<p>Cher Confr&egrave;re</p>
<p>J'ai vu ce jour M. PAYET Jean Ren&eacute; n&eacute; le 01/12/1959.</p>
<p>Ses EFR se sont am&eacute;lior&eacute;s tant en ce qui concerne le VEMS qui passe de 2.09 &agrave; 2.65 soit de 61 &agrave; 78% de la norme.</p>
<p>la distension pulmonaire s'est &eacute;galement am&eacute;lior&eacute;e avec VR passant de 207 &agrave; 158%.</p>
<p>La diffusion pulmonaire s'est corrig&eacute;e avec TLCO &agrave; 91% de la norme.</p>
<p>je lui ai propos&eacute; une cure de r&eacute;habilitation respiratoire avec le Dr Blanc &agrave; ste Clotilde &agrave; M.Payet.Il va r&eacute;fl&eacute;chir.</p>
<p>J'ai insist&eacute; aupr&egrave;s de M.Payet de la n&eacute;cessit&eacute; d'arreter de fumer.Il poursuivra:Alvesco 1B/j;Spiriva Respimat 2B/j;associ&eacute;es &agrave; Onbrez 300/j .</p>
<p>Avec mes remerciements, veuillez agr&eacute;er, cher Confr&egrave;re, l'assurance de mes sentiments distingu&eacute;s,</p>
<p>Dr. B. TANGUY.</p>
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