Or Perish in the Attempt: L&c Medicine

The best account I’ve read yet of the Lewis & Clark Expedition, the hardships and exceptional leadership displayed by Lewis and Clark!

To say that Dr. Peck has given light to another side of the journey of the Corp isn't enough; this is more than a fresh perspective. Or Perish in the Attempt earns its place among the great books about this journey of the Corp of Discovery. While reading this book the reader will feel the dust on the trail, the sweat from a day in the canoe, the fear of facing down a grizzly, and the curiosity as Lewis and Clark disperse liberal doses of "Thunderclappers." Dr. Peck has given us a well researched account of the Lewis and Clark expedition, and taught us crucial lessons in wilderness medicine at the beginning of the 19th century. I can't wait to go back to these dog-eared pages and retrace the steps again. Thank you for the well written book, thank you for the medical insights with the explanation that I can understand, and thank you for bringing these stories to light.

The story of Lewis and Clark is fascinating ? one of the original legendary American expeditions with extraordinary implications. The historical record and the many books available to us that interpret this journey into the unknown let us relive the excitement of exploration of the American frontier. However, until Or Perish in the Attempt by Dr. David Peck was written and published, only half of the legendary story of Lewis and Clark has been told. Now you can experience the ?rest of the story? through the eyes of an articulate, practicing modern physician who unveils the medical threat that the Corps of Discovery was under during the few years it took them to get to the Pacific northwest and back. Dr. Peck sets the foundation by first explaining the prevailing medical philosophy of the times by leading physicians, including Dr. B. Rush ? a leading advocate of blood letting. Then, we follow Lewis as he gets his guidance in person from Dr. Rush for the perceived medical threat and heads off up the Missouri with Clark and all their men, materials and supplies into the heart of darkness. While the Corps of Discovery went about their business meeting their basic survival and occasional life enhancement needs, Dr. Peck takes the story to a much deeper and scarier level. While Lewis and Clark and their men worried about Indians, snakes, bears around the bend, the medical threat loomed all around them in the form of mosquitoes carrying deadly malaria and all sorts of bugs and germs that the men ingested from drinking river water and eating inordinate amounts of meat from all kinds of critters that were available to them for life sustaining food. Dr. Peck shows that these guys were very rough and tough. However, they got sick and were often very sick along the way and didn?t have an emergency room to run to for help. Everyone turned to Lewis for help as he handed out the Thunder Clappers and other drugs from his supplies. Dr. Peck takes these complex ideas and concepts from the medical world and breaks them down so we can understand them thoroughly. In so doing, the story of Lewis and Clark becomes more real than ever before. As a result, the reader comes away with a serious education about health care and the awesome power of the human body to heal itself ? if things are done correct. The ending of Or Perish in the Attempt was the high point of the book because Dr. Peck clearly shows why Lewis died shortly after returning from the expedition. That explanation alone is worth the price of admission. So, if you want to take a ride, then get in line for your E-Ticket on the Or Perish in the Attempt roller coaster ride by Dr. David Peck. This is a must read for anyone who thinks they already know the story of Lewis and Clark or for anyone who might think they know how to take care of themselves in the wilderness or their own backyard.

Just finished this book and found it fascinating. Being from and living in the Pacific Northwest puts another perspective on the Lewis & Clark journey. It was particularly interesting that the author shed light on early 19th century medicine through the Lewis & Clark journey. Peck made both subjects very interesting, and I felt used a unique and humanistic style of writing in doing so. In reading the book, you feel like you can really identify with those that made the journey, almost as if you're traveling on the journey with them. I highly recommend the book to anyone interested in U.S. History, Adventure and/or Medicine.

Dr. Peck has rewarded us all with his thorough research and clear explanations. Since first reading Ambrose's book, Undaunted Courage, two years ago, I have steadily digested everything that I could get my hands on that dealt with the Lewis & Clark Expedition. Last year, I remarked to a friend that someone needed to write a book that filled in the gaps that Dr. Chuinard left regarding the medical aspects of the journey. Fortunately, Dr. Peck has saved someone the toil. I have only three criticisms of the book. First, some of the expressions may be a little too ecclectic for a non-medical person or the person who reads the book 100 years from now. Examples are the referring to phlebotomists as "vampires" and his reference to Pompey being born at 3 or 4 AM. Second, I am curious as to why Peck did not cover the Lewis & Clark's medical study done during the winter spent near St. Louis. Dr. Chuinard covered this extensively, but Dr. Peck does not mention it. Third, I disagree with the conclusion that Lewis committed suicide. Perhaps it is a matter of denial, but there are too many suspicious factors for me to conclude that Lewis killed himself.When I picked this book up, my most pressing question about the author was regarding the way in which he dealt with Dr. Benjamin Rush. I have found (in 20 years of medical experience) that it is hard to judge the quality of care rendered a few years ago, and that 200 years is a nearly impossible breach of time. Dr. Peck has dealt with Dr. Rush honestly, and does not judge him by today's standard of care. Dr. Chuinard was too critical of Dr. Rush, and Dr. Peck has helped clear Dr. Rush's reputation: Dr. Rush was one of the soundest physicians that America would know before 1900. Dr. Rush helped bring the dawn from the "Dark Ages" of medicine.Ambrose and Peck are the authors that every student of the Corps of Discovery should start with. Thank you, Dr. Peck.

Dr. Peck has rewarded us all with his thorough research and clear explanations. Since first reading Ambrose's book, Undaunted Courage, two years ago, I have steadily digested everything that I could get my hands on that dealt with the Lewis & Clark Expedition. Last year, I remarked to a friend that someone needed to write a book that filled in the gaps that Dr. Chuinard left regarding the medical aspects of the journey. Fortunately, Dr. Peck has saved someone the toil. I have only three criticisms of the book. First, some of the expressions may be a little too ecclectic for a non-medical person or the person who reads the book 100 years from now. Examples are the referring to phlebotomists as "vampires" and his reference to Pompey being born at 3 or 4 AM. Second, I am curious as to why Peck did not cover the Lewis & Clark's medical study done during the winter spent near St. Louis. Dr. Chuinard covered this extensively, but Dr. Peck does not mention it. Third, I disagree with the conclusion that Lewis committed suicide. Perhaps it is a matter of denial, but there are too many suspicious factors for me to conclude that Lewis killed himself. When I picked this book up, my most pressing question about the author was regarding the way in which he dealt with Dr. Benjamin Rush. I have found (in 20 years of medical experience) that it is hard to judge the quality of care rendered a few years ago, and that 200 years is a nearly impossible breach of time. Dr. Peck has dealt with Dr. Rush honestly, and does not judge him by today's standard of care. Dr. Chuinard was too critical of Dr. Rush, and Dr. Peck has helped clear Dr. Rush's reputation: Dr. Rush was one of the soundest physicians that America would know before 1900. Dr. Rush helped bring the dawn from the "Dark Ages" of medicine. Ambrose and Peck are the authors that every student of the Corps of Discovery should start with. Thank you, Dr. Peck.