I've never seen someone with osteomalacia before, so caveat lector: I would keep osteomalacia on my differential. Some of your symptoms - particularly your musc

I've never seen someone with osteomalacia before, so caveat lector: I would keep osteomalacia on my differential. Some of your symptoms - particularly your musculoskeletal discomfort and disability - are suggestive. Now, osteomalacia would not be the unifying diagnosis - it would be a consequence of low vitamin D. Your hypovitaminosis D could be the result of your diet (vegetarian) and lack of sun exposure, though there is, of course, another differential for low vitamin D. At the end of the day, though, it's really hard to try to make a diagnosis based on a blog post. A doctor should see you walk into the room; hear your voice; be able to ask follow-up questions; carry on a relatively fast-paced conversation, so he may hear things quickly enough that the dots connect themselves. A doctor should see your lab values, and know precisely which tests you got and what the results were. There is a lot of diagnostic value embedded in the patient encounter that just isn't conveyed over the web. Now, your approach may work - perhaps this type of story is virtually diagnostic in some field - but it comes off as being pretty broad. Without knowing why your other physicians did what they did, knowing what they did actually makes me more confused, not less. Seeing your past medical history, as written by a doctor, would be highly informative.