I am a 59 year old male. I am 6 foot, 265 pounds and a diabetic smoker. I had a cervical laminotomy with decompression on C2, 3, and 4. about six weeks ago. It was pretty severe and I still have a lot of pain. My gp insisted that I have a heart cath before the surgery. to everyones surprise I am clear as a bell. I had carpal tunnel release surgery last august and it didn't help much. after all of that here's my gripe. Before the surgery and now too, when I smoke or wear a nicotine patch both arms, hands, and fingers go numb and tingly. all ten fingers.When I tell the doctors about it they say carpal tunnel. I don't 100 percent agree. wut ya think ?