I am a 48 year old female, I have underwent chemotherapy and radiation , chemo in 2011 and radiation in 2012, I have also had my mitral valve replaced with a mechanical valve this was in 2012. I was doing well the 2 months after my valve replacement , I got pneumonia and all has went downhill, I have been coughing since Sept. 2012, (dry) an echo was done and my ejection fraction had dropped from 55% in May 2012 to 25%. My cardiologist has me taking 81 mg aspirin daily,LASIK 20 mg 4 times daily,37.5 mg of bidil 3 times a day, 100 mg of metoprolol 2 times a day,20 meq potassium 2 times a day,5 mg Coumadin 1 time daily, my pulmonary doctor has me taking 2 puffs of symbicort 2 times daily,levalbuterol 2 puffs every 4 hrs as needed,cozaar 1 50 mg daily,1 40 mg daily, 18 mcg capsule of spiriva daily. I have had to take leave from work for pure exhaustion, I am going nuts!