Patient states symptoms have progressed in the recent 4 months as she has been
getting more fatigued with worsening shortness of breath on minimal exertion, and
a productive cough expectorating phlegm. She
descri
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Patient states symptoms have progressed in the recent 4 months as she has been
getting more fatigued with worsening shortness of breath on minimal exertion, and
a productive cough expectorating phlegm. She
describes the cough as a wheezing, crackling sound which happens a few times an
hour throughout the day with worsening frequency after she smokes a cigarette. She
reports feeling anxious about her health and when symptoms arise although she denies
having an anxiety disorder. The patient describes the sputum as mostly clear with
episodes of yellow, gray and dark-colored expectoration. She denies seeing any blood
but does describe it as the texture being thick starting two weeks ago. Ms. O’onnor
reports constant wheezing and a strong desire to stop smoking to reduce her
breathing symptoms. She reports multiple attempts at quitting smoking with the
longest being 10 years when she had her daughter. She has tried using gum, patches
and lozenges being unsuccessful at most attempts due to lack of required compliance.
Reports symptoms have made her less social with no desire to go out even affecting
her activities of daily living. Denies oxygen use out of fear of igniting a fire. Lives
with her daughter who is a nonsmoker and is supportive of her mother's decision to
stop smoking. Ms. O’onnor states her daughter cooks most of her meals however
when she is not around, the alternative is frozen meals. She reports a 30lb weight
gain over the last couple of months. She uses Formoterol inhaler twice a day and
denies the use of any other medications including vitamins. Denies alcohol and drug
use. Denies having a fever, having contracted influenza recently. She admits to not
having the flu shot in some time and was educated on the importance of being diligent
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