,REVIEW OF SYSTEMS:,  Fatigue, pain, difficulty with sleep, mood fluctuations, low stamina, mild urgency frequency and hesitancy, preponderance of lack of stamina, preponderance of pain particularly in the left shoulder.
,REVIEW OF SYSTEMS : , Fatigue , pain , difficulty with sleep , mood fluctuations , low stamina , mild urgency frequency and hesitancy , preponderance of lack of stamina , preponderance of pain particularly in the left shoulder .