Female patients in medicine OPD are entirely different from male patients. They will never tell their complaints properly. If a lady is saying, "Achha Nahi Lagata" it may mean anything from acidity to MI (Myocardial infarction/Heart attack), just premenopausal symptoms to Cancer, and domestic disputes to sexual displeasure.
One fine day, I was sitting in a Medicine OPD of a government hospital; a lady in 60's comes to me- "kaise to hora"
Me- lekin kya hota hai wo to batao.
She- Sar me dard hora 10 saal se, paira dukhte 3 saal se, ulti jaisa lagta khane ke baad
I was about to write Rantac (Antacid) & MVBC (Multivitamins and B complex: the age old placebos used even by Neanderthal doctors!), but to my mercy, with the God's grace to her & also to me, enters her daughter. She showed me ECG done outside. It showed frank hyper acute Myocardial infarct. I asked the great lady if she is getting pain in the chest. She was like- Han, Thoda Hota Udhar Bhi Dard.
I took her to causality, did what was required for MI & thrombolysed in ICU.
Then, I thought of writing to Braunwald requesting him to include these symptoms as symptoms of MI!
Story courtesy Dr.Vipul