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Misdiagnosed?? gout (of the knee) and more -- Walt and Doc Kim?

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Misdiagnosed?? gout (of the knee) and more -- Walt and Doc Kim?

Posted by KMD on September 13, 2000 at 20:53:27:

Hi Walt and Doc Kim (and everyone!),

I just found out that an "friend" is having knee problems as well as had some work done on his toenail (wish I had known ahead of time and could have helped prevent some of this). I would like your opinion on the case, especially since I think he is not getting good care. Here is what was written to me:

"Dad's knee is a bad, bad case of gout!!! He went to a new bone doctor that is in town... anyway, the knee was full of fluid, from the gout, and he drained about 65 cc's of fluid from the knee, then put in a steroid shot. While he had Dad there, he also removed his big toe-nail from his right foot.(Full of fungus and the Dr. said it never goes away or gets any better, so do away with it. (it was also the right knee) and took several x-rays of his hips and knees. The dr. thinks it is only a severe case of gout and arthritis but won't know for sure until some of this swelling goes down. He did not talk to Dad about a diet of any kind, but did say he needs to loose some weight. He will recheck dad in a month as to how the toe healed and how the swelling is going. He can walk pretty good tonight, but when the 'numbing' shot wears off, he might be in for some major pain for awhile... The Dr. did say he will NOT most likely need any surgery on the knee but he won't know for sure until some of this swelling goes down."

(That was the first e-mail, at which time I forwarded them lots of good information from this site, like vinegar treatment and how 90% of gout is misdiagnosed.) They replied:

"NO REAL TEST WAS GIVEN EXCEPT AND X-RAY TO SEE IF MY PROBLEM WAS CAUSED FROM AN ACCIDENT THAT (darn caps lock) I had 20 years ago or a spine injury I had when (son) was playing little league baseball (remember I fell off the scoreboard and hit the joist board on the way down). Well thank god and all glory, no operation is necessary, the joints are not effected that way. Everything is where it should be and working right. So he noted the severe puffiness of the right knee and that was the one hurting me as well as the toe. Well I have had slight and mild attacks of gout for well into two years and the doc treated it with an Indomicn NSAID. well this new doctor... noted on the x-rays of deposits of crystals and such. He took out about 70cc of fluid and said that he would have it lab'ed and he put in some steroid. And put me on another NSAID neopoxin (?) (Aleve in the Over-counter stores). So we will see what happens, I go back in a month and have a check up. For the toe and how the steroid is working. And he has my $325 bucks too......."

Then the 3rd note I got from them says:

"His toe looks okay, but I am surprised for $300 that they only removed the in-grown portion of the toe and didn't take any of the fungus infected part off. Seems like a mighty big price for such a small area of toenail removal."

INSIGHT??



Re: Misdiagnosed?? gout (of the knee) and more -- Walt and Doc Kim? (Archive in Goute.)

Posted by Walt Stoll on September 15, 2000 at 10:15:49:

In Reply to: Misdiagnosed?? gout (of the knee) and more -- Walt and Doc Kim? posted by KMD on September 13, 2000 at 20:53:27:

Hi, Kathy.

First of all NSAIDS are NOT the treatment for goute. Since goute is one of the few conditions that has a perfectly appropriate (physiological correction of the congenital abnormality that is goute) conventional treatment, he MUST have been placed on allopurinal for correction of his goute.

If he was not, either he does not have goute OR his doc is too ignorant for him to continue going to for advice.

If he did not have a 24 hour urine test for uric acid excretion, there is no way anyone could KNOW that he has goute.

Let me know what you learn.

Walt



Re: Misdiagnosed?? gout (of the knee) and more -- Walt and Doc Kim? (Archive in Goute.)

Posted by KMD on September 15, 2000 at 11:40:05:

In Reply to: Re: Misdiagnosed?? gout (of the knee) and more -- Walt and Doc Kim? (Archive in Goute.) posted by Walt Stoll on September 15, 2000 at 10:15:49:

Thanks Walt!

I forwarded your comments to him, and will let you know what he has to say.

Namaste'!



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