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hi everyone in this installment of the anesthetic assessment lets focus in on the essentials of the past medical history this is a huge topic but i want to give you the two tips that i wish someone had taught me when i was first starting out and one thats excise tolerance 2 sscc ill go through those in a bit more detail now so lets start with exercise tolerance you may hear a lot of banisters asking whether someone is able to walk up a flight of stairs so this is a reference to a study showing that if a patient was able to walk up two flights of stairs or walk four blocks they had improved survival after surgery you might also hear the term mets ill go into this more in future videos but mets means metabolic equivalence a met is the energy requirement for someone doing an activity compared with their basal metabolic rate so one med is someone at rest requiring approximately 3.5 mils of oxygen per kilogram of body weight per minute or about 250 mils p
