https://paulnystrom.com/tags/unrelated/Recent content in Unrelated on Paul NystromHugoen-usSat, 23 Aug 2025 00:00:00 +0000https://paulnystrom.com/posts/feeling-dismissed/Sat, 23 Aug 2025 00:00:00 +0000https://paulnystrom.com/posts/feeling-dismissed/<p>I had a patient who presented to the ER with an episode of chest pain 24 hours prior. She also experienced an episode of severe nausea and sweating, which is consistent with a vasovagal response. Sweating and feeling warm in this context do not indicate a fever.</p> <p>While we were discussing her many symptoms, the patient’s daughter mentioned that her mother had pain in her foot and that her toes were reportedly black. I examined her toes and noted some discolored nails, but there was clearly no new issue with her feet. Both feet were the same color and temperature; there was no evidence of infection, trauma, or other abnormality. However, the daughter seemed perturbed by my dismissal of the toe concern.</p>