No oh no no no they I just said I've got a pacemaker and and they just said oh come over where I've got my card ready and nobody wanted to see it oh that's upsetting you wanted to show off your pacemaker passport yeah fine you able to sit forward have a listen to your back is that alright yes yes ma'am okay and you can just sit back for a little bit so now okay and down that's lovely and down that's lovely that's great thank you alright and any pain in the tummy or anything like that no not no we just had to have to rush injection this morning okay that's that's really but it was really I was wrenching and it was only like a white fluffy stuff up so well so I think this is covid causing the symptoms yeah as opposed to any problem with the heart but we'll investigate that as well yeah lovely thank you we'll get an x-ray of your chest I'll have a blood test on to look for heart stretch or bnp and with that we can be guided that way and we need to do a jelly scan a heart and echocardiogram oh right to see how well that's working we'll carry on the dexamethasone I'll increase your insulin slightly yeah and then from there we might need to bring it up any every a little bit further depending on how the steroids go yeah so we'll keep an eye on your blood sugars at least 4 times a day yeah well once the oxygen's off we can stop the steroids which will be great so you feel better but in the meantime it'll be fine yeah okay well that's lovely questions anything else I've no I've I've probably just got a couple things thank you if you think of anything else I'm gonna ask you more okay would you like to use it no you so much for watching everything nice to meet you see you later you so much thank you for having me so impression is covid 19 + or - element of heart failure plan add bmp chest x-ray continue dexamethasone no don't worry thank you 4 times a day blood sugars increase insulin by 10% to account for dexamethasone effect on bms wean oxygen is able and once off oxygen stop dexamethasone and aim home social history this with husband active and fit nonsmoker non drinker no allergic history