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Tag Archives: Regency Medicine

If you follow my Diane Gaston Blog, you will know that my father-in-law was hospitalized last week necessitating my quick trip to Williamsburg where the dh’s parents live. It turned out he had pneumonia and a flu virus, but they had feared he had one of those antibiotic resistent “superbugs.” Not the case, thank goodness.

After two days of hospital treatment, my father-in-law came home on antibiotics and was really in pretty good shape, up and around, alert, only a little slowed down physically. His illness made me wonder, though, what it might have been like if he’d lived in Regency times.

In 1918, Dr. William Osler, the father of modern medicine, called pneumonia the “captain of the men of death.” Indeed, it is now thought that a great portion of the 600,000 deaths in influenza pandemic of 1918 were due to bacterial pneumonia which took over after the flu virus compromised the immune system.

In Regency times, pneumonia was called “peripneumony”or inflammation of the lungs. It was treated with bleeding, at least until the patient was able to expectorate. After bleeding blisters were applied. Blistering was the practice of applying plasters to the skin with caustic substances that caused blisters. The blisters would pull the diseased humors from the body and then would be drained. Other treatments included enemas, sweating, and, probably most effective, concoctions that would promote coughing or “expectoration.”

I’m always appalled at how the treatments of illness in these early times seemed to put more strain on the body than would provide relief. (Although we now know bloodletting is an effective treatment for a few very specific conditions) Luckily today we have antibiotics and immunization to combat pneumonia so that it is no longer the “captain of the men of death.”

Have you come across any alarming treatments used during Regency times?

Stop by my website and see my newest bookcover – for Born to Scandal coming out December, 2012. Read a sneak peek.

On Sept 25, 1818, the first human to human blood transfusion took place when James Blundell, a popular lecturer at Guy’s Hospital on obstetrics and the diseases of women, treated a severe postpartum hemorrhage by extracting four ounces of blood from the arm of the patient’s husband and transfusing it into the bloodstream of the patient.

When we write (or read) our Regency Romances, we might not realize how limited medical knowledge was at that time. Vaccination for smallpox was relatively new and Pasteur had not yet proven his germ theory of disease. Furthermore, bloodletting was still extensively used. Bloodletting as a treatment for hemorrhage was still in favor in the late 1800s, so it is somewhat remarkable that Blundell decided to use blood transfusion for his hemorrhaging new mother.

Experiments in blood transfusion began as early as the 1600s. Jean-Baptiste Denys, physician to King Louis XIV of France, transfused the blood of sheep or calves into several patients. In London around the same time, Richard Lower was conducting similar experiments. That any patients survived is thought to be due to the small amounts of blood transfused. By 1670 blood transfusions were banned and further exploration abandoned.

When Blundell began his work with transfusions it had been discovered that transfer of blood from one species to another was harmful. He experimented with animals, discovering that blood must be transfused quickly and that the air must be let out of a syringe before transfusion. Blundell also went on to devise many instruments for blood transfusion which are still in use today. By his death he accumulated a fortune that would be the equivalent of 20 million pounds today.

Funny that I should be writing about the history of blood transfusions today, when I just mentioned this topic last week. Mary Jo Putney’s depiction of blood transfusion in Shattered Rainbows predates Blundell’s achievement, but uses all the knowledge that was available at that time in history to make the scene entirely credible.

What medical innovation do you most take for granted in today’s world?

Tonight I’ll be announcing the winner of Lavinia Kent’s Real Duchesses of London novellas and her What A Duke Wants T-shirt.

If you’ve read my Valiant Soldier, Beautiful Enemy and wonder what happens to Claude, it is almost time to fine out. Oct 1 is the release day for my eShort Story, The Liberation of Miss Finch.

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