My fiancé is a 31, physically healthy, active, 3x war vet with ptsd and tbi. They sent him to a specialty tbi clinic yesterday. His family has a healthy background from what I know. They live long lives. We were planning to have more children...is all this gone now?
I have never smoked but a recent CT scan noted changes in my lungs "suggestive' of COPD. Note you said "probably" has COPD. Did he have exposure to any nasty chemicals while in the militarty? He is very young for the diagnosis but I personally would be more concerned about his other medical problems before adding to the family. medicine and treatments advance all the time so he could be able to look forward to many years. however COPD does eventually advance and it will be an increasing burden to care for him for many years ahead so adding to your family may not be the best for you or your children, present or future.
That does not mean Chronic Bronchitis can NOT kill you, because it can. What it means is, if Chronic Bronchitis is managed properly and if the patient is otherwise healthy (no other health issues), lives a healthy lifestyle (does not smoke and eats healthy foods, for example), and lives in a healthy environment (little to no air pollution, for example), they can sometimes live long enough to end up dying from something else (getting hit by a car, unrelated cancers or stroke, or anything else that often kills relatively healthy people every day), they can live relatively well, with not too much loss in quality of life, into their 80s or 90s in some cases.
But emphysema, no matter how well it is managed, almost always ends up being the cause of death for the patient (or they die from complications from emphysema such as the flu or heart disease) and severity of the disease as well as quality of life always decreases with each year. For example, a person with emphysema can easily die from getting the flu, especially if they’ve had emphysema for a long time, because emphysema always gets worse over time, causing lungs to be more damaged and the damage can NOT be repaired.
Depending on what caused the emphysema and when it first caused symptoms will help doctors determine how long a patient may live, but since most people get emphysema before they’re 50 – 55 years old, most die within 5-10 years of the first signs of the disease. And, as I mentioned, most people with emphysema have a lesser quality of life over time (lack of energy and strength, unable to breath w/o medications, need to breath with the aid of apparatus or through a breathing tube/mask that supplies concentrated oxygen). People with emphysema usually have a significant loss of strength and ability to breath each year and that process can be sped up by just about anything that causes problems with the lungs or heart, or by living an unhealthy lifestyle, or by living in an unhealthy environment, not taking meds, etc.
My mother lived to 79 with emphysema. She passed a few weeks ago. She was diagnosed with emphysema about 18 years ago, and it got progressively worse every year. She lived a lot longer than her doctor’s expected, but her quality of life was greatly reduced with each year, and especially in the last 4 years of her life. There was a sudden change in her ability to breath and do things about 12-18 months ago, and that's when she knew her time was very limited. During her last year she barely had enough energy to change her clothes. Others with emphysema may live only 5 years after the first signs, others may live 25 years – it all depends on your overall health, your lifestyle, your environment, the initial cause of the disease, and how it’s managed/treated, plus maybe even your dna and family history may play a part. But yes, unfortunately, I’m sorry to have to say, emphysema (one type of COPD) is considered to be a “fatal” disease.
This link to the Mayo Clinic will lead you to some very easy to understand information about COPD. Follow links for more information about each type of COPD, causes, diagnosis, treatment, etc. But please, before you get yourself overly upset over something that is a “maybe”, please ask your fiancé to get a final diagnosis ASAP and ask him to let his doctor talk to you in detail about his condition and treatment.... I wish you good luck and happiness.
mayoclinic/diseases-conditions/copd/basics/definition/con-20032017
PS) Something you may not want to think of, but maybe you should, is life insurance. I would get life insurance for him BEFORE he is officially diagnosed. This may or may not be helpful in how or if they will pay if he dies from COPD complications, but if you have a family it’s something you should consider ASAP.
None of us ever have guarantees. It is wise to consider the odds and try to predict most likely outcomes, but, really, when all is said and done, there is an element of risk in every marriage, and in every family.