### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello: I have had for several years now (I think four) swollen calves, ankels and feet with my toes becoming slightly to serverly mishapen. The ankels are so swollen that they have become thick folds of skin like tires, my feet and toes and ankels prior to this were very nice looking. I am overweight (morbidly obese) but I was also very over weight priort to this. I have on the front of my calves a purple/red/dull red areas now with pimple like extrusions? and sometimes the skin seems to weep. I am taking water pills prescribed by my GP who seems indifferent to anything else this could be. My left arch (I have high arches) is very painful and when I found out I have osteo arthritis, which had progressed to being without any cartilege when x-rays were taken and naturally it also makes walking painful. While I am so over weight I gained even more when my husband first suffered a concussion which took three years and in 2012 he had pancreatic cancer and died in September of that year. I have now lost 70 pounds, eat sensibly most of the time, drink a good 8 glasses of water daily, fruits/veg very little if any meat (I more or less stopped several years ago wanting to eat meat). I m five foot four, 65 years old, I now have high blood pressure, and recently had an allergic reaction to the BP pills I ve taken for five years (my tonque became so thick and big I couldn t breath and thankfully I was at the ER before it became that critical. The second time it happened I woke up with half my mouth filled and could not breath by the time the ambulance reached the Hospitals ER. The ER doctor treating me told me that it was an allergic reaction and I am now taking a different BP medication. I deal with depression and take pills for that, I also take Nexium for acid reflux, and since I ve changed my diet have fewer headaches. I have had stress for a very long time and my husband 22 months ago, died from pancreatic cancer. The GP I have (we moved to a new town in June 2011) is not someone I like but the system here is one cannot change. He appears to be a nice person I think, but as a GP I have the strong impression he is just putting in time until he can retire. I can t go back there too often I want to become angry with him for not being a good care giver with my husband and now with me. Becoming angry and telling him how I feel he did not look after Craig and he is not looking after me I don t think will help. I have the strong feeling he dislikes fat women which should not enter into his profession (in my opinion). Unless I draw pointed attention to my legs he doesn t even ask and he has not referred me to any other doctor that might have seen this before. If this type of skin discolouration which seems permanent, is an indication of (for example) heart problems I wouldn t know as he hasn t even addressed any of the common problems associated with these symptons. I am writing to you from Penticton, BC Canada and I hope this is a legitament website. Thank you for your time. Mrs. Fulton

### output:

Hi Mrs fultonWith your multitude problems, it is true you require reassurance from a physician and one who tackles all problems one by one, and it is bad if anyone differentiates a patient for obesity. Anyway, it would be a good choice if you can visit a general hospital in your country especially if it is under government control, i don't know if such hospitals are indeed there, but I may suggest you to seek someone thing for sure, you're all symptoms are manageable with symptomatic treatment.it is generally difficult to control weight, but remedies are there with die tic experts and nutritionists. Obesity leads to blood pressure, wrong digestion and many little this, but all can be managed in a good hospital best wishes