OT Gout

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Chris Craig said:
I hate that. I had an appointment last week, I get there 5 minutes late cause of traffic and they can't see me. Went back today. Stomach Ulcers fun
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Yeah, sounds like something Providence would pull. Their website is fucking ridiculous with the secret account you have to use to get into it to schedule an appointment. Major pain in the ass. They don't give you an option to see anyone else other than the doctor you are assigned, so you have to actually send a message to the receptionist.....she may look at it within a few hours......or a day.......telling them that you don't mind seeing whomever is available other than your regular practitioner.

And all of this is assuming that you can remember your log-in information. Which I never do, because I hardly ever go to the doctor except a couple times a year.

And if you call to try and schedule an appointment, good luck. I've sat on the line for 45 minutes before hanging up. Useless.

Years ago, when I had Premera Blue Cross insurance, I could literally walk in to any clinic, and they would see me within an hour or less. Even if you didn't have an appointment.

I really miss that.
 
Mmmm... I'm enjoying some delicious homemade cheese rolls.
 
SlyPokerDog said:
Mmmm... I'm enjoying some delicious homemade cheese rolls.
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Drink shitloads of water to flush your system along with advil. I do 800mg at a time, but be careful, depends on how sensitive your stomach is.

Never did the allopurinol, I try to avoid my trigger foods....which is usually scallops or other seafoods...but mainly scallops. Sometimes Hummus too.
 
Jade Falcon said:
Oh. My. Fucking God. The pain.

So I've been busy the past day with chores here and there. And I've kept my shoes on for about 24 straight hours. They aren't heavy shoes, so it wasn't that big of a deal.

But this morning, my right big toe started hurting. And it slowly got worse. About 45 minutes ago, I finally took my shoes off, and now the pain is just absolutely throbbing.

I haven't had a gout attack since I was in my early 20s. And they were NEVER this bad.

Oh my God.....I want to tear the fucking thing off and throw it out the window. That might actually help.

Anyone got any cures? I'm gonna slam 600 mg of IBProfin, and put an ice pack on it. Anything else I can do? Lay off the sugar and sodium, perhaps?

:smiley-195517897341:wantmommy::ohmy:

I am so unhappy right now. If the Blazers fuck this up tonight, I'll kill @SlyPokerDog.
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I think the Blazers won, dammit.

I've had gout in both feet really bad. I went to a specialist, a Rheumatologist and she stuck a needle in toe and heel of one foot and toe of the other and withdrew a syringe half full of a clear liquid. I got immediate relief. Now I take a daily dose of 200 MG per day of allopurinol. Haven;t had a reoccurence in the three years since in started the allopurinol. I highly recommend a Rheumatologist.
 
I have less flare ups with some dietary modification. Just have to be aware and you'll be ok usually. I'll have some in moderation, like I'll still eat foie gras, but less often
 
MarAzul said:
Oh no! No liver either. For God Sake pass on the Goose liver pate.
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Oh no, I love goose liver pate, well, that and escargot. Raw fish eggs are pretty tasty too. And I just can't seem to get enough raw fish in my sushi.

Of course, it all goes down after a short case of beer.
 
Denny Crane said:
Cranberry juice.
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1. Cranberry juice is good for the kidneys not gout;

2. Even if it is good for gout it tastes worse than what you're trying to cure.
 
EL PRESIDENTE said:
Drink shitloads of water to flush your system along with advil. I do 800mg at a time, but be careful, depends on how sensitive your stomach is.

Never did the allopurinol, I try to avoid my trigger foods....which is usually scallops or other seafoods...but mainly scallops. Sometimes Hummus too.
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How much is a shitload and won't it taste bad?
 
I recommend losing weight, if overweight, and staying away from foods high in purines.

The question was what to do about an active gout attack. Pain killers and anti-inflammatory medications, as was suggested by El Presidente, and cranberry juice are things he can do for immediate relief.
 
Denny Crane said:
I recommend losing weight, if overweight, and staying away from foods high in purines.

The question was what to do about an active gout attack. Pain killers and anti-inflammatory medications, as was suggested by El Presidente, and cranberry juice are things he can do for immediate relief.
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There is no more immediate relief than having a rheumatologist withdraw uric acid from the inflamed area.

Other remedies seem to help according to many witnesses in here.
 
Lanny said:
There is no more immediate relief than having a rheumatologist withdraw uric acid from the inflamed area.

Other remedies seem to help according to many witnesses in here.
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He's likely to get a rheumatologist appointment a few weeks from now, if he calls today. So, no immediate relief.

I've been seeing one for the past ~3 years and went through that with 2 of them.
 
Denny Crane said:
He's likely to get a rheumatologist appointment a few weeks from now, if he calls today. So, no immediate relief.

I've been seeing one for the past ~3 years and went through that with 2 of them.
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Not true. They see people quickly with immediate and serious problems. I don't know which ones you saw but mine saw me swiftly. I could barely walk.
 
Denny Crane said:
I recommend losing weight, if overweight, and staying away from foods high in purines.

The question was what to do about an active gout attack. Pain killers and anti-inflammatory medications, as was suggested by El Presidente, and cranberry juice are things he can do for immediate relief.
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Elevate your affected areas.
Wrap/compression on those areas
Ice pack off and on.
 
My first appointment took 3+ weeks. I called and they wouldn't even make the appointment. They wanted to call me back to assure I was really in need and someone they wanted to see.

I suffer from Lupus. Before it was diagnosed, I was in a 4 month flare that made it too painful to move, and even more painful to not move.

The 3+ weeks was a rush appointment. They initially wanted to give me an appointment several months out.

This was in San Diego, not some rural small town.

https://rheumatoidarthritis.net/living/the-waiting-game/

Living with rheumatoid arthritis often means spending a lot of time waiting. This can begin even before diagnosis, as there are frequently long waiting periods for new patient appointments with a rheumatologist. As there is a national shortage of rheumatologists1, it is not uncommon to have to wait six months for a first appointment.
 
Denny Crane said:
He's likely to get a rheumatologist appointment a few weeks from now, if he calls today. So, no immediate relief.

I've been seeing one for the past ~3 years and went through that with 2 of them.
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I tried to see one. 5 fu&_$_ months
 
Lanny said:
Next time, ask me and I'll put you in touch with one who teaches at OHSU (my doctor on the subject).
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Live in Vegas or I'd be good. Sister is director of nurses or some such shit and my brother works in a medical lab. Both in Portland.
 
Denny Crane said:
As there is a national shortage of rheumatologists1
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No wonder that! Other doctors too.

Who the hell want to go into that business with the government running every facet of your practice and your compensation?
At the VA, I get a new provider every visit. Damn near all immigrants. There probably is a reason for this trend.
 
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MarAzul said:
No wonder that! Other doctors too.

Who the hell want to go into that business with the government running every facet of your practice and your compensation?
At the VA, I get a new provider every visit. Damn near all immigrants. There probably is a reason for this trend.
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I go to the VA about four times a week and I almost always get the same provider. I've been to virtually every department the Portland VA hospital has in the 49 years I've been going there.

By the way, the Portland hospital has improved in their delivery of service dramatically in every department except the sleep lab in those 49 years. Seems to get better and better under every President although the VA transportation services has gotten a tad worse under Trump.

Oh yeah, they're losing personnel in the Dental department so things are slightly worse there.

Primary care, Cardiology, Imaging, Specialty clinics, Prosthetics, Hospitalization, Pharmacy and Ophthalmology are a great deal better.

The cafe, mental health and sleep lab seem unchanged.

Also, the new building the hospital is in is a great deal better than the old one. As a side note, I once had a lead engineer who did the electrical design for the new hospital building.

The clinic my brother use to use at Camp Rilea seems unchanged.

To all you Veterans out there, flue and pneumonia shots are free for you at the VA as is a VA ID card.
 
Lanny said:
I go to the VA about four times a week and I almost always get the same provider.
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I go about twice a year to the clinic in North Bend. I have not had the same provider since they move the clinic to North Bend from Bandon in 2009.
For anything more than prescriptions and blood test, it over the hill to Roseburg or Eugene for cardiologist.
 
MarAzul said:
I go about twice a year to the clinic in North Bend. I have not had the same provider since they move the clinic to North Bend from Bandon in 2009.
For anything more than prescriptions and blood test, it over the hill to Roseburg or Eugene for cardiologist.
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The best Cardiologists and the best Ophthalmologists are in Portland at the VA hospital. I've had two heart surgeries and numerous tests, some of them very involved. I've also had well over 200 visits to the Ophthalmologists including three eye surgeries.

We lost one of our best Cardiologists who went to Denver to do heart transplants.

We also lost our best cornea specialist who went into private practice. All of our Ophthalmologists come over from the Casey Eye Institute which is renowned for their excellence.
 
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