Jump to ratings and reviews
Rate this book

Bleed, Blister, Puke, and Purge: The Dirty Secrets Behind Early American Medicine

Rate this book
Riots over the medical use of cadavers, public access to institutions for the insane, and full-blown surgeries without the aid of anesthetics or painkillers. Welcome to the middle ages of American medicine.

Bleed, Blister, Puke, and Purge exposes the extraordinary practices and major players of American medical history, from America's colonial era to the late 1800s. It's hard to believe that today's cutting-edge medicine originated from such crude beginnings, but this book reminds us to be grateful for today's medical care, while also raising the question: what current medical practices will be the horrors of tomorrow?

112 pages, Paperback

Published January 1, 2018

11 people are currently reading
682 people want to read

About the author

J.M. Younker

1 book1 follower
J. Marin Younker

Ratings & Reviews

What do you think?
Rate this book

Friends & Following

Create a free account to discover what your friends think of this book!

Community Reviews

5 stars
35 (19%)
4 stars
74 (41%)
3 stars
55 (31%)
2 stars
10 (5%)
1 star
3 (1%)
Displaying 1 - 30 of 46 reviews
Profile Image for Melki.
7,304 reviews2,618 followers
November 16, 2016
For most of its history - until well into the twentieth century, in fact - American medicine has been a foul and dirty business.

Medicine, as we know it today, is a relatively young science. It was not that long ago that treatments for most ailments consisted of well-intentioned but undereducated physicians using the title's methods in an attempted cure. As you might guess, these techniques were rarely successful, and in the case of President Garfield, they were downright deadly.

The author provides some fascinating tidbits; he manages to be both brief and comprehensive. He covers a lot of ground. You'll learn about how germs were discovered, AND how ambulances were developed. Here's a fun anecdote from the Civil War that I'd never heard before:

General Howard's right arm was shattered by a ball, so that it had to be amputated above the elbow. Waving the mutilated arm aloft, he cheered on his men, and was borne from the field. While being carried on a litter, he passed General Kearney, who had lost his left arm . . . Rising on the litter, he called out gaily, "I want to make a bargain with you, General. Hereafter let's buy our gloves together."

I see that some readers have listed this book as being for middle-grade readers. Well . . . I guess it could be, if your middle-grade readers are interested in venereal disease and testicles. In other words - adult themes - use your own discretion.

I've read a lot about medical history in other books - An Underground Education: The Unauthorized and Outrageous Supplement to Everything You Thought You Knew About Art, Sex, Business, Crime, Science, Medicine, and Other Fields of Human Knowledge and One-Night Stands with American History - spring to mind, so this wasn't much more than a review for me. Personally, I'd rate this only three stars, but I'm guessing someone who's unfamiliar with the facts presented will find it more engrossing, so I'll pop on another germ-free star.

Now, get those leeches away from me!
Profile Image for Montzalee Wittmann.
5,239 reviews2,343 followers
October 27, 2016
Being a nurse, I found Bleed, Blister, Puke, and Purge: The Dirty Secrets Behind Early American Medicine by J. Marin Younker fascinating! I knew some of the things that is brought up in here because I love history but there was so much I also did learn from this amazing book. This book covers medicine in the New World, in the Civil War -chop em up fast and the strange anesthesia or lack there of they used, piss tasting, ear wax nibbling to diagnosing, grave robbing, leech therapy (I did work in a hospital 30 yrs ago that did use this for microsurgery but not for what they were using leeches in the book for), blistering the patient, purging and diarrhea, and bleeding the patient. Giving the patient mercury, yep, I said mercury. Surgery as a theater event, just sell tickets. The book goes into quacks and the "cures" and other interesting aspects of medicine. I found I like Barnum, from Barnum Circus, even less than I did before after reading this and I know you will too when you read his entry. A very interesting book! Not one page is boring!
Profile Image for Raina.
1,718 reviews162 followers
November 7, 2017
Cool cover on a slim and slick package covering many fascinating factoids from early (white) American medicine. The subtitle doesn't lie.

I love the cover. I love the concept. I learned things and talk about the things I learned at dinner parties. BUT...
I took many more notes about this book than I often do. And most of them are negative in nature.

First of all, there are several typos. The worst/most annoying being the grammatically incorrect title of the twelfth chapter.
But I would totally (ok, maybe not totally) look beyond mere issues of editing if there wasn't more to make me complain.

The biggest thing that makes me yell about this book is the fact that germ theory is never explained. Yes, the text addresses the fact that there were some pretty screwed up ideas about medicine before the modern era (Cuz we've got EVERYTHING about the human body figured out now. /sarcasm). But for a book targeting teens, I expect at least a cursory explanation of WHY everything changed and we're "right" now.
The reader is also assumed to have an odd mix of prior knowledge. There's one page where the terms "cleft palate" and "clubfoot" are defined, but no where is the medical process of compounding explained (though the word is used more than once). The writing is often confusing, all round.

All of that said, like I said before, I learned a lot. I googled many things while I read, and learned even more. And think that teens will learn a lot, too. I won't be bringing this to my middle school outreach visits (there's a pretty major sidebar on STDs in the first 20 pages), but I will take it to the high schools.

This would be an easy 4 star book if the execution hadn't faltered.
And it wouldn't have taken very much to get it up to 5 either. There aren't enough books on this topic, written engagingly, with great graphic design, for teens.
But le sigh.

==
It was really fun to booktalk, btw.
Profile Image for Kathy.
3,317 reviews7 followers
November 20, 2016
Not for the squeamish. Lots of nuggets of information to make you feel grateful for today's medicine: did you know that "heroic measures" meant to bleed a sick person out, give them blisters with caustic chemicals/heat AND make them vomit/have diarrhea? Unsurprisingly, people were usually better off NOT calling a doctor. These "heroic measures" lasted (despite challenges by quacks, homeopathy, Lister's theory of sterilization and the despised female midwives) until President Garfield was shot in 1881, and died not because the would was fatal, but because doctors kept sticking dirty fingers in to try and get the ball out (making it infected). Doctors were surprised that yellow pus wasn't a good sign, but a sign of infection!
Profile Image for Melissa Bennett.
957 reviews15 followers
April 11, 2021
Small book that is full of information. It was written in an entertaining way that made learning more fun. Loved all the facts and did a lot of cringing. Glad medicine has progressed. The title - Bleed, Blister, Puke and Purge didn't fit most of the book. There was only one small chapter that really talked about it, although it was brought up occasionally throughout the book. The 2nd part of the title - The Dirty Secrets Behind Early American Medicine fits more with the book.
Profile Image for Kal.
227 reviews29 followers
January 1, 2017
I first heard about Bleed, Blister, Puke, and Purge thanks to one of my local bookstores. They had the author J. Marin Younker out for a signing, and the title of the book, along with cover, sort of grabbed my attention. Can't imagine why that would be... Anyway, I clicked on the book to see what is about and was immediately bummed I'd missed the author event due to work. However, I was quick to snag a copy from the library.

Despite the what the title might make people think, I really did enjoy this book. Without a doubt there was some super gross moments, and I smart enough to not snack and read this book at the same time. Cause yeah, the start of the medical profession was not something to learn about while eating. It's kind of like the Saw movies, only we thought we were helping each other.

Anyway!

My favorite part of about Bleed, Blister, Puke, and Purge is that it is in fact not written like a text book. The chapters themselves flow very well and the information is told in a way that isn't dry, but it managed to keep my attention. Also, I really enjoyed the little side comments that J. Marin Younker added from time to time. It almost made it feel like you were sitting there listening to the her talk about this in person.

The book itself was much smaller than I thought it would be, which was fine. But, for some reason I had expected it to be a thicker book. Instead it's bound a bit like a graphic novel. Which for me personal was nice. It meant each chapter, and section, flowed very quickly and there wasn't a lot of repetitive facts thrown at me. I never once set this book down and had to make myself pick it back. The sort of gross aspect is what had me going back. Not because it was gore, but because at the time we thought this was right way to heal people. That by bleeding, blistering, puking, and purging the sickness, or evil, was being expelled.

It's honestly a wonder any survived in the "Good Ole' Days" to be honest.

As for the book, I felt like J. Marin Younker did an amazing about a research, and that was apparent throughout the book. Despite it's size, there is quite a bit of information spread throughout the books. However, I never felt like I was overloaded with information. Younker did a great job with keeping the timeline moving and expanding from one idea to the next. On several occasion I fell asleep reading, which is a good thing in my world. Means I was so fascinated I was forgoing sleep.

While, not the most traditional read around Christmas, it was good read for my packed schedule with work. It wasn't overly large, was a fun and gory read (which I do like), and was easy to read in the few hours each day I had set aside.

I definitely enjoyed Bleed, Blister, Puke, and Purge. It was an interesting read and I would definitely read another book by this author. I've already recommended this book to a couple of my friend who I think would find it fascinating. I do want to warn, it has some visceral moments. Not for the faint of of heart.
Profile Image for April.
1,281 reviews19 followers
October 24, 2016
In very short but interesting chapters and "Did-you-know" call-out boxes; this thin volume details some of the more intriguing aspects of medical history in the United States, with particular focus on the disaster that was "heroic medicine". The tone is a bit "Buzzfeed List: 'can you believe this sort of thing happened?' post" in style and presentation which makes it nicely readable and amusing in parts but mostly it just gives you a taste of some of the history going on in medicine in the "old world". This isn't something to use as a research resource but could definitely give you a great bit of insight into something you'd want to dig into more deeply.

Anything you didn’t like about it? Despite the intriguing cover, the inside held nearly no pictures so may not hold the interest of folks looking for more than just stories of gory and backwards historical medical practices in the United States. The index is also incredibly short and the references are not footnotes or endnotes linking back to each idea; rather they are just listed at the end of the book as main references and then by chapter (with no notes so you'd really have to read each reference to know where any particular idea in each chapter was coming from).

To whom would you recommend this book? Reluctant readers who want something easy to "digest" with small chapters on gruesome true-life history.

FTC Disclosure: The Publisher provided me with a copy of this book to provide an honest review. No goody bags, sponsorship, “material connections,” or bribes were exchanged for my review.
Profile Image for Emily.
2,290 reviews
February 6, 2017
Ooo, gross! Believe the title! While the cover of the book looks basic and scientific, don’t be fooled. Disgusting stories and graphic descriptions of pus, historical medical procedures and malpractice await you! This is one nonfiction book that ISN’T boring.

Teenage boys, future medical professionals and reluctant readers will adore Bleed, Blister, Puke, and Purge. I’m not a big gross-out person, but I found Younker’s book delightfully disgusting. I had a great time retelling my favorite stories to my friends. It’ll definitely make you thankful for modern medicine!
Profile Image for Laurie Thompson.
Author 13 books110 followers
November 13, 2016
A very informative AND entertaining look at early American medicine... if you can really call it "medicine" in the sense we mean today. The book contains specific anecdotes that bring the material to life, as well as the background, history, and context necessary to understand the details on a grander scale. Honest and raw, definitely not for the faint of heart, but otherwise perfect for older reluctant readers. I'd like to see this one on YALSA's Quick Picks for Reluctant Readers list.
Profile Image for Kelsey McLane.
147 reviews7 followers
January 17, 2017
This gruesome book is fantastic at really getting the message across that the medical field has struggled. It also discusses how a population can get caught up in scare tactics and how misinformation can lead to a "cure," but really be more detrimental to a person, even deadly. This is a very graphic book, BUT it's perfect for giving accurate information about a topic that doesn't get a lot of promotion among teens and tweens.
Profile Image for Sarah.
343 reviews31 followers
June 3, 2017
Lots of cool information! Definitely interesting, and easy to get through!

My one complaint is that the author kind of got a little preachy at times - not that I disagreed with the sentiments, but it seems to me that your opinion on so-and-so doctor or your input on beliefs of the time shouldn't really be in a factual book. It just seems tacky and instantly makes the information biased.

That's my only complaint, though. An interesting read!
Profile Image for Evalina Street.
52 reviews5 followers
June 10, 2017
I liked the tone and the overall format of how the book was written. There are interesting sidebars in each chapter that coincide with the topic of the chapter. The book itself was a small collection of interesting facts about American medicine and it's progression to the present; however, I would have liked to had read a more detailed history of the tools and procedures used throughout America's history. Overall, an interesting read!
Profile Image for Heather Brown.
656 reviews11 followers
October 7, 2016
This book is absolutely aimed at older teenage boys, as they are probably the only ones with a strong enough stomach to read the perfect descriptions of diseases, injuries, and their 'cures.' Bleed, Blister, Puke, and Purge is a thorough history of medicine in the US. As much as it pains me to say this, I do think the book could use more pictures.
Profile Image for Lydia.
108 reviews8 followers
March 17, 2017
Funny, gross, bizarre, informative. Check. Check. Check. And check.
Profile Image for LibraryCin.
2,659 reviews59 followers
December 31, 2023
3.5 stars

This is a history of medicine in the United States. Of course, before modern medicine, people (doctors included) really didn’t know much about science or how the human body works. Prevailing cures for many things was to “bleed, blister, puke, and purge”. Many of us who read history or historical fiction certainly have read about “bleeding” people to cure various ailments. There was also a section on women in medicine. This was interesting, but also quite short. So for anyone who wants a quick overview of the topic, this is a good place to start. It also has a catchy title.
Profile Image for Quinn.
199 reviews7 followers
August 28, 2022
An enjoyable YA book that teaches anyone the reality of how bad medicine and medical treatment was in the past, and how it has improved over time. Facts presented with a jovial voice that can get serious at times when called for.
Profile Image for JoLee.
1,781 reviews65 followers
November 10, 2016

Featured in "Historical Nonfiction Books for Young Readers" on Intellectual Recreation.

The early history of American medicine is not pretty or particularly refined. Bleed, Blister, Puke, and Purge by J. Marin Younker's is written for young readers and chronicles the development of American medicine from the colonial days until the late 1800s.

The books covers a wide range of topics, some I found a little dry, some made me squeamish, and some I found fascinating. I struggled a bit to find my stride at the beginning of this book, but I raced through the final chapters that discussed Civil War medicine and women's medicine.

This book is a good one for anyone who is interested in medicine or American history. I think most history lovers will be quite fascinated by a least a chapter or two.
Profile Image for Ronda.
1,703 reviews47 followers
December 19, 2016
To be fair, if the book were listed as YA nonfiction by NetGalley, instead of "children's nonfiction" I would bump the rating up to a 3. Because of the time frame covered and the "gross factor" of.the title, I requested this title thinking it might be a nice addition to my 5th grade Civil War units. Frankly, I would not be able to recommend this title for younger than high school due to the multiple references to STDs. Title would be more accurately listed as YA nonfiction.

There were also several copyediting issues that should be addressed.

That all aside, the book was filled with some fascinating information and written in an engaging, often pithy with asides, manner. With further editing, I would be happy to recommend the book. If the many references to STDs were removed, with the focus more squarely on Civil War era and the battlefield medicine, I would even recommend.it for.my 5th graders when they study Civil War. Some of.them would be morbidly fascinated with some.of the details. As it stands, based on the ARC I read, I would.not recommend.this for any younger.than high school.
Profile Image for Lynndell.
1,716 reviews1 follower
November 15, 2016
"Received an advance reader copy for a fair review."

Thanks to NetGalley and Houghton Mifflin Harcourt for the opportunity to read and review Bleed, Blister, Puke, and Purge by J. Marin Younker! I am not a medical person and I don't enjoy seeing or hearing about injuries and this book is extremely detailed enough that it made me physically sick in the introduction. I had a difficult time reading this book and had to take several breaks because of the details being so graphic. This is a wonderful, factual book for anyone interested in medicine and its transformation throughout history. It contains horrific medical mistakes that made patients suffer and this suffering is described in specific detail. These mistakes led to learning and the creation of new and helpful medical technology and knowledge. Bleed, Blister, Puke, and Purge contains all of the sordid history of medicine including: medical pioneers, sexually transmitted diseases and experiments. A great non-fiction read for anyone interested in medicine and its history. 4 stars!
Profile Image for Zee.
966 reviews31 followers
February 7, 2017
More like 4.5 stars but I'm feeling generous.

Loves how fascinating this book is! Provides a great overview of American medical history.

I did have one small concern, but read the ARC, so I don't know if my pet peeve's in the final edition or not. There's a part where she talks about how ridiculous homeopathic medicine is, and her example is nitroglycerin for headaches, and she makes it sound like that's just soo ridiculous because it's an explosive... But as a nurse I can tell you nitro is probably one of the best drugs on the market. It can literally stop heart attacks. I'm hoping in the final edition that little detail is pointed out, but in the ARC it's definitely implied that nitro's got no medical significance, which is appalling to me.

But yeah other than that teensy detail it was a great book. Very informative but easy to read and full of cool fun-facts.
1 review
March 1, 2017
This book is gruesome, but awesome at explaining what the medical field was like back then. When people back in the day had to get surgery with tools which were not washed and most of the time it was fatal. This book is very graphic which some short stories. I overall, give this book a 4 star due to is excellent information on the book, but the book was sort of boring due to it having more detail than I thought it would. Lastly, I liked this book a lot because I want to be a part of the medical field, and it astonishes me how they used to work back then. I would recommend this book who likes gruesome stories and like the work of medicine.
870 reviews28 followers
October 25, 2016
I've always enjoyed books with a medical theme, so I thought this one would be interesting. It was—but not like some I've read. Microbe Hunters, for example, was fascinating. This one mainly presented facts, without a lot of human stories. There were some, but for some reason this book did not hold my interest very well. If I had a child who was interested in becoming a doctor, though, I might have him read it just for the historical value. I received a free ecopy of this book from NetGalley in exchange for an honest review.
17 reviews
March 7, 2017
A gross and gruesome and detailed book about old school medicine. It was so interesting to read it because medicine is so different now, and from a modern perspective the people who were practicing medicine (because basically anyone could be a doctor!) were crazy.

I rated this book four stars because I have never seen a book on this topic and I learned a lot. If you get easily grossed out it may not be a good idea to read the book, but kids 10 and up should like it.
Profile Image for Samantha Allen.
95 reviews21 followers
February 20, 2017
I'm not sure whether this book is meant for intelligent children or idiot adults. There were a few interesting anecdotes but you can find more detail in a Wikipedia article. A really unfortunate book to have ordered online sight unseen
Profile Image for Tim.
123 reviews2 followers
June 30, 2018
To me, the idea of examining medical history seemed potentially fascinating, sadly here it is only mildly interesting. The haphazard organization and undeveloped stories limited this book’s rating. If the author delved more into selected aspects it could have been much better.
Profile Image for Jill.
26 reviews1 follower
October 29, 2016
A short and fascinating read about the history of early American medical practices, focusing on often-deadly 'heroic medicine' to the eventual acceptance of evidence-based treatments and practices.
2,409 reviews1 follower
November 22, 2016
Strangely, for the topic, it was a little dry. Interesting at moments, completely gross in others, but also dry.
1,400 reviews7 followers
December 9, 2016
Interesting read for a middle school audience that probably could have used a bit less about sexually transmitted diseases.
Profile Image for Sandy.
446 reviews
December 29, 2016
Perfect for older elementary, tweens, especially those that may not like to read but enjoy a little horror!
Displaying 1 - 30 of 46 reviews

Can't find what you're looking for?

Get help and learn more about the design.