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[Music] hi my names adam im a fifth year medical student can i check your name and date of birth harry miles 21 to the 10th 1998. great and whats brought you in today ive just had this whole chest pain since last night um i didnt really think anything of it at the time and it just got worse and worse as the evening went on and then it was particularly bad in bed and couldnt get a wink of sleep all night okay can you tell me a bit more about it uh so its its sort of behind my breast bone slightly to the left um and again it sort of started to feel there but i didnt really think anything of it wasnt too bad and then it just got really really bad um you know as the evening went on ive just found that breathing became quite painful really i tried to take as sort of shallower breath as i could basically okay ill just ask you a few more questions about that so youve told me the pains in the middle did it come on suddenly or gradually uh i i guess it was suddenly but it was the