Having been thru months of pain, blood tests, x rays etc., my rheumy has now written to my GP requesting more tests as he thinks my problem may be gout! Apart from the fact that this is unusual in women - he seems to be basing his diagnosis on the fact that I have high uric acid levels in my blood. He does not seem to pay any attention to the fact, that my diabetes could cause this (I have already been diagnosed with early stage diabetic kidney disease and take ramipril for it) and have slightly high cholesterol - both of which I believe could cause high uric acid levels. He has not even discussed my other symptoms, like the fact that this did not come on suddenly but started with pins and needles in my wrist hand and arm and developed into intolerable pain that even diclofenac coupled with high dose co-codomol did not even touch! Also that ice packs made it worse and only heat therapy was any help (ie almost wearing a hot water bottle all the time) It was only once he had given me a steroid injection that I have experience any relief or improved mobility in my wrist joint, although it is still painful when not wearing my splint. Also he has not taken into consideration the fact that my joint is still fairly stiff and painful for at least an hour in the morning or after rest. Also my x ray shows some erosion to the joint. To my mind this points to it being some other form of arthritis other than gout but how do I get him to listen and get a proper diagnosis. With one thing and another I am already being treated for depression and am rapidly reaching the stage where I don't see the point in anything anymore. Please advise what I can do.