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I'm not surprised at all that your brother is not doing well - since he stopped taking his meds. If he's had a heart attack and has high blood pressure, and not taking his meds, he will likely have another heart attack or a stroke. He's got chronic bronchitis (or worse - COPD) from smoking. There's not much to do about that except stop smoking and it doesn't sound like that is going to happen.
But he's made a choice to stop his meds, so he will have to suffer the consequences. It's sorta sad that he doesn't want to take care of himself.
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 Gayle
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