Gout is a rheumatic pathology caused by the formation of uric acid salts in the joints. At the initial stage, such a disease does not have clear symptoms and is usually detected when the patient experiences severe pain in the joints. How dangerous is gout, and what should you do to avoid serious complications?
First of all, it is necessary to clearly understand how gouty arthritis develops. The disease begins when an excess amount of uric acid occurs in the tissues of the body. Its excess usually appears when metabolic processes are disrupted or when the kidneys are unable to completely remove it from the body. For accumulation, urate crystals choose places characterized by reduced blood supply. These areas are usually cartilage and tendons. At the initial stage, the peripheral joints are susceptible to the inflammatory process, after which the disease gradually affects the joints of the fingers and elbows. This condition then causes the formation of lumps (tophi) on the affected joints, after which gouty arthritis becomes chronic.
Experts divide this disease into the following forms:
The disease can be primary or secondary. The primary type of gout is due to the presence of genetic defects and a reduced ability of some enzymes to participate in metabolic processes.
Most often, the causes of this type of gout are excessive consumption of meat products, alcohol, weight loss diet or monotonous diet.
As for secondary gout, it is a consequence of other diseases, such as impaired renal function, disease of the circulatory system (lymphoma, leukemia, polycythemia). Also, the occurrence of the disease can be triggered by treatment with cytostatics, saluretics or other similar drugs.
Symptomatic manifestations of gout are divided into three phases:
Gouty arthritis is considered an insidious disease. If it is not treated on time, then the disease with its metabolic disorders begins to have a negative impact on other organs of the body.
First of all, the kidneys are affected, in which urate stones form, thereby reducing their function. Urolithiasis becomes a major factor in kidney failure, which can cause death in gout. Gouty nephropathy gradually blocks the flow of urine, causing pain and difficulty urinating. Such factors increase the risk of infection in the urinary tract.
As practice shows, elevated levels of uric acid in the blood for a long time cause:
Therefore, to avoid gout and its complications, regular diagnosis of the disease is necessary. At the first suspicion of gout, constant monitoring by a doctor is necessary, and patients should also follow a diet. It is this approach that will allow the patient to be treated effectively.
The peculiarity of the disease is that it is never too late to treat it. In this case, there is a clear paradox. Despite the fact that the disease is a serious illness, it is quite possible to cope with it on your own. The most important thing in this case is complex therapy.
As treatment experience shows, in addition to prescribing medications for gout, a diet that does not contain foods rich in purines must be followed. If the patient can adhere to the prescribed diet therapy, then the resulting lumps on the joints will begin to disappear and the body will recover.
A low-purine diet reduces the concentration of uric acid in tissues and facilitates its excretion by the kidneys.
In order for the disease to recede, the patient’s menu must undergo serious changes. The diet for gout is based on the consumption of foods that reduce the accumulation of salts and promote their removal from the body.
Diet is especially important for gout. Meals should occur at the same time, and the number of meals can vary from 4 to 6 times. Such an approach to nutrition will allow the patient not to limit nutrients in nutrients and at the same time does not contribute to overeating.
Excess weight and sudden weight loss are equally harmful to the body, especially with gout. Therefore, the diet should only be prescribed by a specialist. If it is necessary to carry out fasting days, the use of permitted products is allowed; the only exceptions should be prohibited and high-calorie dishes.
The gout diet should not exceed the daily purine allowance of 100-150 mg, while a healthy person of similar products can consume more than 800 mg. By following a diet, changes in the patient’s body will be noticeable within a week.
Next, we will consider what the patient needs to give up and what needs to be included in the diet.
The gout diet excludes from the patient’s diet first courses prepared with meat, fish and mushroom broth. Also, the use of legumes, sorrel, spinach and cauliflower in the diet is not allowed, as they cause an increase in uric acid. It is not allowed to prepare various dishes from the liver, kidneys, tongue, brains and meat of young animals. The diet should not include sausages, as the preservatives they contain can cause an acute attack of gout.
Not the best foods for gout are dark chocolate, coffee, and strong tea. The purines they contain do not convert into uric acid. However, the presence of diuretic properties in them contributes to cell dehydration, which leads to an increase in uric acid in the tissues.
Very harmful foods are spicy and salty foods, which contribute to the formation of uric acid crystals. You will need to significantly limit your salt intake. Its daily portion should not exceed 5 g.
An incompatible combination is alcohol and gout. Vodka, wine, beer and champagne should be completely excluded from the gout diet, even in the smallest doses. A large amount of purines and the ability to dehydrate the body leads not only to an increase in uric acid, but also to severe intoxication.
Foods containing large amounts of fiber are very beneficial for gout. These include both vegetables and whole grain cereals, baked goods and dietary bread.
As for vegetables and fruits, with the exception of the prohibited species listed above, almost everything is allowed, since they contain almost no purines and are rich in fiber, vitamins, complex carbohydrates, various mineral compounds and antioxidants. Fresh tomatoes, garlic and lemons are especially useful. Salads with the addition of dill, parsley and cilantro have an alkalizing effect.
In the acute stage of the disease, the patient should completely exclude any meat from the diet. During the period of remission, it is allowed to cook from white chicken or turkey fillet, lean rabbit meat and fish.
Soy and tofu are very beneficial for gout. They contain substances that can enhance the excretion of uric acid. You can also include unsalted cheeses such as Adygei in your diet. The consumption of chicken eggs is allowed, since the whites contain practically no purines, and the yolks contain very little of them.
The patient's diet should include plenty of drinking up to 2 liters per day. Fresh juices, fruit compotes, herbal teas and alkaline mineral waters will have a beneficial effect. It is advisable to use sugar as a sweetener, and it is better to avoid honey. The latter, according to some data, contains oxalic acid, which provokes the development of gout.
Some experts argue that a diet for gouty arthritis is not a temporary measure. For patients prone to such a disease, it should become the main principle of nutrition, which is based on taking care of your body. It is this approach that will allow you to forget about gout forever. Be healthy!
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Have you ever experienced unbearable joint pain? Judging by the fact that you are reading this article, you or your loved ones are faced with this problem. And you know firsthand what it is:
Today, gout is a common type of joint damage. This is a disease associated with the deposition of uric acid salts, accompanied by inflammation, severe pain and the formation of nodes (tophi). The disease occurs predominantly in older people, often males. With gout, almost all movable joints are affected, but most of all the joints of the fingers of the lower extremities. How to treat gout, and what effect it has on the human body as a whole, we will learn by reading this article.
Various factors contribute to the development of the disease:
In the acute form of gout, the symptoms of gout in men (as well as women) manifest themselves in the form of redness of the mobile joint, severe pain and swelling. The duration of this condition ranges from several days to weeks (if untreated). As a rule, the disease is nocturnal. The joint is hot to the touch and reacts sharply with pain to any touch.
In the acute period, the following may be observed: fever, diarrhea or constipation, pain in the abdominal area.
Most often, the disease affects the mobile joint of the big toe of the lower limb and not excluding other joints of the body (knee, elbow, etc.). In isolated cases, the tendons of the mobile joint may be damaged at the same time.
When you have gout, symptoms can be general or local.
Also, with the disease gout, the symptoms that you should pay attention to are the appearance of growths. When opening toful, you can see the presence of whitish crystals.
When the disease is gout, the symptoms of acute or chronic forms may differ.
When the disease is gout, treatment takes a long period of time and is a complex process, while it is almost impossible to completely heal the affected joint. Doctors advise, in addition to medication treatment, to follow a diet, reduce stress and, in addition, use traditional methods of treatment.
If you have gout, you should not treat it yourself, as there are many ways to treat it. It is best to consult a doctor to choose a treatment that will correspond to the etiology and its manifestations.
It helps reduce pain and inflammation, and also prevents re-exacerbation of the disease. If you have gout, treatment is prescribed depending on the degree of damage, the presence of allergic reactions and chronic processes:
During the acute period of gout, treatment consists of complete rest and elevated position of the affected joint.
After the pain attack has been relieved, basic treatment is prescribed, which is aimed at healing the entire body. If gout is diagnosed, treatment at this stage is selected only by a specialist after receiving test results and additional examinations.
In the acute period of the disease, gout, treatment prescribed by a doctor. does not affect uric acid levels and is not suitable for long-term therapy.
In addition to the medication method, the specialist prescribes spa treatment. During which the patient receives mud treatment, physiotherapy, massage, balneotherapy and exercise therapy. During the recovery period from gout, treatment consists of drinking mineral water, since the patient needs to drink at least two and a half liters of alkaline liquid. This type of therapy helps eliminate the causes of development. But it is necessary to identify the symptoms of gout in men and women in time.
Many patients ask the question: “How to treat gout with folk remedies and is it effective?” which we will help you answer.
In case of gout, treatment with folk remedies shows quite good results, but must be used against the background of drug therapy. These methods help reduce pain and stop an attack. How can you help:
In almost all cases, reviews of the treatment of the disease using traditional methods are positive. So, gout symptoms and treatment with folk remedies give results.
Preventive measures are aimed at reducing the content of uric acid, which helps eliminate the causes and subsequent development of the disease. A well-chosen diet is one of the main measures.
Prohibited foods for gout are:
For gout the following are allowed:
When following nutritional recommendations, patients observe a decrease in pain in the affected joint, and thus help get rid of the causes of pain. Thus, dieting is the main method of treatment.
For prevention, it is also necessary to take medications and physical procedures that correspond to the prescribed treatment by a specialist.
It is necessary to undergo examinations 2 times a year: ultrasound of the kidneys and a blood test for uric acid and creatinine. X-rays of the joints are taken once every 12 months.
Monitoring your weight is also recommended. Weight loss is carried out under the supervision of a specialist. If it decreases sharply, an exacerbation of the disease may occur.
As the disease develops, the general condition of a person suffers, and physical activity also decreases. If gout is left without appropriate treatment, it can lead to the development of life-threatening conditions for the patient:
Symptoms that first appear with gout require immediate medical attention. The specialist will determine the cause of the development and prescribe the correct treatment. If you follow all the measures, you can significantly improve your condition.
In this article, we learned how to treat gout and improve your condition. We also know that with gout, symptoms will be expressed depending on the degree of damage.
Gout is popularly called the “disease of kings.” The disease has been studied in detail since the time of Hippocrates.
The male part of the population is more susceptible to the development of gout. However, the disease can also be found in women during menopause.
Gout is a type of rheumatic disease that affects the joints.
The disease progresses against the background of impaired metabolism and an increase in uric acid in the body, which is the final metabolite of cellular activity.
Uric acid enters the blood plasma and is then excreted by the kidneys in the form of urine.
When its level increases, hyperuricemia occurs, in which acids are deposited in the joints.
This causes inflammation and aching pain, which intensifies over time.
In recent years, the number of cases of the disease has increased in the world: in European countries and the USA, the group of patients with podarga accounts for about 6% of the total number of patients.
Initially, with gout, disturbances occur in metabolic processes, after which the disease affects the joints, especially the joints of the legs.
When the human body is working properly, uric acid is excreted in the urine.
If there are any disturbances, including metabolic processes, excess uric acid begins to crystallize and be deposited in the joints. This leads to dysfunction of the joints, pain and inflammation.
The main cause of the disease is increased levels of uric acid in blood cells.
In turn, the increase in volume and accumulation of uric acid can be caused by two factors:
In developed countries, gout can develop due to the consumption of certain foods:
Risk factors that provoke the disease are:
Research by American scientists has proven that the disease can occur due to a genetic predisposition.
Photo: gout on the legs
More often, gout affects men over 40 years of age and women in menopause.
Gout can be recognized by two main symptoms:
The main clinical symptom of gout is attacks of acute arthritis, which:
Factors that provoke gout also include:
Another common symptom is gouty nodes.
They are nodules that appear near the ears and joints.
Such nodules gradually affect the joints, causing the pain to intensify.
Fig.: gouty node
With long-term observation of the patient, three main variants of the course of the disease can be identified:
Mild: attacks of arthritis appear no more than 2 times a year and affect 1-2 joints. X-rays do not reveal obvious signs of joint destruction.
Moderate: in this form, the frequency of attacks can reach 4 times a year and is accompanied by damage to 3-4 joints.
Severe: the frequency of attacks per year is 5 or more. Here there is multiple damage to the limbs, which is characterized by severe destruction of bone joints.
The clinical picture of gout is as follows:
Photo: progression of a gout attack
The forms of the first attacks are distinguished:
The following acute attacks of gout may occur at varying intervals.
Each subsequent attack affects more limbs and joints.
A repeated attack of gout is often preceded by a characteristic tingling sensation in the affected joint.
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To prescribe effective treatment for gout, it is necessary to conduct a high-quality diagnosis.
The following diagnostic methods can be used:
In the early stages of the disease, radiography does not show characteristic changes in the joints.
Photo: gout in the picture
In the chronic form of gout, radiography determines the destruction of the cartilaginous zones:
The most typical sign of gout is a pronounced bone tissue defect that forms in the first metatarsophalangeal joint and the articular zone of the hands.
There are 3 types of radiographic examination for chronic gouty arthritis:
When studying gout, specialists pay special attention to such research as a laboratory method.
Based on the data obtained, the volume of uric acid in the blood serum is determined and its clearance is established:
During a gouty attack, the content of ESR and leukocytes in the blood of patients increases and a weakly positive reaction is observed, while in the normal state such a reaction is positive.
Often laboratory tests confirm kidney pathology - in this case:
The synovial fluid and synovial membrane of the joint are also examined:
In addition, the composition of the blood is examined: in patients with gout, an increase in triglycerides in blood cells is often observed, which indicates the presence of disorders in lipid metabolism.
Treatment of gout is the task of traumatologists and rheumatologists.
Effective treatment requires a correct diagnosis.
Traditional methods of treating gout can be very effective.
Recipes are divided into 2 main groups:
Among internal remedies, tincture of red madder root is very effective.
To prepare it you need to prepare 1 tsp. roots of the plant, which should be filled with a glass of boiled water. The solution must be left for 1 hour. Take according to ? glasses in the morning and evening.
Remedies for external use include a variety of treatment methods:
You need to pour 500 grams into the container. iodized salt, add water and boil until the water evaporates. Then you need to add medical Vaseline (200 g) and chicken fat.
All components must be mixed. The resulting consistency should be applied to the big toe at night, secured with a bandage or elastic bandage.
You can get rid of gout on your big toe using a fish compress.
Before going to bed, you should take one frozen bag at a time, defrost it and apply it to your big toe. It is recommended to wear a sock on top.
Duration of treatment – 10 days.
In Japan, a doctor published a recipe that helps to permanently cure a person of joint pain.
It involves using cold and heat at the same time.
To prepare the recipe you need:
This procedure must be repeated daily for two or three months.
Gout can be cured with onion infusion: wash 3 medium onions and add one liter of water.
Cook the onion (along with the peel) until completely softened.
The resulting decoction should be consumed three times a day for 15 days.
Drug treatment of gout should be carried out under the strict supervision of a doctor.
The drug complex includes drugs that reduce the level of uric acid in blood cells and increase the process of its excretion by the kidneys.
Drug treatment for gout lasts about 6 months.
Modern and most common drugs that lower the level of uric acid in the blood are:
Treatment at home is associated with proper nutrition and the use of traditional methods of treatment.
In your diet you should limit the consumption of:
The patient is recommended to use:
For severe pain in the joints of the legs, it is recommended to wrap the painful limbs with pieces of foil: it relieves pain syndromes and makes walking easier.
There is another simple home treatment method:
This unusual method does not completely eliminate gout, but it helps reduce pain.
At home, with an acute symptom of gout, it is necessary to properly assist the patient:
During an exacerbation of gout, it is recommended to take Colchicine.
These tablets should be taken in descending order: the first day - 1 tablet three times, the second and third days - 1 tablet twice, the fourth and subsequent days - 1 tablet per day.
If you follow the rules and recommendations, an attack of gout should quickly subside.
Trace elements of iodine, when penetrating the affected joint, can partially or completely “extinguish” the disease.
There are 3 effective methods of treating gout with iodine:
Medical bile helps reduce gout attacks.
It must be mixed with ground hot pepper (4 pods) and ground red pepper (1 pod). The substances are thoroughly mixed and placed in a cool, dark place for 7 days.
The bile composition is used as compresses. The course of treatment is 10 days.
After 3 months, it is recommended to repeat the biliary procedures.
To prevent the occurrence of gout on the toes, methods of cryoapheresis and extracorporeal pharmacotherapy are prescribed.
Cryoapheresis is based on the use of low temperatures that affect the blood. This method helps to quickly remove excess uric acid from the blood plasma.
Extracorporeal pharmacotherapy promotes rapid absorption of drugs into the gouty lesion.
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Prevention of gout involves:
A routine blood test can identify problems with high levels of uric acid in the body.
When there are the first signs of gout on the legs, you must immediately consult a doctor for quality diagnosis and treatment.
Untimely treatment of the disease can lead to serious consequences for the kidneys and joints.
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Currently, gout is considered a rare disease. In Russia, approximately 0.1% of the population suffers from the disease, in Europe - about 2%. Men suffer from gout on average 4 times more often than women. The disease usually develops after 55 years in women, and after 40 years in men. Before menopause, women rarely get gout due to the effect of estrogen on the elimination of uric acid from the body.
The main cause of the disease is elevated levels of uric acid in the blood. In gout, uric acid crystals are deposited in joints and organs. This leads to a change in the structure of the joint, mechanical damage to tissue and, as a consequence, to partial or complete destruction of the joint. The disease affects the joints of the fingers, feet, hands, elbows and knees. Most often, gout affects the toes and foot joints, which is due to increased stress.
Without proper timely treatment, gout affects more and more joints, leading to problems with the kidneys and bladder. The disease often becomes chronic.
The development of gout occurs in four stages:
Gout occurs in two cases. The first is that the body produces too much uric acid, and the kidneys do not have time to remove it. The second is when the amount of uric acid is normal, but the kidneys cannot cope with their function.
People at risk for developing the disease are those who:
There is also a hereditary predisposition to gout.
Gout can be acute or chronic.
Signs of acute gout appear during attacks of the disease. They happen after overeating and drinking alcohol. A gout attack has the following symptoms:
The chronic form of the disease develops several years after the first attack if the disease is not treated. Chronic tophi gout usually causes kidney problems, causing kidney stones and gouty nephritis.
Without proper treatment, gout forms gouty nodes - tophi, from which the doctor can easily make a diagnosis. Tophi are deposits of uric acid salts. Yellowish nodules form on the legs, ears, elbows, feet, fingers, thighs, legs, forehead and near the cartilaginous septum of the nose. When the nodules burst, white crystals of uric acid are visible. The person feels severe pain in the affected areas.
The human body perceives gouty nodes as a foreign body that needs to be dealt with. As a result, the number of leukocytes increases and inflammation begins.
The disease is often combined with diabetes and obesity.
Gout without treatment leads to urolithiasis. In this case, kidney stones are formed from crystallized uric acid.
I would like to express my gratitude to Dr. A.A. Kryzhanovsky. for good treatment, I would really like to see him again. Also to my attending physician Savelyev V.A. for their attentive and responsible attitude towards their patients. And, of course, I would like to highlight chiropractor S.N. Paronko. for his wonderful hands. I will definitely recommend it to all my friends and, of course, will come back again. Thank you!
If you suspect gout, consult a specialist. At the Health Workshop in St. Petersburg, the diagnosis is made on the basis of a comprehensive examination. Our doctors use the following diagnostic methods:
Treatment of gout includes two main stages. First, you need to interrupt the attack of the disease, then normalize the metabolism in the body. Doctors at our clinic relieve pain and inflammation in the joints, normalize metabolism, relieve systemic manifestations of the disease, and heal the body.
The doctor will prescribe an individual course of treatment for you, taking into account the stage of the disease, age, gender and characteristics of the body. The patient undergoes procedures 2-3 times a week. Treatment for gout will take 3 to 6 weeks. The course consists of the following treatment methods:
A course of treatment for gout in our clinic in St. Petersburg relieves pain and inflammation in the joints, normalizes the level of uric acid in the blood and metabolism in the body, and eliminates salt deposits. Attacks occur less frequently or go away altogether.
After completing the course, the doctor will give recommendations on what lifestyle to lead so that the disease no longer bothers you.
A diet for gout will help you recover faster and consolidate the results of the treatment. It is necessary to eat small meals at least 4 times a day. It is recommended to drink at least 1.5 liters of water per day, and in case of exacerbation of the disease - up to 3 liters. Doctors at the Health Workshop advise you on how to eat properly when you are sick.
Include in your diet:
Exclude from the diet:
Our doctors recommend to avoid exacerbation of the disease:
How to start living without pain and worries
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Telephone consultation
A medical consultant will ask about your symptoms, select a suitable doctor, tell you about the cost of procedures and make an appointment for an initial appointment.
The doctor will examine and question you. If you already have the results of MRI, ultrasound and x-rays, he will analyze the images and make a diagnosis. If not, he will write out the necessary directions.
During the course of treatment, repeated appointments with the attending physician are unlimited and free.
Maintain your results after completing the course of treatment.
The doctor will give you a manual with personal recommendations for daily exercise. Try to exercise regularly to prevent the pain from returning.
Free preventive examination
After 3 months we will call and invite you for a free inspection.
The doctor will ask about your health and, if necessary, recommend diagnostic and supportive procedures.
The “Health Workshop” employs doctors of the highest, first and second categories. Our specialists have from 5 to 40 years of experience in treating diseases of the spine and joints. The doctor draws up a course of treatment, taking into account the patient’s profession and lifestyle, previous injuries and operations. Orthopedists and neurologists of the clinic regularly take advanced training courses and study professional literature.
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Gabdrakhmanov Rustam Fanilievich
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I contacted the Health Workshop clinic at the beginning of January 2017: for 3 months I had been suffering from pain in my legs, I had difficulty walking, every movement caused pain. I had an appointment with neurologist Valentina Ivanovna Karpukhina, a wonderful doctor, who immediately correctly diagnosed me and prescribed procedures. At first I didn’t believe in the success of the treatment, but as soon as I started doing reflexology procedures (needles), getting injections from the wonderful doctors Vladimir Yuryevich and Mikhail Vladimirovich, I immediately felt that the pain was disappearing, and later I began doing manual therapy from the very attentive osteopath Felix Sergeevich, who directed all his efforts to make me feel better with each of his procedures, gave advice and recommendations. Every time I came to the clinic with the greatest pleasure, since all the procedures were painless, everyone: from doctors and nurses to consultants at the reception, were very attentive and friendly. Many thanks to all the doctors - they are really interested in the patient’s recovery, they do everything with their souls. I recommend this clinic to everyone, because no amount of money can buy health, but here everything is in a complex, at a convenient time. All procedures are combined and have already been worked out for this disease. I will only contact you here.
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I thank the team for their professionalism and sensitive attitude. Personal thanks to chiropractor Kirill Valerievich Podnesinsky. I wish you further success in your noble activities.
Bukina Alina Evgenievna, 64 years old
I express my deep gratitude to the entire team and wish them to be just as kind and attentive. I am satisfied with the treatment.
Plich Lyudmila Mikhailovna, 83 years old
I thank all the employees of the Health Workshop for their exceptionally warm and attentive attitude. Special thanks to the physical therapy doctor Igor Vasilievich Panin. This is a very qualified, attentive doctor who helped me a lot. I want to come to this wonderful institution again and again.
Byailina L.Ya., 80 years old
In your clinic I gained strength, communicated with smart, tactful people. A little bit about yourself. Despite my scoliosis, oddly enough, I didn’t do much back work and did exercises irregularly. My lifestyle is quite active - I walk quite a bit, go to the countryside.
At the center I receive support and guidance. A high service culture and the opportunities provided are valuable.
I thank the doctors and nurses for their understanding and their efforts. Especially the attending physician Elena Vladimirovna Khislavskaya. The prescribed procedures only benefit me. The pressure is normal. And this is great, given my tendency to hypotension. Exercise therapy doctor Igor Vasilievich Panin proved to me that physical education is the only salvation in my situation
Doctors Kiryanova O.Yu., Kryzhanovsky A.A., Pak V.A. - these are professionals who are not indifferent to the problem.
The nurses are very attentive. I wish you success in your noble cause, and that there are fewer neglected and elderly patients like me.