I had bypass surgery in 2005 and recently failed part of a stress test i was put on medication but ran out and because i do not have a primary doctor no refills. lately i have been having pains in my shoulders and arms sometimes seems to happen a lot late

You : You do need to see a cardiologist. Shoulder pain can arise from coronary blockage. Most of the time a blocked artery can be treated with ballooning and stent placement. In general a failed stress test should be followed by coronary angiography.

Get back on meds: You should be on an Aspirin 81mgs every day. Also a beta blocker and something to lower cholesterol. Any clinic should be able to help you with the medications and Aspirin is over the counter. If symptoms persist you will need a cardiac catheterization. If you are smoking, stop!. If you are diabetic, get your blood sugar under tight control.