The 5 nodules on Mike's lung (that he's been in denial about) have NOT changed in the last year. We are so grateful. However, the emphysema has gotten much worse, and now he needs to use his inhaler (Advair) twice a day. We had a long talk about his smoking, and the doctor agreed that he had enough anxiety w/o me bugging him about stopping. I told him I felt that it should be between Mike and his Higher Power. He's been sober for 30 years, and I was hoping he could use AA's 12 Steps to quit smoking like he used them to quit drinking. He will quit in his own time when HE is READY!! I just hope he doesn't die first, as he already has COPD and is in denial about that, also.