there are multiple issues for your patient, including COPD which is a breathing disorder seen in smokers. Also there seems to be a kidney issues which may be secondary to the tumour in bladder. And then third issue - the bladder tumour itself.
Next Steps
In order to answer your questions - you need to visit an urooncologist urgently and a nephrologist too.
Secondarily you will need the assistance of a pulmonologist as well.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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