D: What's bothering you?
P: I am concerned about joint swelling and stiffness in the morning.
D: When did you get sick?
P: I got sick last year
D: have you Ever seen a doctor?
P: I was treated as an inpatient last month, but I prefer to be treated as an outpatient.
D: Does taking medication make him feel better?
P: I don't notice The effect of taking medication
D:did you have an x-ray examination?
P: No, I didn't have an x-ray examination.
A: you should refrain from excessive physical activity, avoid being overweight, and have your lungs and upper extremities x-rayed.