Just back from the emergency room. Steve was having chest pains, but of a different kind than his hiatal hernia, the usual culprit in these adventures. He has not in fact had a heart attack; OTOH, his blood pressure was registering at 175 over 105. OTTH, the kindly doctor noted that usually people are horrendously stressed by the time they're getting their BP taken at the emergency room, so it should not necessarily be taken as a sign of imminent doom. In sum, possible causes for the mystery pain include: high blood pressure; a new flavor of gastrointestinal fun; or he's pulled a chest muscle of some kind. He will be calling his regular doctor tomorrow to get checked out.
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