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Clinical Crossroads Update
September 15, 2004

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

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.