Pat Miller Dec 2022

Question 1

Name

Answer 1

Pat Miller

Question 2

Spouse

Answer 2

Female

Question 3

Job

Answer 3

High school culinary arts teacher

Question 4

What brings you in?

Answer 4

I had this unusual pain in my chest. It’s got me worried so I wanted to get it checked out (no pointing)

Question 5

Tell me more about that

Answer 5

It’s just really out of the ordinary and has me puzzled

Question 6

When notice? How many?

Answer 6

First time about a month ago. Happened three times

Question 7

What were you doing for each?

Answer 7

1st: heavy boxes from basement
2nd: 1 wk ago, cleaning out garage
3rd: yesterday carrying groceries car

Question 8

Suddenly or gradually?

Answer 8

Builds gradually & goes away gradually

Question 9

How long?

Answer 9

About 10 mins

Question 10

Constant?

Answer 10

Yes

Question 11

Anything make better?

Answer 11

Stopping & resting

Question 12

Tried taking meds?

Answer 12

Tried Tums yesterday, not sure helped

Question 13

Worse?

Answer 13

No

Question 14

Describe the pain, where?

Answer 14

Diff to describe, kind of vague discomfort & tightness in chest. In the center (show if asked). Does not move

Question 15

Scale of 1-10

Answer 15

About a 5

Question 16

Noticed other symptoms?

Answer 16

Little sweaty & nauseous, haven’t thrown up

Question 17

Shortness of breath?

Answer 17

During yesterday’s yes, thought it was from carrying groceries

Question 18

Pain with inhaling?

Answer 18

No

Question 19

Pain or swelling in legs?

Answer 19

No

Question 20

Any chest pain now?

Answer 20

No

Question 21

Cold/flu-like symptoms

Answer 21

Getting over chest cold I’ve had about a week, feel okay, just a cough. It’s dry. No mucous

Question 22

Recent travel

Answer 22

Wife & I, Traverse City vacation. Drove home 1 wk ago, 4 hr drive, half hour stop food

Question 23

Health conditions

Answer 23

High BP, monitoring cholesterol marginally high, don’t need meds

Question 24

When diagnosed high BP

Answer 24

About 8 yrs

Question 25

Monitor BP at home

Answer 25

No, see doctor regularly, hasn’t said it’s high

Question 26

When told cholesterol high?

Answer 26

About 3 yrs ago, trying to control with diet. Don’t recall the number

Question 27

Tested for diabetes

Answer 27

Yes, said it was fine

Question 28

History of blood clots, surgeries, been hospitalized?

Answer 28

No

Question 29

Last period?

Answer 29

Two weeks ago

Question 30

What medications?

Answer 30

Lice-in-oh-pril and hydro-cloro-thigh-uh-zide for my high BP

Question 31

Dosages?

Answer 31

Lice-in-oh-prill 20mg 1/day Hydro-cloro-thigh-uh-zide 25mg 1/day 3 years despite 8 yrs high BP Take in AM, no side effects

Question 32

Any other meds? OTC?

Answer 32

Tums for heartburn, Motrin aches & pains, daily multivitamin

Question 33

Heartburn

Answer 33

More than usual last month, usually 1/mth, but it’s been 1-2x/wk. Tums helps. Chest pain is different feeling

Question 34

Motrin

Answer 34

1-2x per month

Question 35

Allergies

Answer 35

Penicillin. Don’t explain unless asked. Told I had hives as baby. Haven’t had it since.

Question 36

Family history

Answer 36

Dad died 3 yrs ago from prostate cancer. Heart attack when 50 Mom healthy No siblings, gparents natural causes No diabetes or stroke

Question 37

Tobacco

Answer 37

Finally quit 6 mths ago, 25 yrs (was 18), 1-2 packs daily

Question 38

Alcohol

Answer 38

1-2 drinks weekly

Question 39

Sexually active

Answer 39

Yes, only wife

Question 40

Exercise

Answer 40

Trying, gym couple mths ago. Hesitant b/c of chest pain. Walking on treadmill

Question 41

Diet

Answer 41

Try healthier, avoid high fat. Still sometimes. Try fruit/veg every meal, lean protein, more whole grain

Question 42

Who lives with you?

Answer 42

Just my wife

Question 43

What do for work?

Answer 43

Teach culinary arts at Milan High School

Question 44

Major stressors?

Answer 44

No not really. Concerned about whatever is going on with this chest pain

Question 45

What do you like to do in free time?

Answer 45

Hanging out with our friends, painting, cooking, volunteer at humane society

Question 46

Do you have ideas about what’s causing?

Answer 46

I really don’t know. I just hope it’s nothing too serious

Question 47

What concerns you most?

Answer 47

It’s just scary to have pain and not know what is causing it

Question 48

What are your expectations for this visit?

Answer 48

I’m really hoping to get some answers

Question 49

How has this been affecting your daily life?

Answer 49

I’m hesitant to exercise because I don’t know if that will trigger it

Question 50

Do you have questions?

Answer 50

Not right now