Because we see those common fevers a hundred times a day, but a textbook lupus rash only once in a year, yaar. The tiredness and joint pain are the same, and our first duty is to rule out the deadly infections we can treat quickly. I see it in the relieved faces when the malaria test is negative, only for the worry to deepen because the fever remains. In my OPD, with fifty people waiting, you treat for what you see most—it’s not a mistake, it’s a necessary first step.
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