Is it a Heart Attack or a Snow-Shoveling Injury?
<p>I was the doctor on call for my internal medicine practice one February week many years ago. It had been bitter cold, unusually snowy, and crazy busy.</p>
<p>I got a page from a patient (we’ll call her Ms. Jones): “I’m sorry to bother you on a Sunday morning, but I’m having some chest pains, after shoveling my driveway.”</p>
<p>I’d been catching up on charting, but hearing her say the words “chest pains” and “shoveling” in the same sentence snapped me right to full attention.</p>
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