While someone with a history of smoking may require a stoma, not all neck stomae occur due to smoking
[Chorus] And then I'm gonna get a cocktail, vodka and ginger ale Yeah, I'm gonna smoke a cigarette that's nine miles long I'm gonna kiss that pretty girl on the Tilt-a-whirl 'Cause this old man is goin' to town [Verse 2] Then as God as my witness, I'm gettin' back into show business I'm gonna open up a nightclub called The Tree of Forgiveness And forgive everybody ever done me any harm Why, I might even invite a few choice critics, those syphilitic parasitics Buy 'em a pint of Smithwick's and smother 'em with my charm [Chorus] 'Cause then I'm gonna get a cocktail, vodka and ginger ale Yeah I'm gonna smoke a cigarette that's nine miles long I'm gonna kiss that pretty girl on the Tilt-a-whirl Yeah this old man is goin' to town [Verse 3] When I get to heaven, I'm gonna take that wristwatch off my arm What are you gonna do with time after you've bought the farm

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I thought it was the height of hypocrisy when the American Legacy Foundation refused to give money to schools that took tobacco money, while nearly every penny of the Foundations budget comes from the tobacco companies and the Foundation sought voluntary donations from the tobacco companies to fund its own work.