Conversation: The conversation between human and AI assistant.
[|Human|] Every so often I get an assortment of terrible pains anywhere between right of my spine which has the feeling of a red hot poker going in to me, to across to the right shouler blade where the pain is like a hot iron or extreme nettle rash pain. These can last anywhere between two or three days, one week or more.
[|AI|]  Take one ECG and chest X-ray to eliminate heart and lung pain radiating to shoulder and interscapular region. One endoscopy to be done to eliminate duodenal and pancreatic pain. If they are negative, apply diclofenac gel 3 times a day to get relief of right interscapular pain. The pain may be due to muscular or cost Chen Chat Doctor. Hot water fomentation to be applied thrice daily. Follow me up after 7 days. Avoid sleeping on the right side and on supine position. Observe for herpes zoster follicles and any itching.