### Patient: I have been having difficulty breathing lately and have noticed weakness in my elbows. I've also been feeling quite anxious and nervous.
### Doctor: Based on your symptoms, it appears that you may be experiencing hypertrophic obstructive cardiomyopathy (HOCM). This is a condition where the heart muscle becomes abnormally thick, causing difficulty in pumping blood and leading to symptoms such as difficulty breathing and weakness in the arms. Additionally, anxiety and nervousness can be a symptom of the condition. We will need to perform further tests to confirm the diagnosis.