o Smallpox no longer occurs naturally on the planet No specific remedycure for

O smallpox no longer occurs naturally on the planet

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o Smallpox no longer occurs naturally on the planet No specific remedy\cure for disease o Treatment would be supportive, depending on nursing to keep lesions clean to minimize breakdown of skin Replace lost fluids\nutrients Administer antibiotics to prevent infections Traditional remedies o Vogue to hang red curtains around bed of patient Red furniture Wrapped in red blankets (such as Queen Elizabeth I) Discovery of ultraviolent rays strengthened this belief Red glass on windows Late 19th century, medical journals suggest that red light soothes eyes of sufferer, prevents scarring of skin o Opened pustules with golden needle to drain fluid Lesions cauterized to prevent scarring, very painful procedure o "The hot regimen" sufferer piled with blankets to induce them to sweat Hot bath also used, avoiding light (aggravate disease, lead to scarring) and fresh air Patient kept in dark, limit ventilation Patients given internal medications to allow purging of excess humor o "Cold regimen", room cold\use ice baths\cold water o Purging\bloodletting Use of opiates in 19th century (morphine) to calm the patient Astringent eye drops also used o Scarring on face reduced\prevented by causing more intense irritation else where Mustard plasters, mercury, corrosives applied on the back No empirical basis for this theory Local applications to the face also try to prevent scarring (silver nitrate, mercury, iodine, mild acids, lotion of sulfur all used) Ointments and compressive try to soften lesions, mitigate scarring Lint\boric acid\glycerin Covered face with mask, wrapped face in oiled silk Alcoholic beverages used to revive energy of patients Delirious patients tied down to their beds Restraints: splints to prevent scratching Thomas Sydenham "English Hippocrates" lived in 17th century o Decided that the wealthy and noble who received extensive attention\treatment for smallpox perished more often than the poor Said best physician was one who did least, therapeutic minimalism Cool regimen, fresh air\light bed coverings for patients Next time: impact historically, effect on society, development of a public health strategy+ vaccination
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