Keep It Low

My sister has another gout flareup. This is her fourth in the past 3 months so I don't know if we should be more concerned. The medication does not seem to be taking her uric acid levels down as much as it should. Is there something wrong with her kidneys? There does not seem to be a gout specialist in Calgary that we can request a referral to. At least our brother has more experience with gout so he can probably give some advice.