Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I m having loud ringing in my left ear it only happens when I get my heart rate up then I m feeling sick and dizzy, I have been having memory problems slurred speech and balance issues. I have a doctors appointment on the 12 of October but this is getting worseby the day and I have been to the er three times for it and also burning pain on the center of my spine between shoulder blades also having a lot of pain in both arms. I m wondering what this could be?
[|AI|]  Hi, I understand your situation. Your heart rate situation could be the origin of you problems. This condition could be associated with neurosurgical deficits like dysarthria, loss of balance, ringing on your ears. Visiting your doctor should not be delayed. You could be experiencing transitory ischemic cerebellar attacks. Pain at your shoulders is another condition to be determined. Differential diagnosis is large and this too should be done from your doctor. It could be cervical fiscal herniation, intramedullary spring, pulmonary pneumonia etc..... Hope this will help, wish you the best