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a young adult presents to the office with body aches fatigue and joint pain what happened next may surprise you letamp;#39;s get started before i walk in to see the patient i actually do a chart review to see if the patient has been seen before what the vitals are what information has been shared with my medical assistant and i find out that the patient has actually seen several other doctors over the last few weeks for the same issue and hasnamp;#39;t gotten a satisfactory answer meaning a diagnosis or treatment to solve the issue in looking through the notes i saw that the patient was initially diagnosed with arthritis that they attributed to the patient being overweight his bmi i think put him into the category of morbid obesity while that can cause osteoarthritis he seemed to be a little bit too young for that to start happening i walk in to see the patient i introduce myself one of the first questions is what has been the diagnosis thus far what have other doctors told you you w