@sakota- Good morning Joan! How are you faring? Many of us have a multitude of diseases as a result of smoking. And there is not any difference in treatments for COPD, whether it's genetic or not. You have both squamous and adenocarcinoma cells? I'm confused.

https://www.nhlbi.nih.gov/health-topics/alpha-1-antitrypsin-deficiency
https://lungevity.org/for-patients-caregivers/lung-cancer-101/types-of-lung-cancer/squamous-cell-lung-cancer
https://www.cancer.org/cancer/non-small-cell-lung-cancer/about/what-is-non-small-cell-lung-cancer.html

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