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Six patients (1.3%) out of 451 died during the follow-up period for reasons connected or unconnected with the surgery

Oglala Sioux ban e-cigarettes on Pine Ridge Reservation For further information and complete details, contact Terra Houska Tobacco Educator, Great Plains Tribal Chairmens Health Board, or Julian Bear Runner, President Oglala Sioux Tribe

How do you think your smoking is affecting your children? Reinforce and support change talk and commitment language: So, you realize how smoking is affecting your breathing and making it hard to keep up with your kids. Its great that you are going to quit when you get through this busy time at work. Build and deepen commitment to change: There are effective treatments that will ease the pain of quitting, including counseling and many medication options. What do you know about smoking and your familys health? ROLL WITH RESISTANCE Back off and use reflection when the patient expresses resistance: Sounds like you are feeling pressured about your smoking. What do you think will happen if you dont quit? Express empathy: You are worried about how you would manage withdrawal symptoms. What I have heard so far is that smoking is something you enjoy

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