I have a 51 yr. old son, who has COPD, and he is currently on Atrovent. He has been on several other brands, and he still smokes rolled tobacco , of the worst kind ( pipe tobacco ). He doesn t want to stop smoking, but he s tired of the chest pains in the heart area. I told him that eventually nothing is going to work, because he s using the inhaler as a crutch . He s afraid of doctors and medication, but he knows that he s in a bad shape. What can be done for a person like that ?