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There's No Room for VIPs in the ER

A healthy, 20-something man comes to the ER with sharp chest pain and gets VIP treatment. The result leaves him breathless.

Doors: Naturlich/Shutterstock; Stanchions and Ropes: JIRIPravada/Thinkstock

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He was dead. His face a terrifying, sweat-slicked white, the young man’s body lolled lifelessly on the emergency room gurney.

Five hours earlier, Marty had walked in a strong, healthy 27-year-old. His only worry: some sharp pains in the left side of his chest that started two days earlier. He figured it might be a muscle pull from weightlifting. But then it spread.

“Any shortness of breath?” I asked.

“No.”

“Pain down your arm?”

“Just the chest.”

“Do you smoke?”

“Half a pack.”

“Cough? Fever lately?”

“No, doctor.”

Marty was young for heart disease, but he was a smoker, I reminded myself.

“OK. Let’s take a listen.” With his shirt off, Marty’s compact frame bulged. On the left side, the sound of his breathing came through only faintly. Too much muscle? I wondered. But the right side sounded normal.

I stopped and asked, “You sure, no shortness of breath?”

“No, ...

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