Dead, I don't know anyone who has had gout worse than I used to get it. (Toes, ankles, knees, elbows and even one time in the large knuckle of my left hand). Started 10 years ago when I was 35 years old. Look at my post 365 on this thread. Maybe it will help you, or maybe I'm only lucky. One thing I'm sure of though (and you won't find any medical information that will tell you this)...don't ingest processed sugars with any meal that you are consuming any alcoholic beverages unless you LIKE getting the gout. (If this helps you, you owe me a beer!)
Right now, my gout is almost all gone, unless I'm on my feet for too long. Drinking alot of water helped, and I really think drinking a quart or so a day of black cherry juice really helped. Now I need to lose some weight (more like 40 than 15, unfortunately.)
Of course it could come back at any time, and I don't have to tell you how painful this thing can be.
I bookmarked this thread, and will come back to it if I need a more radical solution. Thanks for the advice. (and I will stay away from processed sugar when I have a little booze!)