<s>[INST] Hi! This is Mrs Smita, I was suffering from dyssentry, vomiting & fever for 3 days this week, I couldn't eat anything because of vomiting. When I went to the doctor for the consultation, I started feeling giddy & was about to faint. My BP went down to 70/50. I started getting severe chest pain. When ECG was done, it's showing the presence of Q wave in AVF n lead 3. Now my appointment with the cardiologist is for next thursday & we've already booked tickets to our native place for this sunday. I still sometime feel a chest pain  & pain in my left hand. What do you suggest, should I visit my native place? or should I consult  a doctor first & postpone my visit? [/INST] Q wave in ECG is alarming.and your symptoms of pain in chest and left hand are indicative of myocardial infarctiona nd you definitely need to go for cardiologist consultation and after that only trip to your native place. </s>