And he didn't have any problems I had go to bed so I was like just like oh like I'm gonna know but yes I'm gonna have and he's walking like yeah that's fine and he's doing in the morning he's like so I'm just how kidding long have you trying to get how long have been trying trying to get how long have you been to get how to been how been trying to get how are zipped up in your pocket yeah it's okay how are you you feeling alright not good no tell me why what's up something happened yesterday in my flat I don't know what's going in your flat yesterday I don't know miss alright get off your head I see that you had a funny little turn you felt a bit poorly at home is that right yeah that was really happening happy you're the nurses why are you here we just got them we just work together you that you do yeah it's like that yeah I'm like that yeah very lucky I feel I feel got cold now yeah it looks like you got cold on your x-ray you look like a chest infection really yeah it does and your blood does look like a chest infection I can't see it on the light on on the on the chair yeah horrid isn't it it's I'd rather get my wheelchair for home can I have a listen amy isn't it can I when can I put you down is that okay just have a look at your chest is that alright yeah look at my chest is that okay well look at it and listen to it is that alright what hospital are you from what what's this hospital where are you from what ward what ward are you from do some big breaths for me tom I didn't do anything at the no no she's okay I love the breath you keep the big 1 then keep going with the rest some food breathing there's a little bit of food it's alright yeah can I listen to your back can you sit forward coming sorry I thought you'd be able to come through that's alright nothing doesn't look like you're doing anything are you fighting I suppose don't even try to do it I'm I'm screaming alright yep you know I mean yeah big breast 30 though sorry big breast 30 yeah you don't hear that scream loudly yeah hello porridge is the best porridge I've ever had actually a tiny bit of swelling you're making smoke pain no good I don't I've now smoked in 10 years but mhmm the same doctor I'm on epleren and they're knocking me epleren do you like that or not really no coming tomorrow about the eyes so I would have loved if you were there I know I have 3 of these really anyway it doesn't look like you've had any antibiotics for your chest for a while now yeah and it looks on your x-ray and your blood test like you got chest infection you're not needing any oxygen so that's good so I think we can get you some antibiotics and get you out of here does that sound alright you that's good and you've got some people to help you at home is that right yeah my dog again your dog and I hear you've had people come in to help you at home is that right yeah my dog's over there lovely and are they do they know you're in hospital will they come back and look after you when you get home and things like that no they'll they'll come around me my throat's just got my teeth let's get you some antibiotics to cover your chest and make you feeling better let's get you out of the field is there anything I've forgotten or anything I've missed I need a wheelchair to go outside for a fact fine so you do snake yeah I thought you said you did yeah it does I did because I saw your tarsaline fingers you said you didn't I did he said he knew that okay I'll zip that up for you alright are you comfortable are you happy just do it a week we'll get you out of here okay because you had a little funny turn sometimes we do a tracing of people's hearts just to make sure that a really young man we do a longer 1 when you're out of hospital is that alright so that's anthony coming in examination left basal right right left basal crepitations fine right base clear mild peripheral edema bilaterally chronic venous changes on bilateral legs heart sounds normal moist mucous membranes tar stained fingers on the right hand wants to go out for a cigarette today seems clinically well observed for 24 hours with no concerning features for a course of 5 days of doxycycline with prednisolone to cover for an infectious exacerbation of copd and discharge that's for rodent cunningham 1387556 patient plan is home with 5 days of doxycycline for an incident to manage for infectious exacerbation of copd no didn't have nebulizers