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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M14_F2.jpg"}},{"insert":"\n\n"},{"insert":"The first consult this afternoon is Mr. Robertson, a smiling 72-year-old man referred by his family physician with complaints of dyspnea.\n\nAs he describes his problem, you take note that he is dyspneic even for ordinary activities like climbing a single flight of stairs. He also complains of an unproductive cough that worsens in the evening.\n\n\u0022Do you have any other issues with your health, Mr. Robertson?\u0022 you ask, and he tells you he has hypertension (\u0022Always well controlled, doctor!\u0022 he beams), dyslipidemia (\u0022Well controlled also!\u0022) and a \u0022hay fever\u0022 since the age of fifteen.\n\nOn further questioning, he says that he has been smoking since he was 21 years old, a total of 39 pack-years. He also drinks a glass of red wine with lunch and dinner.\n\nHe proudly adds that he has never been hospitalized.\n\nHe lays his medication out on the table and you see boxes of telmisartan 40mg\/day, atorvastatin 10mg\/day and hydroxyzine 25mg as necessary.\n"}]}