Is it ready to lance?

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I have my second flare-up of this problem.. since I've had it before I knew exactly what it was as soon as it started hurting, and went to the ER right away. Last time I waited until I was in horrible pain, but this time I thought I'd catch it early. However, the doctors said it wasn't ready. My question is, is there any good way to tell when it IS ready to be lanced? I don't want to go back to the emergency room and be told the same thing, and then have to go back again. Any info would be great! Thanks
 
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