Chronic Obstructive Pulmonary Disease or COPD is an inflammatory disease of the lung causing obstructed flowing of air. This includes Emphysema and Chronic Bronchitis. The main cause of this disease is long exposure to things damaging the lungs such as cigarette smoking thus the 65 years old patient has this and has symptoms such as frequent, productive cough of thick, pale yellow mucous and cyanosis.
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Anorgasmia is a male s e x u a l orgasmic disorder in which there is persistent and consistent inability to achieve orgasm, after adequate stimulation that causes personal distress. Approximately 10% of men report difficulties with orgasm. Anorgasmia is more common in women than in men. Primary anorgasmia is used to define the condition of men who have never experienced orgasm while secondary anorgasmia is used to describe a man who once experienced orgasm but lost the ability.
Symptoms of anorgasmia in a man are persistent and consistent inability to achieve orgasm after adequate stimulation.
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I would say putting your arms and hands open at chest level while shaking your head
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