Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have Fish mouthed vertebrae, bones floating around in the knee (one is actually stuck in the joint) diabetes, hypothyroidism. tsh levels are okay,t4 free was high, parathyroid was fine testosterone low.. I have been tested for sickle cell, phalacimia , and other diseases yet no one can figure out what is wrong with me. I am in constant pain that isnt relieved by medications, and surgeons wont touch me until the bone disease is figured out...
[|AI|]  Hi, thank you for providing the brief history of you. As per the history I am able to understand that you have osteoporosis, and we can check that by using the laboratory test like DEXA scan and vitamin D scan. Due to osteoporosis there will be weakness in the muscles leading to pain and aches in the joints at major weight-bearing.Also, the pain in the end the free osteophyte over there in the knee joint there will d restriction in the free mobility and also the pain. The sugar levels need a control as high blood sugar levels will lead the body to become fatigue earlier and increase the pain. Usually in my clinical practice most patients with such issues are referred with Chat Doctor. A combination of