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My husband has COPD with emphysema, bullous, lung fibrosis and had a heart attack and 3 stints in last 6 months. The Dr has not told us what stage he is in. He tires easily. He still smokes and drinks beer everyday. He cries a lot and tells me he knows he is dying. What can I do to help him?

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Without knowing your husband's exact medical condition it is difficult to give helpful advice.
He may actually be dying, so getting some real information out of his Drs will help you both even though it may not be what you want to hear. getting the truth out of a Dr can often be like pulling teeth but don't give up.
Stopping smoking is always a good thing to do and always improves health. However if he is actually in the last stage of his life and smoking brings comfort leave him alone he knows the risks. Same applies to the beer as long as he does not over indulge and become unmanageable let him be, again he already knows the risks of alcoholism so leave him alone. Of course continue to provide healthy meals and encourage him in a healthy life style but otherwise offer comfort in any way you can without becoming a victim yourself.
Accepting one's approaching death is something that most people don't do well. Paramount is the fear of the unknown but some are able to rise above this and put their lives in the hands of the Lord. 
Fear of the actual dying process is also in the forefront of the minds of many and this can bring huge depression. In your husband's case he almost certainly knows that his COPD will get worse and breathing will become even more difficult, his heart will also probably begin to fail and fluid will build up in his body. His kidneys and liver may also fail which will have unpleasant side effects. 
What can you actually do to help?
First of all recognize the realities and make preparations for his inevitable passing whenever it occurs. See an attorney and get all the legal paper work in order. Make sure his will is current and you have the proper authority to handle finances and medical decisions. Would he for instance want to go to the hospital and be put on life support? Does he want to be a DNR? How about IVs and forms of artificial feeding. Choose your funeral home and make those arrangements. Check any life insurance policies and make sure premiums are up to date. This may be a good time to consult with hospice. If there is a choice in your area interview several. Consult his Dr about the continual crying that is distressing both to him and you. There are plenty of antidepressants around that can make a difference. Also think about asking for morphine if he has trouble breathing. Many people are against it's use and I do respect that point of view but the reality is that it does relieve the feelings of breathlessness and very small doses do not put people in a coma. Remember you and he always have the final say about any treatment.
This is not going to be an easy time for either of you and if he does not have the will to continue living, and he may have very good reasons, it is certain that he will not. This is not something you can "fix" however many helpful suggestions you recieve. Only your husband can improve his situation
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I'm sorry you and your husband are going through this. Almost everything we read or hear about tells us that no matter what our health condition that to stop smoking is the single best thing to do. But I remember reading in the 70's that to stop smoking is extremely difficult and I've always believed that. At the same time I've seen many quit. If your doctor can't tell you your husbands prognosis we, on this site, surely can not. Heart disease is the leading cause of death in our country, maybe the world. A radical change of diet and habits could change his life expectancy. He has to want it enough to get the help and follow through and usually that means a radical life style change for the entire family. Having said that I don't think people realize how just a few steps in the healthy direction can really make a big difference. Walking 10 min a day this week and 15 min a day next week up to 20 or 30 min can really help. Losing 10% of body weight can cause the "bad" numbers to get much better. Is your husband on oxygen? Does he try to limit the number of drinks or cigarettes he has per day? Has he tried antidepressants? Regardless of whether he (and you) choose to make a concerted effort for him to get better, at least decide to live each day he has left to the best of your ability. Talk to his dr about antidepressants and/or anxiety meds. Ask about physical or occupational therapy. Have his B vitamins checked. B 12 supplementation might make him feel a lot better. Remember his heart dr is probably just focused on his heart. Also include his primary, pulmonary and a physciatrist in the mix. Some people will not want to make the effort and that is their right but again, a small effort can make him feel better and perhaps able to make a little more of an effort. Take care of yourself as well. It won't help him to forgo your own healthcare. Come back and let us know how you are going.
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My husband has heart disease and eating oatmeal and watching his diet has really helped his cholesterol level and overall health. To say diet is important is an understatement.
SIL has COPD and uses oxygen sometimes....still smokes, is physically very inactive and lives with her 86 yr old mother. Stopping smoking is the most important thing you can do. When I stopped smoking 21 years ago after a 21 yr. habit at a pack a day, sometimes more...I did it cold turkey and kept telling myself "I am not a smoker...why would I want a cigarette?" I took my mind back to when I didn't smoke, and concentrated on things I liked back then...foods, books, colors, etc. This mind set helped me to overcome my cravings and I never touched another cigarette also telling myself that I had my ration of cigarettes to last a lifetime so I could not have any more. This mental tactic worked for me. If he cannot entirely quit...at least try to get him to cut down.
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If your husband continues as is he will prove himself right: he will die. Quite quickly. I'm sorry to be blunt, but it's obvious and avoiding reality is no help to him.

Believe me, the consequences of emphysema can get a heck of a lot worse than bullae and still not kill him.
But if he cuts back hard on the booze, stops smoking completely, starts taking exercise, follows his doctor's prescriptions to the letter, loses weight and so on and so on, he can still hugely improve his chances of survival.

Are you sure that is what he wants?
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Depression is a huge problem with COPD; I watched it with my beloved mom. In her case, and maybe this will be instructive to you, it made it impossible for her to proactively do anything to improve her health because she just didn't see that anything would matter or make things better. I felt compelled to give her ideas--quit smoking! Try to get outside for a walk! Try some herbs to help clear the toxins from your lungs!--but when you don't feel anything matters, how can you try new things that might be challenging even for a more mentally healthy person?

I now wish I had spent less time trying to fix things for my mom, and more time just telling her how incredibly much I loved her and how much it meant to me to have her here on this planet. Maybe being impressed upon with her value to others would have at least given her the motivation to take an antidepressant, which might have made the other things easier. If your husband could be moved to try an antidepressant, you might have more luck with some of the other excellent suggestions here. Warm wishes to you both.
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I agree with the depression and if this is the case it should be addressed.
And while we are talking about your Husband...you may want to talk to someone as well, depression in caregivers is a very important subject that is often ignored, overlooked or just not addressed as many think it is not "important"
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My mom had COPD. The things that helped her the most were: Xanax for the anxiety that accompanies this condition, her breathing treatments, Ensure Plus for the weight loss, and a nicotine patch so that she could at least cut way back on her smoking. She got plenty of info on quitting smoking and would manage to have short stints where she was smoke free. After 40 years of addiction, she didn't stay that way. That's OK. What's done is done. Becoming a control freak and making people feel bad about taking medicine that helps them (even if they are still smoking) doesn't help at all. It will succeed in making your terminally ill loved one miserable but it won't prolong their life at this point. It most certainly is not a "waste". Antidepressants can also help with this difficult time. COPD is not a death sentence for next month. I've known people who continued to smoke some and went on to live many years (10?). Each patient is different. Staying calm (especially considering the heart problems) will be really important.
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Lost my answer and I hate retyping so I"ll make it short. I never smoked and I have COPD. I can't use any of the treatments because they are not compatible with the life preserving drugs I must take for my damaged heart. They say I have valvular heart disease due to rheumatic fever. Never knew I had it and certainly did not go out and try to get it. These are just facts of life and we all must deal with them as best we can.
As a young adult smoke was all around us, it was the social norm and no one knew it was going to kill them. Smoke filled rooms were impossible to escape and lighting up in a restaurant or other public place was not frowned on. You could even smoke in your hospital bed as long as you did not set it on fire.
That was in the past so don't try and punish people who are suffering now. Smoking and alcoholism are addictions and you can't cure those just by spanking people or taking away the cigarettes. For one thing the person has to want to overcome this and if it brings comfort at the end of life they are not going to stop and at this point it probably won't improve their prognosis.
As a side note many people with ADHD find that smoking helps calm them. They probably don't know they have ADHD and maybe wouldn't seek treatment and if they did may not be able to afford the inflated prices for the medications. Drug companies have become the evil controllers of peoples' health.
This poor man is suffering at he end of life whether he is responsible for his own misery or not it was probably caused by ignorance and all the good advise and prohibition in the world won't change anything now. He needs compassion not lectures. A good place to start is addressing his depression and supporting him in any way possible and that does not include taking away his props.
That is really the only way his wife can help him, he is beyond changing his ways.
Now if I suggested hospice and morphine to ease his breathing symptoms I know all the anti hospice people would come out of the woodwork and I am just so tired of that. I know people have had bad experiences and I don't doubt the truth of their stories but we all get bad experiences one way or another and healthcare is no exception.
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Granyoung, let him smoke and drink beer. It won't hurt him now. The damage is done. All you can do is comfort him when he gets upset at how he feels, and the prospect of dying soon.

If there are any people of faith around you, perhaps someone to comfort him about Life and Death process would be helpful. Perhaps calling in a local pastor (one who is very kind and understanding) may help to calm his fears.

This is a tough time for you, too. Maybe you could both use some help from your local churches or other local outreach organizations. Is hospice an option? Ask the doctor. Maybe a mild sedative or painkiller would help... but I don't know how it interacts with COPD. As a former smoker, I know that the benzodiazepines (Valium, Xanax, Klonopin, et al) help to alleviate cravings for smoking...

Ask the doctor about some anti anxiety medication for hubs to make this time easier on both of you. (((hugs)))
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Granyoung, you asked about Life Expectancy. My 78 yo dad is a lifetime smoker with COPD. He also won't use his inhalers. I still think my dad could live another 10 years. COPD/emphysema aren't quick moving killers. Mostly what happens is the person who suffers the condition feels poorly when they try to do any activity that exerts their breathing and then they end up resting most of the time due to feeling poorly.

This is why hospice likely may not be an option for many years yet, if ever, but you don't need hospice to ask the doc for Rx for an anti anxiety medication that will help hubs to not have as strong of cravings, and also relieve some anxiety. He may live for many years. (((hugs)))
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