Deja Vu

I am really distubed at whats happening to Louie, a breast cancer patient. Recently, I found out that she has disseminated pulmonary metastasis, and its causing her dyspnea.
This is exactly what happened to my patient before, she was so out of breath 24hrs a day, on 5L of O2. It wasnt a nice thing to see.

And now, it seems that, if things will not get better she will likewise become like this. Have to act fast, no more mistakes and missteps.