Canadian Journal of Cardiology
Journal News and Commentary| Volume 35, ISSUE 10, P1294-1295, October 2019

Notes From Cardiology Clinic: When Our Responsibilities Extend Beyond the Patient

  • David D. Waters
    Corresponding author: Dr David D. Waters, Division of Cardiology, Room 5G1, Zuckerberg San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, California 94110, USA. Tel.: +1-415-420-6646.
    Division of Cardiology, Zuckerberg San Francisco General Hospital and the Department of Medicine, University of California, San Francisco, California, USA
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      One day, in the late 1970s, I was called to the emergency department to see a patient with chest pain. Although I had only been practicing for a couple of years, I secretly prided myself on my ability to discern cardiac from noncardiac symptoms. The patient was a gaunt-looking man in his early 60s, with sad, deep-set eyes. He reported retrosternal chest discomfort with physical activity for about 2 years, relieved by rest. The discomfort radiated down his arms and sounded like typical angina. His symptoms had worsened in the past week because of increasing anxiety and now were occurring at rest.
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