Thank you all for your suggestions, and I will be writing them down for my next appointment.

The Gabba is helping at night, I am actually surprised it is. I am sleeping from 10pm to 7am now, in my bed, no couch, no more water baths. I am actually surprised that even when I wake at 7am my feet are not red, hot, swollen. They are white (normal color white) and the left foot always feels like pins and needles but to look at you cant tell anything. Feels like when your feet go to sleep and you stand on it pins and needles but magnified 10 times. I am very surprised by this, as Gabba can not do anything but block pain, so why are they not having flares in the night, unless I sleep through it which I can't imagine. Also why not red in morning? It is very surprising to me.

Days are better to, though I do not take medication other than at 10 pm. No water, no fan, and as long as I am not on them too much, good. Though taking a shower and getting ready always results in a huge flare and water bucket.

Between 5pm and 6 pm is like the switch is turned on and they begin to get hot. Without fail, every night about this time. However, the flares are less in intensity, no more huge swelling and huge pain, just normal burn/redness.

Hubby and I both believe the niacin was the trigger of my downfall and as the Gabba helps with pain and the days go by they are calming down from the huge reaction to the niacin.

Gout seems like when I read about that, my symptoms do not present as gout MrsD but I will certainly ask her about it.

Thank you for all the suggestions and help, I will present them in a couple weeks when I go back.