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The speaker discusses the importance of understanding a patient's past medical history, emphasizing that it is predictive of both present and future health issues. They argue that historical medical information is crucial in assessing current complaints. For example, the stage of lung cancer can significantly influence the likelihood that it is related to the patient’s present condition. A patient with stage 1 lung carcinoma presents different risks compared to someone with stage 4 lung cancer. The speaker highlights the necessity of knowing the extent of cancer and the treatments the patient has received to accurately evaluate their current health status.