Past medical history was remarkable for Type 2 diabetes mellitus, coronary artery disease, hypertension, hyperlipidemia, post traumatic stress disorder, major depressive disorder, benign prostate hyperplasia, resection of submandibular benign tumor, rotator cuff repair, and sensorineural hearing loss. The patient resided with his wife, had a remote history of tobacco use (greater than 40 years prior), and used alcohol socially. He was no longer working at the time of the encounter.
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