chest pain

Darryl there are many different types and reasons for chest pain and it is sometimes difficult to differential between one type and another.

Anxiety is known to cause phantom symptoms in the chest and in other parts of the body, but the general rule of thumb is that if you experience something like a tightness towards the centre-left of your chest, almost as if you have a heavy weight bearing down on your chest you should always go to the hospital and get it checked-out as a precaution.

Hey, I've had vascular & circulatory health concerns since the start of 2014 were chest pains have been localized to the left side under the breast bone and occasionally radiating to underarm and feel I've been categorized as worried well suffering with hypercondria which if you look up the origin and the etymology it literally means under the cartilage of the breastbone but as archemedes touches upon non-specific symptoms, differential diagnosis, and medically unexplained symptoms complicates the process which is why we need health care specialists to thoroughly assess and investigate our symptoms which I don't doubt generalist physcian's creditials or capablities but is all relative and subjective to clinincal guidance, time, finance, and resource constraints imposed among many health care professionals contracted under the NHS which affects the quality and standard of care they deliver to their patients failing to provide individual, tailored, and personalised health care.

I live a physcially inactive sedentry lifestyle with an unbalanced diet solely consisting of comfort foods and binge eating: high cholesterol, high sodium, high caffeine, and high spice frequently binge drinking alcohol a diet filled with gastric irritants leading to acid reflux and chronic conditions like esophagitis self diagnosing gastroesophageal reflux disease at the start of 2013 which is now diffcult to defferentiate between vascular & circulatory, gatrointestinal & digestive, or somatic symptom disorder possibly caused by anxiety and depression which I'm not suggesting I suffer with either but with my current physcially inactive lifestyle and and now on going health concerns since 2013 needs to be assessed and ruled out by a health specialist which costs money and national health service has provided a cost minimalist basic essential service which I feel efforts have been made to rule out serious life threatening conditions with standardized health assessment screening for the most prevelent health conditions as well as simple heart trace reading produced by an ECG but DO NOT mistake these cost minimalist basic essential medical assessments as being defentive, comprehensive, or conclusive diagnostic evaluations they provide limited insight to help generalist physcians come up with a diagnosis yet my generalist physician fails to acknowledge the complexity of clinically diagnosing and subjects me to dismissive, trival, prejudice, and discrimitive attidudes towards my age overlooking dietary & lifestyle habits in favor of age and family history to support their low risk assessments to refuse certain medical assessments and towards my use of online health infomration services which I solely resorted to using due to generalist physcians failing to fulfil their primary role as GP consultants to provide expert and professional advise yet beyond my initial explanation for my visit, clinically observing and physcially examining me they fail to further engage and dicuss undoubtedly due to time constraints which clinical examination is often unreliable it should be a starting point and not be all end all underming trust and confidence which we havn't yet established due to consultations being scheduled for just 10 minutes often lasting for less, dismissing health concerns & trivalizing symptoms with unsupported/undisclosed clinical opinions inducing unnecessary levels of stress and anxiety which I feel are secondary symptoms and not primary cause for physcial symptoms.

I don't mean to ramble on but frustrating to see so many of us in similar posistions and want to raise awareness of the challenges generalist physcians and general pratice face today with some clear conflict of interests supporting concerns that they focus on managing less complex patients instead of thoroughly investigating my symptoms

.Increasing patient access times by reducing/minimizing duration of consultations (It's recently revealed average cost per patient practice surgery recieves £136 per year) search: 'NHS Payments to General Practice, England, 2013-14: Experimental Statistics - Annex' for individual statistics for every pratice surgery and search for your own

.Blanket 28 day prescribing policy at an increased expense to patient's time and money in England.. increasing doctors prescribing fee, pharmacies dispensing fee, and remainder contributes back into the nhs (I'm long term unemployed yet only received JSA benifits for 6 months) and spare myself the stress and demoralising process of job seeking and receiving job seekers allowance as I'd rather lay on a beach and get washed out to sea (I live along the south west coast)

.Quality and outcome frameworks Search: 'Search for the QOF results for your GP practice'

.Participation in incentivized referral reduction programs on top of most refferals being screened for their appropriateness

so you see there is many influences to the decesions generalist physcians make which I give them the benifit of the doubt yet often left speculating the reasons beyond their clinincal decisions as in our very brief several minute consultations they fail to engage and discuss, to demonstrate any level of medical knowledge to support their unsupported/undisclosed clinical opinions and their general dismissive, trival, prejudice, and discriminative attidudes towards my health concerns, symptoms, age, and use of online health information services which undermines the little trust and confidence they command without having yet earned it.