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My boyfriend has been in the hospital for 3 weeks from drinking alcohol. He should be dead, but miraculously he's alive. He's had 3 surgeries, lost a lot of muscle, has fluid blisters that are horrendous looking, and he can't walk. He has to go to a nursing home of sorts so they can help him walk again.
Answer me this: Would you rather lose him by death or friendship? He may get mad with you and never talk again, but at least he won't be dead. I stupidly kept my mouth shut until my boyfriend was in the emergency room having a seizure right in front my eyes. Whatever the case may be (suicidal thoughts, cutting, alcohol, drug use) you need to tell someone right away, someone who will get him help.
Trust me, there's no worse feeling than keeping an emotion bottled up.