@pfreeman61 I've had episodes of gout once my 50s and once in my 60s. In my case I think it had to do with my diet and being overweight. From what I've read about gout, the medical community really doesn't know what specifically causes pseudogout. Here is some easy to understand information on gout and pseudogout - https://www.healthline.com/health/pseudogout

Gout and pseudogout are both forms of arthritis. I also have polymyalgia rheumatica (PMR) which was explained to me as "arthritis all over the body" by my rheumatologist. I think what has helped me keep both in remission is diet and losing some weight. It's a lifetime struggle for me because I've been able to eliminate most processed foods and all fast foods, I still like not so healthy snacks once in awhile.

A friend of mine has had both of his knees replaced by the VA and he is in his late 50s. He was in an Army Airborne unit so I imagine that didn't help with the knees plus I'm sure he has arthritis. I just had my right knee replaced a little over a year ago and it has really helped with the mobility. Are you looking to have both knee replacements done at the VA?