 It's the Donna welcome back to my channel. So I have something really exciting for you guys I wanted to share with you all one of the medical simulations that I have on get that's the University So in this video what you'll be able to be is kind of be like a fly on the wall You will be in the exam room with the PA as they examine the patient and you're actually going to get to Participate throughout this video You're going to be able to see the lab results and you're going to get to guess and see if you can figure out What's going on with the patient before the PA actually gives you the answer? So I'm excited for you guys to see it I hope you guys enjoy it There is a lot more of this on get that's the University So if you have not already joined to become a member and kind of experience all that we have to offer I suggest you do so, but what you're going to see next is the medical simulation. I hope you enjoy it I hope you get to learn some new stuff and you know, we'll see how you do at the end of it all All right, here we go My name is a Joanne, I'm the PA that's going to be seeing you today You're a PA. Yes, sir. I really would like to see a doctor So the doctor is seeing other patients, but I am just as capable So if you're in pain or you're hurting, I think it would be good for you to see me So we can get this I've seen PAs before all right. I am in a lot of pain Okay, so I really would like to see the doctor So it's up to you. We can have you wait. I don't know how long that wait will be But if you're really in pain, I would like to help you So and I'm here available now. So if you want to go that route, I can absolutely allow that. Okay Okay, so when did the pain start about an hour ago an hour Okay, and where is the pain? It's the chest and my left arm. Okay, and it feels like it's constricted. All right Okay constricting. Yeah, so have you had the same before? No. Okay. Have you had any difficulty breathing? Actually, no, okay, but I'm getting a lot of pain here and my left arm and feel very constricting I've had problems in nausea as well. Okay, nausea. Have you been sweating at all? Yes, right? Yes I've had a cold sweat Cold sweat, okay Put your down back down. I want to listen to your heart and your buns, okay And any time pain like this comes in and we're really concerned, you know, just for your age and the onset of it, okay So after I listen to your heart and your lungs what I will do is I will get an EKG Just breathe All right, do you have any past medical history that I should know of? Diabetes, high blood pressure, high cholesterol. Yeah, I've had a problem with high cholesterol. Okay, and are you taking anything from me? Yes Okay, and do you take your medication regularly? Yeah, I take it every night. I don't want to cholesterol alone and drug Okay. All right, and any other past medical history I should know of? I have the Brown-Palm Crohn's disease. Okay. A tremor. Okay And about to spinal surgery. Okay, and then All right, do you smoke at all or drink alcohol? Only occasionally. Okay. All right So what I'm gonna do is I'm gonna absolutely have the MA come in and do an EKG on you I'm really concerned that you might be having what is called an MI or a heart attack We're gonna give you some aspirin to help with that What it will do is it will cause your blood cells not to clump And then I will get you some oxygen as well because that will help bring oxygenation to your your lungs and your bloodstream. Okay The EKG will show me if you're having a heart attack right now or if you've had a heart attack Recently and we're just kind of seeing like the symptoms of it. Okay. This is really tight. It feels really really tight So the aspirin the oxygen and some nitro I'll give you some nitroglycerin as well We'll help with all of that. It will allow the blood the blood vessels to kind of open up and vasodilate to allow flow back to the various different areas that may be Okay, so because it's an emergency I'm gonna go do that right now I'm gonna put all those orders in and then we will see where we can go from there. Okay. Okay All right. Do you have any questions for me? No. Okay. Hold on one second. Okay, they're gonna be in shortly So it's been a few hours I've looked at the markers of your heart muscle. It's called troponin. It's elevated meaning that you have recently had a heart attack And I also looked at the 12 lead EKG and it shows that you have Elevations Which means that your heart is stressed in these particular leads that shows that you're having an inferior heart attack Okay, so everything that I gave you the oxygen the morphine the nitroglycerin and the aspirin will help with that We're gonna monitor you for Maybe a couple more hours just to see if your troponin starts going down and if it does that's a good thing We're out of the woods and what we can do from there is ensure that you get a cardiology Consul with one of our cardiologists here at the hospital And they'll be able to help you moving forward and put you on the necessary drugs so that this doesn't happen again Okay, I know that you said that you have high cholesterol So some of the things that you can do in the future is to continue to be compliant with your medications And just kind of watch what you're you're eating to help with Align that plaque to not build up in your arteries. Okay, how's your pain? How's your pain doing? So we will definitely give you some more morphine that will help with the pain as well And any anxiety that you may be feeling and then we'll work from there, okay? But I'm glad that you came in because this could have been a whole lot worse, right? Yeah So I'm glad that you came in We will take care of you. Don't worry Is there anybody that we can call for you that you might want to come and be with you while you're going through all of this You can go on my girlfriend. Okay. All right, so we'll get her number We'll call her and let her know that you're here and that you're working here. Okay. All right All right. Nice to meet you. You just get calm. We'll take good care of you. Okay. All right. All right. Have a good day formulation I hope you guys enjoyed it and if you want to see more of this you can go to get that see University comm and become a member today. Thank you guys so much for watching I really appreciate each and every one of you if you haven't already done so like this video Follow me on Instagram and subscribe. I will talk to you guys next time