<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am experiencing occasional pain in my left shoulder blade along with a tightness in my back in the chest area. My left eye has been twitching and I am experiencing fatigue as well. I was diagnosed with cervicular sp? degeneration about 4 years ago and I have stiffness in my neck and weakness in my arms quite often. Was wondering if this could be at all related or something different. I have had what I believe to be a couple of gall bladder attacks and I also have Barrets Esophagus.  <response>: Welcome to Chat Doctor For pain shoulder blade- I advise X-Ray Chest. For left eye twitching-Consult Eye Specialist. For fatigue -blood sugar fasting, after meal. Urinalysis. For stiffness in Neck Weakness in Arm -M R I Cervical Spine Consult Orthopedic Surgeon Gall Bladder attacks-Ultrasound C T Abdomen. Barrets Esophagus-Gastric Endoscopy to see the progress report, being pre cancerous condition. When we co relate all the SIGNS Symptoms diseases we conclude to Consult Multi Specialist For Diagnosis, to rule out Malignancy Secondaries.it is a team work depend upon age, history of smoking other factors. Hope every thing will be fine. If satisfied give your comments for follow up. Thanks for contacting.report after all investigations examination 