 The patient has been feeling well for the last several weeks, per the daughter, but today per the personal aide, became agitated and uncomfortable at about 2:30 p.m.  At about 7 p.m., the patient began vomiting, was noted to be short of breath by her daughter with garbled speech, arms flopping, and irregular head movements. 
The patient has been feeling well for the last several weeks , per the daughter , but today per the personal aide , became agitated and uncomfortable at about 2:30 p.m. At about 7 p.m. , the patient began vomiting , was noted to be short of breath by her daughter with garbled speech , arms flopping , and irregular head movements .