I believe that he feels either untreatable or unworthy due to our addiction. He seems to have little to no problems with fatigue or pain, he performs relatively physical tasks daily and is self motivated. The only outstanding symptoms are his memory and some issues with motor skills. He loses everything, this could be attributed to daily meth use or smoking Marijuana. He has been observed dropping items somewhat more than normal, that seems to be the only motor impairment.
I have urged him to see a doctor, I suspect that our substance abuse is why he refuses to seek treatment. The obvious solution is treating our addiction, but I don't think that alone is a reason that he would be denied treatment. I would expect to be urged to address our peripheral issues, and if he is given some hope that treatment for his illness gives him a reasonable expectation of improvement in his quality of life, that he may be willing to consider the options for taking better care of himself and us. I have read that it may be possible to have a few good years, even dying from unrelated or natural causes. His lifestyle has more risk factors than substance abuse and esld, although they are probably the most damaging and urgent. We are approaching our senior years, so I don't need a sermon, nor do I expect miracles. I'm aware that a transplant is not an option. From what I've read, transplants go to those who are most likely to be successful, whose circumstances and reliability are ideal.
At the very least, I think he needs to be re-evaluated, misdiagnosis is a possibility, albeit not likely. What I'm seeking here is a voice that he may be willing to listen to, words from others who may have been where we are, that he can and should see a doctor. Is there a reasonable expectation that he will be treated, even while actively using? If this is a possibility he may give it a chance, opening the door to other positive changes. And be honest, if there are limitations based on what we are doing today, let us know what to expect so we may consider our options and know what we have to do to proceed. A surprise roadblock could mean the last and only attempt to change our lives, so I need to have the truth if I want to avoid a point of failure.
Please understand that I know meth is probably the worst thing for esld. We are addicts and we know that this issue must also be addressed as well. Success depends on treating both problems. I get all of that. Without hope I don't expect there to be incentive to change. Too much assertion about the addiction component won't be helpful. If that's all you can offer for advice, it will be counterproductive. If treatment is not possible under the circumstances, just say so.
Thank you for reading my long winded request for information.