@mark2471 that is correct that is what they should have done, but that is what they never did! In fact, they incorrectly diagnosed me with “pseudo gout“ because they were ignorant that pseudo gout is actually a calcium deposit and not just “other “then gout. My father had gout. They said if it continued, then they would need to aspirate the joint, but because I did such a good job in my 40s of making my body go alkaline and never having another joint flare that sent me to the hospital they didn’t put two into together that all of my arthritic inflammation, which couldn’t be attributed chromatism and osteoarthritis should have been attributed to gout. It just showed me showed me how lazy they were. Even over the years when I continued to go to doctors they would pass me onto the specialist and the specialist with yawn and say your x-rays are loaded with osteoarthritis. And I would say, but why do I have so much pain? They would say some people have pain and some people don’t have pain. But now I know that the pain was due to the gout, causing an inflammatory reaction in my joints. I am angry so angry about this. I can’t even tell you because I went to so many doctors and had so many tests, but the simplest thing like a uric acid level test nobody could be bothered to do. It is possible that it just never showed up because I always controlled the acid in my body when I could control it in my younger years. But it is a disease so the gout flares that I had should’ve been followed over the 25 years of arthritis pains, and complaints and doctor visits.