At today’s visit he is accompanied by his wife, he is awake, alert and oriented. He reports dull, left flank pain, severity 4/10, cancer related, manage with Percocet 10/325 mg. He states that he was talking morphine Er 30 mg, but has stopped the morphine because his pain improved. He complains of increased shortness of breath, he uses oxygen. He states that his shortness of breath is debilitating and now he has difficulty getting around due to his shortness of breath. He is unable to walk short distances due to his shortness of breath/dyspnea. He has increased generalized weakness and unsteady gait. He reports increased constipation.
