Tailoring care for advanced COPD

Published on February 29, 2016   48 min

Other Talks in the Series: Advances in Chronic Obstructive Pulmonary Disease (COPD)

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I'm presenting a COPD case study. My name is Wissam Chatila.
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KM is a 58-year-old man, diagnosed with emphysema in 2010. He presents to my clinic for a second opinion for management of his COPD. He has no significant past medical history. He has no prior history of cardiovascular disease or metabolic diseases. He is a retired airport technician and former smoker. He quit one year ago, and no other history of illicit drug use and/or prior exposures. His family history is significant, with a brother who has a history of asthma.
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He had three exacerbations per year over the last two or three years, some requiring hospitalizations. He had two pneumonias over the last two years, in addition to his exacerbations. He has no wheezing, by history, but has a slight cough, minimally productive, with occasional clear mucus production. His mMRC score is 3. That is, he is breathless with mild to moderate activity. He stops for breath after walking 100 yards or after a few minutes on level ground. He gets substantial relief with the use of albuterol nebulizer treatments that he takes three or four times per day.