In the age of sail, seamen struggled to survive not only the hazards of battle but daunting health problems brought on by faulty diets and long periods at sea in closely confined quarters. Ships that left port with banners flying all too often returned with remnants of a crew, haggard and sick and scarcely able to set a sail. As ships became more seaworthy, navigation instruments more reliable, and lengthy voyages more common, efforts to keep crews healthy became increasingly important. This study by a surgeon traces the history of medicine under sail and chronicles attempts by 'sea surgeons' to surmount overwhelming barriers to treat injuries and disease and to curtail epidemics. In an age of discovery and empire building the map of the world was drawn by those on long voyages. Their achievements had as much of an impact on world history as did the admirals' success in implementing tactics that won the battles for colonialism.
MIRACLES, MAGIC, AND MEDICINE is a study of medical frustrationthe inability of the physician to dispense medicine that worked. Hundreds of biological medications were prescribed but no more than five or six actually improved the patients condition. As a result, patients turned to miracles, magicians, witch doctors, astrology, and the church. For almost a thousand years, the churchs answer to disease was prayer. Spirits, angels, and demons lurked everywhere. The Antichrist practiced witchcraft and sorcery, and soothsayers predicted the future. Flagellation was practiced, and magician with their smoke and mirrors, held sway. Among the Romans, cabbage was the cure for all disorders, and eating the herb dittany could extract an arrow. It was only with the age of science that effective medications were discovered. Those practicing witchcraft were accused of intimately consorting with the devil and his demons, even having sex with them.
During World War II, the army established 107 evacuation hospitals to care for the wounded and sick in theaters around the world. An evacuation hospital was a forward hospital accepting patients from the battlefield. It was where the wounded first received definitive care. Formed at Camp Breckenridge, the 95th Evac arrived in Casablanca in April 1943, with seven thousand troops, thirty doctors, and forty nurses. First pitching their tents at Oujda, they moved eastward toward Algeria before making a D-day landing on the beaches of Salerno, Italy, on September 9, 1939. Shortly thereafter, they entered Naples, then set up shop at Anzio before moving on to become the first American hospital to penetrate Nazi-occupied Europe. After the guns were silent, records show that these doctors and nurses had treated over 42,000 Americans in almost all the critical battles of the European theater: Salerno, Monetcassino, Anzio, southern France, the Battle of the Bulge, the Rhineland, and finally, the invasion into Germany. Hospital at War is the story of the 95th Evac Hospital as told by Zachary Friedenberg, a young surgeon at the time, fresh out of his internship. He tells the story of how the men and women of the 95th survived the war. He describes how they solved problems and learned to treat the war-wounded in the extreme heat of North Africa and during the frigid winters of the Rhineland. He tells how they endured shelling and a bombing of the hospital and how they adjusted to the people and the countries in which they worked. By the end of their two-year tour of duty, the men and women of the 95th Evac were superbly efficient. A casualty who made it to their facilities had a 99 percent chance of surviving. For anyone who wants to know how so many of our boys made it home despite horrific injuries, this book provides part of the answer.
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