CC: Follow up COPD.
History of Present Illness: Ms. Terenzi is a very pleasant 74-year-old woman who is was previously seen by me one year ago for COPD. She states that her dyspnea has been essentially stable. She notes difficulty with hot and humid weather. She is active with gardening, where she takes frequent breaks. She does not complain of cough. She has been using her Spiriva and is interested in transiting to Spiriva Respimat. Over the last year, she notes that she was the caretaker of her husband who recently passed away in January of this year battling end-stage prostate cancer.
Medications:
1. Albuterol p.r.n.
2. Spiriva daily.
3. Fosamax.
Physical Exam:
Vitals: Temperature 97.8. Pulse 83. Blood pressure 150/80.
History of Present Illness: Ms. Terenzi is a very pleasant 74-year-old woman who is was previously seen by me one year ago for COPD. She states that her dyspnea has been essentially stable. She notes difficulty with hot and humid weather. She is active with gardening, where she takes frequent breaks. She does not complain of cough. She has been using her Spiriva and is interested in transiting to Spiriva Respimat. Over the last year, she notes that she was the caretaker of her husband who recently passed away in January of this year battling end-stage prostate cancer.
Medications:
1. Albuterol p.r.n.
2. Spiriva daily.
3. Fosamax.
Physical Exam:
Vitals: Temperature 97.8. Pulse 83. Blood pressure 150/80.