I probably shouldn't even post this, but this thread won't let go of me. Nicotine addiction is incredibly strong. But I am not sure what to say to a family that continues to engage in the behavior that almost (and may still) kill one of its members. Both the caregivers in this situation, not only for their own health, but to show support for the patient need to quit. I see it in my presentations at schools... there is denial in young people that this will happen to them. Oral cancer is an abstract idea to them, and at their age they believe they are immortal. But when someone has direct contact with this disease and its deadly nature and still continues...this has to go beyond denial. There are Rx strength solutions to getting off of tobacco. I want to say something supporting and understanding here, but I am not feeling it. All I can think of is that everyone one of you needs to see someone professionally to get what you need to quit, a combination of Rx strength meds to deal with the addiction combined with counseling to develop the mindset necessary to do so. You need to get past rationalizations and take a serious look at the reality that has entered your life.