Hello hello mister horty with that yeah how are you yeah I'm not actually not too bad really good very tired very tired but apart from that not not bad at all what brings you to hospital pardon what brings you to hospital then well I was home and I wasn't feeling very well at all and you know because I actually suffer from short of breath and I haven't got to do a lot of walking but very soon I loose I gotta sit down on someone's wall okay and and get my breath back as in know how far will you manage pardon how far will you manage walking how far will you go yeah well recently there was some my my road about 50 yards up up up the road and by the time I got to the top I was out of breath yeah but I I was actually earlier in the evening there's some loose time of it's saturday evening about about 08:00 mhmm I was I was feeling not feeling very well at all mhmm and I had a sort of aching not a pain but it was sort of aching around and then up around there and I thought I'm gonna go to bed I'm gonna go to but I was worried about it because I thought something's taking place here I I got it so then I topped the ball by the horns and dove through and landed up yeah yeah yeah and I did I think I did the the right thing yeah definitely I thought I can't I'm tired of the sleep I can't have a good night's rest you know something something is is happening but what that shouldn't be you know so what so you said you can walk 50 yards now yeah and before that how far could you walk quite a quite a long as long as you wanted yeah really yeah yeah because I should can't believe this but I used to do a lot of walks up across dartmoor and things like that know well I was quite active and this really hit me for sex to be honest with you I'm sorry to hear that it's just your age taking its toll to be honest with you growing old is not for the faint hearted they say I thought I could I could keep active like this for the rest of my life to be honest with you you look very robust well I'm not too bad to be honest I'm not too bad I feel absolutely disgraceful because I haven't shaved or anything worry tend you know because something a bit of stubble is attractive on a man I think yeah when this happens you haven't got time really to do anything really fair enough you know it's very trendy right now you're landing in the deep end to be honest with you yeah well I'm so pleased that you you you're you're doing what you're doing know it's absolutely great and how long have you been more short of breath for well I would say for about I would say the last 12 months mhmm the last 12 months yes mhmm shortly before before christmas mhmm I thought you know I I I haven't felt like this before mhmm you know what's happening you know and was that always with that same discomfort in the chest that you had have you been having other episodes of the chest discomfort actually in 02/2007 which is a long time ago I did have a heart attack I read about that and yeah you had an angiogram stent that's right that's right yeah I was just reading about it I had a stent fitted and I've been okay ever since to be honest with you great I haven't known any any more pain more pain like that but then over the last year you've been getting more short of breath with episodes of this pain in your chest yes and what limits your walking is it the pain or is it the shortness of breath the shortness of breath the shortness of breath because I actually thought I really can't call it the discomfort yeah it's more of an ache an ache it's more of an ache to and be honest with does it ache more when you walk up a hill or when you walk further yeah does seems to aggravate it you know so you've been getting more short of breath your exercise tolerance has gone down to about 50 yards and when you walk fast or up a hill you get very short of breath and you get a bit of chest pain is that fair to say yeah that's that's exactly right noticed any other symptoms not at all really and then and then today or yesterday technically now you had a worse episode is that what brought you in yes yeah yes and tell me about that because well I had my tea about 05:00 lovely last but in actual fact I had a plate of food and I couldn't eat it to be honest I just didn't feel like must have been something happened to me at that time because I didn't have any appetite I couldn't eat my tea to be honest with you I'm sorry yeah fine okay and then of course after that about 08:00 in the evening half past 7 08:00 I was sat down on the old study downstairs and I thought I don't feel all that good because of this discomfort in the chest yeah and I've got a sort of ache here and a sort of ache in just about just around here somewhere like that but not massively just a and then I thought oh this is gonna keep me awake tonight to be honest with you and then I just thought right no. In sitting about any longer I'm gonna go to bed okay stepped off being closed and and I thought hang on it was I thought something was happening to be honest with you because that was still asian you know and everything and have you got the discomfort at the moment no to be honest with you good I'm glad there's 1 thing I don't know whether this would play a part in it because it's more of an indigestion thing sometimes you feel that you need to burn you know that's right but I felt that I needed to do that yeah but I couldn't but you couldn't yeah fine so you thought it was a suggestion I thought mhmm because when you boot duper it's it's not a a nice thing to talk about but you get rid of the air that it's stuck in your stomach stuck in that but now I couldn't and I thought no because I I couldn't and then it should have built up again in my chest I thought I need to I couldn't and all the time I thought this I got air in my chest here which I can't expel to be honest with you mhmm and it's not gonna do me any good no worries and I thought I can't I can't sleep like this yeah I can't stay in bed like this so it was then that you knew and our little ache that I got through to to 1 1 1 mhmm and and and here here we are here we are we landed up here yeah which is which is brilliant you know alright and and are you allergic to anything no no good I can I've seen your regular medicines on the computer and I've got all of that sorted who lives with you at home I live on my own be honest with you mhmm and does anyone help you or do you do everything for yourself I do do completely with myself yeah that's right and do how about do you have any kids or anything like that do they help you with shopping no I've been married to be honest with but I've got a brother and sister lovely and they're both they're both married to be and with my brother lives only a short distance in the same road to be honest with you lovely he lives in the centre but he is married okay and he's got a daughter whereabouts are you living in naira fine in plymouth oh we're present yeah yeah don't know if you know where that is not really no but you're in plymouth it's out getting out towards marshmills roundabout where sainsbury's are and everything it's not terribly far from there to be honest with you okay great and you all live close to each other yeah we do yeah that's very nice isn't it my sister well she's 3 years younger than me mhmm but she got married well when she was 17 to be honest with you wow and she ended up with 6 children okay so she's got enough grandchildren for everyone 5 girls and 1 boy unfortunately she's lost 1 of her daughters when she was 41 no birth of cancer awful and about oh about a couple of years ago she lost her son no yeah so it's very sad isn't it so she still got she still got the the the the 4 the other girls yeah yeah very sad thing but there but there we are she lived a completely different life to me mhmm to be honest with you yeah fine and what did you do for a living well I used to be a sewing machine mechanic mhmm to be honest with you and I worked for quite a few years mhmm for singer sewing machine company company and then they closed all those I think it's because sewing machines are becoming a little bit obsolete because everyone just buys clothes instead of repairing them and making them sinner closed all their repair centers and I was was younger than so then the only thing I could do is drive so I used to I was a driver for for the crown paint company mhmm right delivering paint driving up paint yeah that's right and some other little products as well covering the whole of the the southwest area lovely yeah and I did that right up until time until you retire yeah that's right and what have you done with your retirement not a lot of shit lovely relaxing 1 of my big big thing in my life was mhmm I love photography and I spent all my time walking and about you know and and taking some money pictures as I could you know to be honest with you really love it photography was was my well it still is of great interest to me it's a wonderful place to be isn't it such beautiful landscapes is it is 1 thing I would have done I would have liked to have traveled a little bit mhmm further around you know particularly places like oh particularly like switzerland and mhmm and the alps and the alps austria and switzerland all that neck of the woods fascinates me does really because the scenery is fantastic in it know all the snow capped mountains and everything know beautiful really beautiful but that was my hobby really that out of trouble yeah so does anyone help you with the shopping at home or anything like that you do everything for yourself who does the shopping they say it it nearly it it kept me out of trouble it nearly actually when I was working for crown pounds mhmm I did the most stupid thing because I I had the delivery to st morgan air station mhmm just outside of moonti yeah yeah just outside of moonti and I parked my I thought I would love to get a a a plane taken off and all the red the engine and everything so I thought this is it was almost the size of runway type of thing parked up yeah and I was I had my camera up a land rover would rf please raise up and what are you doing what are you doing and in actual fact I was escorted down to the the lieutenant coroner's arm 1 of these ones and he said he did a lovely thing he said because we we are now in the middle of a 24 hour security exercise he said so he said I'm not gonna I could he said confiscate your camera and take it so much but he said I'm not gonna bother with that he said to be honest but don't ever do this again you know yeah there we are right so you learn your lesson so I learned my lesson nearly the hard way yeah do you mind if I have a quick look at you do you mind oh sure sure to your church you want a rock thank you yeah lovely I'll just get a little bit mobile yeah of course I'll listen to your back while you're sat up like that you don't have to get out of the bed or anything no no you're perfect there so just pop this up and have listen to your back just outside the shirt is fine oh that's wonderful even better yeah that would be absolutely fine honestly that would be great just do some big breaths for me there some nice big deep breaths that's fine you can listen to your heart if that's alright yay yay let's keep going yeah that's fine just saying that's good I think you do absolutely a marvelous job I really do I haven't done it yet and how are your legs have you noticed any swelling up at all no good no I've noticed I I haven't noticed any swelling at all good oh they're lovely slim legs no problem there at all no rashes no swelling lovely that's great thank you that's good very good any trouble with your bladder or your bowels or is that working no actually that's quite normal yeah that's right yeah so with what's going on with the heart I was reading the report from last time ages ago when you had your angiogram done where they looked at the heart and obviously there was a bit of vessel disease there narrowings in the blood vessels around the heart they treated 1 of the vessels but 1 of the vessels was left and I wonder if that's got a little bit worse and that the symptoms you're experiencing are of angina yeah could be which is when you when when you exert yourself you get this chest pain and shortness of breath and it may be from narrowings around the vessels in the heart you should investigate if you haven't had a heart attack with a blood test and a tracing of the heart tonight I'll also ask for an ecg because that sorry a chest x-ray because that can explain explain other causes of chest pain and we'll have a look at the rest of your blood tests and things like that for the moment I'll put you on some aspirin high dose aspirin just to unblock any areas around the heart then we can look at everything tomorrow that's brilliant lovely whatever you've got to do you've got to do if you're in pain please do tell us we want to know at the moment I'm feeling not bad at all to be honest with you good I'm glad very very tired tired so let you get some rest then I'm sorry to disturb you no that's good can I help you get more comfortable it that's no right on the edge of the bed now yeah can I help you get further back yes very close yes good man oh you're very strong yeah strong in the arm wish you yes if you go like that I'll lay down a little flatter bit better oh 's that that's lovely yeah I'm sorry about this trolley I'll get you a bed because you'll be more comfortable in bed okay that's good do want me to turn this off yeah yeah I can may welcome nice to meet you yeah see you in the morning thank you