Harshit, so what are you thinking right now as a critical care pulmonary specialist? What type of things are going through your mind as a possible differential diagnosis for the patient's decline?

Hey, Tom, thanks.

That was quite a description for somebody who lived over 200 years ago.

That's pretty impressive to have that much information about John Hancock.

So first, you know, just from the chief complaint of stupor and joint swelling or or pain, my first thoughts were, you know, is person have some sort of inflammatory arthritis, like rheumatoid or psoriatic or lupus, perhaps, and maybe a vasculitis associated with it, is what my first thought was when we first started.

Of course, as you started talking about it, and described his struggles with chronic gout.

That of course fits the picture of the probably articular arthritis that he had.

And