Conversation: The conversation between human and AI assistant.
[|Human|] hi, im a 30 year old female and I have been having severe back, neck and joint pain for months now. The pain in my neck is causing me chronic headaches so I went to my doctor (a neurologist). He had an ESR level drawn and it came back as 40! the normal range in 0-20. He told me there is nothing wrong with me. The women on my mothers side all of have history of rheumatoid arthritis/rheumatic fever. I am at the same age my mom had her first RA attack. I think I need a second opinion. Thoughts?
[|AI|]  Hi, thank-you for providing the brief history of you. As this looks more of a RA symptoms checking an RA factor will be good to rule out the issue. Also, the pain is in the back neck and joints checking the vitamin D and calcium levels will also be making an understanding. As clinical examination of RA and osteoporosis can not be efficient without the help of the Laboratory investigation I will advise you to get that one. Having a cross consultation is always a good input to the overall health and treatment plan. In my clinical practice we advise thorough clinical examination and a laboratory investigation. Followed by which a combination of Chat Doctor. Regards Jay In