Living in Bookland

It wasn’t just that they didn’t want to smell the infected and dead, they thought it was crucial to protecting themselves. They had no way of knowing about what actually caused the plague, and so one of the other theories was that the smell of the infected all by itself was evil and could transmit the plague. So not only would they fill their masks with aromatic herbs and flowers, they would also burn fires in public areas, so that the smell of the smoke would “clear the air”. This all related to the miasma theory of contagion, which was one of the major theories out there until the 19th century. And it makes sense, in a way. Plague victims smelled awful, and there’s a general correlation between horrible septic smells and getting horribly sick if you’re around what causes them for too long.

You can see now that we’ve got two different theories as to what caused the plague that were worked into the design. That’s because the whole thing was an attempt by the doctors to cover as many bases as they could think of, and we’re still not done.

The glass eyepieces. They were either darkened or red, not something you generally want to have to contend with when examining patients. But the plague might be spread by eye contact via the evil eye, so best to ward that off too.

The illustration shows a doctor holding a stick. This was an examination tool, that helped the doctors keep some distance between themselves and the infected. They already had gloves on, but the extra level of separation was apparently deemed necessary. You could even take a pulse with it. Or keep people the fuck away from you, which was apparently a documented use.

Finally, the robe. It’s not just to look fancy, the cloth was waxed, as were all of the rest of their clothes. What’s one of the properties of wax? Water-based fluids aren’t absorbed by it. This was the closest you could get to a sterile, fully protecting garment back then. Because at least one person along the line was smart enough to think “Gee, I’d really rather not have the stuff coming out of those weeping sores anywhere on my person”.

So between all of these there’s a real sense that a lot of real thought was put into making sure the doctors were protected, even if they couldn’t exactly be sure from what. They worked with what information they had. And frankly, it’s a great design given what was available! You limit exposure to aspirated liquids, limit exposure to contaminated liquids already present, you limit contact with the infected. You also don’t give fleas any really good place to hop onto. That’s actually useful.

Beyond that, there were contracts the doctors would sign before they even got near a patient. They were to be under quarantine themselves, they wouldn’t treat patients without a custodian monitoring them and helping when something had to be physically contacted, and they would not treat non-plague patients for the duration. There was an actual system in place by the time the plague doctors really became a thing to make sure they didn’t infect anyone either.