Draco’s swollen feet to demonstrate gout symptoms. His last foot is normal except for an unrelated twisted toe. It will take many months of treatment to make the swelling go down. The swelling in his back feet is much less than it was before and the front paw is softer.

At age 16, Justin Willoughby was facing death because of his weight. Weighing in at 799 pounds, Justin had hit rock bottom, and had to make the choice to change. Several years later, Justin has lost 600 pounds without weight loss drugs or surgery, and is living a healthy lifestyle, and helping inspire others to lose weight, get fit, and live a life free from obesity. He was quoted as saying, “I didn’t know if I would live or die. I just knew that I had to focus on the day I was living. I had a ‘lose weight or die trying’ mentality.” Learn more at http://www.huffingtonpost.com/2014/06/16/i-lost-weight-justin-willoughby_n_5310166.html and http://justinwilloughby.com/600-pound-weight-loss/. #obesity #fitness #childhoodobesity #diabetes #diabetes #hypertension #Cholesterol #gout #SleepApnea #weightloss #exercise


For some reason I started walking around the house reciting the Spam sketch from Monty Python much to the initial enjoyment of my sons and then to their chagrin. “Stop using that voice, dad.” I decided to introduce them to Monty Python and showed them the sketch. They scoffed at it. Aaron said it was stupid. Then they spent the next day reciting it just like I was doing and laughing themselves silly. Then it dawned on me that they have no idea what Spam actually is. Cut to today when I fried them up some Spam for lunch. I hadn’t had Spam since I was a little, little guy. Good Lord it’s salty! It tastes like gout. The boys didn’t like it but they ate it. Our Spam experiment is over. More Monty Python to come.

For all looking for relief try this natural remedy..

Papaya For Uric Acid/Gout Problem


  • Medium green papaya
  • 3 liters water
  • 5 or 6 bags of oolong or green tea


  • Boil at least 3 liters of water.
  • Wash the green papaya 
  • Slice and remove the seeds and cut into small cubes
  • Place papaya into the water with skin on and bring to boil
  • Add tea leaves (similar to the tea making process…)
  • Steep
  • Drink Frequently !!!
Medical Quickies

Helpful pointers from the wards:

1. Patient with gout is usually managed with Colchicine. However, if patient suffers from renal disease, the alternative to use is STEROIDS - prednisolone

2. When assessing a patient who fell (fall assessment, especially for geriatric patients) - always based your history and assessment according to these 4:

  • BALANCE - musculoskeletal problems?
  • BRAIN - drugs/alcohol?
  • BLOOD PRESSURE - orthostatic hypotension?
  • NEUROLOGY - vertigo, vision, delirium, seizures? 

3. Risk factors for urinary retention:

  • Age
  • Immobilization
  • Trauma (pelvic injury)
  • Surgery - orthopedic, pelvic surgery
  • Post Op - anaesthesia
  • Drugs - antimuscarinic/cholinergic

4. Urinary retention causes:

  • External mechanical obstruction
  • Detrusor muscle laxity / detrusor problems
  • Spinal cord injury
  • Trauma

5. Orthostatic blood pressure: from sitting to standing, the systolic blood pressure should drop a little, while the diastolic blood pressure should rise to compensate for systolic, additionally, the heart will beat faster.