He has a complex medical history including pneumoconiosis secondary to silica exposure, multinodular nontoxic thyroid goiter with tracheal deviation, chronic obstructive pulmonary disease (COPD), type 2 diabetes mellitus (T2DM) with peripheral neuropathy and long-term use of insulin, hypertension, hyperlipidemia, insomnia, transient ischemic attack (TIA), and recurrent hospitalizations in the last year for pneumonia. This evidence concerns the gene INS and chronic obstructive pulmonary disease.