After a Night on the Town, He Couldn't Take a Full Breath. Then Things Got Much Worse

A routine dinner with clients leads to an unexpected crisis for a 60-year-old salesman.

By Douglas G. Adler
Dec 14, 2021 6:00 AMDec 14, 2021 11:43 PM
Screen Shot 2021-12-09 at 3.57.10 PM
(Credit: Kellie Jaeger/Discover)

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This article appeared in the January/February 2022 issue of Discover magazine as "Business as Usual." Become a subscriber for unlimited access to our archive.


The quiet of my night on call was interrupted by the familiar chime of my pager. The message on the screen requested I come to the emergency room to evaluate a patient with chest pain. For a gastroenterologist, “chest pain” is a bit of an uncommon symptom; usually, such concerns go to cardiology. But sometimes people with chest pain have a GI cause for their troubles.

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