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The money he makes, running the farm with his unmarried niece, goes to support life in the city for his fatuous, gouty sort-of-ex-brother-in-law, an art professor who “knows nothing about art.”

One of them, Belgian impresario John Joseph Merlin, created a “gouty chair” that relied on gears and cranks to propel users.

If I eat a sugary dessert, I can feel it very quickly in my gouty big toes!

A critic of the upper classes might have found gleeful rough justice in the gouty punishment of a prosperous glutton, while the victim took solace in the pain as a mark of high status.

You may come for a glimpse at the gross — gouty hands suspended in glass or a “choking doll” designed to help physicians learn how to remove inhaled objects from kids’ throats.