A Heart Deceived

Author Question: Treatment of Burns circa 1807

/ Jordyn Redwood / Leave a comment


Michelle G asks:

I’m working on a historical (surprise, surprise) 1807, to be exact, in England, and wondered if you could give me a little medical advice? I’ve burnt the leg of one of my characters, a little boy, like 9, and I want him up and about in 3 weeks or so, but he can use a crutch. What would that leg look like? How much pain? How would he react that first week? I don’t want to overdo it, nor do I want to gloss over it either. What’s your .02?

Here’s what happened to him…

“Thomas leaned over the hearth to scoop a ladle of stew from the pot. He moved too fast, with too much force. The hook broke. The pot fell into the flames. Coals shot out, catching the fabric of his trousers. He tried to whack it out, brave boy, but ended up fanning it larger. He ran. I stopped him. I thought he was…” She gulped back the lump in her throat. “I thought he was dead.”


Jordyn Says:

This sounds like a pretty significant burn– his pants catching on fire. Easily partial thickness and could even be full thickness in some places. Have you considered just having the pot of stew fall on him– maybe with bare legs? This would be more partial thickness and could more likely heal in your time frame.

Full thickness burns are problematic because they usually require grafting so back then treatment was likely very limited. We also do fluid resuscitation for significant burns and if both of his legs were this severely burned– he’d need quite a bit of fluid, and again, I’m not sure this would be available during your time period.

So, I might try to back down the injury to second degree burns. Those should heal up pretty nicely in your three week time frame. Second degree or partial thickness would include skin blistering and peeling, big concern for infection (intact skin is your largest protector against infection) and dehydration initially because burns also leak a lot of fluid. He could probably walk with crutches. It’s not really a muscle injury (it would be if you go with full thickness burns– like his pants catching of fire) so he should be able to walk.
Pain is going to be a big issue. Burns are very painful. So, he’s going to need something.

Here is a very interesting link that has tons of information on the evolution of burn surgery. It will give you some treatment options for your time period. 

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Keep up with the exploits of Michelle Griep at Writer Off the Leash, Facebook, Twitter, and Pinterest. You can check out her latest novel,  A Heart Deceived, at David C. Cook as well as Amazon, Barnes & Noble, and ChristianBook.  

A Gentlewoman’s Guide to Opium Addiction

/ Jordyn Redwood / Leave a comment

I’m pleased to host author and friend, Michelle Griep, this week as she blogs about historical medicine.

Welcome back, Michelle!

What comes to mind when I say Jane Austen? Hold on. Let me guess…

–         –Swirling ballroom scenes


–         –Dinner parties galore


–         –The dashing Mr. Darcy




Any of these answers would be right, of course, but you’d also be correct if you’d shouted out opium usage. Austen’s mother used opium to help her sleep, and her father was an agent in the trade. Elizabeth Barrett Browning took opiates every day from the age of fourteen, Sir Walter Scott consumed 6 grams a day, and Samuel Coleridge was a regular user.


Yes, indeed. I hate to burst your bubble of the romantic days of yore, but opium addiction was an issue to be reckoned with.


The first written account of the non-medicinal virtues of this drug is in De Quincey’s Confessions of an English Opium Eater, published in 1821. He advocates opium usage not as a pharmaceutical pain reliever but as a trip into “an inner world of secret self-consciousness.” Sounds positively hippyish, eh?


Had Mr. Darcy been hanging out in a nearby opium den, these are the symptoms Elizabeth Bennett should’ve looked for:


·         Red or glazed eyes


·         Confusion


·         Slurred or rapid speech


·         Loss of appetite


·         Apathy or depression


·         Frequent headaches


·         Insomnia


While Jane Austen preferred to write of dances and dinners, I dove into the seamier side of things and made the hero in A Heart Deceived a recovering opium addict. Why?


Because addiction is a contemporary problem with historical roots.

It’s just as hard for my fictional character Ethan to turn down a bottle of laudanum as it is for a real person today to pass on a hit of meth. With God’s help, it can be done—which is exactly what Ethan discovers.


So take care, gentlewomen, when searching out your Mr. Right. Opiates have been around since the days of Pharaoh, and are likely here to stay.


Interested in Ethan’s story? Check out A Heart Deceived.

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A Heart Deceived is available by David C. Cook and at Amazon, Barnes & Noble, and ChristianBook. Keep up with the exploits of Michelle Griep at Writer Off the Leash, Facebook, Twitter, and Pinterest.
 

Avoiding the Fellas in White Jackets

/ Jordyn Redwood / Leave a comment

I’m pleased to host author and friend, Michelle Griep, this week as she blogs about historical medicine.

Welcome back, Michelle!

My mother took me to a pediatrician when I was five because I spent an excessive amount of time beneath the dining room table talking to my best buddy…Daniel Boone. Yeah, I know. He’s dead. I knew it at the time as well, but that didn’t stop me from having heart-to-hearts with him. In my mind, he was as real as the old cat lady who lived next door, only he didn’t smell as funky.

The doctor vindicated me by telling my mom there was nothing to worry about. I simply had a bad case of a vivid imagination. I don’t dare tell her (or the good doctor) that my gray matter now devises horrific murder scenes in cinemagraphic color—and that I actually make money doing it. 
All this to say that writers are a quirky lot. They have to be, or they won’t get paid, which is really interesting because a few hundred years ago, the same twitchy behavior might’ve landed one in the loony bin. It didn’t take much…
Attitude
Husbands committed wives for being “melancholy”. Translation: the fella took a fancy to the hot babe down the lane and wanted to ditch his wife.
Physical Glitch
Yo, mom and dad…got too many mouths to feed and one of them has a slight deformation? Maybe a cleft palate, perhaps? No worries. Pack that kid off to the asylum and voila; one less plate to serve at dinnertime.
Revenge
If someone higher up the food chain has an issue with you, watch your back, buddy. Dueling is against the law, but getting you committed sure isn’t. All it takes is a lie or two whispered into the right ears and you’ll be packing your bags for Bedlam.
Traitorous Tendencies
One of the most famous nutjobs in Bethlehem Royal Hospital was James Tilly Matthews, who was little more than a verbal threat to the crown. Well, to be fair, there was the rumor that he was a double agent, and he did think there was a conspiracy to place bad thoughts into his head by use of an “airloom”, but other than that, he was relatively harmless…unless you happened to be one of the politicians he spoke against and were worried he might froth up the rabble against you.
Getting packed off to a late eighteenth century asylum was about as much fun as stint in a Poorhouse. Many were understaffed, over populated, and the mental health industry itself was in need of reformation—which would and did come, but not in time to help out the heroine in my latest release, A Heart Deceived.
Today, writers, daydreamers and silly hearts don’t need to be as fearful about the men in white jackets coming to haul them away. Still, it wouldn’t hurt if you kept all your talk about airlooms to yourself.
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 A Heart Deceived is available by David C. Cook and at Amazon, Barnes & Noble, and ChristianBook. Keep up with the exploits of Michelle Griep at Writer Off the Leash, Facebook, Twitter, and Pinterest.
 

Welcome to the Asylum: Horrific Politically Incorrect Practices of Yesteryear

/ Jordyn Redwood / Leave a comment


I’m honored to host author and friend, Michelle Griep, as she blogs about aspects of historical medicine this week. Check out her wonderful new novel, A Heart Deceived.
Welcome, Michelle!

In the eighteenth century, medical care for the mentally ill was both a remedy and a punishment. What went on behind the ivy-covered walls of most mental institutions makes One Flew Over the Cuckoo’s Nest seem like a five-star hotel stay.

Granted, the majority of doctors really were trying their best to help their patients, but a many of their practices only made things worse. Here’s a sampling of what might happen to you…

Spinning

Think of riding a crazed merry-go-round on steroids. Feeling queasy? This was worse. The “Swinging Chair” is a contraption designed to spin the patient at high speed, which would induce vomiting, bladder evacuation, and eventually lull the poor little buddy into a tranquilized state of mind.

Trephining

Ever had a really bad headache? Just thinking about this course of treatment makes my brain hurt. Trephining is an early form of lobotomy and was actually the first psychosurgery procedure to change socially unacceptable behaviors. Without getting too gory, just picture a huge drill bit hovering a breath away from your skull—only it doesn’t hover for long, if you know what I mean.

Shock Treatment

There’s nothing electrical about this kind of shocking treatment. The patient was left blindfolded on a platform, waiting, and waiting, and then bam! Suddenly the platform falls and he plunges into a tub of icy water, which was intended to shock the brain back into normalcy. Noise shock treatment was used as well, wherein an individual was again blindfolded and then without warning, a cannon behind them was shot off.

Besides these three, there was the usual bloodletting, purging, binding, and the attempt at good ol’ hypnosis. All this to say, an asylum was best avoided if at all possible—which is exactly what the heroine in my latest release, A Heart Deceived, is trying to do…

Miri Brayden teeters on a razor’s edge between placating and enraging her brother, whom she depends upon for support. Yet if his anger is unleashed, so is his madness. Miri must keep his descent into lunacy a secret, or he’ll be committed to an asylum—and she’ll be sent to the poorhouse. 

Ethan Goodwin has been on the run all of his life—from family, from the law … from God. After a heart-changing encounter with the gritty Reverend John Newton, Ethan would like nothing more than to become a man of integrity—an impossible feat for an opium addict charged with murder. 

When Ethan shows up on Miri’s doorstep, her balancing act falls to pieces. Both Ethan and Miri are caught in a web of lies and deceit—fallacies that land Ethan in prison and Miri in the asylum with her brother. Only the truth will set them free.

Fortunately, the mental health industry has come a long way since then, but if you’d like a glimpse into the roots of present day psychiatric care, pick up a copy of A Heart Deceived, a timeless tale of love, lies and redemption. 
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A Heart Deceived is available by David C. Cook and at Amazon, Barnes & Noble, and ChristianBook. Keep up with the exploits of Michelle Griep at Writer Off the Leash, Facebook, Twitter, and Pinterest.