Jason Liebowitz

“You’re the eighth rheumatologist that I’ve seen,” the patient told me. She ticked off her symptoms—pain, fatigue, and what she described as a sense of brain fog—which she’d lived with for years. Some doctors had no answers for her; others had said that she likely had fibromyalgia, a poorly understood pain-processing condition, and that they could do little to help. She began to cry, and I began to sweat.

In the summer of 2018, 59-year-old David Gould went for his annual checkup, expecting to hear the usual: Everything looks fine. Instead, he was told that he was newly—and oddly—anemic.
Two months later, Gould began to experience a strange cascade of symptoms. His ankles swelled to the width of his calves. The right side of his face became so bloated that he could not open his eye. He developed a full-body rash, joint pain, fever, and drenching night sweats.