So the take home message is:

smokers, keep smoking
non smokers, start smoking
patch users and gum chewers, stop chewing and patching and start smoking ( unless they tax your gum and patch) then smoking and patching are equivalent. you choose
heart and lung surgeons: you won’t get paid CABG’s and pneumonectomies since most of your patients are smokers, so quit medicine

got it

CHANGE!