So that's my thought process about getting the investigations underway, potentially x-rays if I'm stumped about what's going on, and then quickly get her to a specialist like a rheumatologist since my index of suspicion is quite high.

Yeah, I mean, in these cases, we do wonder sometimes if in the end they're not, like there are new cases that we're seeing during pregnancy.

It's been going on for six weeks, right? So we're trying to figure out right off the bat with their examination, their history, is this really something that's acute or is it chronic? In this case, it sounds like it's been going on for six weeks.

perhaps longer than that without knowing really.

There's no signs of psoriasis or IBD or infection to think in reactive arthritis, no symptoms of lupus.

So in my mind with the clinical examination that you're describing, this seems more like rheumatoid arthritis, whether it's seropositive or seronegative.

I do think that in many cases, these patients have probably had this disease been going on for maybe longer than six weeks.

A 50% reduction in two weeks is pretty