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Patient Profile Name? Carolyn Merritt Age?56 When were you diagnosed? July 18, 2006 On Oxygen? If on oxygen, how long? One month How many liters? 3L/min Did you go through pulmonary rehab?

no Do you participate in a pf face-to-face support group? Not yet Smoker? No Grew up in a smoke-filled environment? No Husband/Wife? Yes Children? 5 grown Pets? 3 dogs 5 cockatiels Favorite Movie? Aliens Favorite Food/s? Anything sweet Favorite Holiday? None Favorite Book? Anything by Dean Koontz What do you like to do in your spare time? Make Jewelry, read Caregiver Profile Name? Ron Age?52 Whom are you taking care of? wife How long have you been taking care of this person? One month Is there anything that you need? support Do you participate in a pf face-to-face support group? no Married?yes to patient Children? 3 grown of my own 5 step children all grown Pets? 3 dogs 5 cockatiels Favorite Movie? Brother where art thou Favorite Food/s? steak Favorite Holidaynone Favorite Book?none What do you like to do in your spare time? Tinker with my hands, watch motorcycle racing Leanne Storch-Diagnosed with IPF 1/03 Executive Assistant & Patient Advocate Pulmonary Fibrosis Foundation 1332 N. Halsted, Suite 201 Chicago, IL 60622 P F It takes your breath away

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