her stress and anxiety is easier to deal with.

Smoking is a very personal choice and one that each individual needs to make on their own without any pressure. Some patients feel that smoking enhances their quality of life, this is their decision to make.

It can be very difficult when you know that your mothers health would benefit from her stopping smoking, you should discuss your concerns over with her and if she is receptive to stopping maybe suggest a visit to her Gp who can provide nicotine patches this will help deal with cravings associated with nicotine withdrawal.

Kind Regards

Roy Castle Support Team

JanetteR57 profile image
JanetteR57

So stressful for patients and relatives. It's good she's perking up a little after her harsh treatments.

I'm a 'never smoker' but have learnt how addictive nicotine is - chemical reactions in the brain respond to nicotine quicker than heroin which is why so many find it hard to quit it and why tobacco companies want to keep people addicted either through tobacco products or vaping and encourage more young people to take up the habit. Some areas have renamed smoking cessation services to tobacco addiction treatment services to try and reduce the stigma from the person addicted by the habit to recognising it is the substance and tobacco companies who should be 'labelled'. Lung cancer can have several causes not only tobacco - even if that is the most publicised and is stigmatised as a result which is unhelpful to lung cancer patients.

Vaping is currently considered by Public health less harmful than smoking (not harmless so not encouraging those who don't smoke to take it up) and delivers the nicotine hit with fewer other nasties. The jury remains out as to long term damage as research is still in its infancy compared to the decades of evidence about tobacco use globally. Currently it's probably the lesser harm of the 2 products.

I have heard talks at Lung cancer conferences that continuing to smoke on chemotherapy and radiotherapy limits the treatments' effectiveness so if there's some way she could get support, there are other nicotine replacement methods available like patches, gum, and I think nasal sprays. Worth discussing with her clinical nurse specialist and GP.

As with any addiction, it requires real effort from the person but they're not always aware what support's out there and stress can increase the need for comfort. Some find hobbies like knitting, crochet, having a manicure, gardening, cooking that occupy their hands can help.

Sounds as if you're doing all you can to support her so hang on in there... quitting or even reducing smoking/vaping is hard.

My mum is 92 and quit smoking at 70 after a bad chest infection but restarted at 80 saying she'd forgotten she'd quit! She's had alzheimers for over 15 years -smokes 4-5 a day always 'in secret' in the bathroom and thinks we don't know! She buys her cigarettes when at the hairdresser every week at the shop next door. Furtive behaviour but the only smoker in the family. Dad (94) cares for her at home, despairs but knows she won't change. My sisters and I often worried about their poor diet (dad's had bowel cancer 3 times, frail), cakes, biscuits, bread, trifle, sherry, very little protein, fruit or veg but having reached their 90s, even if what they eat isn't ideal, it hasn't harmed them.

It's tough being the relative and wanting to protect them but it's your mum's life and choice even if that's really hard to take on board. Be there for her.

FYI I was diagnosed with lung cancer in January 2011 and never smoked. There are increasing numbers of patients like me and not all smokers develop lung cancer although it contributes to many other conditions including other cancers.

hope you and she can find a way through this difficult time together. thinking of you both.

Paulo1976 profile image
Paulo1976 in reply toJanetteR57

Thank you very much for taking time to reply. Best wishes to you and your parents x

JanetteR57 profile image
JanetteR57 in reply toPaulo1976

Thank you - appreciated. hope you get some support for you too - it's not easy being the relative/carer either :(

monkeygirl62 profile image
monkeygirl62

Paulo, I know you feel devastated by her smoking, and I feel for you. I would like to suggest that (if possible) that you don't take on emotionally and mentally her smoking. She isn't doing it to deliberately hurt you, it's a difficult addiction to quit nicotine. I know you know this intellectually but heart knowledge is different. Going through cancer treatment is extremely stressful and she is self soothing. She already knows how you feel about smoking that's why she is sneaking smokes and not just smoking in the open. She already feels horrible about having cancer and really this is just one more thing on her plate to deal with - trying to quit. You have helped her so very much in taking her to doctors appointments and treatment and it can feel ungrateful when she is smoking, like all the work and help you gave her is for nothing. But truth is her treatments are effective and your hard work and support doesn't go unnoticed by your mother even if she doesn't say anything to you. Society often makes smokers out to be like criminals and stigmatizes them to be second class citizens and if you get cancer it's your fault. What is truly valuable is your relationship with her, and it sounds like you have a good mother and son bond. Please, whatever your feelings, don't let them get in the way of the most important thing in both of your lives your relationship with each other. Talk to a friend about your feelings or a therapist if you have one instead of her at this point. You need support too with your mom's cancer diagnosis, cancer affects the entire family. Doesn't mean that you never talk to her about it but maybe sorting through feelings first and then you may find a way to support her regardless of her choices. Prayers 🙏 and hugs 🤗. Alicia

Paulo1976 profile image
Paulo1976 in reply tomonkeygirl62

Hi Alicia, thank you so much for those words. x

Babydolltina profile image
Babydolltina

Good morning Paulo, I'm so sorry to hear about your Mom. From my experience with my late wife, and her having SCLC, I was told by the Oncologist that the damage was already done and if smoking was my wife's thing, then carry on. She was also Palliative care and Chemo and Radiotherapy really just ruined the last few months we had together. I took my late wife anywhere she wanted to go, and let her literally do what she wanted. Just stop stressing about everything and just turn a blind eye to her smoking but ask her to stop vaping. No one knows how bad those things are.

Paulo, go and make lots of memories with your Mom, and God bless her.

Regards John

Paulo1976 profile image
Paulo1976 in reply toBabydolltina

Thanks John x

Not what you're looking for?

You may also like...

immunotherapy damaging kidneys

hi My mother has been having successful treatment for stage 3 lung cancer, but the immunotherapy...
SharonTan profile image

Advice please

I was wondering if I could ask some advice. I sadly lost my mum to lung cancer two weeks ago. She...
Alemap13 profile image

Another Brain Met

I had two brain mets from my lung cancer and radiotherapy got rid of them. I have just had another...
Tike3 profile image

Feeling so Frustrated

I feel we're no further forward... Mum had her appointment at the Marsden today and after 4 hours I...

Small cell lung cancer

Hi Can anyone please give me some advice? My mum has been diagnosed with a rare type of sclc that...

Moderation team

See all

Top community tags

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.