Transcript

Doctor: OK, and where is the pain exactly? Patient: It's just right over on the on the left side. Doctor: OK, and when did this pain start? Patient: It started just 30 minutes ago. Doctor: OK, and did it just come on randomly or were you doing something strenuous? Patient: I was just juggling the driveway and it came on. Doctor: OK, and has that pain been getting worse at all over the last half an hour? Patient: No, it just came on suddenly and it's uh, uh, I'm sorry. Yeah the pain has been there this whole time and it's gotten worse ever since it started. Doctor: OK, and how would you describe the pain? Is it kind of like an aching pain or is it a sharp or tight tightness kind of pain? How would you describe it? Patient: It feels dull. I feel like there's a lot of pressure on my chest. Doctor: And how do you rate the pain right now on a scale of 0 to 10, 0 being the least amount of pain you felt in your life, 10 being the worst? Patient: Uh, 7. Doctor: 7, OK. Have you had New York similar episodes before? Patient: No, I've never had any chest pain before. Doctor: OK, and is the pain just staying in the region of the left chest area that you mentioned or is it traveling to any other part of your body? Patient: No, I'm kind of just feeling it right here. On the left side. Doctor: OK, uh, is there anything that you do that makes the pain either get worse or go away or like get better? Patient: Uh, I think it's a bit bit worse if I'm moving around or when I was walking in here. I think it it made it a bit worse, but nothing has seemed to make it any better since it's starting. Doctor: OK, and does it change at all from you changing positions like if you're standing up versus sitting down or laying down? Patient: I think it's a little bit worse when I when I'm laying down. Doctor: OK, and other than the pain that you've been having, have you been having any other symptoms like a cough or difficulty breathing or any pain when you're breathing in or out? Patient: Uh, I felt a little bit uh short of breath or having difficulty breathing since yesterday when the sorry since the pain started, but uh just the difficulty breathing. Doctor: OK, and have you recently injured your chest or surrounding area at all? Like from a fall or anything like that? Patient: I do I play rugby and was tackled by another player yesterday. But but my chest felt fine after that. Doctor: OK, so but the pain just started half an hour ago. Patient: Yeah. Doctor: OK, have you have you been traveling at all recently? Patient: No, been at home. Doctor: OK, has anyone around you been sick at all? Patient: No. Doctor: OK, have you been having any symptoms like nausea or vomiting or any fevers or chills? Patient: No nausea or vomiting, but I do feel a little bit hot today. Doctor: OK, but have you measured your temperature at all? Patient: Uh, I did and it was 38 degrees. Doctor: OK, and have you been having any kind of swelling in your legs or feet? Patient: Uh, no swelling in my legs. Doctor: OK, have you been feeling tired at all, like increasingly fatigued? Patient: No, my energy has been good. Doctor: Have you been having any kind of thumping or palpitations or feel like your heart has been racing at all? Patient: It does feel like it's beating faster right now. It usually only feels like this when I'm playing sports. Doctor: OK. And have you noticed any changes in your skin at all? Any rashes? Patient: No rashes. Doctor: OK, have you had any cough or runny nose or sore throat? Any kind of those symptoms and in the past month? Patient: A few weeks ago I was a little runny, but that went away on its own. I haven't had any cough. Doctor: OK, and have you been feeling dizzy at all or have you fainted? Patient: No dizziness and uh no I haven't fainted at all. Doctor: OK. Just a few more questions. Have you had any diagnosis made by any physician or any anything like diabetes or high blood pressure? Patient: Yeah, I've been told I have high cholesterol and high blood pressure. Doctor: OK, and do you take any medications for the these things? Patient: Um, I do take medications for both blood pressure and cholesterol, rosuvastatin and umlicinopril and I take a multivitamin. Doctor: OK, and do you have any allergies to any medications at all? Patient: No allergies. Doctor: OK, have you at all in the past been hospitalized for any reason? Patient: No hospitalizations. Doctor: Any previous surgeries? Patient: No. Doctor: OK, and within your family, has anyone passed away from a heart attack or any cancers that run in the family? Patient: No. Doctor: OK, and currently right now, do you live alone? Do you live with someone? And where do you live, like an apartment or house? Patient: I live in a house with um, my parents. Doctor: OK, and do you currently work? Patient: Yeah, I drive a bus for the city. Doctor: OK, and in your daily routine, would you say you get enough exercise throughout the week? Patient: Uh yeah, usually on Sundays I'll go for a run. Doctor: OK, and how about your diet? Well, how's your diet like, just regularly? Patient: Uh, usually I feel like it's fairly balanced overall, I might I eat out a little bit too often, but try to eat as many vegetables as I can. Doctor: OK, and do you smoke cigarettes at all? Patient: I do yes. Been smoking for the last 20 years roughly. Doctor: OK, how much do you smoke on an average day? Patient: About a half a pack to a pack a day. Doctor: OK, and do you drink? Patient: No alcohol. Doctor: OK, and any recreational drugs like marijuana? Patient: Um, no marijuana, but I have used crystal meth in the past. Doctor: OK, and when was the last time that you used crystal meth? Patient: Um, six days ago. Doctor: Six days ago, OK, and how often do you use crystal meth? Patient: Um, I would say a couple of times a month. Doctor: A couple of times a month, OK. Alright, and for how long have you been using crystal meth? Patient: Uh for the last seven years. Doctor: Seven years, OK.