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Wellness Wednesday for September 20, 2023

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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Every few hours, when I get tired of sneaking a cheeky vape in the millions of bathrooms and liminal stairwells that litter my hospital, I'll head over to the back of the building, in a secluded, roped off area that's the de-facto smoker's haunt of the place.

An ankle height chain dangles at the approach, as do signs for, among other things, no parking, and an enjoinder against loitering because there's construction ongoing up above.

It might say something about the nature of the universe that the tripping hazard produced by that chain far outweighs that of the falling debris, when it exists. Not the prohibition on smoking, of course, but since you can't quite see the signs from there, everyone pretends they don't exist.

There's a quiet camaraderie at play, doctors huddling together for a chemical pick-me-up after a grueling day at work, a good chunk of which was spent admonishing their patients for the same indulgence they're engaging in.

Did I mention this is an oncology hospital, or at least department big enough to be a standalone one? I suppose that's relevant too.

You can see a combination of quiet guilt, resignation and combativeness in their eyes. Yes. We know this is bad for us. We know you know. What are you going to do about it? Not smoke? Perish the thought, and pass me another. How's that patient with COPD doing? Yeah, he won't quit, even if it kills him, and given that he's got end stage lung cancer with brain mets, we're half a mind to wheel him out, nebulizer in tow, for a couple to greet the last dawn of his life, and just the start of another for us.

I stand there puffing on my vape, experiencing an exceedingly mild, almost homeopathic sense of smugness and superiority. Look at them, burning out their lungs, huffing and puffing when I pass them on the stairwells, and for what, the same nicotine I get, without the stink and almost all of the drawbacks beyond a nicotine dependency?

The vape ban in India has been a disaster, and these are the consequences. I muse on the black comedy that is existence with a black coffee in hand, that the tobacco lobbyists in here got a final swing in by banning the cheaper, healthier alternative.

I ignore the occasional curious glance at my little electing facsimile, the incongruity of a cigarette with an usb port. I'm probably the only one. In turn, I ignore the shifty consultants who don't meet my eye, still harboring in their heart of hearts the feeling they need to do better and set an example for us all. I hear the promises, the whispered pacts to cut down together. They're still they're next week.

There's a bimodal distribution there, you can tell seniority both by how quick, hurried and clandestine their puffs are, all flash and smoke blown into dark corners, and then the blatant ones, the big shots without who the hospital would grind to a halt of PGs, Associate Consultants and RMOs left rudderless when the buck stops with them. They challenge each cig and any mildly curious passersby. Fuck you, even cancer thinks twice about taking me on, at least on the hospital premises.

And then the phones ring, cigarettes burn out, the last dregs of chai and coffee are downed. Paper cups laden with ashes find more corners to marinate in, and stubs are crushed by shoes beneath scrubs and we all go our merry ways. If there's hell to pay, at least we can afford it.

Great comment. How does the ban work in practice? Still simple enough to acquire for those interested?

Well, you can order them online and have it show up at your doorstep, without being ripped off the few times I've tried! The legal system has bigger fish to fry, this just adds a level of friction that stops it being remotely common, especially since the ban was handed down when the practise was barely taking off.

The ban is on sales; possession and use are legal, so if you manage to get some, there's no further barriers in play.