<s>[INST] Hello I have been sick for months . Started with a heavy cold, then pneomomia. I feel run down , fatigued, chronic sore throat, weak, my heart feels like it is not beating corrrctly, intermittent low grade fever and so much joint pain. Sometimes my shoulders, then my wrists, then my legs and hips, and a headache that never goes, just gets worse then subsides. These last few symptoms have developed in the last month. I have no energy or ambition but do what I must do. I am a nurse practitioner and keep thinking this will pass but it isnt. I have been taking advil only for joint pain relief. Any suggestions would be appreciated. [/INST] Hello, Welcome to the magical world of health care, I went through your query, and if seems you are suffering reactive arthritis, which is a natural body mechanism to an organism, but the defense part goes astray and start attacking the joints. The most effective medication is the use of short course of steroids, but this has to be taken under guidance of a doctor. If you have a rheumatologist in your area, please contact one and the things will improve. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. </s>