In Session “On Dec. 14, 1995, she complained of shortness of breath?” “Yes, of wheezing and some numbness in the left chest.” “And she told you about heart palpitations on that day?” “Correct . . . those are the symptoms given to me.” “Over the next year or so, she kept complaining of lower back pain?” “Correct.” “On Jan. 6, 1997, she had numerous complaints for you?” “Yes.” “You followed up with a physical?” “On Jan. 6, I did part one of the physical . . . I split it into two days.” “You noted she was fatigued, and she’s been tired for a few years?” “Yes.” “She wasn’t sleeping well, and considered herself as having two jobs, one at work and one at home?” “Yes.” “She had numbness and tingling in her hands, and she felt blah?” “Yes . . . I document what they tell me.” “And there was peptic ulcer disease?” “Correct.” “She also told you she often felt like something was stuck in her throat?” “That’s correct.” “On October 21 of 1997, you noted some fluid retention and joint stiffness?” “That’s right . . . basically, when you have fluid retention purely by gravity, you have fluid that goes does to the lower extremities.” Dr. Motiani lists several of the most common causes for fluid retention. “She told you she wanted to dry medications, and she was prescribed a water pill?” “That’s right.”