Real Case: My patient's sore knees were the barometer of something more sinister

Some consults stick with you forever. This was one of them.

A new patient came to see me. She said she had a regular GP but felt that he wasn’t taking her problem seriously enough. That was why she was seeking my advice.

Already I was feeling apprehensive. I knew the GP she attended was very conscientious, so I was wary that I would probably be a disappointment to her as well.

She presented with excruciatingly sore knees, much worse when she got down on them to play with her grandchildren.

She had

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