Exactly!! Why?? I'm trying to bring back the zest for life and it was similar sort of conversation with a pack a day smoker that after 40 years of doing that it has caught up to him. Modern medicine means I will be having more people who have co-morbidity issues such as Cancer and COPD, or Skin breakdowns and heart issues. But the emotional empty carry is something I need to wrestle with.  We did have two much younger patients that bounced out of our ward this week. A fit IT guy that had a chest tube in we were able to fix and motorcycle guy that had a collapsed lung. Both good, both back out living life, and out of our ward after a week. A good result.