1. How can I help you today? Yesterday, I threw up what looks like coffee or dirt. This morning I threw up again, but this time with bright red blood in it too. That got me scared. 2. Any other symptoms or concerns we should discuss? I haven’t been able to hold anything down since this started. 3. Do you have any pain anywhere? If so, Where? No. 4. When did your nausea/vomiting start? My nausea started a couple of days ago. The vomiting started yesterday. 5. When was the last time you vomited blood or coffee grounds? Just before I came here. 6. How many episodes of vomiting blood or coffee grounds did you have? Well 6 or 7 yesterday and a couple a more today with the coffee grounds. Then today I saw blood too. That’s when I thought I should come here. 7. How much blood did you see in your vomit (a teaspoon, cup, quart)? I don’t know. I’m not good at estimating stuff like that, I don’t think it was a quart though. 8. What are the events surrounding the start of your nausea/vomiting? Nothing really happened. It just started. 9. Does anything make your nausea/vomiting better or worse? Eating and drinking makes the nausea worse, and I vomit shortly after that. 10. Do you have any pain or other symptoms associated with your nausea/vomiting? No pain. 11. Have you had nausea and vomiting like this before? Never! 12. How quickly does your nausea and vomiting come on? Pretty fast. I don’t want to be too far from a bathroom. 13. Is there any pattern to your nausea and vomiting? I don’t really know. I do throw up if I try to eat anything. Shortly after that. Would you call that a pattern? 14. Is anyone in your family also suffering with nausea and vomiting? No. 15. What treatments have you had for your nausea and vomiting? Nothing. I mean I haven’t tried anything to settle my stomach. I hope you can help me. I feel horrible. 16. Tell me about any current or past medical problems? Well, I’ve had high blood pressure for seven years. I think it is under control though. I have a bad liver from drinking too much. 17. Have you had any recent acute or chronic infection? No. 18. Have you had a recent endoscopy, colonoscopy, or biopsy? No. I’ve never had an endoscopy. I had that biopsy 2 years when they told me I have a bad liver. Was that it? 19. Have you ever had a colonoscopy? It was recommended when I turned 50. But I never got around to doing it. 20. Have you been treated for blood clots? (have a history of thrombolytic or anticoagulation therapy)? No. 21. Any previous medical, surgical, or dental procedures? I had a stomach scan and biopsy two years ago. That’s what confirmed my bad liver. Also had my appendix taken out in my 20’s. 22. Have you ever had CT scans? I do not remember if I had one when they took out my appendix, that was a long time back. 23. Have you ever been hospitalized? I had my appendix taken out when I was 20. I spent a couple days in the hospital. 24. Have you had any significant traumatic injuries or accidents? No. 25. What childhood illnesses have you had? The usual coughs, colds, and tummy aches. Nothing remarkable. 26. Do you have a history of a bowel obstruction? No. 27. Do you have any allergies? No 28. Are you taking any prescription medications? Just the HCTZ 25mg QD. I think it works and controls my blood pressure OK. 29. Are you taking any OTC or herbal medications? Aleve for back pain. 30. Do you have trouble taking medicines the way you have been told to take them? No 31. Are you taking any medications for your symptoms? No 32. Have you been taking your medications as prescribed? Yes 33. When was your last physical? Don’t remember 34. Are your immunizations up to date? I had a flu shot this year, but I’m not sure it works. 35. Have you had your diptheria, tetanus, and acellular pertussis vaccine? – Do you really need to know that? 36. What cancer screening tests have you had, and what were the results? I haven’t had any tests. 37. When and what were the results of your last prostate exam? Not that long ago. It was normal. 38. Have you recently traveled? Where did you go? No 39. Tell me about the health of your grandparents, parents, and children. – My daughter is fine. My parents have their issues I guess. I am not aware of my grandparents’ health. 40. Are there any diseases that run in your family? I don’t know. My father drank too much too and had a gastric ulcer. He died a while ago from a heart attack. My brother is 51 and doesn’t have any problems. My mom has HTN, she had basal cell carcinoma which was excised but is fine now. 41. Anything new in your family medical history I should know about? No 42. Do you know of any genetic diseases that are found in your family? No 43. Does anyone in your family have anemia? No 44. Do you have a family history of sudden death? Yeah, my dad. 45. Have either of your parents or a blood sibling died? From what? And how old were they? My father died from a heart attack when he was 61. My mom and brother are still alive. 46. Tell me about your work. --- I’m an engineer at a large software company 47. Have you had more pressure at work? No 48. Do you drink alcohol? If so, what do you drink and how many drinks per day? Yeah. 3-4 beers and some whiskey each day. Sometimes more. 49. Has drinking alcohol ever caused you problems? Yeah. I know I should cut back. I black out every couple of weeks and can’t remember anything. I once tried to quit cold turkey, and my co-worker had to bring me to the hospital because I was trembling and out of it. 50. Do you ever have withdrawal symptoms if you don’t drink for a day or two? Feeling shaky or jittery? That happened to me the one time I tried to quit cold turkey. A coworker had to take me to the hospital. 51. Have you recently been intoxicated? Yeah, pretty much every day. 52. Have you ever felt you needed to cut down on your drinking? Yes. I know I should. 53. Any diet changes since your last appointment? – What? Why are you asking this? 54. Do you have any problem swallowing? No