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If one picture is worth a thousand words, then perhaps the best place to start is with a few pictures of lung cancer. Lung Cancer gross pathology from Web Page at the University of Utah Pathology
This is a test version 
of a web page, first posted
in January 1996, that represents an attempt on my part to provide smokers, lung cancer
patients and their families with information on cigarette smoking cessation, lung cancer
risk, diagnosis and treatment. Whenever my personal opinion is not concordant with current
medical practice, I will try to point this out and explain my position.
The views expressed are my own and do not necessarily represent the opinions or positions of any of the organizations mentioned on this page or in any of the pages linked here.
It is important for the reader to realize that it is impossible to give accurate personal medical advice from a distance. Any information found here or in E-mail must be put into context by discussion with your private physician.
Please forgive any broken links. It is very difficult to maintain a stable page in a living, growing medium where pages and addresses change all too frequently.
It is important for people surfing the net for medical information to be sure to check on the qualifications of the person or group providing the information. This article by Dr. Barry Tepperman MD explains this concept in considerably greater detail.
My curriculum vitae and bibliography are viewable at these links
Some of this information is
written by me, adapted from lecture notes and publications, and some is in the form of
links to other web pages, that I have found to be particularly valuable. Some of the older
material may have some information that is out of date.27% of the E-mail and form responses I receive at this site comes from persons 21 years of age and younger. In an attempt to meet the special needs of this group, who represent a specific target group for predatory tobacco industry marketing and advertising, I have opened a new WWW page entitled the Young Person's Cyber-Library of Information on Tobacco and Tobacco-Caused Disease. Young people may wish to follow the link there now.
One glaring weakness of the page is the almost total absence of input from nurses. I welcome links and submissions of information on the nursing care of patients with lung cancer and other smoking related diseases, including palliative care and hospice care.
My experience with this page has been presented at two international chest medical conferences in Gdansk, Poland and in Dublin, Ireland. The abstracts of these presentations can be found at these links.
The page is arranged into 4 sections.
is a new organization of tobacco control experts that has been formed to provide guidance to the American public during the current cycle of "Tobacco Settlement" bills now before Congress. We how have a a critically important opportunity to create meaningful national legislation on tobacco in order to stop the ongoing carnage in our society caused by tobacco products. The Lung Cancer and Cigarette Smoking Web Page strongly endorses the principles and policies of Save Lives, Not Tobacco as listed here.
SAVE LIVES has also been endorsed by former Surgeon General Everett Koop MD.
DR. KOOP'S LETTER ABOUT "SAVE LIVES"
December 17, 1997
Dear Friends and Colleagues:
The time has come for us and every ally we can muster across the country to dedicate our best strategies and efforts to fight for significant advances in national tobacco control policy.
Let us mobilize our energy and our talents. Let us get every local activist and national organization to seize this historic moment to save hundreds of thousands of lives and to spare millions of children and adults from nicotine addiction and debilitating disease. Let us expand the excellent work begun at the grassroots to make this truly a national campaign for the improvement of public health.
I endorse the principles and goals of "Save Lives, Not Tobacco: The Coalition for Accountability," and commend the Coalition's vigorous opposition to granting special privileges and protections to the tobacco industry."
Let us encourage the entire health community and health-related organizations to join together and bring the American public a safer and healthier environment. A united front will be of great significance in the months ahead as Congress creates tobacco legislation.
Sincerely
/s/ C. Evertt Koop, M.D. Sc.D.
The Save Lives Web Page also
contains a printable copy of the Koop-Kessler letter of February 17, 1998 to Congress.
This will allow you to sign on as a co-signee of this important letter to Congress.Also available at Save Lives are a number of brief Fact Sheetsfact sheets providing important information on aspects of tobacco caused illness.
On April 4, 1998 a group of retired
Surgeon Generals sent this letter to Congress.
On April 20 Dr. Everett Koop addressed the Democratic
Caucus on Senate bill S.1415, the McCain-Hollings Bill, which is slightly stronger than
the "Global Tobacco Settlement Deal". The full text of Dr. Koop's hard-hitting
and incisive analysis is available here. Dr. Koop's speech of
4/20/1998.
Ralph Nader also criticizes the McCain-Hollings Bill S. 1415 because of its unacceptable immunity provisions, including those protecting disreputable tobacco lawyers.
The full text of S. 1415 is still not available on the Web. Doonesbury gives his opinion of the "settlement" in a recent
cartoon strip at Doonesbury
To read some important background information on
this critical new development in the area of lung cancer, cigarette smoking, tobacco
control and public health policy, follow this link to SettlementThis
document arose out a series of Internet discussions at Settlement-talk and tp-talk.
Stanton Glantz PhD, a tobacco control expert and his colleagues at the University of California San Francisco have posted a detailed report on the proposed global tobacco settlement deal at UCSF
Joe Camel explains the "global tobacco settlement and the McCain bill S1415 at Mr. Camel Goes to Washington.
An open letter to the American Medical Association is
also posted here. The AMA would not print this letter about doctor politicians who take
money from tobacco companies. JAMA
That is great, BUT, Disney and other producers of feature length animated films still portray smoking in far too many films (56%) than is healthy for the young people who view them.
Truth in advertising. The following links portray images that are much closer to truth in advertising than those formerly seen on billboards near your home and in your magazines.
"Put a noose around your neck" "Welcome to Marlboro Country" can be seen at http://www.gripvision.com/marlboro.gif
and Joe Chemo can be visited in his hospital bed at http://www-osf.wesleyan.edu/psyc/psyc260/icons/joechemo.jpg
These are both powerful graphic messages that some of my readers have attested to be useful as screen savers for people in the process of smoking cessation.
If you find it hard to believe that anyone would be cynical enough to deliberately create a cartoon character to try and lure small children into an addiction that will damage their health and longevity, visit this site at the U. of California San Francisco where you can read primary tobacco industry documents that prove this charge. Mangini Collection
Because of the large volume of news stories regarding tobacco industry regulation, it has proven impossible to keep up the What's new section of the page, which has no new information after May 1997.
area of the web page.
Another fascinating resource is from the Columbia School of Journalism at ColumbiaFor example, if you are considering suing a tobacco company, the most experienced lawyers in this field can be found here.
The new issue (May/June 1996) of Mother Jones has multiple excellent articles on the politics of the tobacco wars. This material is viewable at Mother Jones web page at http://www.motherjones.com/Mother Jones
A great place to look if you are interested in becoming an activist.
Educational and Statistical ResourcesFrom Indiana University.
Canada does a much better job of tobacco control than the U.S.A. does. For more information on tobacco from this fine web site, visit Canada National Clearinghouse on Tobacco and Health.)
A useful group of links to tobacco related sites can be found at New-Hoo
This page is very well done and has special interest because it is written by a man who has had lung cancer and is trying to help others avoid the problems he has gone through. Visit James F. Bethke The Plain Truth About Smoking.
The Center for Disease Control has a web site that will aid your search for information on tobacco and tobacco-caused diseases at http://www.cdc.gov/nccdphp/osh/search/index.htm. CDC
If you are not sure whether a mutual fund you hold invests in tobacco companies, you can check it out at "Know what you own.".
LUMEN for graduate medical education. I recommend it highly to medical students, residents and practicing physicians. The sections on physical examination, thoracentesis and bronchoscopy are particularly well done.
New data on surgical and radiation therapy treatment of lung cancer at the City of Hope National Medical Center, taken from a poster presented at the 8th World Congress on Lung Cancer in Dublin Ireland this August can be found here Dublin
An abstract of an oral presentation at the Society of
Surgical Oncology national convention in San Diego in March 1998 on the topic of surgical
treatment of lung cancer is found here SSO
What is a clinical trial
(and what's in it for me)?What treatment is best for
Stage IIIA lung cancer?What is done during surgical
treatment of lung cancer?The Alliance for Lung Cancer Advocacy, Support and Education, ALCASE (http://www.alcase.org) a non-profit organization can be contacted at 1601 Lincoln Avenue, Vancouver, WA 98660 or called at 360-696-2436 or 800-298-2436 (FAX 360-699-1944.
They have an excellent list of organizations that may be of help in education, information or support to patients with lung cancer.
What is a lung metastasis?Further information on malignant pleural effusionMy doctor says there is nothing more that can be done.
For further information on lung cancer from the National Cancer Institute:
For more information on small cell lung cancerSmall cell lung cancer (Patient)
For more information on non-small cell lung cancerNonsmall cell lung cancer (Patient)
Small cell lung cancer (Physician)
Nonsmall cell lung cancer (Physician)
I have generally avoided links to
, but some of these sites offer potentially useful products. Some links to such sites follow.
The No-Butz Web Page dedicated to a cleaner world for our children, free from the disgusting mar of discarded cigarette butts. " Its our world, not an ashtray."
I would like to thank the following web sites for the use of the backgrounds and icons, counters and other useful services used in this page.
Backgrounds The Background Sampler
H's colour seamless background tiles
Starting Point 
I can be reached via e-mail at
