The rheumatologist felt Jo Beth's  neck, and thumped  her
chest.  He asked her if her chest had been hurting and whether
she had shortness of breath, or trouble going up flights of stairs.
He told her that she was in a lot of pain:  that she had
"fibromyalgia" and "pleurisy" and "pericarditis" (aches when
poked, inflamed lungs, and an inflamed heart).   He spent a lot
of time with her hands.  He looked at the white spots on her
fingernails and the tiny blisters under the skin of her
fingertips.  He felt her knuckles, and looked at how her fingers
bent (Jo Beth's pinkie looks a little bit like the picture).

He asked her if she got tired around 2 PM.  (How could he
know?)  He asked her if her hair was falling out.  She said it
wasn't.  (She wouldn't admit to any man that she was going
bald.)  He asked if she bruised easily, and she showed him her
piebald legs.

After a total of 15 minutes in his office, the rheumatologist told
Jo Beth that he suspected she had "systemic lupus
erythmatosus"; also called "S.L.E." or "lupus", for short.  
The Diagnosis

Where Jo Beth learns a name for what's been happening.
Study Questions:
If you have lupus, were you diagnosed
so quickly?
Had you ever heard of S.L.E. before
you were told you had it?
Lupus is named after the Latin
word for "wolf", because it
turns you into a monster.
 
(Okay, that's not what the medical
texts say, but it makes more sense
than their explanation.)
This finger shape is called
"swan neck".  Guess why.