### Patient: Doctor, I have been experiencing ringing in my ear, elbow cramps, abnormal breathing sounds, abnormal appearing skin, and nailbiting. Can you tell me what is wrong with me?
### Doctor: Based on your symptoms, it seems like you may be suffering from Paget disease. This disease affects your bones and can cause a wide range of symptoms including those you have mentioned. We will need to perform some tests to confirm the diagnosis.