Dr. Boutros Mikhail: When Chest Pain Needs Urgent Evaluation

Chest pain

Key Takeaways

Chest pain that radiates to the arm, jaw, neck, or back should be treated as a medical emergency.
Symptoms lasting more than a few minutes or returning after rest need urgent evaluation.
Shortness of breath, sweating, nausea, or dizziness with chest pain increases risk.
Personal risk factors lower the threshold for choosing emergency care.
When in doubt, calling emergency services is safer than waiting or driving yourself.

Managed IT solutions

Webflow gives designers full visual control without forcing them into rigid templates.
Its visual editor reflects real front-end logic and produces clean, semantic code.
Design and development happen at the same time, reducing handoffs and rework.
Built-in components, design systems, and CMS features support scalable websites.
Webflow is powerful, but not ideal for complex applications or large-scale e-commerce.

AI uses in courtrooms

High-volume courtrooms are experimenting with AI for scheduling, intake, and document handling.
AI-generated filings can introduce serious risks, including citation errors and missing legal context.
Judges must retain control over prioritization, overrides, and final legal judgment.
Confidential records and sensitive filings require strict limits on AI access and usage.
Courts should evaluate AI using performance metrics tied to speed, accuracy, and fairness.

Medal of Valor awards are reserved for rare acts involving extraordinary bravery and extreme personal risk.
Departments use strict written criteria to prevent valor recognition from becoming routine.
Nominations usually move through a formal chain-of-command and committee review process.
Agencies distinguish between life-saving awards and valor awards to apply the correct standards.
Transparent criteria and consistent decisions help preserve public trust in the recognition system.

Global risk management

Modern risk management depends more on organizational readiness than on perfect prediction.
Integrated data systems improve visibility across fragmented global risk environments.
Cyber, climate, and geopolitical risks now require board-level strategic ownership.
Resilient companies balance efficiency with redundancy in supply chains and operations.
Strong risk culture and leadership engagement are as important as formal frameworks.

Hiking in the alps

Mountain ecosystems are fragile and recover slowly from human disturbance.
Staying on marked trails helps protect vegetation, soil structure, and surrounding habitats.
Proper waste management prevents pollution and ecological disruption in high-altitude environments.
Respecting wildlife distance preserves natural behaviors and reduces stress on sensitive species.
Education and conservation support extend individual impact into long-term ecosystem protection.

Blood donation

The “We Give Blood” campaign is a Big Ten–wide, Abbott-sponsored initiative that promotes blood donation through intercollegiate collaboration.
Universities act as organizing hubs, coordinating students, alumni, and communities with accredited blood collection partners.
Donations are verified, logged, and tracked publicly through leaderboards to encourage sustained participation.
Each donation is treated as potentially helping up to three people, making impact measurement central to the campaign.
In 2025, the campaign recorded over 83,000 donations and awarded a $1 million health grant to the winning university.

Patient and doctor in a tribal hospital

Accreditation and licensure are essential for ensuring quality, safety, and legal compliance in tribal hospitals.
Accreditation provides external validation that clinical and operational standards meet national benchmarks.
Licensure and credentialing ensure that only qualified healthcare professionals provide patient care.
These standards improve patient trust, reduce clinical risk, and strengthen organizational performance.
Accredited and licensed facilities are better positioned to access funding, reimbursement programs, and healthcare networks.
Strong governance and compliance systems support long-term sustainability for tribal health systems.

Lumper services

Lumper services are now a critical part of fast, efficient freight and warehouse operations.
Professional container lumpers significantly reduce dock times and detention costs.
Safety-focused lumper teams lower injury risk and cargo damage.
Modern lumper operations rely on technology, training, and standardized processes.
Choosing the right lumper partner directly impacts throughput, reliability, and scalability.