One of the biggest struggles that we have in pulmonary medicine is to help patients stop smoking. Nicotine is a very strong substance which not only is addictive but can cause emotional and physical side effects when it is withdrawn. We provide education about smoking and the deleterious effects of smoking as well as counseling to assist with smoking cessation. There are now many modalities to help someone stop smoking and we closely follow patients to help them be as successful as possible.