Reza

Is there anything else I can use as a clue to what might be driving this nonspecific inflammation?

And I just, I would love to see what Robbie has to add.

I just am more worried about this guy than I would be with someone who has a viral syndrome.

No, I have no advanced nuances.

I... You know...

The medicine is interesting, but I'm just putting myself in the position of this young kid's father and how scared they must be.

Because I feel like there's three scenarios in medicine.

You find an answer, and you can do something about it, the best case.

You find an answer, you can't do something about it, still okay, because you can understand what to expect.

The worst case, where this kid is in right now,

You don't have an answer and there's nothing you can do about it yet.

This is dread.

But as you were speaking, I'm going to definitely need Robbie's help because I don't think anyone recognizes patterns better than him.

As you said oral ulcers, and then you said skin findings, my mind automatically converted that to a mucocutaneous illness.

Then you said the joint is swollen, and I was like, okay, mucocutaneous and monoarticular arthritis, and then you said some mood and irritability.

Now, we use the word encephalopathy quite broadly, but now I'm wondering, do we have a multisystemic disease?

showcasing itself, manifesting on the skin, the mucus, the joint, and the CNS.

But there's one more very important element.

And what I'm trying to do deliberately here is create the problem representation.

Robbie and I, Zavin, and I am sure you're on this camp, we put more emphasis on identifying the correct problem than ever before.