Complete Case – Transcript

John is a 64-year-old man who initially presented to his physician with exertional dyspnea over a two-week period and now has worsening symptoms that are brought on by his routine daily activities, including showering and dressing. Despite this, he retained an ECOG performance status of one. His past medical history is significant for hypertension as well as coronary artery disease. He has had a prior myocardial infarct. In addition, John has had prior surgeries including an appendectomy as well as a percutaneous coronary intervention because of his coronary disease. John was a smoker, approximately a 50 pack year exposure to smoking; however, he quit smoking 10 years ago. He has a family history of cancer; his mother was diagnosed with breast cancer in her 70s. John was treated with several courses of antibiotics, however his symptoms failed to resolve. He was subsequently referred to a pulmonologist. Join Drs. Michaud, Chang, and Socinski for their perspectives on the multidisciplinary management of this patient’s diagnosis and treatment regimen.