Raj is recovering from a knee injury and needs physical therapy. At first, his health insurance would not cover the cost, and he was worried that he could not get therapy. However, the insurance company recently reversed its decision, and Raj will be able to have the therapy. He found a therapist who accepts his insurance. However, her office is more than 10 miles away, and Raj does not own a car. She would like him to visit three times a week for at least six weeks. What barrier must Raj overcome to receive appropriate medical care? a. a financial barrier, as his insurance company will not pay for his therapy b. an environmental barrier, as the recommended therapist is located too far away c. a family barrier, as Raj’s father does not support his decision to seek care d. a social barrier, as there are no physical therapists in his town

A62-year-old man is being treated for an acute myocardial infarction. he originally came to the ed with substernal chest pain and diaphoresis. given his risk factors of hypertension, diabetes, tobacco use, and family history, he is considered high risk. an ecg in the ed reveals a left-bundle branch pattern, and cardiac enzymes are elevated slightly. after a focused evaluation in the ed, the patient receives iv thrombolytics. although his bundle branch pattern never resolves, the patient is chest pain-free and haemodynamically stable after thrombolysis. two days later, however, the patient reports episodes of recurrent chest discomfort and shortness of breath overnight. in evaluating for potential myocardial reinfarction, which of the following is the most appropriate diagnostic test? - creatinine kinase- dynamic ecg changes- lactate dehydrogenase- myoglobin levels- troponin i level