Conversation: The conversation between human and AI assistant.
[|Human|] Overall: Pain on the left side of the neck protruding from the back of my head behind left ear all the way down to lower tip of the left scapulaThe pain started after one exercise in May 2014 and has not gone away. It is not a constant, acute pain, but it is very frequent and bothers me when I turn head from right to left and when I do head stretching and pushups in the gym. Since the time this pain started, I have also experienced mild cracking/clicking sound in the neck. After I have been avoiding one specific exercise for about a month, the pain has subsided a bit, but has not gone away completely. It keeps coming back.Yesterday, I have started to experience moderate chest pain around the heart area most noticeable in the back, not in the chest. I measured my blood pressure and it was around 150/92, which is higher than my typical 120/80. Heart beat was around 52. This morning I could actually identify a tender spot on my above my left spatula, closer to my spineI am scheduled for annual physical with my primary doctor at Kaiser for tomorrow, Monday, at 11:00. Can I wait till tomorrow, or should I go to emergency?
[|AI|]  Hello, The location and movement of pain give clues as to what is going on and often there is a (usually minor) underlying problem associated with pain.  Blood pressure that is not consistent and certainly when it is not done with a good 5 min of rest is NOT VALID for risk assessment.  The heart rate of 52 in someone who exercises a lot and has no cardiac problems nor symptoms strongly implies good cardiovascular shape. Localized, recurrent pain often means localized damage like (minor) arthritis. And simple x-rays often show it. MRIs would be a more sensitive indicator of problems. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.