For example, if someone says “my heart was racing and pounding, and it doesn’t usually do that”, and tells me about their recent divorce, death in the family, job stress, and sense of impending doom, I will do a workup. If the testing is negative, my chart will reflect a diagnosis of palpitations, tachycardia, and grief. My discharge instructions will say “Your tests were reassuring today. Your symptoms may be due to stress, do XYZ for that. If you have worsening symptoms, please return…”
4/…