thank you kyle,yes it is sad,i can only suggest that your your grandmother do what has been recommended here to me and try to get to a "ccc" treatment center,they will cover all types of treatment available and you will know you gave it your best shot.i,too smoked right until it became painful.i don't recommend nicotine gum,it seemed to aggravate everything,i use a patch,the best thing is to quit,its easy to say.I wish the best for you and your grandmother.lyle