Mary,
Sorry to hear about Jim. I have had a similar experience, up to the hospitalization. My bp will go well over 200/110 without meds and I get the arm and chest pain with the sever head ache. I have spent hours in the clinic but not in the hospital. His Rheumy should know, but it sounds like he is getting good care. We often have to be very specific about our care and tell them what we would like to have done.
You are both in my prayers.
Lon