this is what a goat gout attack looks like, as illustrated by a right foot swollen and the big toe joint beet red, and a more or less normal left foot not afflicted by goat gout. i'd recommend that you not get goat gout. laughing. i'd also recommend that you win $300 million in the lotta next week. i'd laugh some more, but, it hurts.
the foot is swollen so much that the nerves near the ankle as very sore.
it's just after midnight, and i will be up all night with the damned thing. and, since it is saturday, unless i go into the hospital emergency room for some pain med, i'll probably be up all night tomorrow night. it is hard to sleep when you are experiencing a goat gout attack as severe as this one.
it didn't start that way.
i was scheduled to see my doctor on the preceding tuesday, but i got a call from the clinic telling me that he was ill and would not be in. so, they wanted me to reschedule. i told them i did not want to reschedule, as i was having a goat gout attack .... for which the good doctor and a very able physician's assistant have/had both prescribed pain meds and meds to alleviate symptoms and pain. hey, take off you socks, show 'em you feet, they feel em for elevated temperature, and when they find it they say, does it hurt, you say, like hell, and they laugh and prescribe the meds. [update: maybe this is where the problem lay: did i say "gout attack" or "goat attack?" laughing.]
i've had the attacks before. they've taken care of them.
the lady scheduling the next appointment had obviously been told to "reschedule," and "don't argue, reschedule." she was in no mode to get me in on the same day as the previously scheduled appointment, and scheduled me for next monday. she did say, you can use our walk in clinic without an appointment, but, i wanted to see my docs.
use the walk in. it is now the weekend, this thing has taken off from being "uncomfortable" to "hurts like hell," with a rocket.
such is life. such are receptionists.
update on gout attack, 11.23.2016. well, life goes along. i have been to the docs, gotten prescribed some colchicine, and it is providing some relief. at least i can sleep at night. still in all, it is best if i don't do very much. i thought that i would provide some more pictures to show you how fully involved my poor old foot is with the inflammation. pretty self explanatory.
yes, it still hurts, but with the relief of symptoms to the big toe area it is bearable. and, i am making progress, bit by bit. comments by uncle kenny and paul albers, below, are worth reading.
and, no, i haven't been accosted by any goats in the past several days. laughing. end update.
in addition, don't use aspirin if you like it, for goat gout relief. it just tends to make it worse, and elevate the level of uric acid in your blood. i'd forgotten that, until i looked it up just now, and i am pretty certain both the docs and the pharmacist had told me that. the receptionist scheduling the appointment did not know that. laughing. if she'd known, she be a doc or a pharmacist, now, wouldn't she. and, if she did know, she's not in the business of dispensing medical advice.
update, 11.30.2016 . i have my foot back. it has reappeared. the gout attack seems to be running its course. the foot is back to its normal size, i am not experiencing pain of any note but some ocassional tingling. (not the chris matthew's variety.) i'll take a picture this evening, and insert here.
caption: it may not look like much to you, but, i have my foot back. the right foot was the one that was gouty, and it is more or less back to normal. some tingling. i'll resume colchicine for another couple days in the morning, but, i should be over the worst of it. yahoo!!
but, you can see the foot w/ blood vessels, tendons and "full length toes," largely free of swelling and pain. the redness is just a remnant. i'll stop taking the colchicine, and anticipate getting bowel control back again. thank the good lord for that. end update.
docs get sick. clinics know this. so do hospitals. (know this, not "get sick.") they should anticipate such things, and account for them, by getting additional personnel to cover for ill doctors. simple as that. and, right now, i don't have much sympathy for the inadequacies of the clinic's "planning:" my candid opinion, no doubt influenced by a suitable level of pain, is that the clinics planning was just shitty.
john jay @ 11.20.2016
[update: and, let us hope that i never get attacked by goats again. let us hope.]