### Patient: Doctor, I have been experiencing some strange symptoms lately. I have noticed swelling in my shoulder, and I have also had a loss of sex drive. What could be the problem?
### Doctor: Based on your symptoms, it is possible that you have Carcinoid syndrome. This is a condition where tumors in the intestine produce hormones that can lead to various symptoms, including shoulder swelling and loss of sex drive. We will need to run some tests to confirm the diagnosis.