instruction: hello doctor I have pain in the bones joints of hands and feet especially in the morning upon waking up it has been consistent for the past couple of months please help
output: hello I have gone through the reports there is a high ra factor and low vitamin 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 if yes then for how long any dry eyes or dry mouth any oral ulcers any hair fall any recent changes in mood with irritability any history of tending to forget things early