It is 7:45 AM at a hospital in New York City and the clinical staff is changing shifts. The departing house staff is signing out: “Mr Jones is a 55-year-old white man with a history of coronary artery disease, admitted with a chief complaint of crushing chest pain. Cardiac enzymes are pending, but the ECG shows 5 mm of ST elevation and T-wave inversion in leads V5 and V6. Mr Jones is being taken to the cath lab for possible angioplasty. . . . ”
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