Station 44

Rizwan Khan

Age: 59 years old male

Patient

Patient's Story (Role player’s brief)

Patient’s Story 

You are Rizwan Khan, a 59-year-old man. You booked this urgent telephone appointment after experiencing some concerning strange symptoms yesterday evening. While watching television at home, you suddenly developed weakness in your right arm and leg and had difficulty speaking. These symptoms lasted for about an hour and then completely resolved.

Your wife was very worried and thought you might have had a stroke, but because the symptoms went away, you weren’t sure what to make of it and didn’t seek medical help immediately.

You are currently symptom-free and feeling well in yourself. You are fully compliant with your prescribed medications — Amlodipine and Atorvastatin.

Social History: You do not smoke, do not drink alcohol, and live with your wife. You work full-time as a taxi driver and are the main financial provider for your household, as your wife is a homemaker.

Ideas: You think the episode might have been a stroke or something serious.

Concerns: You are anxious because your best friend had similar symptoms before dying from a stroke in hospital. This has made you worry the same could happen to you.

Expectations: You want the doctor to explain what happened and tell you what needs to be done to prevent it from happening again.

If the doctor tells you that you should not drive, you will ask why — explaining that your work as a taxi driver is your only source of income and how important it is to continue supporting your family and paying your mortgage.