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

### input:
I had previously spoken to an Orthopedic Dr on June 17th with regard to my hands.  Terrific pain in the fingers, swelling, some redness and some while nails.  He told me that the symptoms could Arthralgia and Low calicum and  serum B-12.  He suggested I get the fillowing Blood Work: ESR, CRP  and RA Factor.  Blood calcium and serum B-12.I have completed the Blood work as suggested and are ready to give him the snswers but cant remeber his name.  Can u help me??Also I thought i was entitled to 2 free followups??

### output:

Severe pain, swelling and redness in finger can be caused by arthralgia, calcium as well vitamin B deficiency as well high level of uric acid and rheumatoid arthritis also. Here as you have told you have already consulted a doctor here, and he has asked you to get some report. No, if you want to know which doctor you have consulted I suggest to check with your history of visit in your system after login to your account or else talk to customer care of Chat Doctor, and they will help you. As per your report here doctor will suggest you about medication and primary treatment program. I also suggest to use cold pack on your finger to reduce swelling but make sure there is no infection involved at your finger. Otherwise, more than cold pack you need to start with anti-biotic first. I am sure this will be helpful and just finish with your second consultation with orthopedic and check what else the doctor suggest. Since you have not given details of your report I am giving only general idea, but detail treatment will be planned based on report. I suggest if same doctor is not available you can also take a consultation with another orthopedic. Take care.