Conversation: The conversation between human and AI assistant.
[|Human|] I am experiencing occasional pain in my left shoulder blade along with a tightness in my back in the chest area.  My left eye has been twitching and I am experiencing fatigue as well.  I was diagnosed with cervicular (sp?) degeneration about 4 years ago and I have stiffness in my neck and weakness in my arms quite often.  Was wondering if this could be at all related or something different.  I have had what I believe to be a couple of gall bladder attacks and I also have Barrets Esophagus.
[|AI|]  Welcome to Chat Doctor For pain shoulder blade- I advise X-Ray Chest. For left eye twitching-Consult Eye Specialist. For fatigue -blood sugar fasting, & after meal. Urinalysis. For stiffness in Neck & Weakness in Arm -M R I Cervical Spine & Consult Orthopedic Surgeon Gall Bladder attacks-Ultrasound & C T Abdomen. Barrets Esophagus-Gastric Endoscopy to see the progress report, being pre cancerous condition. When we co relate all the SIGNS & Symptoms & diseases we conclude to Consult Multi Specialist For Diagnosis, to rule out Malignancy & Secondaries.it is a team work depend upon age, history of smoking & other factors. Hope every thing will be fine. If satisfied give your comments for follow up. Thanks for contacting.report after all investigations & examination