Advice for Good Health from 1838

I hope you are faring well in your corner of the world. Here in my Midwestern US community, most of us have been in strict social distance mode for about ten or eleven days while the numbers of confirmed Covid-19 cases have been climbing. As a writer who works from home anyway, the biggest change in my routine is that I have fewer excuses to rely on when I fail to get any writing done. At the same time, I’ve accomplished less than ever.

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Even my attempt to journal about the experience of living in this strange time (using only my neatest handwriting for the benefit of future historical fiction writers) has been sporadic at best.

This should be the perfect opportunity to finally finish a polished draft of my historical novel-in-progress. Alas, I spend most of my time stressing about how far out of our routine the whole family has become, trying not to worry to distraction about my spouse who works in the healthcare field, and scrolling through too much news about this virus we still don’t know nearly as much about as we all like to pretend we do.

Of course, that’s a very human response. When faced with a new threat, without the time required to conduct thorough research and design solid tests yielding statistically significant results, we observe what we can, make some guesses, and post about our conclusions on social media.

We live in a pretty enlightened age, medically speaking, so if we step outside of our panic for a minute, we can understand that there are still a lot of answers we don’t know and won’t be able to find out for a while. But in some ways, medicine also hasn’t changed that much.

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At least no one is suggesting this is a good idea anymore. Public Domain, via Wikimedia Commons.

So today, I thought I’d share some good health information from my research for the novel I’m currently not finishing. This comes from a doctor by the name of Sylvanus Goheen who in 1838, served as a missionary physician to Monrovia in what was then the Colony of Liberia. Much like the physicians of today, Dr. Goheen faced a disease he didn’t understand as well as he would have liked.

In his case, it was malaria, which claimed the lives of so many missionaries and emigrants that Liberia had come to be called the White Man’s Graveyard (which is also the current working title of the book I should be revising right now).

With the still unnamed disease certainly not yet understood to be a parasitic infection transmitted by mosquitos, Dr. Goheen had to do the best he could with the observations he could make. He came up with the following advice for staying healthy:

  1. Give strict attention to diet—eat as nearly as possible the same food used in America and chew well.
  2. Eat light and early suppers and when feeling off, abstain from food. Always keep bowels regular.
  3. Avoid the sun, and rain, never get wet and avoid currents of air when perspiring freely.
  4. Never become fatigued either by bodily exertion or mental exercise and particularly refrain from reading at night.
  5. Keep out of night air and remain at home and in the house after nightfall and in your bedroom in the morning with windows closed until 8:00, for the first four months.
  6. Go to meeting but once per day, never take long walks nor boat excursions.
  7. Keep the mind easy and composed and talk or think little about the fever.
  8. When attacked, eat less than nature demands and confine yourself strictly to a gruel or arrowroot diet throughout convalescence.
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Not to question a doctor who attended almost a full year of medical school, which is still almost a year more than I did, but I see no problem with this.

Some of this is probably pretty good advice, even perhaps applicable to our current Covid-19-driven world. It may not be a bad idea, for our psychological well-being as well as our long-term physical comfort, if we could roughly maintain our pre-pandemic diet that likely included fewer Oreos and potato chips. It also certainly couldn’t hurt to try to keep our minds easy and less focused on the fever. And we should definitely stay in at night, safely socially distanced.

But then the list also includes some things that probably aren’t quite right for today. I’m not overly concerned about occasionally finding myself perspiring in the breeze, which might happen on that long, isolated walk I’m perfectly happy to take. And under no circumstances can I see myself giving up reading at night.

Looking back, it’s pretty easy to see that Dr. Goheen’s advice wasn’t quite right for his situation, either. He was doing what physicians do and drawing the very best conclusions he could within the limited knowledge available.

Much like him, we are faced today with some unknowns, a lot of fear, and a medical field that is working very hard to gather the best information and offer the best advice it can in an impossibly short amount of time. We’re all doing what we are able to keep ourselves and our world as healthy as we can.

Stay safe, everyone. If you’re stuck at home, write a novel or something. And for goodness sake, chew thoroughly and keep your bowels regular.