### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am female, 49 years old with Dandy-Walker and VP shunt, PSVT and strange symptoms. Some are listed below: tingling in feet, hands pain in wrists and ankles itching at stomach area w/no rash red fingers in cold weather stiffness upon standing balance issues funny internal trembling white halo type flash of light in eyes w/no eye problem language issues (cannot find words) all of my teeth hurt at times (nothing wrong w/teeth) peeling nails abnormal ANA, twice extreme fatigue difficulty with walking at speed and balance that I used to not long ago My PCP passed me off to a Rheumatologist. He dismissed me as perfectly normal. My neuro passed me back to my PCP, and after an MRI told me that it was basically the same Am I just a hypochondriac? I do not visit any doctor often to complain. I am truly frustrated and concerned that I might need help. I have an appointment with a new rheumatologist in a couple of weeks, but I am worried that I will again be passed off or dismissed.

### output:

Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that your symptoms seem to be related to a hematological disorder. I agree with your attending physician on the need of consulting a rheumatologist. The presence of positive ANA is another argument, besides your clinical symptoms in favor of a hematological disorder. I would also recommend performing a nerve conduction study to exclude possible neuropathy, which could explain some of your symptoms. Further tests may be needed (prescribed by the rheumatologist) to investigate for the possible cause of all this clinical scenario and determine the true diagnosis and help find the proper treatment options. Hope you will find this answer helpful! Best wishes, 