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D: OK, and do you use any other recreational drugs like cocaine, crystal, meth, opioids?
P: No.
D: OK. Have you used IV drugs before?
P: No.
D: OK. And do you drink alcohol?
P: I do.
D: OK. How much alcohol do you drink each week?
P: Uhm about I would say I have like one or two drinks a day, so about 10 drinks a week.
D: OK, uh, yeah and um alright, and then briefly, could you tell me a little bit about your like diet and exercise?
P: Sure, I try to eat healthy for dinner at least, but most of my lunches are, uh I eat out. And then in terms of exercise, I try to exercise every other day, I run for about half an hour.
D; OK, well that's great that you've been working on the the activity and the diet as well. So has anything like this happened in your family before?
P: No.
D: OK, has anybody in the family had a heart attack before?
P: Actually, yes, my father had a heart attack when he was 45.
D: OK, and anybody in the family have cholesterol problems?
P: I think my father did.
D: I see OK, and how about anybody in the family have a stroke?
P: No strokes.
D: OK, and then any cancers in the family?
P: No.
D: OK, and is there anything else that you wanted to tell me about today that that I on on history?
P: No, I don't think so. I think you asked me everything.
D: What brings you in here today?
P: Yeah, I have this pain in my chest.
D: OK, and where is the pain exactly?
P: It's just right over on the on the left side.
D: OK, and when did this pain start?
P: It started just 30 minutes ago.
D: OK, and did it just come on randomly or were you doing something strenuous?
P: I was just shovelling the driveway and it came on.
D: OK, and has that pain been getting worse at all over the last half an hour?
P: 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.
D: 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?
P: It feels dull. I feel like there's a lot of pressure on my chest.
D: And how do you rate the pain right now on a scale of zero to 10, zero being the least amount of pain you felt in your life, 10 being the worst?
P: Uh, seven.
D: Seven, OK. Have you had ny similar episodes before?
P: No, I've never had any chest pain before.
D: 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?
P: No, I'm kind of just feeling it right here. On the left side.
D: OK, uh, is there anything that you do that makes the pain either get worse or go away or like get better?
P: 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 starting.
D: OK, and does it change at all from you changing positions like if you're standing up versus sitting down or laying down?
P: I think it's a little bit worse when I when I'm laying down.
D: 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?
P: Uh, I've 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.
D: OK. And have you recently injured your chest or surrounding area at all? Like from a fall or anything like that?
P: I do I play rugby and was tackled by another player yesterday. But but my chest felt fine after that.
D: OK so but the pain just started half an hour ago?
P: Yeah.
D: OK, have you have you been traveling at all recently?