I lost my sister to COPD. My sister was 52 yrs old and I was 57 when she passed. I was my sister's primary caretaker up until the last 10 days of her life when she went into a nursing care facility. The high Co2 levels that resulted from a lack of oxygen compromised her thinking and she became very confused. Her mental health declined. It was extremely stressful to care for her and I am sure it was no picnic for her either. Initially, she wanted to go to the nursing care home where our mother had passed. She later changed her mind, but there was no choice. I could no longer care for her by myself. I needed her to stay in nursing care. I've often questioned myself as to her care...was I patient enough, caring and loving enough? I Don't know if I was, but I certainly tried to be. I had been a big brother for almost 53 years and yet I could not protect her from getting ill. I could not stop her from passing on. She was a huge part of me, we shared secrets, love, laughter, and tears...too many to count. I've never had a better friend. She almost always had a smile on her face and a twinkle in her eyes. She was a loving and generous soul. Beautiful, both inside and out. She left behind an older brother (me) and a younger brother. A son and daughter, and 6 grandchildren.