,HOSPITAL COURSE:  ,The patient is a 65-year-old American-native Indian male, past medical history of heavy tobacco use, history of diabetes mellitus type 2, chronic anemia, COPD, coronary artery disease status post stent placement, who presented in the emergency room with increasing shortness of breath, cough productive for sputum, and orthopnea. 
,HOSPITAL COURSE : , The patient is a 65 - year - old American - native Indian male , past medical history of heavy tobacco use , history of diabetes mellitus type 2 , chronic anemia , COPD , coronary artery disease status post stent placement , who presented in the emergency room with increasing shortness of breath , cough productive for sputum , and orthopnea .