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In this tutorial, the speaker emphasizes the importance of considering a patient's past medical history (PMH) when evaluating their current health status. They argue that PMH is predictive of both current and future medical conditions, conveying the idea that "the past is prologue." For instance, understanding a patient’s history of lung cancer is crucial in assessing the likelihood that it may relate to their present complaint. The speaker stresses the need to determine the stage of the tumor—whether it is confined to the lung, outside the lung, or widespread—as this significantly influences risk assessment. They highlight that a patient with stage 1 lung carcinoma presents a different risk profile compared to someone with stage 4 lung cancer.