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Revista Clínica de Medicina de Familia

versión On-line ISSN 2386-8201versión impresa ISSN 1699-695X


GOMEZ GONZALEZ, Carlos  y  MONTERRUBIO PEREZ, Concepción. Doctor, am I having a heart attack?. Rev Clin Med Fam [online]. 2013, vol.6, n.3, pp.178-180. ISSN 2386-8201.

A sixty-four year old male goes to a continuous care point at a rural healthcare centre in the year 2006 with signs of non radiating epigastric and retro-sternal pain, with attendant vegetative symptoms. Treatment with omeprazole 20 mg and almagate is commenced, after which pain ceases. The patient presents similar periodical episodes. After six years, he returns to the centre complaining of a new episode of habitual pain which does not cease with treatment and which he describes as causing increasing discomfort with an attendant loss of weight. The patient rejects the possibility of being admitted to hospital for evaluation by gastroscopy. A week later, he returns to the clinic and, after insistence on the need for a diagnostic test and an explanation of the technique, the procedure is carried out. The final diagnosis was for carcinoma of the oesophagus. The importance of a good doctor-patient relationship and resolving doubts about a procedure can change the course of a disease.

Palabras clave : Physician-Patient Relations; Stomach Neoplasms; Primary Health Care.

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