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

### input:
I am not confident in my diagnosis-- My PCP says my primary issue is fibromyalegia, but I also have gout that was based on high uric acid level. I was put on allupirnal and colchys- sorry, spelling. Also on indothecin for erythuma nodosum, which I think was part of Valley Fever, diagnosed via blood. I had a splenectomy 30 years ago, am 58 yo female. I had osteoarthritis in one hip, last October I had sudden acute hip pain in other pain, they just called that arthritis also and recommend hip replacement. I just got info about right sided heart disease, doctor told me nothing really to do for that. I feel a mess, and doctors just want to give pain pills. I had been taking hydrocone and celebrex for year. Last fall, I tool Lyrica, made me loose any thinking or ambitiion,

### output:

I UNDERSTOOD YOUR CONCERNS, YOU HAD SUFFERED A LOT BUT NOW DON'T WASTE YOUR PRECIOUS ENERGY IN THINKING ABOUT DIAGNOSIS.... First I TELL YOU HAVE MULTIPLE PROBLEMS WITH ONE ROOT... MAY BE RHEUMATIC FEVER IN the PAST.....???? I THINK THESE ALL PROBLEMS RELATED TO THAT.... SEE IN THAT ERYTHEMA NODES OR RED PATCHES IN SKIN AND HEART PROBLEM THAT ALSO INDICATES AUTOIMMUNE PROBLEMS RELATED TO RHEUMATIC HEART FEVER.... SWELLING AND INFLAMMATION IN JOINTS INDICATED ARTHRITIS.... ALSO, CAN SEE IN RHEUMATOID DISEASES..... BUT DO NOT WORRY JUST YOU HAVE TO DO IS CALM YOUR MIND AND JUST DO SYMPTOM RELIEVING TREATMENT, BE ACTIVE AS MUCH AS POSSIBLE, AVOID ANY WORK WHICH AGGRAVATES YOUR PROBLEM, GO FOR PHYSIOTHERAPY TREATMENT FOR ARTHRITIS AND FIBROMYALGIA.... I HOPE YOU SATISFIED ....