23 yo woman who had graduated from college recently. She had a great internship as well as a good performance review. She was very smart with a good GPA from college. However, she did not get accepted in this particular job that she wanted. This situation caused some anxiety with the patient.
She developed acute chest palpitations, dizziness, headaches, and nausea. She felt so faint that she felt like she could pass out.
The patient went to the ER. The ER doctors did a CT of the head, an echocardiogram, EKG and did not find anything wrong with her. But the ER did not bother to ask the patient beyond what she physically presented the ER doctors with.
A few days later, she went back to the ER for the same symptoms when she felt that the heart was going to burst out of her body. The ER physicians stated the same thing and stated that nothing was wrong with her.
She finally decided to see Dr. Upon further review, she concluded that she had anxiety issues. However, the patient refused to accept this diagnosis.
After the visit to Dr., she went to the ER for the third time and then went back to Dr. Who.
Only after the third time back from the ER and with Dr. Who, did the patient finally accepted her prognosis that she was experiencing anxiety attacks.
It was interesting. As a physician, you need to really understand what the patient is going through as a person and not just ask about the physical ailments. Of course, in the ER, physicians cannot ask these kinds of questions as they are trying to see as many patients as possible.
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