The Virtual Pub
Come Inside... => The Medical Centre => Topic started by: TG on January 30, 2009, 12:22:09 PM
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What a bastard!
Gout again in the foot regions. Hobbling around the house on crutches or whizzing round the kitchen on an office chair.
The irony is I was given a prescription for preventative medication and I got up in the morning I was supposed to go and get them with agonising foot pains.
Cant take the pills till the attack has passed. angry041:
My doctor blames booze but he is a idiot. ;D
Interestingly I saw another doctor last year at Mrs TG's place of work and he said quite candidly that no-one really knows the actual cause.
So I am going to get pissed so I cant feel anything below the knees. happy088
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What a bastard!
Gout again in the foot regions. Hobbling around the house on crutches or whizzing round the kitchen on an office chair.
The irony is I was given a prescription for preventative medication and I got up in the morning I was supposed to go and get them with agonising foot pains.
Cant take the pills till the attack has passed. angry041:
My doctor blames booze but he is a idiot. ;D
Interestingly I saw another doctor last year at Mrs TG's place of work and he said quite candidly that no-one really knows the actual cause.
So I am going to get pissed so I cant feel anything below the knees. happy088
It seems that you have everything covered! ;D
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I remarked to someone earlier that we all seem to be suffering at present
Pastis's knee
Our worms
Wenchy's nether regions
TMR ditto
Snoopy always
BM's sunburn
GOS in general
They are out to get us, I tells ya
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I remarked to someone earlier that we all seem to be suffering at present
Pastis's knee
Our worms
Wenchy's nether regions
TMR ditto
Snoopy always
BM's sunburn
GOS in general
They are out to get us, I tells ya
eeek: I don't have sunburn... noooo:
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I was going to say I don't have nether regions but that doesn't seem right! rubschin:
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Well, he's right about my knee but happy to say it seems to be repairing nicely, if slowly. Fortunately one of my sticks has a rubber ferrule.
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I remarked to someone earlier that we all seem to be suffering at present
Pastis's knee
Our worms
Wenchy's nether regions
TMR ditto
Snoopy always
BM's sunburn
GOS in general
They are out to get us, I tells ya
General Gos.. I like that it has a certain ring.
Gout.. a link
http://arthritis.about.com/od/gout/Gout_Information_Causes_Diagnosis_Symptoms_Treatment.htm
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Is a rubber ferrule a good thing, do we think?
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Depends on what it is attached to I would think eeek:
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He seems to be pleased with it
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Indeed, I am pleased with the rubber ferrule; my other metal ones tend to skid on the pavement when pressure is applied redface:
However, the prognoscis (sp?) is not good angry041:
In fact, fvckety fvckety fvckety fvckety fvckety fvckety fvckety fvck!
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At the end of December the National Institute for Health and Clinical Excellence (NICE) approved the use of febuxostat as an option in the treatment of chronic hyperuricaemia in gout. NICE stipulates that febuxostat should only be prescribed for people who are "intolerant" of allopurinal or for whom allopurinol is contra-indicated (especially those with kidney failure). Allopurinol has for decades been the mainstay treatment for gout and works by reducing by reducing the level of serum uric acid concentration in the blood.
At first glance this recommendation seems fairly straightforward but a closer reading of the guidance suggests a more complex picture. The guidance notes that the manufacturer's submission showed that febuxostat is more effective in lowering serum uric acid concentration than fixed-dose allopurinol (300mg per day). When comparing febuxostat at 80mg per day with allopurinol at 300 or mg per day, no significant differences were found in the numbers of patients requiring treatment for gout flares. However, there was a higher number of patients taking 120mg febuxostat who required treatment.
The guidance expresses concern that the comparisons submitted to it may not be adequate as febuxostat is measured against fixed-dose allopurinol whereas both the European and British best practice guidance recommends that allopurinol be started at a low dose (50 or 100mg) per day and then raised until the therapeutic target is met. The recommended maximum dose is 900 mg per day. The guidance also acknowledges that the vast majority of doctors ignore this guidance and simply prescribe 300mg of allopurinol per day.
So, while the evidence submitted may not reflect best practice, comparing febuxostat with 300mg of allopurinol does give a more realistic picture in terms of how gout is actually treated. NICE also states that it took evidence from specialist doctors who pointed out that many people have high serum acid concentration but that comparatively few of these develop gout and that there was some uncertainty about the precise relationship between lowering serum uric acid concentration and improvement in gout symptoms. NICE nevertheless feels that it is reasonable to assume that gout symptoms begin to occur once serum uric acid levels go above 6mg per 100ml.
The European League Against Rheumatism's (EULAR) recommednations for the treatment of gout recommend that allopurinol should be started on a low dose (100mg per day) and gradually increased by 100 mg every two to four weeks if required, it lists the benefits of this "go low, go slow" approach as;
reduced likelihood of provocation of acute attacks;
reduced incidence of toxicity;
tailoring of the dose to suit individual requirements;
an emphasis on the importance of a sufficintly low target level of serum uric acid.
These all appear eminently sensible- we have to ask why they haven't been put into clinical practice.
I've gone into detail about this so that may readers may appreciate what a convoluted and complex process the approval of even fairly straightforward drugs is. Patients often assume that medical science is fairly objective and precise whereas most of it is based on half-understood principles and partial data.
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I remarked to someone earlier that we all seem to be suffering at present
Pastis's knee
Our worms
Wenchy's nether regions
TMR ditto
Snoopy always
BM's sunburn
GOS in general
They are out to get us, I tells ya
That can be painful lol:
Glad to see theres nowt wrong with me - apart from spelling, grammar, general stupidity, being a wumman etc etc etc lol:
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I remarked to someone earlier that we all seem to be suffering at present
Pastis's knee
Our worms
Wenchy's nether regions
TMR ditto
Snoopy always
BM's sunburn
GOS in general
They are out to get us, I tells ya
That can be painful lol:
Glad to see theres nowt wrong with me - apart from spelling, grammar, general stupidity, being a wumman etc etc etc lol:
Wait till BM's homebrew and figs have done their job. whistle:
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Don't do figs sick2:...or homebrew...
Do you reckon I might have to bring my own food - could I get a box of Cadbury's giant buttons past customs ??? whacky115
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Don't do figs sick2:...or homebrew...
Do you reckon I might have to bring my own food - do you reckon i could get a box of Cadbury's giant buttons past customs ??? whacky115
Depends where you hide them ~ Chocolate wouldn't normally show up on an xray.
I understand that LL is an excellent cook ~ just watch the homebrew, the figs and the old goat.
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Take your own cruet, you'll save a fortune
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Take your own cruet, you'll save a fortune
Indeed ~ It's chips with everything since he got his new chip fryer. You'll need the salt and ketchup I expect.
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Can we talk about gout?
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I was only planning on a taking a little suitcase eeek:
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Can we talk about gout?
gout
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Miss D's packing list:
Bikini
Ketchup
Salt
DVDs
er.....that's it
oh, cardigan
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Can we talk about gout?
gout
Enough of gout... back to your trip...
I could show you my shins... cloud9:
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What - for me to kick them lol:
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What - for me to kick them lol:
(https://www.virtual-pub.com/SMF/proxy.php?request=http%3A%2F%2Fwww.freesmileys.org%2Fsmileys%2Fsmiley-sick032.gif&hash=3d1d2d51f3033f967ef07033998b63f0734032ec) (http://www.freesmileys.org)
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After his last incident there are bound to be some repairs for you to do! whistle:
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After his last incident there are bound to be some repairs for you to do! whistle:
Ah... some tender loving care eh...? cloud9:
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Miss D will have to take her nurse's uniform
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After his last incident there are bound to be some repairs for you to do! whistle:
Ah... some tender loving care eh...? cloud9:
I was thinking more to floors and that sort of thing really! whistle:
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After his last incident there are bound to be some repairs for you to do! whistle:
Ah... some tender loving care eh...? cloud9:
I was thinking more to floors and that sort of thing really! whistle:
Yes, well I don't think we need dwell on this subject any longer... noooo:
Gout then... whistle:
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After his last incident there are bound to be some repairs for you to do! whistle:
Ah... some tender loving care eh...? cloud9:
I was thinking more to floors and that sort of thing really! whistle:
I have been told by BM to get a work permit and that the EU Working Time Regulations don't actually apply over there eeek:
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After his last incident there are bound to be some repairs for you to do! whistle:
Ah... some tender loving care eh...? cloud9:
I was thinking more to floors and that sort of thing really! whistle:
I have been told by BM to get a work permit and that the EU Working Time Regulations don't actually apply over there eeek:
whistle:
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Pack a pinny and some marigolds
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After his last incident there are bound to be some repairs for you to do! whistle:
Ah... some tender loving care eh...? cloud9:
I was thinking more to floors and that sort of thing really! whistle:
Yes, well I don't think we need dwell on this subject any longer... noooo:
Gout then... whistle:
I'm cured! It's a miracle! cloud9:
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After his last incident there are bound to be some repairs for you to do! whistle:
Ah... some tender loving care eh...? cloud9:
I was thinking more to floors and that sort of thing really! whistle:
Yes, well I don't think we need dwell on this subject any longer... noooo:
Gout then... whistle:
I'm cured! It's a miracle! cloud9:
Did the cure coincide with Mrs. TG being snowed-in at work like...? rubschin:
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No, it's just that your feet are frozen and you can't feel anything at all noooo:
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I remarked to someone earlier that we all seem to be suffering at present
Pastis's knee
Our worms
Wenchy's nether regions
TMR ditto
Snoopy always
BM's sunburn
GOS in general
They are out to get us, I tells ya
Not forgetting my knees & elbow - fell over in the snow on Monday redface: felt a right idiot, luckily no one was around to see.
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I remarked to someone earlier that we all seem to be suffering at present
Pastis's knee
Our worms
Wenchy's nether regions
TMR ditto
Snoopy always
BM's sunburn
GOS in general
They are out to get us, I tells ya
Not forgetting my knees & elbow - fell over in the snow on Monday redface: felt a right idiot, luckily no one was around to see.
You need moon boots...
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And cheese graters
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Don't do figs sick2:...or homebrew...
Do you reckon I might have to bring my own food - could I get a box of Cadbury's giant buttons past customs ??? whacky115
Just keep an eye on the bottles of 'real' booze he hands you. If the contents seem to be dissolving the bottle then its BM's special brew. whistle:
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Can we move this thread to the medical centre please? So we can all talk about my health problems as well like?
I'm still cured by the way. Not that you lot givva fork. confused:
Mrs TG being of a medical background is usually able to diagnose her own illnesses for which she has an uncanny ability to invent highly descriptive and never before heard medical terms.
For example, indigestion type pains : 'squashheart'. noooo:
Or general aches & panes : 'Sore boneache'. eeek:
She also has the ability to develop medical conditions when someone gives her a general overview of the symptoms.
I may write to 'The Lancet' and see if she can win a prize.
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Can we move this thread to the medical centre please? So we can all talk about my health problems as well like?
I'm still cured by the way. Not that you lot givva fork. confused:
Mrs TG being of a medical background is usually able to diagnose her own illnesses for which she has an uncanny ability to invent highly descriptive and never before heard medical terms.
For example, indigestion type pains : 'squashheart'. noooo:
Or general aches & panes : 'Sore boneache'. eeek:
She also has the ability to develop medical conditions when someone gives her a general overview of the symptoms.
I may write to 'The Lancet' and see if she can win a prize.
(https://www.virtual-pub.com/SMF/proxy.php?request=http%3A%2F%2Fwww.lisa-morgan.com%2Fimages%2Ffaith-healer-web2.jpg&hash=f302c3b3b954a6ea91c1555415eac661123b096b)
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TG, an update for you
A new drug febuxostat (Adenuric) has been approved for people who ar intolerant to the standard treatment, allopurinol
Decision made by NICE
Source Arthritis News April/May edition 2009
www.arthritiscare.org.uk
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febuxostat
Who dreams up these names? confused:
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febuxostat
Who dreams up these names? confused:
Prolly the same guy that comes up will Cillit Bang and Ajax...
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It looks like a bad hand in Scrabble noooo:
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I remember as a kid coming home from school and spelling lessons. There was a bottle of washing up liquid in the kitchen...
(https://www.virtual-pub.com/SMF/proxy.php?request=http%3A%2F%2Fwww.postimage.org%2FPq2v8OTi.jpg&hash=c8c23c1f26d7d75eda2fffbe6349dff24c261642) (http://www.postimage.org/image.php?v=Pq2v8OTi)
How come they don't have to spell it properly, thought I sad32:
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You were a pedant even then noooo:
lol:
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I'd never noticed that.... redface:
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You were a pedant even then noooo:
lol:
More like early signs of confusion ;)
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Signs of an enquiring mind more like lol:
No wonder I didn't clock it lol:
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At least OMO is a palindrome
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At least OMO is a palindrome
LHR is an aerodrome.
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What's this thread about?
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rubschin:
Gout...? Shrugs:
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Quite so, I dimly recall
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Well, I don't have gout... noooo:
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Well, I don't have grout... noooo:
better get back out to the shops then noooo:
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point: point: point: point: point:
drumroll:
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evil:
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At least OMO is a palindrome
(https://www.virtual-pub.com/SMF/proxy.php?request=http%3A%2F%2Ffarm4.static.flickr.com%2F3648%2F3370528309_cdcc5460cf.jpg%3Fv%3D0&hash=22f97c30612be4424fbd16dfab5f3f0372f09098)
Thanks to the pub I knew what it was!
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Nuts noooo:
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At least OMO is a palindrome
(https://www.virtual-pub.com/SMF/proxy.php?request=http%3A%2F%2Ffarm4.static.flickr.com%2F3648%2F3370528309_cdcc5460cf.jpg%3Fv%3D0&hash=22f97c30612be4424fbd16dfab5f3f0372f09098)
Thanks to the pub I knew what it was!
What, a palindrome...?
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It's like a small cinema that shows only Michael Palin programmes noooo:
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Banghead
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It's like a small cinema that shows only Michael Palin programmes noooo:
drumroll: