In a Clinical Crossroads article published in November 2003, Bartolome
R. Celli, MD, discussed a 62-year-old woman who had chronic obstructive pulmonary
disease (COPD) for many years.1 At the time
of the conference, the patient, Mrs D, lived at home. She was symptomatic
at rest on oxygen administered by nasal cannula and experienced
frequent hospital admissions and stays in pulmonary rehabilitation hospitals,
including 20 hospital admissions in the previous 5 years. Mrs D's medical
regimen included numerous inhalers and oral medications directed at her COPD.
Reynolds EE. A 62-Year-Old Woman With Chronic Obstructive Pulmonary Disease, 2 Years Later. JAMA. 2004;292(11):1358. doi:10.1001/jama.292.11.1358
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