,HISTORY:,  The patient is a 52-year-old female morbidly obese black female who has a long history of reflux and GERD type symptoms including complications such as hoarseness and chronic cough. 
,HISTORY : , The patient is a 52 - year - old female morbidly obese black female who has a long history of reflux and GERD type symptoms including complications such as hoarseness and chronic cough .