Hideki Funahashi writes:
T should understand most that his
condition is not good. His chest's pain may be the effect of coronary heart
disease (CHD). And, neck pain may be the effect of narrowing carotid arteries.
His mother died of hardening of the arteries. He is a heavy smoker. He
doesn't do exercise. He has pains in the neck and chest. So, he has many
factors of disease. He should understand his situation.
Heavy smoking is a factor of heart attack and hardening of the arteries.
As for him, he is a heavy smoker (two packs a day). Smoking narrows the
arteries. The carotid artery is also narrowed, because of cholesterol and
other substances, and atherosclerosis (a condition of arteries characterized
by deposits of fat) causes narrowing of the arteries. Also he doesn't do
exercise. If he does more exercise, he will be able to reduce his cholesterol.
Light exercise reduces cholesterol. So, cholesterol around the carotid
arteries is reduced. To prevent the possibility of coronary heart disease,
he should do more exercises.
T wants to relieve his neck and chest pain. In the short term:
Step 1: I can help him to reduce his pains by prescribing drugs like aspirin. So he will be sure to get relief for his neck and chest pains.
Step 2: I will tell him that he is
not as well as he thinks, and he doesn't realize that his situation may
be bad. If he knows his situation, I can make him feel better in a smooth
way.
In the long term:
Step 1: I will advise more exercise to reduce cholesterol around his coronary arteries. I think he should do exercise 30 minutes a day. I think walking in the park is good for T to reduce his cholesterol.
Step 2: I will suggest that he reduces smoking. To reduce smoking prevents a hardening of the arteries in the long term.
Step 3: I will suggest that he had better take aspirin in the long term.
Step 4: I will suggest that he should
reduce more the amount of his work. He should take more rest.
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