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My very first attack of gout was after a transpacific flight to Tokyo on business. I thought I had a sprain in my foot and since I was at the Imperial Hotel in Tokyo, went to the hot water public baths to bath my foot….after a bit, the hot water jets on my foot “cured my sprain”
It wasn't until a few more attacks (several more on the same type of flight) that I went to my Dr. who diagnosed the gout.
He treated it with an injection of ACTH, a steroid of sorts that provided immediate relief. I don't think the drug is available any longer, but it was “magic”
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