Conversation: The conversation between human and AI assistant.
[|Human|] For two days I have had a severe pain in my back on my left side about midway between my waist and shoulder blade. It is now getting too much to handle. Should I go to the emergency room. I am a female age 75 . I have lupus and I have had two heart attacks. in 2006 I am currently taking attenonel 10mg. levoxithne 1.50 mg I usually have a high tolerance for pain. But this is getting to be very bad. I haven t taken any pain medication because I don t want to mask the problem until I know what it might be. XXXX
[|AI|]  Hello, You are suggested to visit ER, get clinically examined & assessed. Your symptoms may be indicative of developing CAD as the pain is sharp & on the left side. You may need medical support. Get EKG, Echo, CBC, stress tests, X-Ray, lipid profile etc., done. Other medical conditions causing similar symptoms are spinal stenosis, herniated disc, OA, muscle strain, poor posture etc. For relief, you can apply pain relieving ointment but do not massage. Your treatment will depend on the severity of your clinical condition & the report of the investigations obtained. Hope I have answered your query. Let me know if I can assist you further.