This article describes what even wealthy Americans would have gone through around the Revolutionary War era.

Lice abounded. Bed bugs interrupted sleep. Scabies, ringworm, rashes from numerous unknown sources and unwashed skin was wrapped in clothing of stiff linen, smelly woolens or coarse calico. The byproduct was irritated, itchy skin with the discomfort of scratches, scabs and the stink that accompanied it…

Doctors, following accepted practice, would likely have bled or purged an ill person for humoral balance. Surgeons washed their bloody hands in contaminated water and dried them on their equally bloody apron or clothes, unaware of germs…

When fluid accumulated from infection, a practitioner might use a small sharp spear nested in a metal tube, called a trocar and cannula. The pair were pushed into the body wherever swelling threatened a patient’s health, or exploration of an inner cavity was warranted. Then the doctor removed the perforating trocar, with its triangular shaped head, and left the cannula in place, as a conduit for fluids going in or coming out…

Ouch – yes, I will take my disinfected drinking water, safe food, (mostly) painless dentristry, and climate controlled house and office, thank you.