Lovely Video! Sorry for the intrusion, I am interested in your thoughts. Have you thought about - Fanebastianor Phrenic Formula (google it)? It is a good exclusive guide for eradicating your gout problem minus the headache. Ive heard some incredible things about it and my cousin finally got great success with it.
Dear Crazy Egyptian Guy, I LOVE Medicosis Perfectionalis!! What I am about to say should not be perceived as criticism, but as knowledge sharing. I was doing a deep dive into birefringence, and come to find out, that birefringence is the outcome of biaxial internal construction--as you showed in your - - versus I I diagram. I also learned that cubic crystals are uniaxial, while rectangles, needles, and rhomboids (any non cubic) are biaxial. Therefore, any crystal that is elongated in one direction will exhibit birefringence, and the more elongated, the more stronger the birefringence. Therefore monosodium urate crystal are STRONGLY birefringent because they are long needles, while calcium pyrophosphate crystals are WEAKLY birefringent because they are rhomboids, so that length is not that much longer than width. For me, remembering weakly versus strongly is an easier methods of telling the crystals apart. In spite of your good explanation, I never can remember which one is blue vs. yellow in which direction.
wow, my professor has sent us her lectures without explaining a word and she claimed* they are self-explaining*, lucky me, I found this treasure :) >>Thanks a ton.
I can answer the second question. Low-dose baby aspirin decrease uric acid excretion in kidney. High dose aspirin increase excretion and also is anti-inflammatory. I have no clue whether they can have many joints under acute gout attack. If it happens, the person must be very unfortunate.
1- yes, its possible, in a patient with chronic gout present with acute attack. 2- a low dose of aspirin will increase uric acid reabsorption in the proximal tubules therefore it has a bad effect on the gout.
It is possible to see polyarticular gout, but you'd probably have to go to a third world country. Polyarticular gout occurs when gout is untreated/uncontrolled is gout starts out monoarticular but can progress to polyarticular if it gets bad enough. This hardly ever happens because these days a patient can get treated with probenecid and/or allopurinol. Aspirin can make gout worse. However, if the gout patient is also a heart patient, the low-dose daily aspirin is good. S/he can take the low-dose aspirin.
