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At the end, the rather impressed Blue says that she needs a cigarette

Summary: This was one of my favorites in the pre-Danish days, I smoked it almost every evening

Over time, smoking can cause: Chronic inflammation that makes the vocal folds swollen and stiff Thickening of tissue , which changes how your voice sounds Reduced flexibility , making it harder to control pitch and volume Increased mucus , leading to frequent throat clearing This is why many smokers develop a voice that sounds deeper, rougher, or constantly hoarse

It balances the painful experiences of the patient with an effort to accept pain as an essential part of life