The Smoking Gun

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By Richard P. Holm

Mr. C, a 56-year-old fellow, came into my office because he was experiencing shortness of breath with any exertion and was hoping we could fix it. He admitted that he has been smoking about one-and-a-half-packs a day for 40 years, and lately he’s been trying to cut down. Multiplying 40 times one-and-a-half gives him a 60-pack-year history of smoking, which is a lot. Also he’s inhaled a lot of hog and hay dust over all these years.

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