Quick summary: within 24 hours my left big toe joint went from stiff to immobile and excruciating just to touch and I was a limping, whiny mess. I toughed it out for a couple days, resorted to using the broke-foot boot I still have from college, and when I got to the doc and the labs came back: not gout because my uric acid wasn't high enough, it was lasting too long, and the swelling wasn't huge.
That was my GP.
FF to yesterday where that thing I just said happened again to my right big toe. This time I went right away to a Orthopedic surgeon with a podiatry focus. And what did he say? Um, totally gout. Blood uric acid levels can be misleading and swelling varies by person.
And he stuck a needle in the joint and filled it with cortisone. That sucked.
So, we're going to revise my 2009 experience to say: WAS gout. And now I've got it again. Hopefully for less time, and hopefully with the clear memory of holding my head in a pain that bent my sanity at 3am as impetus to make some dietary and lifestyle changes.