Medical buildings in France

Ah! Another young recruit fresh out of the family home and not knowing how to go about the world. But what is this? You are suffering. You are ailing. You are dying. What to do? Where to go to find solace? Do not fear, I have all the information you need to survive on your own in the adult world!
— Sergeant

Table of Contents



Country: France
Type: civilian and military buildings
Field: medical

Civil society

 

Apothecaries

Once you've found a trustworthy pharmacist, cling to them and don't let them go!
— Sergeant
  For everyday ailments, one's best solution is always to find an apothecary. Pharmacists are the best—and cheapest—advisers regarding everyday ailments and will be able to recommend the best and hottest new medicines to their customers. If you do not know where to go, just look at any newspaper to find the latest advertisement! If the pharmacist has enough money to pay for those, that must mean they are not killing their customers!   And you do need to find a highly qualified pharmacist, for medicines are mixed and packaged directly in the shop according to official recipe book and to the pharmacists' own flair. All pharmacies are trying to outdo each other and attract new clientele by showing off their own miracle cure—recipes kept secret, of course. Because of this, there is no knowing why people are truly ingesting when they are swallowing all of those products...





Apothecary by Wellcome Collection



Healing springs

For long-term ailments, the answer is obvious, all of your neighbours are already doing it, you need to take the waters! And there is only an abondance of choice about where to go to do so. While drinking and bathing in the mineral-rich spring waters have been popular since Prehistory, medical tourism has boomed since the beginning of the 19th century. So much that such places are often holiday destinations, with the well-to-do emigrating to those often mountain-side towns during the hot summer months.   It will be easy to decide where to go, after all spa towns and spa resort are often easily identifiable thanks to the "les-Bains" (the baths) components in their names, such as Évian-les-Bains and Amélie-les-Bains. And if you are still undecided, only look in your newspaper and you are sure to find some advertisements for the latest hot new destination.   The waters of spa towns are rich in minerals such as silica, sulphur, selenium, and radium. "Taking the waters" is thought to procure physical and spiritual healing. Thermal sources often have a hospital associated with them. Upon arrival, visitors are examined by medical practitioners and prescribed a treatment. This can constitute of drinking the water from the source, specific sets of exercise or massage to do or receive in the water or with medical clays.   The healing power of spa waters is real, with a link having been made recently between iron deficiency and the cure provided by the mineral-rich water. And that is not even mentioning the magical particles that are clinging to all those minerals. Thus, while not all cures provided by the waters are so neatly explained, its efficacy must nonetheless not be proven. Still, the main benefit to be gained from frequenting spas are rest, relaxation, stress relief, and convalescence.   Spa towns have attractions and infrastructures to take care of all of those visitors: parks, casino, ballrooms, golf, reading rooms, theatre, concert halls... Those are greatly contributing to the popularity of the sap towns.



Vichy water drinkers


Beware of the substitutions made by certain traders who, when asked for Vichy-State water, try to substitute any other water for these waters, which have a universal reputation, thanks to the similarity of the label, which can deceive the customer.   Demand Vichy-Célestin, property of the State, drawn under its control, whose bottleneck bears the blue Vichy-State circle which guarantees authenticity.
Safety and health are worth a few extra cents.
Demand Vichy-Célestin and mercilessly refuse any similar product that anyone tries to slip to you under any pretext whatsoever!

Vichy


For the thermal station of the liver, of the stomach and of all the diseases of nutrition.

The mineral water for the diet of the dyspiepsic hepatic, diabetic and arthritis. Take during or between meals.

— Newspaper clipping



Medical practitioners' office

For major troubles, you will have no choice but to see your family practitioner.
— Sergeant
  None can exercise medicine in France without having gone through medical school and holding a diploma. During the 19th century, patients went from paying doctors with a subscription to paying them for one visit. All doctors apply similar fees for the visit, putting them in direct competition with each other to attract and keep patients. Patients visit their doctors in their office for minor ailments, but doctors also carry out home visit for those unable to travel.   Despite numerous superstitions, healing medicine is rather limited as interfering with another person's vital energy is extremely complex and requires huge amounts of energy—the kind that can only be easily bypassed thanks to human sacrifices. Thus, medicine is mainly "expectant", with doctors waiting to only intervening at the right time when nature cannot do its job properly. They then attempt to push the patients back in the right direction and incite them to renew their vital energy themselves.   Very recently, medications of all kinds—chemicals, herbal remedies, potions—have become very trendy. Most doctors were rather sceptical and reluctant at first to participate in this trend and prescribe them. However, they had no choice but to bend to their patient's wishes if they wanted to keep them. In the end however, this evolution has been favourable to the doctors, as this allow them to shorten the consultation with the patients and so to multiply them, but it also allowed the doctors to avoid having to intrude into the patients' personal lives and to upset them.





Medical exam by Wellcome Collection



When the family doctors are not enough to sooth a patient's woes, it might be time to consider going to the hospital...  
Noooo! Please don't take me to the hospital! I assure you I'm feeling better already—I beg you don't do it!
— A desperate individual



Hospitals

Look at the surgeons' lab coat. The dirtier it is, the better! Take comfort in all the blood spots, you do not want someone unexperimented to operate on you, do you?
— Sergeant
  You can be assured that nowadays hospitals are not just a place to put all the destitute and prostitutes to get them out of the way. Now the goal is truly to treat people! And since the revolution, hospitals have been nationalised and belong to the state. This means that you can truly trust them! They are not out to squeeze as much money out of you as they can; they are all paid by our taxes! And the local mayor is even the president of the administration council to make sure everything is above board and the interests of the nation are well taken care of.   Inside the hospitals themselves... Well, it will appear immediately obvious that surgeons are always very dirty, but do not let that rebut you! Those people are extremely busy all day and they go from one amputation to end their day at a birth by going through a corpse dissection during lunch time. And all without cleaning once! The better to show off their strenuous work and hard-won skills and knowledge.   You will undoubtedly be shocked by the cries that are always filling the hospitals at all hours of the days and night, but that is rather expected with so many people at death's door or in the surgery room. In any case, this adds a certain ambience and incites people to get better more quickly! Any operation has to be carried out as fast as possible to limit the patients' suffering. You recognise a surgeon's skills by their abilities to practise an amputation in only a few minutes.  
If you have any sense, you will immediately understand that hospitals are terrifying places and that surgeons are much more likely to finish you off than to save you. If you want miracles, go to the church.
— Sergeant



Asylum


And if you are sick with an ailment that cannot be identified by the "best" medical practitioners of the country—then, why, it must be obvious! It is your mind that is sick—off to the asylum with you!
— Sergeant


Lunatic is an official medical term that regroups numerous types of patients including "idiot" children and adults, unstable people, epileptic, and hysteric. Around 84,000 individuals are considered lunatics in France in 1840, and 31,000 of them are confined in asylums. Thus, the majority of lunatics are taken care of at home by their family. The confinement of patients in an asylum is decided by the prefects, and they are also the only one who can allow them to leave once "cured". A medium size asylum can welcome 600 patients.   Lunatics are not confined immediately after the apparition of the symptoms as that would be too expensive for the state. It is instead necessary for the lunatics to prove to be a damage for society, by destroying some building or attacking people for example, to be confined. Medical practitioners do not see being treated at home as something to be preferred. Indeed, superstition let people treat the lunatics terribly, keeping them bound at the least sign of exciting and leaving the doctors to find them injured.   Nevertheless, whether the doctors accept to recognise it or not, some of those family members are also able to dispense good care to the lunatics. Almost all wish to do so to take care of their loved one as well as to hide the stigma of having a lunatic in their bloodline.   Asylums are before all prison-hospitals in which patients are supposed to be cured, and if not possible, to be taken care of, and kept out of the way of the wider society. There is even the possibility to receive instructions and gain a diploma. Treatments include taking baths and showers, magical shock therapy, or medication such as laudanum, morphine and potassium bromide. They teach patients discipline and to stay calm willingly or through the use of water jets, forced isolation, straightjacket.   Nevertheless, despite how uncontroversial those treatments are, they are still rumours of asylums being terrifying places where cumbersome people are forcefully confined. Places where very little healing goes on. Where patients are instead subjected to horrifying abuse and experimented on in an attempt to "cure" what does not need to be...

If someone tells you they work in an asylum, run! Trust me, you don't want any of this type anywhere around you...
— Sergeant
Asylum St Méen in Brittany by Musée de Bretagne: 971.0008.2977
La Salpêtrière, lunatics rooms built in 1789 by Georges Guillain in the Wellcome Collection
Straightjacket by Wellcome Collection
 

The army

 
What? You do not want to go see a civilian? For some reason you do not trust them? Well, you are in luck, for the best medical practitioners in the country are all in the army! It is where they see the most practice you see...
— Sergeant




The army's medical tents

Though another thing that may help the surgeon's talents is the fact that in contrast to civil practitioners of medicine, military doctors have a big advantage: the ability to use human sacrifice to power their healing magic.
— Sergeant


In the whole of France and even of Europe, you could have no better chance of survival than if you were injured on a battlefield on the French side. Since the 1789 revolution, French people have had little care for the religious interdict against human sacrifices of fellow Christians, and they have made full use of the new opportunities afforded by this.   The rest of Europe has learnt the hard way that letting the French decide of the battlefield was as good as signing their own death. Indeed, French soldiers have become experts in quickly setting ritual grounds that they can then use to their advantage while the battles start.   While it has proven impossible to directly bypass enemies' soldiers personal protections to kill them instantly—at least until now, the engineers are not despairing!—what the rituals are doing is ensuring that when the enemies do die, the energy generated by those deaths is directly canalised back towards the medical tents where it can be put to good use by healing French soldiers.   As soon as soldiers are injured, they are carried out of the way by the medical services and put into the ambulance of the "flying" service—service invented by the Army Corps General Dominique Jean Larrey during the Napoléonic wars. They are driven towards the medical tents raised in proximity of the battlefield itself.   Once there, a medical officer will triage them—a technique again invented by Larrey—and sent to the right healing station depending on the severity of their injuries. All the medical officers are rigorously trained in the latest healing magical techniques and are able to make full use of the sacrifice magic to perform miracles.

We almost never have to do actual amputations! If you survive the initial injuries, a quick trip to the medical tent and you will back up and fighting in no time for the glory of France!
— Sergeant
Dominique Jean Larreys ambulance volante
Dominique Jean Larrey's flying ambulance by Jean Blade (1792), Musée du Service de Santé des Armées, Paris
Larrey Operating on the Battlefield by Charles Louis Müller, Bibliothèque de l’Académie nationale de médecine



Medical research facilities

Either in time of peace or war, military doctors are always eager to keep expanding their knowledge of pathologies and injuries and to keep pushing the frontier of medicine further. The medical research facilities in Paris are the most advance research centre in all of Europe in this field. All experiments are carried out on prisoners condemned to death—the most famous one having been of course Louis XVI. The death row is a truly unpleasant place to be...  
Who cares about all those traitors and enemies? If they are there, it is because they attacked the French State and its people! They are only getting what they merit—more in fact, since they are finally serving France!
— Sergeant





Execution of Louis XVI by Antoine-Jean Duclos (1794), Bibliothèque nationale de France



Military hospice "Les invalides"

Les invalides is the name of the military hospice built in Paris to host retired and wounded soldiers. It was built at the initiative of King Louis XIV in 1670. Its construction and running have been a strong propaganda message sent by the king to the soldiers and the whole population to encourage them to enrol in the army and to support the king's war effort. The king's successors have kept it running for this reason.   While the healing there is not exceptional, the Invalides is seen by all soldiers as a symbol that the state takes care of its own. After serving for decades and offering their lives as sacrifices for the nation, they are guaranteed a minimum of comfort and care in their old age, no matter the state they will end up in. This is far more than can be said for the rest of the population...   As such an important symbol, the Invalides is a magnificent building covered in gildings. It has its own dedicated staff, all well-trained nurses able to adequately take care of the most pressing needs of their charges and to alleviate their suffering. In its well-cared garden and courtyards soldiers can gather together and relived their glory days or quarrels about politics.





Military hospital
The Invalides military hospital by Pixabay and a public domain picture


Cover image: Military hospital with Adalinde by AmélieIS with Pixabay and a public domain image

Comments

Author's Notes

Summer Camp 2021 prompt 1: A building associated with healing the sick.   Source for the apothecaries: Olivier Faure. (2014). "Le médicament en France au XIXe siècle. Un triomphe inattendu." Bulletin d’histoire et d’épistémologie des sciences de la vie, 21:119-130.   Sources for the asylum:
1) Le Bras (2016). L’asile d’aliénés et le désordre des familles. "Mobilités, savoir-faire et innovations", 56:1771-187.
2) Laurent Sueur (1994). "Les Psychiatres Français De La Première Moitié Du XIX E Siècle Face à L'isolement Des Malades Mentaux Dans Des Hôpitaux Spécialisés." Revue Historique 291, 2(590):299-314.   Source for the health service in the army:
1) Short biography of Dominique Jean Larry.
2) The health service in Napoléon's Grande Army.   I am going to compete this article by writing more about medical sciences in my world with the prompts 2 (conditions), 3 (new treatment) and 7 (medical education). I also intent to make an article about Dominique Jean Larrey and his role in revolutionasing medicine in the early 19th century.


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Jul 3, 2021 04:01 by Eliora Yona

Whoa!!! This is great! You covered everything!

Jul 3, 2021 07:01 by Amélie I. S. Debruyne

Thanks for the comment :D

To see what I am up to: my Summer Camp 2024.
Jul 3, 2021 04:51 by Bart Weergang

Wooow Amélie, that was an interesting read! The sergeant had me laughing again. They're a good one for quotes!

Jul 3, 2021 07:20 by Amélie I. S. Debruyne

Thanks :D I'll try to put the sergeant everyone this month :p

To see what I am up to: my Summer Camp 2024.
Jul 3, 2021 07:40

There's such a great and impressive amount and attention to detail here that it is difficult to pick a favorite one. But... I'll go with the good sarge's quote about 'the dirtier, the better' as something that seriously embodies the medicine of the time :D   Fantastic work Amélie! :D


Creator of Araea, Megacorpolis, and many others.
Jul 3, 2021 07:54 by Amélie I. S. Debruyne

Thanks :D I'm lucky I already know a great deal about that period, because finding historical sources in a rush is not ideal :p I really want to limit magical healing so that I can show off more of the surgeons' amazing skills with amputation XD

To see what I am up to: my Summer Camp 2024.
Jul 3, 2021 13:51

This article almost doubles as a good summary of medical practice of the era, and the article is well-structured and conveys its information directly and concisely. Although there are a few points where the English is patchy, it is comprehensive and easily comprehensible. The quotes do a lovely job of brightening the mood, well done!

Jul 3, 2021 14:05 by Amélie I. S. Debruyne

Thanks :D I tried to stay as close to history as possible despite the use of magic.   I know I should give it a reread once I have time to smooth the language :p

To see what I am up to: my Summer Camp 2024.
Jul 7, 2021 14:37 by Dr Emily Vair-Turnbull

I love the quotes from the Sergeant XD   Really fascinating read. I love the amount of research you've done into real history, and you've mixed in your own bits and pieces in really well. I think I'll avoid the hospitals, though, thanks. :)

Emy x
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Jul 7, 2021 15:22 by Amélie I. S. Debruyne

Thanks :D Yes medicine was absolutely horrifying... those human sacrifices are a real god-given gift!

To see what I am up to: my Summer Camp 2024.
Jul 8, 2021 19:02 by Janelle

All the buildings, all the treatments, and all that commentary from the Sergeant! This was a great read, Amélie!


Seek out Fate in the world of Auriga!
Jul 8, 2021 21:12 by Amélie I. S. Debruyne

Thanks :D

To see what I am up to: my Summer Camp 2024.
Jul 12, 2021 17:24 by AS Lindsey (Pan)

Another great article, good job.   This one in particular showcases how well you're intertwining real history with that of your world.

Jul 12, 2021 17:59 by Amélie I. S. Debruyne

Thanks :D Yes first half is basically real history while I cheated with the army thanks to the human sacrifices :p

To see what I am up to: my Summer Camp 2024.
Jul 12, 2021 18:53 by AS Lindsey (Pan)

Oh man, the human sacrifices aren't actual French history? Darn.

Aug 7, 2021 10:21

You covered all possible medical buildings from France for this one :p Very nice article! Those hospitals do indeed sound like something I don't want to end up in xp Also love the fact that people should never let the French have time to prepare so they can't do their sacrifices :p   Found a little spelling that was French 'an abondance of choice', should be 'abundance' :)

Feel free to check my new world Terra Occidentalis if you want to see what I am up to!
Aug 7, 2021 10:43 by Amélie I. S. Debruyne

Ah! thanks for spotting that typo :p   Yes, I may have done a little bit much for only one article here, but that was the start of Summer Camp and I was felling motivated :p I also needed to figure out how the whole system work together as a whole... Before that article my world didn't really have any human sacrifice but this really started a theme XD That really allows me to cheat and not have everyone horrible disfigured and injured :p

To see what I am up to: my Summer Camp 2024.
Aug 7, 2021 11:11

But perhaps there could be those that don't want to be treated with sacrifices and choose to be disfigured :p

Feel free to check my new world Terra Occidentalis if you want to see what I am up to!
Aug 7, 2021 12:46 by Amélie I. S. Debruyne

Oh good point! Especially since the Church forbade the use of those rituals since it became the official religion of Rome. We had a lot of unhappy people with how the Church was treated during the revolution and there would absolutely be some would-be martyrs around :D I have to add that somewhere now...

To see what I am up to: my Summer Camp 2024.
Aug 7, 2021 22:12

sorry for giving you more work now xp

Feel free to check my new world Terra Occidentalis if you want to see what I am up to!
Nov 10, 2021 15:39 by A

This is really comprehensive. You did a great job researching every single detail. As a historian, it fills my heart with joy to see this! Good job! And congratulations on the nomination for best landmark.

Worldkeymaster, also known as A of Worldkeymaster.
You are welcome to explore Nimenra, a world in conflict between Humans and Demons.
My summer camp articles and half-finished pledge document: Summer Camp 2022
Nov 10, 2021 18:33 by Amélie I. S. Debruyne

Thanks! I'm glad you like the historical aspect, I had a lot of fun research all of that :D

To see what I am up to: my Summer Camp 2024.
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