I don't know what to say. You claim to understand the pitfalls of smoking yet you continue and ask total strangers what is going on with your health. You need to see a DOCTOR, not chasing a medical problem through forums on the Internet.

Your level of anxiety and depression at your age is going to manifest itself in health issues. Your behavioral choices are contributing yet you won't admit that.

Cutting back to 5 cigarettes a day is not your best plan, especially if your mind accepts it is bad but you don't do anything.

Find a good ENT and work on the mouth but find some one to help you work through the other things you are struggling with. One will rob you of joy, the other may rob you of life. Neither have a good outcome.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023