I'm your size as well, with similar health issues, and I find boys size 18r work great for shoulder fit, etc. Much cheaper than men's 34s and often the same quality from major makers like Brooks Brothers. I also find Brooks Brothers ESF or SF 14.5/32 work great. Steve Smith here on the forum resells Brooks Brothers items and I've purchased a ton of shirts from him in ESF/SF.
11/16/12 at 6:11pm