This is as bad as it has been since my open heart surgery In June. The pacemaker incision site in my upper left shoulder combined with pain in my lower left rib cage below my heart is really bad. And I’m not a happy camper. I also,have a little shortness of breath because when I breath deep it hurts. I have to see the doctors about this. Only good thing , when I lie still in bed the pain subsides. Got to figure this out.