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's DX of Emphysema

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Dr Grim, catching up on my backlog an you once asked if I was DXed with a PFT

and that is the case, FEV1: 65% pred, FEV1/FVC:65%. Nephrologist explained

thay emphysema was confirmed if these numbers were less than 70%. She also

confirmed that it was a very slight case and probably wouldn't even been brought

up if I hadn't need O2.

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/69

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

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