Civil War trauma cases advance medicine. Period of time with anesthesia but without antiseptic measures leads to more surgeries ending in death from infection afterward. Squalor of poor in NYC under Tammany Hall and Boss Tweed. Lister (1870) touts cleanliness. He's a Brit; Americans don't want to listen. In the audience is Johnson of later Johnson & Johnson fame. Nursing takes hold. Florence Nightingale in the Crimea; Dorothea Dix closer to home.
Excellent start . . . orphaned girl with a knack for chess, taught by janitor, harsh orphanage despite its courtly look.
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