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CHAPTER THREE

Several days later, I was back at work at the clinic. Things were humming along. The folks I worked with knew their stuff, and attended to business. I was charting on my most recent patient, when Melissa touched my elbow.

"Mark, can you take a quick look at the guy in room 4? He doesn't look so hot. Once I heard his story, I got an EKG. It doesn't look right to me!"

The EKG was pretty dramatic, with his ST segment elevated around 3-4 millimeters, particularly on the inferior leads. No ectopy (yet), but his T waves were inverted from where I expected to see them. (translation to English from Medical: Not Good!)

I opened his chart, reading "55 year old male, recently ex smoker, complaining of left elbow pain and tooth ache for a day or two". I looked at his vitals, and reviewed his allergies and medications.

When I got to his family history, I got a bit more excited, and not in a good way. Mom dead of heart disease at age 45, dad dead of massive MI at age 50, brothers have both had multiple coronary arteries stented, sister alive and healthy. His name was Andy Boudreaux.

...

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