Hello, my issue and concerns are due to my COPD, and quiet frankly stated...I have alcohol issues. I am having issues with swelling and pressure beneath my breast bone/sternum causing SOB with a plus a plus rate of at times 110-120....BP can escalate from in the 139/95 range to 183/129 (scary) my O2 ranges from 89-93, am on O2 @ 2 liters per min, Albuterol sulfate (pro air inhaler) every 4 hrs or as per needed, also nebuliser treatments 2x daily...those issues don t seem to fall inline with what issues I have with the pain in my sternum..other than pressure I can deal with SOB until I do the slightest ADL s then my plus rate and SOB sky rockets... no PCP right now.....any ideas