Archive for the Medicine category.

Native American Medicine

Published at August 23rd, 2010 in category Medicine, Native American

Good morning!

With health concerns being in the news more and more these days, I thought it might be interesting to have a look at the average person’s state of health in the Native America of the past, as well as medicine, as defined by Native Americans, what it was – and medicine men — who were they?  What did they do?  And who were shamans?

Let’s begin with medicine.  In Native America, medicine meant the great mystery.  If one could cure the sick, that person had great medicine.  If a man could go to war and come home alive, he had great medicine.  Plants had medicine.  Animals had medicine.   And certain parts of  nature had medicine.  The word medicine did not mean a pill or even an herb or remedy.  It meant simply that a man or a woman had a special connection with the great mystery or with the Creator.  When the white man came with his boats and guns and various things that the Native Americans could not easily explain, the old time Indian called these things (not necessarily the person who used them – but the things used), medicine.  The picture to the right is a painting by George Catlin of a medicine man.

native-americans.jpgThe Native Americans of North America  enjoyed great health and a physcial beauty that would rival the most beautiful of the ancient Greeks.  So writes George Catlin in the mid-nineteenth century, as well as Prince Maximillian and Bodner, Maximillian’s friend and artist, who travelled with the Prince to America.  The Native Americans of the past had no processed food, and, depending on the tribe, they ate many things raw or dried.  Many of the North American tribes were tall and firm of limb and body and as history tells us, a very handsome people.

Food, clean water and fresh air was their medicine.  True, there were herbs that the medicine men & women might use to help their people, but a medicine man’s stock and trade was not merely in herbs alone.  Indians of North America (before their diet was changed) were known for their straight teeth, which did not decay, even into old age in many cases.  There was a saying with the settlers — “teeth as strong as an Indian’s.”  There was little tooth decay, illness was not the norm amnong the people, and many of the diseases that plague us today were completely nonexistent.  People lived (if they weren’t killed in wars) to a grand old age.  There were many people who lived well into their hundreds, keeping hold of their facilities until death.

july06-yukon-photo-4.jpgThey lived in a land of beauty with fresh air, warm breezes, wholesome food and the love of family.  So what did a medicine man (or shaman) do if presented with illness?  Or physical problems due to injury?  Well, I can’t say exactly, since I have not this lifetime been trained in the Native American way of medicine.  I do, however, know this.  The stock and trade of the medicine man was his ability to drive out the evil spirits which inhabited the sick person’s body.  It was known by these men that illness was often caused by evil spirits that would make their way into a person’s body.  So a medicine man’s cures often had to do with driving these spirits away.  Thus, the rattles and drums of the medicine man.

How successful were these people?  According to legend, they were fairly successful.  While they didn’t keep statistics as we do today, their fame was only as good as they could cure those who were sick.  While using herbs collected and dried, they never forgot that their aim was to rid the person of the evil spirit which had taken over a part of the person’s body.

On a final note, since whole foods were the basis of their “medicine,” let me take a moment to tell you about corn, as prepared by the Native Americans.  The Iroquois built strong, tall and healthy bodies based on the three sisters, corn, beans and squash, with corn being their main staple.  The diet was augmented with meat when it was available, but corn was their main diet. 

However, it was a different kind of corn than what we know of it today.  Our corn has been altered, and cross-bred and genetically modified until it is almost completely a carbohydrate.  Not so Indian corn.  The Indians knew that corn had to be soaked for days in lime water before it could be used as a food.  Of course we know today that corn has many anti-nutrients — phytates — those things that protect the seed or grain, but are irritating and stressing to the human digestive system.  Soaking the corn in lime did two things:  1) it got rid of the phytates or anti-nutrients in the grain, and 2) it changed the nutrition of the corn into a per protein with all the amino acids present.  This tradition of soaking cornmeal or corn in lime before use is still with us in the southern part of the country — masa flour is often soaked in lime.   And on this sort of diet, the Iroquois built a confederation that was so strong, that it influenced a whole generation of our forefathers, who saw in the Five Nations Confederation, an organization of government that permitted every individual in the nation freedom of mind, freedom of spirit and freedom of body.

Well, that’s it for today.  So tell me, what do you think of the medicine’s stock and trade?  What do you think of their main medicine — whole foods?  If you had lived at that time, would you have taken the time to learn about their foods and how they prepared them? 

I’d love to hear from you.    Don’t forget to pick up your copy of SENECA SURRENDER or BLACK EAGLE today!



Health Care: Old-West Style by Susan Marlow

Published at August 7th, 2010 in category History - General, Medicine

With the national health-care debate on most everybody’s minds these days, I thought it would be enlightening to explore the options for health care in the Old West of the 1800s.

Technology exploded during the Gilded Age—the steam engine, electricity, the telegraph—marvels to behold! One would think medicine and health care would be right on track. Unfortunately, this was not the case. “Knife and pain” were two words always associated in the surgery-bound patient’s mind. Blood-letting (as much as a pint a day!) was still the “sure” technique to cure most illnesses—even into the late 1870s.

The brave folks who headed West discovered a new ailment: malaria, also know as the ague, which struck its victims with fever and chills. Very few escaped this disease. It was so common to Western life that it was considered normal: “He ain’t sick. He’s only got the ague” was an oft-heard remark.

Doctors were few and far between, if you could call them doctors at all (more about that later). Doctors could make two – three times as much money in the cities than in the country, so why would they hang around out West? The only treatment folks usually received was “He purged me, he bled me, he poked me. He never cured me.” So whiskey often served as a quick and effective pain-killer—it made the patient dead drunk.

Maybe you’ve complained about the high insurance and medical costs these days. Who hasn’t? Let’s take a look at what people paid for their health care in the late 1800s. Perhaps you’ll wish you were living back in the Old West.

Then again . . . anything you paid back then for services was too much, considering the actual, legitimate care you received in return:

Office call: 50 cents

House call (per mile): 50 cents (this could get expensive if you lived on a remote ranch 20 miles out of town). Some doctors would charge less if you fed his horse.

Labor and Delivery: $4.00

Fractures: $2.00 – $10.00

When you think that the average working-class family earned about $10.00 a week, it’s plain to see that most folks could hardly afford private medical attention. However, all things considered (the blood-letting, purging, sweating, etc.), this may not have been a disadvantage, and they probably lived longer.

Because guess what? The average patient had no clue if the new doctor (who had just hung up his shingle on the main street of Dodge City) was legitimate or not. The lack of education and proper licensing exposed the sick to all kinds of quacks posing as physicians. The medical field in those days did not attract the sons of the elite (they’d rather be lawyers), but instead attracted folks who saw a chance to get rich quickly. Most medical schools (and I use the term generously) were really diploma mills that required students to take only two, 4 – 6 month courses (the second course being a repeat of the first course). Even Harvard Medical School, which did have higher standards, rejected the idea of requiring a written examination for their graduates in 1869!

The diagnosis of the patient was based on guesswork (whether the doctor was educated or not), and the cure was totally unreliable. Sometimes the patient recovered; more often he did not. Especially if any kind of surgery was involved. During this “kitchen-table surgery,” the rural doctor was generally indifferent to any kind of cleanliness. Some of his instruments were not even rust-free (are you shuddering yet?). The doctor kept the sutures strung through his lapels or between his teeth for a handy reach. I guess the phrase, “What doesn’t kill you only makes you stronger” took on an all-too-serious meaning in the Old West.

 

The next time you visit a friend in the hospital, take a look around and send a prayer upwards that this place actually helps people get well rather than sends them quicker to the afterlife. Truly, the hospitals of the 19th century were the last resort for the poor. No person with any money at all would enter the doors of such a place, preferring rather to stay in their own, relatively clean and safe beds at home. I will mention that the Mayo Clinic was an exception to the general rule, but a private room in 1880 was $3.00 – $5.00 a day. Besides, the Mayo Clinic was a far cry from the Old West. Even so, most people knew that a hospital was a place to avoid, especially if one valued his or her health!

When you look at the news and wonder what our American health-care system is coming to, take a little trip down memory lane and try to imagine your health-care options of the late 1800s. Hollywood has glamorized most aspects of the Old West, but the truth is: The Good Old Days . . . They Were Terrible!

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In honor of the release of my new Circle C Adventure Book 6, Andrea Carter and the Price of Truth, I’m offering an autographed copy. You can read the first chapter at www.circlecadventures.com

To enter the contest, just leave a comment about some aspect of health care—modern or old-time. Perhaps you have a health-care story from grandparents or great-grandparents.       Share and win!



Old Time Medicine Not for the Faint of Heart

Published at June 12th, 2010 in category Behind the Book, Medicine

Val Hansen YEEHAW!   

  

 It’s Award Winning Author

      

         Valerie Hansen

 

Hello again!

Here’s an intro to THE DOCTOR’S NEWFOUND FAMILY, one of the stories I promised you last time. It always amazes me how much material is available in real history. There may be problems in politics NOW, but they can’t hold a candle to what was going on in 1855 San Francisco. (by the way, holding a raw egg up to a candle flame was how you used to pick out the rotten ones!) Works for me.

I loved researching “modern” medicine, too. What a hoot. Makes me wonder what they’re going to say about our cutting edge techniques a hundred years or so in the future. Talk about scary. Some of the old books in my collection deal with turn-of-the-century treatments, such as putting metal contraptions inside the poor women who had destroyed their bodies by lacing themselves into tight corsets all their lives. Ouch! By submitting to that torture, they could continue to follow fashion and still – maybe – bear children. No wonder men who had big families usually had had more than one or two wives in the process.

 You’ll find, in my favorite novels, that lives tend to turn out pretty well, at least in the end. That’s because it’s my choice how to manipulate the circumstances and make that happen. I’ve gotten letters from a few readers who are of the opinion I have all the answers. Nope. Not me. But I will say I understand the role that a strong Christian faith played in those days because I can still see that element right here, today, in my own.

orphanageNow, if I were half as smart as my characters are, I wouldn’t have a care in the world. Of course, my parents weren’t murdered and I’m not stuck raising three younger siblings, all by myself, in a society where women aren’t permitted to do many honest jobs. That’s the scenario I set up for Sara Beth Reese. Enter Dr. Taylor Howard, who actually went to medical school, such as it was in 1855. Most doctors apprenticed in those days, instead.

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 The crooked politicians and wealthy scions of San Francisco do all they can to not only rob Sara Beth and her brothers of their father’s meager estate, they set out to eliminate her when she’s too smart for them. If it weren’t for the Vigilance Committee and General Sherman and the loose handling of gold dust by the U.S. Mint….. Sorry, I can’t tell you more or I might spoil the story. J    

 I’m including a few pictures. Some pertain to the story while others are merely to add to my credibility when I write about guns and western lore. I can’t bake a biscuit over a campfire – at least I don’t think I can – but I’m quite capable of fetching fresh meat for the stew. I know, I know. It’s kind of un-ladylike. But I like to eat. And I never shoot anything I don’t intend to consume – except for an occasional armadillo that’s rooting up my garden. They carry leprosy, as well as other diseases, so I figure I’m doing everybody a favor. No, I’m not joking. I told you I was up on medical facts.

 Till we meet again, probably around Feb. 2011 when I tackle the 1906 San Francisco earthquakes and fires, keep your corset loose enough to breathe, don’t trust crooked sheriffs, support widows and orphans like the Ladies’ Protection and Relief Society did, and make sure your doctor went to a genuine medical school.

 Blessings,

Val

http://www.valeriehansen.com/

Woo-hoo! Val is giving away three copies of her exciting new book The Doctor’s Newfound Family.  Don’t be shy now, you hear?  Join in the discussion and you could be one of the lucky winners.

 

 The Doctor’s Newfound Family (Love Inspired Historical)

  

Love discovered in the most unexpected place…

 He found his calling ministering to the downtrodden in San Francisco. But in Sara Beth Reese, Dr. Cole Hayward finds something more. The beautiful young woman’s spirit and kindness warm Cole’s heart, but it’s her fearless determination that drives him to action. Sara Beth has vowed to clear the name of her murdered father, and she’ll face any obstacle to achieve her goal. Orphaned, alone in the world—except for the three younger brothers in her care—she needs Cole’s protection, whether she’ll admit it or not. As danger escalates, Cole will risk everything for the right to make this newfound family his to love and protect for a lifetime.

  



Waterloo Teeth

Published at April 26th, 2010 in category History - General, Medicine

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I came across an interesting bit of trivia the other day.  Interesting in a macabre, high-ick-factor kind of way.   It seems early dentures were created utilizing actual human teeth.  While porcelain teeth were developed in 1774, these early models were prone to chipping and breakage and were considered inferior to dentures utilizing real Teeth 02teeth.  Because of the scarcity of healthy human teeth, animal teeth were sometimes employed.  Some sets of teeth were carved from a single chunk of bone or ivory.  But none of these looked like the real thing and normally did not fit well enough to allow for eating or even clear speech.  The biggest problem, however, was the fact that there was no enamel on these materials.  That meant decay set in all too soon.  Which in turn led to a rotten taste in the mouth and unpleasant breath odor.  This problem was one of the reasons for the rise in use of fans as a fashion accessory.

Teeth 04As a side note, contrary to legend, George Washington’s dentures were not made of wood, but of animal teeth.  He actually owned at least four sets.  They included a set composed mostly of hippopotamus teeth, one of horse teeth, of gold teeth and of human teeth.  The image to the left is one of his actual sets, preserved in a museum.

Finding high quality human teeth to implant in dentures was a problem for these early dental pioneers.  The sources most accessible were less than desirable – corpses from potter’s fields, teeth pulled from dental patients, teeth purchased and pulled from the desperately impoverished.  For obvious reasons, none of these sources proved ideal.  Since the supply was limited, prices were quite dear.  Dentists were eager to find a plentiful source of healthy human teeth.

Then, in 1815, the Battle of Waterloo provided a gruesome bonanza.  50,000 men fell that day, most of whom were young, healthy and generally had good quality teeth.  Battlefield scavengers added pulling teeth to their plunder of the corpses, and sad to say, the not-yet-dead.  Most of these teeth made their way back to Britain – by the barrel full.  The top-quality dentures that resulted from this bounty were worn with much pride by the members of the affluent class as a sort of patriotic trophy and became known as Waterloo teeth. 

Waterloo 02

Over time, that name came to be used for any teeth taken from a battlefield.  Even though a satisfactory process for creating quality artificial teeth was developed in the 1840’s, as late as the American Civil War human teeth were still being harvested from battlefields.   

Before you think too harshly of this practice, however, you might stop and consider how future generation will view the fact that the most prized wigs and toupees of our generation are those made from human hair.

So, what do you think?  Gruesome?  Icky?  Cool?



The Razzle Dazzle of the Medicine Show

Published at November 30th, 2009 in category Medicine
 I’ve always been fascinated by the Medicine Shows that traveled the old west, and the charlatans who sold their magic medicines.
“Razzle-dazzle! Fast music and flashy color that made the blood zing, out there in the cornfields. ‘ Come on folks, Im going to give you the chance of a lifetime! I offer you this miraculous medicine that – ‘”

So starts a non-fiction book fittingly entitled “Medicine Show – Conning People and Making them Like it,” by Mary Calhoun. I used some of the details from this and other sources in one of my westerns, “Wanted.” The heroine and her brother were the off-spring of a medicine show family.  Well, everyone thought so.

For nearly a century, traveling medicine shows were a colorful part of the American life with their fast talking salesmen, their creatively named remedies and the varied entertainments that attracted the crowds. From 1850s until the 1940’s, medicine selling troupes moved from town to town, first in wagons, much later in trucks, all of the vehicles brightly painted to capture attention.

But medicine shows were not an American invention. Throughout the centuries, European Medicine shows consisted of a “doctor” selling his wares on city streets with the assistance of two or three hired musicians, clowns or acrobats, but the traveling medicine show developed in America.

In the early 1800s, medical care was very limited. Trained doctors were few – in 1775, only 400 of them held university medical degrees. Some didn’t go to medical school at all but apprenticed to an established doctor for four years. Some medical schools offered only two six-week terms before setting their students loose on an unsuspecting public. One prominent Philadelphia doctor prescribed horseback riding as a cure for tubercular patients because it was believed that the smell of horses was good for weak lungs. No one knew what cancer was or how to treat it. And only large towns had apothecary shops that sold the known medicines of the time.

So why not wonder medicines? Since colonial times, patent medicines had been offered for sale by individuals.   There was no regulation until the early 1900s.  

Although the medicine show started as small entrepreneur businesses, others saw it as big business. Two giants, the Kickapoo Indian Medicine Company and Hamlin’s Wizard oil Company, saw the possibilities.   They established medicine factories in the east and dispatched up to thirty troupes apiece to sell their products by entertaining small town America. 

Many of the “medicines” were touted as Indian tonics – “Nature’s Gift to Nature’s Children.” White men posed as Indian doctors. The Kickapoo Indian Medicine Company advertised its bottles of Indian Sagwa as an Indian remedy composed of the “virtues of roots, herbs, barks, gums and leaves.”

The advertising bills added that the concoction “was the purest, safest and most effectual cathartic medicine know to the public. The sciences of medicine and chemistry have never produced so valuable a remedy, nor one so potent to cure all diseases arising from impure blood.”

The price: $1 or $5 a bottle, a fortune back then.

Although the small one-wagon show continued to operate with its own homemade remedies, the trend was toward several wagons and as many as a dozen men and women who doubled as musicians and actors. After the 1880s, many of the shows featured Indians.

When the troupe arrived at a cross-roads or a town, they all started the same. First came the ballyhoo, the come-on. It might be a parade if there were several wagons, and if not, a dancing dog or a beautiful girl in a Chinese gown. The show began with music and laughter to warm up the crowd – musicians playing lively tunes, comedians telling jokes. The talent often included dancing girls, comedy sketches, even entire plays.

Then the “doctor” took over, giving a health lecture and selling his tonics and salves, pills and liniments. The “doctors” often had as creative names as their medicines: Brother Jonathon, Princess Lotus Blossom, Doctor Punja, and Silk Hat Harry.

And they had their own recipes. Brother Jonathon, mixed his Giver of Life compound in a large wooden tub. Going on the assumption that water is a gift of life, he mixed a tonic that was three fourths water. Other ingredients included Epsom salts, burnt sugar, powdered rhubarb, licorice powder and wintergreen essence.

Then there was a salve called Tiger Fat made of petroleum jelly, camphor, menthol crystals, oil of eucalyptus, turpentine and oil of wintergreen.

Vital Sparks – “God’s Gift to Men,” was made with small hard black candy, water, and a few powdered aloes. I leave its purpose to your imagination.

Some were harmful and contained cocaine or were so strong in alcohol that they masked symptoms in people desperately ill. But the medicine show doctors seldom sold medicines that contained dangerous drugs. Most pitch doctors specialized in concoctions of vegetables or mineral salts. They wanted to come back, and dead patients wouldn’t be good for them.

One ironic fact: the high alcoholic content of the popular invigorating tonics probably did produce a temporary feeling of well-being. Many of the Temperance ladies may have taken their daily doses of medicine without realizing they had broken their pledges never to touch alcohol. Lydia E. Pinkham’s Vegetable Compounds for women was dissolved in 21 percent alcohol.

The better drugs did work on occasion. Some of the Indian remedies did have healing properties. And the liniments, salves and tonics were often effective if used simply to massage sore muscles, sooth irritated skin and some were harmless purgatives. It was enough to bring testimonials from the locals, and repeat business.

“And partly,” according to “Medicine Show,” “the farmer opened his wallet and bought the medicine because the entertainment of the medicine show, the razzle dazzle in the cornfield, WAS a medicine, a balm to the spirit.”

Any of you see some great heroines and rascally heroes or villains here?

 

 



Amnesia-Sleepwalking by Amber Stockton

 

Amber Stockton

Amber Stockton

  

If you picked up almost any novel in the early 1990’s, about half of them would have a theme connected in some way to amnesia. It could be the main character or a supporting character. Either way, that theme and topic flooded the market for a brief period of time. So much so, that once the phase passed, editors wouldn’t even touch a novel that mentioned the word let alone had it as a plot element.

It’s a good thing that isn’t the case today. I’ve read some amazing novels in recent years where one character suffered from some form of amnesia and loved how the author brought the story around.

Hearts and Harvest

Hearts and Harvest

One of my books that I have circulating, trying to sell, involves the heroine suffering from a case of amnesia, but over 100 years ago, it was quite a bit different than we view it today. In fact, although the term dates back to the 1600’s, there weren’t a whole lot of doctors who diagnosed it as such until the late 1800’s. When I discovered this, it took my story in a turn for the better….and more entertaining. :)

copper_sm2_-_copy1What I discovered in most of the smaller towns or further out west in the more unsettled areas, the average doctor didn’t encounter many cases of this. So, being unfamiliar with how to diagnose or treat a patient suffering from it, they did one of the only things they could do. They compared it to what they *did* know.

And that was sleepwalking.

Quite often, sleepwalkers act and speak in ways that are foreign to their normal behavior patterns or personalities. Then, when they wake up, they have no recollection of what they did. In many ways, they suffer memory loss.

Patterns and Progress

Patterns and Progress

In addition, most believed that you should never awaken a sleepwalker for fear that you might separate their mind from their body and cause the person to suffer far greater maladies than whatever is causing them to behave this way. From medical books of the time period of my story, there are many documented cases exactly like this.

So, when a doctor was faced with a patient amnesiasuffering from amnesia due to a traumatic experience, an injury or any other cause, that doctor might caution those who know the patient to tread lightly. Such is the case in my story. My heroine is a prim and proper lady from Philadelphia who escaped an arranged marriage and fled east, then married a successful cattle baron in Wyoming. While journeying by train to visit her uncle, her train is robbed and an explosion causes her to lose her memory.

amnesia-for-dummiesTraveling on the same train is a young woman fleeing from an abusive marriage and coming to take a job as a barmaid in a saloon. A case of mistaken identity has my heroine working as that barmaid while news of her death is sent back home to her husband. When her foreman finds her, he can’t believe his eyes. He’d always held a torch for her, and now he has his chance! Once her husband finds out, the town doctor issues the warning that he shouldn’t reveal his identity to his wife for fear that further harm than good could result. The foreman takes his boss to see his wife, but the ranch owner can’t touch her or tell her who he is. Instead, he has to sit back and watch his wife flirt with his foreman!

And so the story continues… :)

As you can see, time *does* make a difference in medical discoveries, treatments, and diagnoses. In the case of my story, this discovery added a whole new dimension that made the writing of it a whole lot of fun!

 Leave a comment to get your name in the drawing for a copy of Patterns and Progress by Amber Stockton.  

 
Tiffany Amber Stockton is an author, online marketing specialist and freelance web site designer who lives with her husband and fellow author in beautiful Colorado Springs. They celebrated the birth of their first child in April and have a vivacious puppy named Roxie, a Border Collie/Flat-Haired Retriever mix. She has sold eight books so far to Barbour Publishing. Other credits include writing articles for various publications, five short stories with Romancing the Christian Heart, and contributions to the books: 101 Ways to Romance Your Marriage and Grit for the Oyster.

 Read more about her at her web site: http://www.amberstockton.com/.




Train Doctors

Published at July 26th, 2009 in category 19th Century Railroads, History - General, Medicine

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There are headlines aplenty these days around the topic of health care, but would it surprise you to learn that one of the early adopters of employer-based health care was the railroads?   

While the vast majority of nineteenth century workers had to find and pay for their own medical care, the railroads were developing a unique and valuable employee medical benefit. 

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Because the nature of railway work and travel conditions led to a heightened likelihood of injuries to employees as well as passengers and bystanders some form of available medical services became almost a necessity.  The problem became exacerbated with the opening of the transcontinental railroad.  As an ever increasing number of people were transported across unsettled territory, territory that never seen trained physicians or even the most rudimentary of medical facilities, the railroads had no choice but to hire their own physicians and set up medical facilities along their routes.

Thus was born the era of train doctors.  Most of the men and women who answered this call were actually general practitioners who could also perform surgery.   And because of the unique dangers railroad workers faced, the so-called train doctors found themselves faced with types of injuries which few had dealt with before.  They were pioneers in the development of trauma care under primitive conditions, developing techniques and treatments that eventually found their way into routine medical practice.

From the outset, most of these practitioners expressed concern over the conditions and equipment they had to work with, as well as the ability to see their patients in a timely manner when minutes could literally mean the difference between life and death.

first-aid-kitOne tool that resulted from the drive to get stop-gap care to workers who sustained injuries in remote areas, were special packs devised by railway surgeons to be carried on all trains.  These packs were stocked with basic emergency supplies such as medicines, sterile dressings and basic implements.  These were, in fact, the precursors of the modern day first aid kit.  Train doctors also promoted the training of key railroad workers in the use of such materials so that the injured party could be given appropriate first line aide until a proper physician could be reached.

As for facilities, at first, railroad doctors tried using hotel rooms, spare rooms in residences or even back porches for emergency medical care, but such rooms not only lacked the necessary equipment, their use also resulted in a large expense for the railroads who not only paid for the use of the room but also faced cleaning and replacement costs for bloodstained linens and furniture.  As an alternative, the train doctors pushed for the development and use of hospital cars to serve as both properly equipped surgical facilities and transportation for seriously ill or injured patients.  

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The adoption of such cars greatly improved the survival rate of the seriously injured railroad worker and eventually evolved into highly sophisticated facilities.  They contained room to bed and care for three to four patients as well as a fully equipped operating room.  They were scrupulously maintained in order to provide a clean environment in which the surgeon could effectively perform his duties, stabilizing his patients before sending him or her on to a regular hospital.

Speaking of hospitals, the railroads were also very influential in hospital2establishing such facilities along their routes.  In mid-century it was remarked that a person traveling from St. Louis to El Paso would traverse 1300 miles without passing a single hospital.    And this was only one of numerous such stretches in the country.  The first railroad to respond to this glaring need was the Central Pacific Railroad which opened its own hospital in Sacramento in 1869.  Other railroads quickly followed suit, establishing their own hospitals along well traveled routes.

Dr. C.W.P. Brock, President of the National Association of Railway Surgeons, was quoted as saying: Mr. Greeley’s advice to the young man to “go west” may be followed with great benefit by railway surgeons from the older sections of our country; and when they have seen the superb hospitals and the practical workings of the system they will say, as the Queen of Sheba said after seeing the splendors of King Solomon, “that the half had not been told.”

 

narsOn a more practical front, another surgeon was heard to estimate that “the daily cost per patient at a railway hospital runs from 40 to 60 cents, compared to $1.00 to $1.50 at a city or contract hospital.”

Train doctors were overall a progressive lot.  They endorsed the emphasis on sterilization and overall cleanliness in patient care well before such thinking was met with universal acceptance.  They were also progressive in their attitude toward embracing women into their profession.  In 1894. Dr. Carrie Lieberg of Hope, Idaho was appointed division surgeon on the Northern Pacific.

In addition to surgery on railroad-related injuries and general trauma care, railway surgeons also took on the role of overall health care provider.  They treated a wide range of illnesses, performed routine checkups, delivered babies and advised on safety, health and sanitation issues.

Alas, the train doctors are no more.  There are a number of factors that contributed to the eventual demise of the once highly effective and indispensible system.  Key among them was the change in government regulations and the explosion of medical advances in the 1950s.  The last of the railroad hospitals were sold or closed in the 1970s and the remaining train doctors retired, joined other practices or set up private practices of their own.

But these dedicated men and women left an enduring legacy.   badge

Their trade journal, The Railway Surgeon, though it reinvented itself a number of times, remains in print today under the name Occupational Health and Safety

The modern day specialty of occupational medicine can trace its roots to these surgeons.  They also helped to shape modern medical practice, especially in the area of trauma study and care.  They were pioneers in front line field care, in the stabilization and transport of the seriously injured, in overall trauma care and in the development and use of the modern day first aid kit.

All but forgotten by the vagaries of our national memory, train doctors nevertheless played a major, but largely unsung, role in making the settlement of the western frontier a safer proposition for all who travelled through or eventually settled in the surrounding areas.

 



Stacey Kayne:  Inspired by House Fires and Hacksaws

Published at May 8th, 2009 in category Behind the Book, Medicine

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Crazy as that sounds, a house fire and a hacksaw were strong visual inspirations for the conception of my novella in STETSONS, SPRING & WEDDING RINGS.  The heroine in this book, Miss Constance Pauley, was inspired by a true story. I had just begun to dabble in writing when I heard about a local woman who’d ended up in California as the result of a house fire in Montana in the early 1900’s. Eighteen years old and working as a housekeeper in a boardinghouse, she’d accidentally knocked a kerosene lamp into a basket of linens. No fire-retardant fabrics back then, and the room was quickly ablaze. The house went up in flames and she suffered burns to her legs and hands. The rural Montana community didn’t have a physician capable of treating such burns—not without the loss of her legs. Check out the standard surgical kits of the times–very similar to what you’d find in a tool shed nowadays.

detail of surgical kit (J.H. Gemrig, 1840-1880)

The town sent out a wire asking for help. The nearest hospital willing to treat her was in San Francisco, and arrangements were made to send her to California by train. Back then a caboose was coupled at the back of each train and the only doors on the standard cars were on the ends, the passage too narrow for a stretcher to get through. Bound to the stretcher, she was hoisted up by a number of men and slid in through a window. Her treatment was a success and after her release from the hospital she found a teaching job outside of San Francisco. She met and married a farmer and eventually found her way to our small agricultural town where she taught school until she retired.

I was fascinated by the imagery of this young woman being bound to a stretcher and the fear she must have felt as that window swallowed her up into the belly of the train, transporting her hundred of miles from her home. In my own version of the story it is the hero who sets the fire, as is revealed in the excerpt. When the town doc pulls out his hacksaw as the best means to save her life, Kyle draws his gun to keep the doc at bay and begins setting his own plans into motion, starting with sending that wire to San Francisco. And then the real fun begins.

I have to share a recent treasure find of a research book–Lotions, Potions, and Deadly Elixirs: Frontier Medicine in America.  The author of this informative book has a riveting writing style; clever, witty and downright hilarious in some segments. “Powder papers, booty balls, and sugartits, Lotions, Potions and Deadly Elixirs has a cure for whatever ails.”  And he’s not kidding! Some of the documented medical procedures and home remedies in this book are mind-boggling, others horrifying–while some are good, honest herbal remedies like Grandma used to make. Aside from a wide and varied well of information, it’s plain fun reading. Some of the stories and antic dotes are sure to inspire upcoming characters.

Can you imagine the town doc showing up at your home and busting out one of those early surgical kits?  I’m starting to think a fear of doctors may be an inherited survival instinct  ;-)

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"Courted by the Cowboy"  Stetsons, Spring & Wedding Rings Anthology MOUNTAIN WILD



Brenda Novak’s Auction To Benefit Diabetes!

Published at April 24th, 2009 in category Medicine

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May is fast approaching, as is author Brenda Novak’s annual action to raise money for diabetes research.  As I shared with you last year, I’ve known Brenda since the start of my writing  journey and she is one of the sweetest and most encouraging authors you could hope to meet. I had the pleasure to sit beside her during my flight home from my first RWA National Conference. We talked about our families and missing our kids and Brenda shared her worries over her youngest of five children and his life-threatening struggles with juvenile diabetes. Nothing can be more frightening for a parent than to have their child be under constant siege of a life-threatening disease. A few years later I was thrilled to hear about the benefit she was putting together to aid diabetes research. The support she managed to rally inside and outside of Romance Writer’s of America was awe-inspiring. In the past four years her auction has continued to grow. Last year the auction raised $252,000–that’s more than A QUARTER MILLION DOLLARS!

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Click on the banner above to browse the massive list of donated items. There is a vast assortment of items to fit any staceys-donationbudget and listed in a number of different categories on her auction site.

Bidding begins on May 1st, but it could take a day or so to preview all the donations.  Be sure to bookmark the page! Bidders can also register early and click “watch item” on those of interest to get automatic updates!

This year I’ve donated a western style (of course!) purse filled with my complete Wild Trilogy and other goodies.  Hope you’ll stop in to check it out!

I did some digging on the history of diabetes and was surprised to learn this disease was identified more than two thousand years ago in the first century A.D. by Greek physician Aretaeus. He named the affliction “diabetes” from the Greek word “siphon”. He recorded that “fluids do not remain in the body, but use the body only as a channel through which they may flow out.”  While ancient doctors could identify the illness, they were powerless to treat it.  In fact, doctors had little success in aiding their diabetic patients until the 20th Century. Until 1921, the best a doctor could prescribe was a low-calorie diet to help prolong a diabetic’s life, but this did not stop the progression of the disease or help the patient’s suffering.

In the fall of 1921 Frederick Banting and his assistant Charles Best made a discovery breakthrough with a concoction of canine pancreas extract–insulin. When administered to  a young boy dying of diabetes, his dangerously high blood sugars dropped to near normal levels within 24 hours. Until the discovery of insulin, most children diagnosed with diabetes were expected to live less than a year.  Since insulin’s discovery, medical breakthroughs continued to prolong and ease the lives of people with diabetes.

I’ve always thought of it as a the “sugar” disease, but had no idea until these past few years how devastating a disease it truly is.  When I was a kid I recall a few diabetic kids in my classes and thinking they were the lucky ones, because they got to have mid-morning snacks while the rest of us had to wait until lunch to get any food from our lunch boxes.  Some of my relatives were diagnosed with diabetes later in life.  How about you, know someone who has diabetes?

Today one comment poster will win an advance copy of my June anthology STETSONS, SPRING & WEDDING RINGS! "Courted by the Cowboy"  Stetsons, Spring & Wedding Rings Anthology



Honey:  Medicine and Nectar of the Gods

Published at March 9th, 2009 in category Cooking/Kitchens, Medicine

 

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Did you know that raw honey, properly stored, doesn’t spoil? Archeologists have uncovered ancient tombs from Egypt—some bearing honey in sealed containers that is still of good quality and edible.

h6Earliest caveman paintings – 13,000 B.C. – depict people getting stung by bees as they try to collect the gooey liquid.

Honey is the source of many traditional myths. In Greek mythology, honey was considered one of the foods of the Gods of Olympus, a drink or nectar they consumed to achieve immortality.

h2Hippocrates, the father of medicine, emphasized its nutritional and medicinal values. Several centuries later, the art of beekeeping (apiculture) passed down to the Romans and then the rest of the world. Beekeepers encourage an overproduction of honey in their hives so that the excess can be removed without leaving a dangerous food shortage for the bees. In cold weather and when food sources are scarce, the bees survive on their honey.

A healthy hive contains about 40-60,000 bees. Honeybees visit approximately two million flowers to make a pound of honey. To produce one ounce, a bee has to make about 1600 round trips from the flower source (one round trip can be as long as 6 miles). Average lifespan? 4-6 weeks. No one said it was easy to be a bee.

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For 4,000 years, honey has been used as a remedy for health ailments. Here are a few:

- Ancient Egyptians used it for burns, skin ulcers and wounds

- Inflammation of the eyelids

- Athlete’s foot and fungal infections

- Stomach aches and diarrhea

- Sore throat

- Recently, a New Zealand scientist discovered one particular honey with high levels of  antibacterial properties to treat antibiotic-resistant bacteria

Honey was also used for all kinds of ailments that it actually did not help to cure. There are still many inaccurate claims out there.

Not all honey is created equal. The quality depends on the source of the pollen—the types of plants used by the bees. Recently, some experts have been suggesting that if you suffer from hay fever allergies, you might desensitize your allergies by eating local honey produced by bees that have used local plants. Amazing stuff!

Beeswax is used in cosmetics, such as lip balms. Other uses: candles, lubricants for doors, bow strings, furniture polish. Royal jelly, a pollen-and-honey combination used specifically to feed the larvae which develops into the Queen Bee, is used in skin creams to fight aging.

h9Raw honey may be pasteurized (heated) to kill any yeast that may be present. Yeast causes honey to ferment and crystallize, so pasteurizing slows this process. Crystallized honey can be brought back to liquid form by gently heating it—but not boiling.

The nutritional benefits of honey include vitamins, minerals, amino acids and antioxidants. Never feed an infant or young child honey–including baked goods with honey—because it can cause botulism, a type of food poisoning that can be fatal. Pasteurizing honey does not make it any safer against botulism.

When honey is fermented with yeast and water, it develops into an alcoholic liquid called mead. Mead was a favorite beverage with the English and Europeans, and used around the world as far back as 8,000 years ago. It may have been the first type of alcohol ever invented, predating wine. It was flavored and brewed with spices and fruits. It’s still sold today.

In Classic Greek, the word ‘drunk’ means ‘honey-intoxicated’. Some say the English word ‘honeymoon’ is traceable to the father of the bride giving the couple enough alcoholic mead to celebrate for a month—but others dispute the origin of the word.

What’s your favorite source of sweetener? Did your mom or grandmother use honey in any form to soothe any of your ailments? Have you ever tasted mead?

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