Next to him, Harold Gouts tried to make a note in his notebook.
One minute past five, precisely," said Harold Gouts.
While they waited for Charlie to appear, Gouts put his rucksack on the floor and pulled out a carton of skimmed milk.
In a typical UK general practice of 2,000 patients, there may be 17 men and three women with gout.
figures from the UK Gout Society)Gout can be triggered by:
Uric acid is a by-product of purine metabolism, so gout sufferers should try to follow a low purine diet.
MENTION gout and the traditional image is of a boozy lord in breeches and frockcoat, resting a swollen appendage on an embroidered footstool.
Gout is not a disease of yesteryear nor one of excess, yet these misconceptions persist, much to the frustration of sufferers.
AS EARLY as the fourth century BC, Hippocrates wrote about gout as an affliction of old men and a product of high living.
Around 70% of gout sufferers are affected in the big toe, where gout causes intense pain, swelling and red, peeling skin.
Acute gout usually starts in the early hours of the morning, and the onset is swift and unremitting.
Gout is caused by the build-up of uric acid in the body, which results in needle-shaped crystals being deposited in the tissues.