I have mentioned this before but it has evolved in what I consider to be a more dangerous situation. Husband is 83 and has smoked since his teens. Had a quad heart bypass 35 years ago and a bilateral femoral bypass 12 years ago. He smoked on the hospital patio both times-even in the Seven Day Adventist one just 2 days after the quad. During the years he has tried every patch, acupuncture, hypnosis, and nothing has worked for him. In the years just prior to the onset of his dementia he was down to 3-4 cigarettes per day, then finally down to 2. Since the dementia onset cigarettes have become an obsession more than ever. His cardiologist said not to fight this battle, and I agreed that at 83 the damage is done. I have tried very hard to just have the cigarettes and give him one when he asks for it. He wants to buy his own so that he does not have to rely on me, but if he has the pack, he smokes all day long. I insist that he smokes on the patio-have always done that, as I have seasonal athsma. But this is getting harder. The other issue is that he is becoming more and more careless with his smoking in that I find small holes in his pants, shirts, the cushions, burn spots on the patio table too. Most recently he has been hiding "shorties" in his pockets and sneaking them into the bedroom to puff on later when he gets ready for bed or just goes there after using the toilet. It hasn't happened often, but all it takes is once, to create a tragedy. And of course he cannot remember that he has smoked. Most often he walks into the house and asks for a cigarette, having just finished one. I don't know where to turn now to protect him and us. I am told by family members: "he's lost so much", "just let him have what he wants." I hear this over and over again. He has non-insulin diabetes, but just let him have the ice cream, the cookies, etc. at what point do I as his wife and caregiver have to say "no"?