If this woman does eventually succumb to her many pulmonary ailments, I think Dr. K should submit her for consideration of a Darwin Award.
After reading the post, Dr. K emailed me to tell me that about a month after her previous visit, she came back to the ER in cardiac arrest. Unfortunately Dr. K was not able to restart her heart, and she died.
One could make the argument that if you have a terminal illness, why not enjoy your last few weeks or months and do whatever you want? Smoke however much you want! Right?
Sorry, but I can't find any logic to that argument. Would she have lived any longer had she not been smoking? Who can say. But I would argue that the smoking certainly did nothing to help her, and it may indeed have shaved a few days off her already-drastically shortened life.
It's awfully sad either way.