To update you on:
- Palliative care in a patient with COPD
- What to do if a patient with COPD requests a ‘fit to fly’ letter.
Dr Mark Follows is a GPSI in gastroenterology in Norfolk.
Case history 1 – Mr A
Mr A is a 35-year-old office worker who has come to see you because of increasing symptoms of heartburn and regurgitation after meals and at bedtime, that have worsened since he gained 4 kg after moving from a manual job. He smokes 15 cigarettes a day and drinks 28 units of alcohol per week. He has no problems with his swallowing and is otherwise well. He has been taking simple antacids, but these only relieve his symptoms for a short while. He doesn’t take any other medications.
Which of the following would you do?
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