for F/U, still cough, productive cough but feel thick sputum difficult coughout, chest tightness with transient wheezing heard ever, still NO with thick Rn blowout and PND also, GERD Hx and feel s/s more recently when cough severe, PE: PND (+), bs rhonchi, sometimes mild wheezing (+)P: 1. Ventolin steam inh stat now 2. symptomatic Tx first, Zantac for GER