Chick is fine
1799 caricature of “the disease of kings”, by James Gillray. At this point in history, the cause of gout still wasn’t known, and it was only known that men who drank alcohol and partook in oily fish (oily fish like sardines were not cheap!) were far more prone to suffer than anyone else.
But! The gout could strike anyone. Young, old, women, men, teetotalers, drunks…anyone. And it still can. Some people are simply unfortunate in the cards of physiology.