### Patient: Doctor, I have been experiencing some strange symptoms lately. I'm feeling hot and cold at the same time and I also have some shoulder pain. Additionally, I have been experiencing weakness in my elbow and low back. I also have some symptoms related to my kidneys. What could be causing all these symptoms?
### Doctor: Based on your symptoms, it sounds like you might be suffering from Tuberous sclerosis, a rare genetic disorder that causes benign tumors to grow in various parts of the body such as the kidneys, brain, heart, lungs, and skin. The tumors can cause a range of symptoms including the ones you've described such as feeling hot and cold, joint pain, and muscle weakness. We will run some tests to confirm the diagnosis and then discuss the treatment options.