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In Paris in 1274 there were only 8 doctors and about 40 people practising medicine without any official training and they didn't really understand how the body worked and why people got sick. When making a diagnosis doctors might consult medical books, astrological charts and urine samples. Some doctors believed disease was caused by bad smells or small worms, or the position of the planets or stars. They also charged very high fees, so only the rich could afford them.
Although surgical operations were performed, they did not know about sanitisation and there were no anaesthetics. Most patients died from infection or shock...
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