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Kidney stone by far.
In the ER, 2 doses of Morphine had exactly 0% relief. I got Ketamine next and finally got relief.
I did get gout once. I can only describe it as walking on shards of glass while on fire. It was a tolerable pain while not walking, but it was excruciating while on my feet.
Gout is bad. Every step you take, when you put your foot down and put pressure on it, it feels like you just broke a bone. Then, when you lift your foot again, it feels like it breaks again. Repeat for every step. You have to sleep with your foot sticking out because the weight of a thin sheet is too painful.
A few years ago I slipped on the ice and hit my elbow. I got up and drove to work. After I got there, it was still a little sore. I work in a hospital, so I went and got an X-ray. Turns out I fractured my arm. My wife and my doctor both wanted to know how I managed to drive to work with a broken arm. It just didn't seem all that bad. It hurt at the moment, but then it was just a bit sore.