history: I am so sad.  My husband needs a lung transplant. I am so sad lately.  My husband needs a lung transplant and he is only 40 years old.
current: Oh wow. I'm so sorry to hear that. Was this an all the sudden thing or has he been in poor health?
next: It has been happening gradually over a number of years he has a genetic form of COPD and has never smoked or done anything to deserve this.