Welcome back to the Barbell Medicine podcast where we bring modern medicine to strength conditioning and strength conditioning to modern medicine.

I'm your host, Dr. Jordan Feigenbaum. And today we delve into another mystery case, this time focusing on a situation where a common practice in the strength community resulted in a life-threatening medical emergency.

We have an expert internal medicine physician, Dr. Austin Baraki, the second most handsome doctor in North America, to help us navigate the case and ultimately, hopefully, come up with the correct diagnosis. But this is a real medical case and it is for edutainment purposes only. Please see your physician if you have any questions about this. Now, on the other end of the line is the second most handsome doctor in North America. Dr. Austin Baraki, what's up, dude? Hey, uh, excited. It's been a little while since we've done one of these. So hopefully I'm not, uh, too rusty. And, and I guess that little teaser you gave already has my mind kind of racing a little bit trying to see what scraps of a differential diagnosis. I can. Yeah, I can just do thoughts Just based on what you provided

But yeah, looking forward to it

Yeah, it should be fun

A few announcements before we get into it

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So yeah, you can check that out. Also, we just released our second generation power building two template. It replaces the first generation for power building two and power building three. Now if you're like, what is power building? I don't get it. Well, we're just combining powerlifting and bodybuilding together to try to get the best of both worlds for people who enjoy that type of training. I tend to like that type of training. So this is near and dear to my heart. Instead of the original programs coming with one singular program, this includes three programs. They're all 16 weeks long. There's a three-day version. There's a four-day version. Both of those are designed to take people to like a one-rep max test or a powerlifting meet if they wanted to do so. But we also included a non-competition type template for people who like training the big three, so squad, bench, press, and deadlift, but aren't really going to max out their lifts or go to a powerlifting meet. So it's a fun style of training if that's what you're into. And so now we wanted to support more people through that.

Also, we expanded the text so you kind of know why you're doing what you're doing. So you can check that out on our website. We just released that. It's also on the app and you get access to both if you purchase through the website. I'll say my prediction. Now, this is what we have to do before any one of these cases. I have to predict whether or not you're going to get it.

And historically, I've erred on the side of entertainment and said, well, you're just not going to get it. So people listen. I really don't think you're going to get this one. And I don't say that. I am, look, you impress me regularly. I think you're very intelligent. well, Well, well, well, you communicate well. A lot of other superlatives we could keep going. But this is a, you know, it's a family show. I don't want to get too missed yet. I don't think you have enough information. Well, that's on you. To be clear, to be clear, that's not on me. It's on the people writing the case report. All right. Well, sounds like I'll learn something, which is great. All right. You're ready, though? Sure. Let's do it. All right, let's do it. Okay, Dr. Austin Baraki, you just got word that a 38-year-old man is in route to your hospital due to concern for a heart attack. While you wait for the patient to arrive, you're getting the report from the paramedics who are bringing him in. About an hour ago, paramedics were called to the patient's office by his co-workers out of concern for the patient's health. Upon arrival, the paramedics noted that the patient reported severe chest pain and shortness of breath,

and his skin also appeared to be bluish.

An EKG in the field was suspicious for a stemmy, a particular type of heart attack, and so the paramedics wanted to bring the patient to your hospital, which is a cardiac center.

Upon arrival to your hospital, the patient is alert and oriented,

but appears uncomfortable. He continues to endorse severe chest pain located behind his sternum. He also

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