A doctor shares a story about a patient who came in for a follow-up on an infected foot, but during the examination, the doctor discovered that the patient was having a heart attack. The patient had a history of atrial fibrillation and was taking medications, but the doctor's thorough physical exam and EKG revealed that the patient's heart was beating irregularly and was not getting enough blood. The doctor called 911 and the patient was taken to the hospital, where they received IV medications and their heart rate was slowed down. The doctor emphasizes the importance of treating the whole person, not just the complaint they come in with, and doing a thorough history and physical exam to catch any underlying issues. The rest of the video is a segment called "Mail Time" where the doctor opens gifts from fans, including cuff links, a toy for his dog, and artwork.
Here are the key facts extracted from the text:
1. The patient was a mid-60-year-old male with normal vital signs, including normal blood pressure, pulse, and breathing rate.
2. The patient's chief complaint was redness surrounding his right foot, which he was worried about and had not seen improvement despite using antibiotics.
3. The patient had an extensive list of medical conditions, including hypothyroidism, osteoporosis, diabetes type 2, high cholesterol, and atrial fibrillation.
4. The patient was taking multiple medications for his conditions.
5. The doctor listened to the patient's lungs and found them to be clear, but when listening to the patient's heart, they heard an irregularly irregular rhythm.
6. The doctor asked the patient about palpitations and the patient mentioned feeling a little short of breath and palpitations in the last few days.
7. An EKG was ordered, which confirmed the patient was having AFib (atrial fibrillation) with RVR (rapid ventricular response).
8. The EKG also showed segments of ST depressions, indicating that the heart was not getting enough blood and was suffering.
9. The doctor diagnosed the patient with a type 2 MI (myocardial infarction), also known as a heart attack.
10. The patient was sent to the emergency room, where they received IV medications to slow down their heart rate and improve their condition.
11. The patient was seen by a cardiovascular doctor, who adjusted their medication and scheduled a follow-up appointment.
12. The doctor emphasized the importance of treating the whole person, not just the complaint they are presenting with.
13. The doctor received gifts from fans, including cuff links, a mug, and artwork.
14. The doctor was impressed by the artwork, which was a drawing of themselves, and planned to have it framed.
15. The doctor's videos are now captioned in English and Spanish.