6
Meeting the Doctor……..
Fischer clinic was a multispecialty clinic operating in New Orleans for last 20 years. A well-equipped hospital in the area it was having number of panel doctors available in different disciplines. It initially started as a hospital for ENT ( Ear ,nose and Throat) and in few years become a super specialty hospital in various disciplines including Cardiology ,Endocrinology , Chest medicine ,Sport medicine , Gynecology , General surgery ,Psychology to name a few. It also started full-fledged pathology laboratory and CAT scan facility. Around 50 doctors in various specialties were working there. It has in-house as well as outpatient department. The hospital was divided into three floors with around 100 beds. The doctors OPD (Outpatient department) consultancy rooms were located on the ground floor.
Patrick and Ursula reached the hospital exactly at 5.45 pm, 15 minutes before the appointment. The appointment was with Dr.Neil Bortland who was a leading cardiologist in the area.Dr.Bortland after completing his study and internship at famous Mayo clinic had settled here in New Orleans. He was considered to be one of the best cardiologists available in the area.
The receptionist asked Patrick to fill up the medical history form as well as other details as social security number and the insurance details. Patrick struggled with words to fill up the medical history form. To his knowledge in his family most of the diseases were either absent or he was not knowing about it. About personal information, he had filled the 3 events he had experienced in the last 3 weeks. He returned the filled the form to the receptionist.
When Patrick and Ursula entered the consulting room of Dr.Bortland, he was typing information about the earlier patient on his computer.
“Good evening doctor “Patrick greeted while entering the room.
“Good evening to both of you’ ‘please sit down” Dr.responded.
After a minute or so Dr.Bortland turned to them. He had glanced the medical and personal history filled up by Patrick.
“Tell me in detail what are your problems “Dr.Bortland asked Patrick.
Patrick was short of words. He got confused how and what to tell about the trouble he experienced in last 3 weeks. Ursula came to his rescue.
“ Doctor , we have shifted to Mandeville about 2 months back from Jersey as Patrick has to join his new job here “ Ursula started.
Doctor was listening carefully.
“Patrick had experienced something in his chest at least 3 times in last 3 weeks .It was strange. It is difficult to describe it in exact words “Ursula added.
“Alright Patrick ...Can you at least tell me what you felt ...like sweat, trembling, pain in jaws, pain in shoulder or chest pain” Dr.Bortland tried to give some possible symptoms.
“Doctor First time, I thought someone is pressing my chest. I was unable to breath. Chest was almost heavy. It was also accompanied by lot of sweat. I could not speak at least for 1-2 minutes “Patrick described the event.
“Well ...have you experienced pain in chest, shoulder or jaw?” Doctor enquired.
“Pain I am not sure. But I was trembling and shocked “Patrick replied.
“Ok. Tell me what happened last time?” Dr.Bortland asked.
“Last time, I experienced that someone is hitting me heavily on my chest and I am vomiting blood” Patrick replied.
“Patrick, I thought ...I experienced ...these statements are really meaningless. You have to tell me the exact symptoms” Dr.Bortland was to the point.
“Doctor, it is difficult to describe. But next day I could see bluing of the chest at some places “Patrick added.
“What happened to the blood you omitted?” Dr.Bortland asked the details.
“No Ursula latter told me, I had not vomited blood. Rather I had not omitted at all “Patrick replied.
Listening to Patrick’s details, Dr.Bortland had already reached a conclusion that this might be the case of symptoms taken
Meeting the Doctor……..
Fischer clinic was a multispecialty clinic operating in New Orleans for last 20 years. A well-equipped hospital in the area it was having number of panel doctors available in different disciplines. It initially started as a hospital for ENT ( Ear ,nose and Throat) and in few years become a super specialty hospital in various disciplines including Cardiology ,Endocrinology , Chest medicine ,Sport medicine , Gynecology , General surgery ,Psychology to name a few. It also started full-fledged pathology laboratory and CAT scan facility. Around 50 doctors in various specialties were working there. It has in-house as well as outpatient department. The hospital was divided into three floors with around 100 beds. The doctors OPD (Outpatient department) consultancy rooms were located on the ground floor.
Patrick and Ursula reached the hospital exactly at 5.45 pm, 15 minutes before the appointment. The appointment was with Dr.Neil Bortland who was a leading cardiologist in the area.Dr.Bortland after completing his study and internship at famous Mayo clinic had settled here in New Orleans. He was considered to be one of the best cardiologists available in the area.
The receptionist asked Patrick to fill up the medical history form as well as other details as social security number and the insurance details. Patrick struggled with words to fill up the medical history form. To his knowledge in his family most of the diseases were either absent or he was not knowing about it. About personal information, he had filled the 3 events he had experienced in the last 3 weeks. He returned the filled the form to the receptionist.
When Patrick and Ursula entered the consulting room of Dr.Bortland, he was typing information about the earlier patient on his computer.
“Good evening doctor “Patrick greeted while entering the room.
“Good evening to both of you’ ‘please sit down” Dr.responded.
After a minute or so Dr.Bortland turned to them. He had glanced the medical and personal history filled up by Patrick.
“Tell me in detail what are your problems “Dr.Bortland asked Patrick.
Patrick was short of words. He got confused how and what to tell about the trouble he experienced in last 3 weeks. Ursula came to his rescue.
“ Doctor , we have shifted to Mandeville about 2 months back from Jersey as Patrick has to join his new job here “ Ursula started.
Doctor was listening carefully.
“Patrick had experienced something in his chest at least 3 times in last 3 weeks .It was strange. It is difficult to describe it in exact words “Ursula added.
“Alright Patrick ...Can you at least tell me what you felt ...like sweat, trembling, pain in jaws, pain in shoulder or chest pain” Dr.Bortland tried to give some possible symptoms.
“Doctor First time, I thought someone is pressing my chest. I was unable to breath. Chest was almost heavy. It was also accompanied by lot of sweat. I could not speak at least for 1-2 minutes “Patrick described the event.
“Well ...have you experienced pain in chest, shoulder or jaw?” Doctor enquired.
“Pain I am not sure. But I was trembling and shocked “Patrick replied.
“Ok. Tell me what happened last time?” Dr.Bortland asked.
“Last time, I experienced that someone is hitting me heavily on my chest and I am vomiting blood” Patrick replied.
“Patrick, I thought ...I experienced ...these statements are really meaningless. You have to tell me the exact symptoms” Dr.Bortland was to the point.
“Doctor, it is difficult to describe. But next day I could see bluing of the chest at some places “Patrick added.
“What happened to the blood you omitted?” Dr.Bortland asked the details.
“No Ursula latter told me, I had not vomited blood. Rather I had not omitted at all “Patrick replied.
Listening to Patrick’s details, Dr.Bortland had already reached a conclusion that this might be the case of symptoms taken
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