<s>[INST] hello, i smashed my left thumb two weeks ago and it it is still swollen abd the nail looks like ts doing to fall off and is still very sore. a week ago my left shouder started aching badly and wont stop. can this be related? i had a heart attack in march of 2007 and i know shoulder pain can be a symptom. im 6 foot and weigh 220 lbs [/INST] shoulder pain can be angina but it shouldn't be at same pin point place. your pain is  muscular or skeletal. you should take some analgesic if pain is severe </s>