The Heart Attack” was written by Larry Charles. Like George, Charles had his tonsils removed and grow back later in life. He was inspired to write the ambulance scene by a news report about an ambulance driver and EMT who stopped an ambulance in the middle of traffic so that they could get out and have a fist fight, leaving a dying patient in the back.The doctor’s tongue fetish was more extreme in Charles original draft, but these scenes were cut over concerns that they were too dark.
While Jerry has lunch with George and Elaine at Monk’s Café, hoping they can interpret his scrawl, George becomes alarmed and thinks he is having a heart attack; they have him transported to a hospital. The doctor informs him he actually needs a tonsillectomy— he had had his tonsils removed when he was younger, but now they have grown back. Kramer, being paranoid about surgery, recommends a holistic healer as an alternative.
Jerry warns George that the healer Kramer is recommending had spent time in prison, but, because of the large difference in price, George takes Kramer’s advice. Elaine becomes attracted to George’s doctor and goes on a date with him, only to discover that he has a fetish for tongues, which causes her to dump him once the date ends.While watching a science-fiction B movie, The Flaming Globes of Sigmund, Jerry falls asleep. He wakes in the middle of the night and scrawls a joke for his stand-up comedy act. The following day he is unable to read what he wrote down.
Chest pain may be accompanied by sweating, nausea or vomiting, and fainting, and these symptoms may also occur without any pain at all. In women, the most common symptoms of myocardial infarction include shortness of breath, weakness, and fatigue. Shortness of breath is a common, and sometimes the only symptom, occurring when damage to the heart limits the output of the left ventricle, with breathlessness arising either from low oxygen in the blood, or pulmonary edema. Other less common symptoms include weakness, light-headedness, palpitations, and abnormalities in heart rate or blood pressure.