A seventy eight year old lady came to the office yesterday complaining of knee joint pain. I gathered she’s an intelligent patient because already she had with her X-ray films of her knee joints.
She complained in particular about the massively deformed, swollen and tender right knee.
After a thorough examination I made a diagnosis of Osteoarthritis and explained that this condition is degenerative and that by degenerative I mean age related changes and that because…
She interrupted me as I was talking
‘Did you say age has something to do with this?’
‘Yes Ma’am!’ I replied.
She rolled her eyes unconvinced and said ‘How come my left knee is perfectly all right? It’s the same age as my right!’
I was floored. But I had the answers.
What would your answer be?