Intermittent rashes, fatigue, hand pain, shoulder pain, swollen feet, fever, headache, failing memory, thinning and loss of hair leads a 38-year-old woman to attend an appointment referral with a Rheumatologist. Her mother accompanies her to the appointment. It becomes apparent that the mother is more interested in herself than in her daughter. It comes to light that the young woman’s toenails are cracking, splitting and even falling off. The doctor suspects Lupus and is prepared to explain why. The Interpreter faces complicated medical terminology and other difficult terminology, plus a mother who is constantly interrupting. There are several uses of acronyms.