My name is hesham almomani, 55 year old, I have been experiencing severe shoulder joint pain suddenly with irradiating pain through both hands without any neck pain, lately I have been having sleeping disorders with slight breathlessness, with tiredness in general, I usually sleep for about 8 hours at night but since 2 months I have been sleeping through evening for about 3 to 4 hours, mentioning that I have orthostatic hypotension, and feeling sleepy to much after eating, I rather mentioning that in 1 or 2 years I can not remember, I had recurrent urinary tract infection, I do not know what to do, I do have edema in the legs, I do not take any treatments rather than aspirin.