I worked on a clinical trial comparing gout treatments for several years, true story.
My educated guess [albeit without access to serum urate level data, or patient history - apart from regular bragging about overindulgence on here, which is anecdotal but persuasive]: it's fucking gout.
(The Porcupine From Purgatory we of all lost both have them, Mon 5 Aug 2024, 16:52, archived)

Oh well.
Shan't cheer myself up with a roast beef dinner and bottle of claret then.
( garold you're on mute I SAID YOU'RE ON MUTE, Mon 5 Aug 2024, 17:11, archived)

Don't forget the cheese board!

(The Porcupine From Purgatory we of all lost both have them, Mon 5 Aug 2024, 17:15, archived)