instruction: hello doctor I want a good rheumatologist for my wife who has been diagnosed with rheumatoid arthritis she has got ra factor 150 and no other problem in blood reports anti cop is negative she has swollen fingers both in hands and legs she is currently on shellcal 500 and joint capsules
output: hi I have gone through the reports there is a high ear erythrocyte sedimentation rate ra factor I would like to take a few more details on the history part but it would be better if someone can examine the joints as it is a long treatment which patient will need so she should be examined properly before commencing the drugs for it does she have early morning stiffness any dry eyes or dry mouth any oral ulcers any hair fall any other medications for diabetes or thyearoid is she taking