Our expert says:
He is physically unfit and needs to see at least a GP for a full checkup, and needs to see a specialist to help him give up the smoking and drinking which will probably kill him, either one or both together. If he saw a doctor once and it didn't help ( and if he kept on smoking and drinking, it would be very difficult for anyone to help him ) he shouldn't use that as an excuse to give up, but should try a different doctor and sincerely work with that doctor to solve his serious health problems
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