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Dear Dr. Stoll. I hope you will remember my original post about this. I went to add the update to the original post but it was no longer available.
My husband had been diagnosed in March or April '08 with goute, that was diagnosed by blood test only. He was prescribed Allipurinol and was to take it daily, which he did, and continued to have "flare-ups" anyway. After reading your archives here, I decided to go to an appointment with him, and ask for the 24 hour urine test in order to have a proper diagnosis made to ensure it was Goute, or to try and narrow it down to something else, if not. He went off the Allipurinol November 15, made an appointment for December 16. The doctor did not care for the fact that I mentioned I had been reading up on it, and that I felt a 24 hour urine test should be done. He took blood, and tested for Rhumatoid. We went back today for those results.
When we went in to the appointment, the doctor read from the chart, the previous problems, but never even mentioned the blood results until I asked. He then said it was negative for Rhumatoid, and that it still showed he had the higher than normal uric acid levels. He basically dismissed it and said on the next flare-up when the joint was very swollen, to come in and they would tap for the uric crystals from the joint fluid. He also did mention putting him in contact with an arthritis specialist.
Then I asked if he would run the 24 hour urine test, so we could in the meantime, rule the goute in or out, one way or the other, he insisted that the blood says he has goute, and when I mentioned that blood alone is not an accurate means of diagnosis, he became quite defensive. He said he will NOT run the test, and when I asked him "why not?" (seeking a medical explanation) all I got was a "Because I don't want to". I asked why I was so wrong in trying to help my husband by trying to alleviate some unnessecary pain by doing the test, and he said "session over", and got up and excused himself and left the room!!
Needless to say, I we were both very unimpressed with the childlike response we got from out so-called "professional" doctor! He also told us to find another doctor. I really feel that this was totally uncalled for and very unprofessional!