--I've done something to my thumb.
--What do you mean?
--I don't know, I've jammed it or twisted it or something. It just hurts.
--When?
--When I pick something up or open a jar. Put any weight on it...Now.
--It's arthritis.
--No.
--Does it hurt when you rub it?
--Yeah.
--It's arthritis.
(Pause)
--It could be carpal tunnel.
--Arthritis.
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