Iori Sakai writes:
Patient T does not think his condition
is very serious, although he frequently experiences feelings of weakness
and mild pain in the neck and upper chest areas. Moreover he thinks that
he is too young and he is a lucky man. But he no longer exercises and he
is a heavy smoker. Also he is an overworked bureau chief and he has recently
been diagnosed "hypertensive". These are risk factors of a heart
disease. Therefore he has to understand that he is not young and he has
to reduce these risk factors.
In addition to the obvious problems like lack of exercise and heavy smoking,
we can give following problems. Overwork, hypertension, being too busy,
too optimistic, and so on. Furthermore, heredity is another of the problems,
because his mother died after heart by-pass surgery complicated by hardening
of the arteries.
T wants us to relieve his neck and chest pain. We can make him feel better
in the short term by his taking medicine. But we want to help T develop
ways to prevent heart disease in the long term. First, we have to make
him understand that his situation is not an optimistic one. Second, we
can suggest that he should reduce his risk factors. In short, we can suggest
that he take up some exercise, reduce his smoking, see a doctor frequently,
take a holiday, do not be overly optimistic, and pay more attention to
his health.
He should reduce smoking, because nicotine is harmful to the body. Instead
of smoking, he can chew gum. Moreover, he should take up some exercise,
because exercise can help reduce cholesterol and it is good for his health.
He has to see a doctor frequently, because if he will not go to hospital
we can not find his disease. It is good for him to take a holiday, because
he worked too much and hard work can harm his body.
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