#podagra

[brimo5]

The new generation of the chthonic family is wild—think about the goddess of gout, who is stepping on everyone’s feet as she goes.

Priam, though Doughty called, had gouty feet Achilles, Peleus' son, did die of gout Bellerophon Gout's trials had to face, And gouty too was Thebes' king Oedipus, And Plisthenes, from Pelops sprung, had gout And gouty general too was Poeas' son Another Doughty-Footed one Thessalians led. Who, when Protesilaus had been killed, Though gouty and in pain, did lead his host. The king of Ithaca, Laertes' son. Was slain by me and not by spine of fish. (Lucian, Gout, 250-262)

O hateful name, abhorred by all the gods, O Gout, most rich in woes, Cocytus' child, Whom in dark hidden depths of Tartarus Fury Megaera from her womb brought forth And fed thee at her breast, thou cruel babe, To whom Allecto too did offer suck. (Lucian, Gout, 1-6)

Then did mighty Gout appear. After Clotho brought thee from her womb And the Fate had washed her child, Joy was seen o'er heaven's shining face, Thunder pealed from cloudless sky. And rich Pluto from his ample store Gave thee milky breasts to suck. (105-111)

Mighty Maid with heart of steel. Goddess dreadful in thy wrath, Hear the cries of thine own priests. Prosperous Gout, how great thy power ! Dread art thou to Jove's swift shaft, 195 Fearsome thou to Ocean's waves And to Hades king below (191-197)

[reanimaator]

Hannibal has gout.

sick of pathologizing our favorite characters. “This one has anxiety, this one has ADHD”

we need to expand our diagnosis. Mario has acid reflux. that guy from Supernatural has herpes. Wonder Woman has a UTI. we have the power here

[ohhmichelettoohh]

I love Grandpa Suly ngl, absolutely would <3 he would need his walking stick when I'm finished with him, and not because of his podagra ;)

[1234567ttttttttttt]

Podagra, KIŁA, miażdżyca, dżuma – o sarmackich CHOROBACH i innych dolegl...

[miraridoctor]

Gout is a form of inflammatory arthritis characterized by sudden and severe attacks of pain, swelling, warmth, and redness in the joints. It often affects the big toe, but can occur in other joints as well, including the pinky toe. Gout in the pinky ... #Mirari #MirariDoctor #MirariColdPlasma #ColdPlasma

[dwindlingdenny]

Post 1 : Introduction

My name is Denny, and I am a 22 year old woman.

I've struggled with weight loss all of my life, and ever since early childhood - as early as the age of 7 - I have struggled with B. Ed and weight gain way over the safe measurements. All of my life up until recently I've always been on a FAD diet, or binge fest, with no other manner of consumption in-between. By age 13 I already weighed an awful amount: 119.8 kilogrammes (264 lbs). Unhealthy, struggling, and in pain - I was taken to one of the best hospital of the capital city. I was diagnosed with prediabetes and given Metformin to manage my poor health. I was also given a diet plan, however following it did not work out, unfortunately, since at age 13 I was struggling emotionally to the point where su!€!dal. Therefore, for the longest time I wouldn't care at all about life itself.

About around age 17 I first got into fitness after stumbling across Obese to Beast on YouTube. My first exercises were almost inadequate workouts consisting of only sit ups, stretches, and squats. However, this newfound affection towards physical exercise and ability snowballed. Soon afterwards, the weight was simply falling off on the grounds of meal preparation, staying consistent with the workouts, which kept getting easier and easier. That was also when I chose my prom dress, which is important later on.

As good as this period of my life was, it was shattered into nothingness by a heartbreak when I realised a long-term crush of mine - whom I've genuinely admired for well over 3 years - had started an intimate relationship with a close "friend" of mine. I let everything go for several months, putting back about half of the weight I'd lost - about 10 kilogrammes.

Soon, it was about two months until prom, and my wonderfully dreamy babypink princess dress did not fit. At all. I panicked. And in the span of just a month I fit in the dress again through severe restrictions and constant cardio workouts.

After graduation I entered a very dark time of my life, because I was continuing my unhealthy, almost inexistent diet, and if I did eat anything more than my daily caloric intake (of a little baby..) I'd make myself sick. My last summer before University was my Coke zero summer. It was the only thing I consumed other than water.

Then, at Uni, I met my wonderful then colleague, then boyfriend, currently fiance. He retaught me to eat again, and eventually after 3 years together I gained most of my weight back. Currently, I weigh 104 kilogrammes as of today. Jan 1rst I weighed 106.4 kilos, and I know this for a fact because I ended 2023 in the hospital again. Discovering my blood sugar issues are far from solved, and my family tree illnesses are too realistically close to me. I have hugh cholesterol levels. My blood pressure, similarly to my family members', is generally messed up. I'm headed towards Podagra quite like my grandfather. I am only 22 years old, and learning about my health actually having had a massive decline in the past 9 years since my last check up was shocking to say the least. I was prescribed medication again, to manage most of everything, and had a very serious and open talk with my endocrinology doctor. She was kind and understanding, and gave me rather sufficient information for my next steps.

This is how I've managed to reach this day. A wonderful lazy Saturday where I'm daring to seek accountability.

I am losing weight for me, and for my future.

Being somewhat of an online diary, this platform for me does feel like a safe space, therefore I'd be happy to receive any help or advice!

Thank you for reading this far along and I hope to see you tomorrow again!

Yours truly,

Denny

[capra-persa]

Ennio, Sat. fr. *XIV R. (= Sat. 64 V.2).

numquam poetor nisi <si> podager

non mi dedico mai a comporre versi se non quando sono affetto dalla podagra (=gotta)

[tikhanovlibrary]

Mafarka the futurist

"Here is the great novel boute-feu that I promised you.

Like our own soul, it is polyphonic. It is at the same time a lyrical song, an epic, an adventure novel and a drama.

I am the only one who dared to write this masterpiece, and it is with my hands that it will die one day, when the growing splendor of the world will have equalled its own and will have made it useless.

Whatever the inhabitants of Podagra and Paralysis say, it flaps in the wind of glory like a banner of immortality, on the highest peak of human thought. And my creative pride is satisfied.

Don't defend it: rather, look at it bursting out, like a well-loaded grenade, on the cracked heads of our contemporaries, and then dance, dance the warlike round, wading in the puddles of their stupidity, without listening to the monotonous lapping!"

-F.T. Marinetti, Mafarka the Futurist

Coming soon to www.tikhanovlibrary.com

[kim-k8]

Inktober #1: Crystal

Can't believe it's time for Inktober 2021! :) Feels like this year has flown by.

Had a bit of a mind blank on the prompt, so just went with the first thing that popped into my head... which was gout 😅

Used a dip pen, kuretake ink and copics.

[walvitswordsandpoems]

DNA MOCZANOWA - objawy, przyczyny, leczenie.

[s-citrus]

No new art! Here's my upcoming dnd character!

[1234567ttttttttttt]

UDAR mózgu i podagra - czyli jak UMIERAŁ Zygmunt III Waza?

[moopenheimer]

Der Arzt als Hausfreund

Der Arzt als Hausfreund

Neben eine gut sortierten Hausapotheke ist eine hilfreiche Rezeptsammlung und ein Erste-Hilfe-Buch von unschätzbarem Wert.

Meine Erste-Hilfe-Bücher habe ich euch schon vor einiger Zeit vorgestellt. Wer sie verpasst hat, klickt hier.

Meine Hausapotheke kommt erst noch, aber andere Artikel zum Thema Apotheke findet ihr hier.

Heute geht es also um Rezepte, Heilmittel und Pulver – wirksam von Ärzten…

[megashadowdragon]

It has been called many things- the unwalkable disease, gutta (drop), podagra, arthritis of the rich, and the disease of kings (which sounded suitably dramatic for a title).

But we more commonly call it gout.

Doran Martell suffers from an advanced stage of gout, perhaps even exaggerated, since he has had his movement restricted to such a degree that nearly all motion is difficult without severe pain. (I'm not a doctor so, I can't say for certain)

Gout as a Facet of Doran's Character

We know that Doran is in constant pain, that it prevents sleep, and he finds no hope in medical treatment curing his disease.

The prince turned his chair laboriously to face her. Though he was but two-and-fifty, Doran Martell seemed much older. His body was soft and shapeless beneath his linen robes, and his legs were hard to look upon. The gout had swollen and reddened his joints grotesquely; his left knee was an apple, his right a melon, and his toes had turned to dark red grapes, so ripe it seemed as though a touch would burst them. Even the weight of a coverlet could make him shudder, though he bore the pain without complaint.

For comparison here is a testimony from a patient with gout in a single leg:

"The patient goes to bed and sleeps quietly until about two in the morning when he is awakened by a pain which usually seizes the great toe, but sometimes the heel, the calf of the leg or the ankle. The pain resembles that of a dislocated bone ... and this is immediately succeeded by a chillness, shivering and a slight fever ... the pain ..., which is mild in the beginning ..., grows gradually more violent every hour ... so exquisitely painful as not to endure the weight of the clothes nor the shaking of the room from a person walking briskly therein."

That is what Doran endures each day, constantly. Even the weight of a sheet would make the man shudder.

It is no wonder to me that he loves watching the little children splash and laugh and play in the Water Gardens. I imagine each glance must be bittersweet- imaging a time when he could run and splash with the other children, or watching Oberyn and Elia do the same. Knowing that now, his mobility, his autonomy has been taken from him, just as his siblings have been taken, leaving him unable to move, and unable to act.

Doran must be quite aware of how the children view him, and he takes special care to put them at ease, even at his own increased pain.

Then nought would do but he must say farewell to several of the children who had become especial favorites... Doran kept a splendid Myrish blanket over his legs as he spoke with them, to spare the young ones the sight of his swollen, bandaged joints

That splendid Myrish blanket sounds heavy with adornment (or even fabric) knowing that even a light coverlet's pressure pained him before this must be agony. It is my opinion that this blanket is as much for Prince Doran as it is for the children. He invites many children to the Water Gardens, a virtual safe haven free from class differences, a near oasis, the Prince entertains them, and it seems he must speak with them and come to know many of them. So much so, that he must say good bye.

Prince Doran carefully guards his image, this is part of the reason they left Sunspear nearly two years ago- he was getting sicker and needed to retreat from the whispers that filled the Shadow City. In the Water Garden's he is better able to project strength and wellness- his people clearly are unaware of how far his gout has progressed.

That this performance also extends to the children speaks to some form of painful self awareness on Doran's part- he doesn't want to expose his legs and upset them. I think he also doesn't want to see the children's faces and face their questions if they saw his legs.

Mobility and Autonomy

Something as simple as walking, is a thing we often take for granted. Doran can't get up to pour a glass of water, he needs help sitting up each day, he cannot support his weight enough to stand. It's paralyzing, it shrinks your perspective down to minute motions where every move is weighed by how much pain it will cause.

I think we can see this same restriction in his political moves as well- a painful reflection of his limited physical autonomy.

Hotah slid his longaxe into its sling across his back and gathered the prince into his arms, tenderly so as not to jar his swollen joints. Even so, Doran Martell bit back a gasp of pain... Hotah bore him up the long stone steps of the Tower of the Sun, to the great round chamber beneath the dome

The Prince of Dorne had to be carried from his seat, in the arms of his guard, up the steps of a tower to his bedroom. For a man in such a medieval martial society, that frames its conceptions of strength over acts of physical strength and war, which scorns physical disability, this must be a humiliating experience.

A Thimble of Poppy

It's after this day of bad news, of constant increasing pain, that we finally see a true crack in Doran Martell's armor. First the letter, which brought news of his brother's death, then his nieces repeated threats and calls for war (Obara, Nymeria, and Tyene), and humiliation from each we see him ask for a thimble of milk of the poppy. I'm not certain why, but these words (even after watching Maester Caelotte worry over possible poisoning) were very sad to read.

Doran has reached a wall, a point where he doesn't care anymore about keeping a clear head and frame of mind. He just wants relief, that constant spike in every joint, to be muted and fade to the background for a while.

Treatment

It seems that his gout has grown quite worse in the last few years:

Two years ago, when they had left Sunspear for the peace and isolation of the Water Gardens, Prince Doran’s gout had not been half so bad. In those days he had still walked, albeit slowly, leaning on a stick and grimacing with every step

Although gout has been treated in our own history for more than 2,000 years, it does not appear that the more advanced medicine of westeros (compared to our medieval history) has developed even basic treatments.

Since the time of Hippocrates we have known that gout was linked to lifestyle, and since Galen we've known that there are genetic factors associated with its development. For both of these periods gout was treated with a flower called the Autumn crocus- a powerful purgative (colchicine) was derived from it.

Strangely, there doesn't appear to be much help for it in westeros.

Maester Caleotte remained behind. “My prince?” the little round man asked. “Do your legs hurt?” The prince smiled faintly. “Is the sun hot?” “Shall I fetch a draught for the pain?” “No. I need my wits about me

In my opinion, this implies that the treatment automatically given is milk of the poppy. A pain reliever which would impair Doran's judgement- and milk of the poppy seems to fit (barring a more specific remedy we haven't heard of).

We also have reference to:

the maester helped Doran Martell to bathe and bandaged up his swollen joints in linen wraps soaked with soothing lotions

Although, I don't expect Hotah to be knowledgeable about the exact methods the maester uses to treat Doran- Hotah is in the third best position to know how the Prince is being treated (after Maester Caelotte, and Doran himself).

Lifestyle

Doran does not appear to have been given treatment options regarding his lifestyle.

A serving man brought him a bowl of purple olives, with flatbread, cheese, and chickpea paste. He ate a bit of it, and drank a cup of the sweet, heavy strongwine that he loved. When it was empty, he filled it once again.

This is, perhaps, the worst dinner Doran could have eaten in regards to his gout. Yet, it also is terribly mundane (by which I mean- likely a meal consumed regularly and not an indulgence). It is a staple meal- flatbread, cheese, and hummus. Simple, and certainly not King's Landing fare. But it is loaded with sugar, salt, and alcohol. All things which make gout worse- much worse.

We have another example:

He had decided to break his fast before he went, with a blood orange and a plate of gull’s eggs diced with bits of ham and fiery peppers

This is just as bad- sugar and meat- another food which exasperates his condition. One of the first lifestyle changes used as treatment was the elimination of alcohol, sweet foods from the diet.

It doesn't appear that Doran is remaining sick with gout to raise his popularity (as it was in our own history)

Gout (Everyone's Doing it These Days)

"The common cold is well named – but the gout seems instantly to raise the patient's social status", and to another in Punch in 1964, "In keeping with the spirit of more democratic times, gout is becoming less upper-class and is now open to all ... It is ridiculous that a man should be barred from enjoying gout because he went to the wrong school."

Nor does it appear that the gout is being used to ward off other more serious diseases (the gout seems extremely concerning)

In earlier times, attacks of gout were also seen as a prophylactic against more serious diseases. According to the writer Horace Walpole, gout "prevents other illnesses and prolongs life ... could I cure that gout, should not I have a fever, a palsy, or an apoplexy?"

My Takeaway:

I took a course on the intersection of disease, medicine, and history a while ago as a fun class- after reading this chapter again (Hotah I AFFC) I don't find him boring or lackluster anymore. If anything, Doran is incredibly human, and extremely relatable once you break him down.

He lives very much inside his own mind, I imagine wherever he is, Doran is always in the Water Garden's in his own head, seeing himself, Elia, and Oberyn shouting and splashing, as they were never able in childhood.

(Note: This is all said in the context of this one chapter, I haven't reread the next in the Dorne storyline yet.)

comments : I am not a medical student, so probably take my words with a grain of salt. Based on the source I listed below, it’s very universally known that sweets, alcohol, and meat (even sugar from fruit) exacerbate gout. The “drops” (Uric acid that builds into crystals in joints) is worsened by large amounts of sugar. (Like in the strongwine that Doran enjoys)Cherries do have sugar, not as much as other fruit, but I think they might have been referring to a combination of cherries and allopurinol which is used to reduce the amount of uric acid.Some older treatments of gout (that originated in the 19th c) basically attempted to purge the body of uric acid through urine. To my knowledge they use other methods today, but it must have been at least mildly effective (I remember reading about negative effects of such purgative treatment- so I’m not entirely sure).

[drakonovisny]

My dad has podagra and instead of treating it he says that 'vodka helps' so he keeps drinking it when pain gets worse. My mom has some serious anemia but she believes that medications are a scam so instead she 'would rather eat natural products high on iron' (which she doesn't). When I told my mental health keeps declining so I want to get a professional diagnosis in order to treat it they yelled at me for being weak and trying to waste money on 'something you can fix with willpower'. Why do I even keep trying to reason with these people?

[the-herbalist]

Asparagus

Asparagus officinalis

Common Name: Sparrow grass.

Medicinal Parts: Young shoots, seed.

Description: Asparagus is a perennial plant that is generally cultivated for food but may be found wild around gardens and in waste places. The short, horizontal root-stock has long, thick roots and sends up the young shoots that we eat as vegetables. If allowed to mature, these become branched stems that reach 5 feet in height. What look like leaves on the stem and branches are actually filiform branches which are clustered in the axils of the scaly, inconspicuous leaves. In May and June the plant bears small, solitary, pendulous, bell-shaped, greenish-white flowers. The fruit is a red berry, about ⅓ inch in diameter, containing black seeds and ripening in August.

Properties and Uses: Aperient, diaphoretic, diuretic. Asparagus acts to increase cellular activity in the kidneys and therefore increases the rate of urine production (it is not to be used when the kidneys are inflamed). It may also encourage evacuation of the bowels by increasing fecal bulk with undigested fiber. Asparagus has also been recommended for gouty and rheumatic problems (except podagra). The powdered seed can be used to relieve nausea and calm the stomach.