thanks for the information and the offer to look into the nails and hair growth it is much appreciated. Both you suggestions were great ideas i had not thought of taking pictures of my nails i have a friend who is a nail technician and i am sure she would help me out. in terms of shaving my body hair i use hair removal cream on my left side i can't use a razor due to the tremors but on my right side i very rarely have to use anything to remove the hair as it grows very slowly but i will leave my left side so the Dr can compare it to the right side. I spoke to my husband about your suggestion of photos he said why not take them daily for month and also when the swelling and colour changes are at their worst and take them to the Dr so even if on the day of the appointment my limbs look ok i can show the pictures and hopefully they will take notice. So thank you again for the wonderful advice