I am a 70 year old female with longstanding musculoskeletal problems and fibromyalgia. Recently diagnosed with gout and despairing with pain and lack of good sleep. Dr Samavi gave me a thorough and lengthy consultation about my medical history and how my quality of life has deteriorated in recent months. I now have a plan of action with a revised drug regime and ongoing support and Improved guidance and understanding for my GP. I feel optimistic that I will be able to regain my strength and interest in life along with improved physical ability to pursue my interests in walking gardening and looking after my grandchildren! No improvement necessary for consultant. The best yet!