so..I was scheduled to see my endo. for my diabetes today.  Yesterday I emailed him my levels and asked if he could treat/eval. my foot since I thought I might have gout again.  I looked back and last time I had it was the week before I found out I was pregnant with this baby, so about 9 months ago.   I told him I was hoping to avoid another drs appt this week since I have 4 and Bo has one tomorrow.   He said to cancel with him and seeing my primary care for my foot. So that’s what I did. Dean stayed home w/ Boaz this morning so I could go to the appointment. Sure enough she thinks it’s gout so I start some meds for it, the kicker is what more than likely triggered this is the uncontrolled diabetes.  High levels of ketones causes high uric acid which is what causes gout. So last week when I questioned the other drs about the risks from the high ketones and blood sugars they said I shouldn’t be too concerned.   But…since I’m high risk for getting gout as is, and having been in ketosis last week(spilling sugar in my urine) the likelihood of this happening were pretty good. So now I’m in so much pain I can barely walk or even do anything without my foot hurting so bad I want to scream, all because the drs didnt respond quick enough when my levels were off last week. Needless to say I’m a little pissed off at those doctors for causing me to have all of this pain now, but at least the dr I saw today is proactive about it and says baby should be fine.  I will talk to the ob about it on Thursday, hoping it’s ok to wait til then.   Also hoping the pain subsides quickly after starting the medicine for this.   but as the dr says, it’s just one more thing for to deal with. she said she feels sorry for me!  this is the dr who I went to first after having Bo and being diagnosed with thyroid problems and all that good stuff. She said she saw my name on her schedule and was afraid I’d already had the baby and was already having post partum problems again. They are expecting things to get bad again post partum, I told her how scared I am of having the baby becuase the chances of my feeling even worse after delivering are so high because all of the conditions I have will flare up afterward.   but she did say after we deal with this and as long as I dont get pregnant again I probably wont have that many problems, that for me pregnancy just makes my body react badly. geez, tell me something I dont already know. so she agreed having no more kids was probably in my best interest. pretty sad when a dr tells you that.   pretty sad indeed.
so the dr is supposed to call me when she gets the labwork back, but was pretty confident it is gout again.  the interesting part of this is that at this point my pregnancy w/ Boaz my uric acid was high, which is what they test for when diagnosing gout. I was in the hospital even and they never decided why it was elevated, but since high uric acid is a symptom of pre-eclampsia they were concerned some but since my blood pressure was fine they did nothing. So I might just double check w/ the ob tomorrow if my uric acid is really high just so they know about it, since it could be the beginning of pre-e but each pregnancy at this point they’ve thought I’ve had pre-e and never gotten it.  could be I just get gout everytime and it isnt til now that I have a dr who is recognizing it.  so we’ll see what happens.  if anything this might help me have more leverage with which to move up my c-section date!!! I am so hopeful that it will be before April 7th, I feel so crappy all of the time and just want to be done, but knowing that the post partum period is going to be crappy too healthwise isnt too exciting either.  so much to look forward to, I just want Baby boy Mckenzie # 3 to be healthy and for me to be for once too!!   is that really too much to ask for?
