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One of the most serious consequences of smoking is an increased risk of lung cancer

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Symptoms include: Anxiety or depression Cravings Difficulty concentrating Increased appetite Mood swings and irritability Poor sleep Restlessness or fidgetiness Weight gain Many patients also describe a significant emotional loss, similar to ending a relationship, when trying to quit smoking

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While acknowledging improvements, Orwell notes that the level of neglect and impersonal death seen in Hpital X would be less likely in English hospitals, attributing this partly to better-trained nurses