I occasionally suffer from gout and have a flair up once in a while. If I watch what I eat and exercise I can go many months or a year, maybe longer without a flair up. I can feel one coming on and if I take my meds right away I can endure with little or no pain.
A few months ago I had a huge flair up. My right large toe swelled twice it's size. I started my meds but didn't catch it in time. My toe got even bigger that it ruptured. This was the first and only time that had happened. It was gross! All this liquid & blood oozed out. I went in to see the doctor.
My old doctor would get on his knees and touch my foot to examine it. He was very careful not to aggravate the situation. The newish doctor came in and took one look at my foot and said "What the hell is that? That's not normal!" I was stunned! I felt weak and a little nauseous from that comment. I told him I suffered from gout and that at one time the flair up was so great that the uric acid crystallized and that is why my toe looks like that.
I said "maybe I have an infection?" He wrote out a prescription for antibiotics, handed it to me with the very tips of his fingers and quickly left the exam room to see another patient. I sat there a moment in disbelief, then I bent over, re-bandaged my foot and left. He didn't touch me at all or help me re-bandage.
When I got home I was so upset that I phoned my mom who is a retired nurse. She was shocked to hear of the exam. I told her I was coming up to drop off my pets and then go to the emergency room. I drove the 140KM and dropped off my pets and headed back. I didn't want to take the chance that I might be admitted and have no one to look after the pets.
When I got back to my city I went to the ER. Within an hour I had 3 doctors look at my toe, x-rays done and swabs taken of the white paste oozing. They put me on an intravenous antibiotic and told me I'd have to be an out patient for the weekend. The next day I went in and a specialist looked at my toe, he touched it, examined it, looked at the x-rays and swab/blood tests. The result? A gouty toe, no infection and it will heal on it's own. He bandaged it up and told me to keep it dry and let air get to the open wound. I did as was told and it healed fine.
I did mention to these doctors what that other doctor said. They sighed but couldn't say anything. Needless to say, I stopped going to that clinic. I found one close to home and so far the doctors/staff are much nicer and more professional. That other doctor can go to hell.