Have you discussed this with her doctors IN FRONT OF HER AND THEM? I would also prepare the doctors in advance for this discussion and make sure they tell her bluntly that she will die (and in a short time) if she doesn't stop smoking and drinking. If that doesn't work then she might as well stop the Tx and save the time for someone that really cares about living. Sorry maybe a little harsh. Maybe some addiction counseling might help but something must be done before it's just too late.

David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.