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Am Rev Respir Dis 146:448453 Ollerenshaw SL, Woolcock AJ (1992) Characteristics of the inflammation in biopsies from large airways of subjects with asthma and subjects with chronic airflow limitation

I get it you said that you were resident when that happened, but these events always make me scratch my head I bet the ASA didnt include dip in their recommendations with gum because then one could argue thats passive approval to use chewing tobacco before surgery

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It is not just making the room smell better

PMID 19291309

[5] More intensive smoking is achieved by taking larger, more rapid, and more frequent puffs, by inhaling more deeply, by smoking more cigarettes per day, and/or by reflexively blocking the cigarette's filter