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Everyone Is Rational

angiogram

Photo: robertdx

Clark (not his real name) came to see me complaining of substernal chest pain.  At first, he said, it had come on only with exertion, but in the last two weeks it had begun to bother him at rest.  It radiated to his jaw and was associated with some mild nausea and sweating.  He’d been a pack-a-day smoker for 35 years, had hypertension and diabetes, and a family history of premature heart disease. Continue reading…