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A hospital progress note...

CHIEF COMPLAINT: Chest pain.

INTERVAL HISTORY:  The patient's chest pain has resolved.

REVIEW of SYSTEMS
Cardiovascular: Negative for DOE, PND

PHYSICAL EXAM
CONSTITUTIONAL:  Conversant; NAD.
Vitals: BP 138/75, HR 84, RR 22.
CARDIOVASCULAR: RRR, no MRGs.
RESPIRATORY:  CTA.

LABS/DATA:  Reviewed. Troponins remain in the normal range. LDL 130. Nuclear stress test reported as possible infero-lateral ischemia.

IMPRESSION:

1. Resolving typical chest pain, most likely ischemic.
2. Newly diagnosed hyperlipidemia.

PLAN:

1. Start SIMVASTATIN 10 mg PO QD.
2. I educated the patient about his positive stress test.
3. It is my opinion that he should undergo cardiac catheterization.
4. The patient requests that I come back later and discuss these issues when his wife is present.
   
   ADDENDUM: I came back to see the patient and his wife to discuss the risks and benefits of cardiac catheterization in the current clinical circumstances. All questions were answered to their satisfaction. He and his wife have tentatively decided on cardiac catheterization in the morning.
   
   Total time spent today in the course of two separate visits was 56 minutes.