323 mhmm I've just had the pain sort of going down my chest mhmm I thought somehow I'd strained it I hadn't done anything particularly sunday left shoulder who you're pointing to left down there upper arm and then down the left side of your chest if I walk if I get up and start walking it just radiates pain and is that walking strenuously up a hill or just walking back any time just walking around the house really fine and if you were to do something more strenuous would it make your pain worse I don't think so I mean I haven't done anything fair enough to test out you put your nightly top on you look like you've been I play golf golf yeah alright have you been playing golf at all I played on saturday fine so there's a good amount of walking and golf yeah oh yeah I've been doing I was doing it for a walk during the week with this but it aches and hurts all the way around mhmm and did you encounter any hills on your walk yeah and you walked up the hill well not a problem I've a heart monitor I've just told the other nurse and a doctor that when I go up a hill now it usually goes about 85 to 90 72 is around my normal okay it went up to 1 40 really on saturday so and it's done 137 and 135 previous times so it seems to be getting a little bit more harder for me to walk up to a house do you have palpitations then I don't I don't get out of breath no I'm I'm generally I'm doing a lot of steps every week anyway so I'm normally feeling better it's just strange that I've but it's that's started to go up but it's fine no shortness of breath whatsoever no I suppose yeah obviously coming up the hill you tend to be slightly breathing heavier but if you're stressed deep breath now any movement of your arm or shoulder that makes the pain worse I I try but if you push in it's tender more inside mhmm yeah because the the doctor in here in the emergency department yeah he pushed in and and that you could feel that it was tender nowhere else just in that area does that reproduce the pain no it's different tender it's just tender but it's not tender when I walk I've got a bit of a movement on there and when that goes up and down that seems to be to create that pain if I stop it if I hold that and hold my arm in and walk it's not so bad it's the movement said I don't feel you're not right yeah the chest wall I've done nothing as far as I know to do that can you cough and cold no the only thing that's happened is my blood pressure I've been taking it for I've got a medication review for my diabetes and they've asked me to submit 6 or 7 days worth of blood pressure readings twice a day that's been since sunday it's gradually crept up your blood pressure right up yeah it's quite pain yeah and you've had this since sunday and the only time in the past since sunday sunday was normal monday it crept up a bit tuesday a bit higher wednesday it's not massively higher and when you first noticed this discomfort when you're playing golf on saturday sunday sunday fine okay and I was fine saturday evening and fine whole sunday okay just just saturday sunday evenings just just before I went to bed it's like I was aching and putting anything of it but next morning I got up and it's been the same ever since literally just that you've got diabetes type 2 diabetes you take anything quarmin and glipizide but I'm on other ones I've got 2 stents fitted in the heart went for an angiogram knew something was wrong it wasn't pain again I was getting very tired I was running out of energy and I had 2 on the return side of the heart 2 blockages and 1 another small 1 which they then moved on this doesn't no it's completely different yeah that's good this pain when I say it's a pain it's not a sharp pain it's just like an ache all the time it doesn't seem to go away until you hold on to it then it goes that stops just for a brief. Which is why when I first went to see my doctor I went and seen us I thought I'd done something to do your shoulder I know what you mean I feel similar it's that same area it's difficult without any tests to rule out something going on to the heart yes not really not really really no else no fine okay great when I was a kid penn 7 mhmm but I know a lot of people were yeah no I'm 1 of them again I've never tried it again since and do you live together at home yeah in the house or around the house house do you drink or smoke we we drink down again but nothing drastic mhmm a bit full I was a marine engineer so up in the dock yard up and down what were you what were you building big yachts up there no look at the submarine was in the case today maybe in the chair yeah great okay your some of your blood tests have come back they're very reassuring your kidney test and liver test so the best of your tests your full blood count come back okay I've requested you a chest x-ray and they're ready for normal and then by the time you get back your liver test will be back I'm happy to have a chat about today I'll bring you in sounds great does that sound okay thank you yeah how are you on your feet fine remember you came to it came past 8 and then you keep doing on the way the x rays back there sorry there was a magic way to bring a machine to you driving forcefully to go there started before he plays golf he plays a lot of golf and now he has shoulder and left chest discomfort which is resolved by doing this and tends to be worse when he walks but not up a hill just any walking any movement of the chest wall makes his makes it sore you said you haven't seen troponin's left in the tube haven't seen the mix 2 bands that should be fine we'll wait for the full can I agree with that guys yeah that's fine I think everything else is fine I'm on the strike shift are you fair enough fair enough from what no no I'm doing mru mru fine fair enough hardcore do I need to wait for this 1 or are happy yeah you're you're happy I mean if the ecg is fine the easy the chest x-ray is fine send you exactly I'll send him home