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- Neighborhood Health Watch is sponsored by the doctors of HCA Virginia health system. - The topic today in Neighborhood Health Watch is COPD and congestive heart failure. The late, former first lady, Barbara Bush had both of these diseases and decided to focus on comfort care instead of seeking additional medical treatment. She died yesterday. Both diseases can cause shortness of breath When a person is doing something physical like exercising, climbing stairs, or walking for a long distance. Breathing problems happen for different reasons with these conditions. Erin White, an adult nurse practitioner with Henrico Doctorsamp;#39; Hospital is here to get us informed. Thanks for joining us for First at Four, we appreciate it. [Erin]- Thank you for having me. - Barbara Bush smoked for many years, but she quit in 1968. Is smoking one of the primary causes for both of these diseases? [Erin]- Yes. Smoking is one of the risk factors for chronic obstructive pulmonary disease, or COPD, as wel