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(I’m in chapter 9) I understand that he is in 19th England.. however it’s a shame that as a modern doctor himself. He couldn’t figure out that in the Middle East there was already advancements in hospitals, surgery, mental health (even), they had clean running water and they bathed weekly while washing themselves 3-5 times a day. and While England was disgusting. The Middle East had already understood a lot about cleanliness. Clean hospitals, and doctors using tools and antiseptics. We also still use books from many scholars from that time. Cleanliness was a daily practice during the Middle East.
It was known that cleanliness was tied to health. They also has separate wards for different diseases, clean linens. Surgical techniques and tools, knowledge and detailed books written. They also had quarantine and pharmacology.
Honeslty, If I was a doctor now and was sent to the past. The first thing I would try to do is go to the Middle East. Many people don’t know how much they were thriving during that time. Because western schools always try to erase the info about history.