private patients centre stop smoking clinic Royal Brompton Hospital London

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1 private patients centre stop smoking clinic Royal Brompton Hospital London

Royal Brompton and Harefield Contents 3 Smoking kills 4 There are many benefits of giving up 5 It is never too late to stop 7 The benefits of stopping smoking start almost immediately 8 Giving up is

2 Royal Brompton and Harefield Contents 3 Smoking kills 4 There are many benefits of giving up 5 It is never too late to stop 7 The benefits of stopping smoking start almost immediately 8 Giving up is not easy but we can help 8 Our stop smoking treatment 10 You are in safe hands: Professor Michael Polkey and Dr Rakesh Sharma 11 The cost of your treatment and how to make an appointment 13 Lung Cancer Risk Assessment and peace of mind 14 Why Royal Brompton Hospital? 14 Where we are located 2 The lungs of someone who smoked 20 a day for 20 years

3 Smoking kills Our experts can significantly increase your chances of giving up private patients centre Smoking is the primary cause of preventable illness and premature death, accounting for 81,700 deaths in England alone in It harms nearly every organ of the body, dramatically reducing both your quality of life and life expectancy. Smoking causes lung cancer, respiratory disease and heart disease as well as numerous cancers in other organs including lip, mouth, throat, bladder, kidney, stomach, liver and cervix. Smoking is by far the leading cause of preventable death and disease in the UK. About half of all lifelong smokers will die prematurely, losing on average about 10 years of life. Smoking kills more people each year than all the other major preventable causes of death combined: smoking (81,700 deaths) obesity (34,100) alcohol (6,541) traffic accidents (2,502) illegal drugs (1,738) HIV infection (529) Most smoking-related deaths are from one of three types of disease: lung cancer, chronic obstructive pulmonary disease (COPD, which incorporates emphysema and chronic bronchitis) and coronary heart disease. In 2010,18 per cent of ALL deaths of adults aged 35+ in England were estimated to be attributable to smoking. Apart from being the biggest killer, smoking also causes numerous other health issues, affecting almost all smokers. For every death caused by smoking, approximately 20 smokers suffer from a smoking-related disease. Giving up smoking is the single most important thing you can do to improve your health. 3

4 Royal Brompton & Harefield There are many benefits of giving up Stopping smoking rapidly improves your general health prospects and has many other benefits. For example: Statistically, for every cigarette you don t smoke you will live approximately 11 minutes longer. You will reduce the risk of cancer of the lung, mouth, throat, bladder, stomach, kidney, liver and cervix. You will reduce the risk of heart attack, stroke, dementia, impotence and limb amputation. Your levels of fertility will improve. Female smokers are 30 per cent less fertile than non smokers. Smoking reduces sperm count and is a cause of infertility. If you are suffering with bronchitis this will improve and often clears altogether. You will be at less risk of your lungs dissolving (COPD) as a direct effect of tobacco smoke. If you smoke 20 a day, you will save approximately 2,500 per year, every year, for the rest of your life. You will lose that strong smell of tobacco on your breath, in your hair and on your clothes. Smoking also ages the skin and can cause spots. lung cancer kills more people in the UK than any other cancer. Smokers are 22 times more likely to get lung cancer than non-smokers 4

It is never too late to stop With all the bad news about smoking and its effects on your health, it is easy to see how someone who has smoked for 10, 20, 30, or even 40 years might think quitting now

5 It is never too late to stop With all the bad news about smoking and its effects on your health, it is easy to see how someone who has smoked for 10, 20, 30, or even 40 years might think quitting now probably won t do them much good. This is NOT true. private patients centre Statistics show that the people who benefit the most from stopping are older people who have smoked their whole lives. According to research, the majority of lives saved due to stop smoking programmes are among older smokers, particularly those in the 45 to 60 age range, because that is the age when smoking-related diseases really start catching up with people. Even if you already suffer from a smoking-related illness it is still not too late to enjoy better health from stopping. The medical evidence is clear on several points: If you ve had a heart attack, stopping smoking can significantly reduce your risks of having another heart attack If you ve had a stroke, quitting reduces your risks of having another stroke If you ve been diagnosed with COPD, quitting smoking is the only way to stop the progression of the disease If you ve been diagnosed with lung cancer or any of the many other cancers caused by smoking, stopping smoking can improve your overall health and increase your chances of recovery Don t forget, it is never too late to stop smoking. 5

6 Royal Brompton & Harefield 6 Within months of quitting, breathing improves and the lungs are able to defend better against infection

7 The benefits of stopping smoking start almost immediately private patients centre 20 minutes after stopping Blood pressure and heart rate drop 8 hours after Blood carbon monoxide levels back to normal 24 hours after Reduced risk of sudden heart attack 48 hours after Sense of taste and smell returning 2 weeks after Brain is much more adjusted to lack of nicotine 3 weeks-3 months after Improving exercise capacity, reduction in phlegm and lung congestion 3-9 months after Breathing improving and lungs able to defend better against infection 1 year after Risk of heart attack has dropped to 50 per cent of that of a smoker 5 years after Risk of stroke reduced to that of a non-smoker 10 years after Risk of death from lung cancer reduced by half for average smoker 15 years after Risk of heart attack approaching that of someone who has never smoked 7

8 Royal Brompton & Harefield Giving up is not easy, but we can help Without help, less than one in 20 smokers successfully stops. With professional help, the success rate rises to about one in five. At Royal Brompton we offer our patients a combination of support, therapy and specialist medication that considerably increases their chances of quitting. After an initial consultation, if suitable, you will be prescribed a groundbreaking drug, Champix, developed specifically to help people stop smoking. Champix works in two ways it reduces cravings and withdrawal symptoms and it also diminishes the sense of satisfaction associated with smoking. Champix is only available on prescription. Our stop smoking treatment Our stop smoking treatment usually lasts for 14 weeks. Crucially, throughout this period patients receive one-to-one support and advice from our experts. During an initial consultation of between one and two hours, the patient sees our nurse specialist for a comprehensive cardiovascular risk assessment, blood tests for cholesterol and diabetes, an electrocardiogram (ECG), blood pressure measurement and a carbon monoxide reading. Depending on the results of this assessment, the patient then sees one of our expert consultants, either Professor Michael Polkey or Dr Rakesh Sharma. During this consultation a course of treatment is agreed that gives each individual patient the best possible chance of stopping smoking. If suitable, the consultant will give the patient a two-week starter pack of Champix, along with a prescription for the rest of the 14-week course. If Champix is deemed unsuitable then nicotine replacement therapy will be prescribed in its place and a supply given to the patient. During the course, patients have weekly 30-minute appointments with our specialist nurse for the first two weeks, then every fortnight thereafter. During these meetings carbon monoxide readings will be taken. At the end of the course, the patient will see their consultant, and then again six months later, to ensure that they have successfully stopped smoking. If necessary, a further course of treatment may be recommended*. 8 * a second course of treatment will incur an additional cost

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Royal Brompton & Harefield You are in safe hands The Stop Smoking Clinic is led by some of the UK s leading specialists in lung diseases including Professor Michael Polkey, specialist in respiratory

Professor Michael Polkey Professor Polkey is a consultant physician specialising in respiratory medicine with specific interests in chronic obstructive pulmonary disease (COPD), sleep and ventilation

10 Royal Brompton & Harefield You are in safe hands The Stop Smoking Clinic is led by some of the UK s leading specialists in lung diseases including Professor Michael Polkey, specialist in respiratory medicine and consultant physician, and Dr Rakesh Sharma, lead clinician for heart failure services at Royal Brompton Hospital. Professor Michael Polkey Professor Polkey is a consultant physician specialising in respiratory medicine with specific interests in chronic obstructive pulmonary disease (COPD), sleep and ventilation and respiratory aspects of neurological disease, including weaning patients from mechanical ventilation. In most cases COPD and lung cancer are a consequence of tobacco use, so Professor Polkey is passionate about helping people to stop smoking. His scientific work plays to his clinical interests and he has lectured and worked collaboratively with groups in Europe and further afield. In particular he has considerable experience with patients from the Middle East. Dr Rakesh Sharma Dr Rakesh Sharma is a consultant cardiologist whose clinical expertise includes the management of patients with heart failure and complex pacing (including implantation of defibrillators and biventricular pacemakers). He also has a specialist interest in the assessment of cardiovascular risk, smoking cessation and cardio-oncology. Dr Sharma qualified from Guy s and St Thomas s Hospital in 1995 with triple honours and underwent postgraduate training in tertiary centres in London. He won a British Heart Foundation fellowship to study his PhD in cardiology at the National Heart and Lung Institute for which he was awarded the Young Investigator Prize at the American Heart Association. 10

11 The cost of your treatment For the latest costs for our stop smoking treatment visit the Stop Smoking Clinic section of our dedicated website: private patients centre Typically, if you smoke 20 a day, on average you will save the cost of your treatment in about six months. Can you afford not to give up? For further information If you have any queries about the Stop Smoking Clinic, please call us on , us at privatepatients@rbht.nhs.uk or visit our website at Stop smoking now! To make an appointment, please call or your enquiry to privatepatients@rbht.nhs.uk 11

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13 Lung Cancer Risk Assessment If you are worried about lung cancer, Royal Brompton has recently launched a groundbreaking new service: Lung Cancer Risk Assessment. If you have a history of smoking, or strong family history of lung cancer (particularly if you are over 50 years old) you may be at increased risk of developing lung cancer. private patients centre More than two-thirds of lung cancers are diagnosed at a late stage and so survival rates for these patients are low. However, survival rates are higher the earlier the cancer is detected. Our Lung Cancer Risk Assessment service includes an appointment with a specialist who will assess, and discuss with you, your risk factors for developing lung cancer. If appropriate, you may be offered help with stopping smoking. In some circumstances a low dose computed tomography (CT scan), which is a type of scan that can detect early lung cancer, will be recommended. With early detection, lung cancer can be successfully treated. Peace of mind If you are a regular and heavy smoker and over 50 years old, or you are a regular and heavy smoker and have a strong history of lung cancer in the family, investing in a Lung Cancer Risk Assessment could bring you considerable peace of mind. Appointments can be made by telephoning For further information about giving up smoking or lung cancer risk assessment visit: 13

14 Royal Brompton & Harefield Why Royal Brompton Hospital? Royal Brompton Hospital is known throughout the world for its expertise, standards of care and research success. As a specialist centre, our care is focused on people with heart and lung disease. This means our doctors, nurses and other healthcare staff are experts in their chosen field, and many move to our hospitals from throughout the UK, Europe and beyond, to develop their skills even further. We carry out some of the most complicated surgeries and offer some of the most sophisticated treatments that are not available anywhere else in the world. Where we are located The Stop Smoking Clinic is based at Royal Brompton's Private Consulting Rooms, Sydney Street, Chelsea, London. This is a ten-minute walk from South Kensington tube station, which is on the Circle, District and Piccadilly lines. Sydney Street is also served by bus numbers 21 and 49 and numbers 11, 19, 22, 49, 211, and 319 serve the King's Road, which is a short walk away. If you are travelling by car, the hospital is located in a parking meter zone and there is a public car park close by on Sydney Street, near the King's Road. Stop smoking now! To make an appointment, please call or your enquiry to privatepatients@rbht.nhs.uk 14

15 You are never too old to give up smoking private patients centre

Royal Brompton Hospital Private Patients Office Sydney Street London

+44 (0)20 7351 8830 Harefield Hospital Private Patients Office Hill End

+44 (0)1895 828 857 Web: Stop Smoking Clinic - www.smokingandlungcancer.

16 Royal Brompton Hospital Private Patients Office Sydney Street London SW3 6NP Tel. +44 (0) Harefield Hospital Private Patients Office Hill End Road Harefield, Middlesex UB9 6JH Tel. +44 (0) Web: Stop Smoking Clinic - Web: Royal Brompton Hospital privatepatients@rbht.nhs.uk copyright Royal Brompton and Harefield Hospitals March 2012

private patients centre Royal Brompton Heart Risk Clinic

private patients centre Royal Brompton Heart Risk Clinic Trust our experts to detect the early signs of heart disease Royal Brompton and Harefield Contents 3 Introduction to the Heart Risk Clinic 3 What