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Or Perish in the Attempt: Wilderness Medicine in the Lewis & Clark Expedition

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An urgent-care physician with a passion for the Lewis and Clark Expedition describes its medical aspects in this popular book. The two captains had to act as doctors for their own men, Sacagawea and baby Pomp, and also treated many Indian nations met along the way. But they used the primitive medicines and theories of 1803, which often called for doing just what shouldn’t be done, or what had no effect. Dr. Peck describes the trip from St. Louis to the Pacific Ocean and back, emphasizing the illnesses and accidents, and how the captains dealt with frostbite, severe cuts, appendicitis, venereal disease, pelvic inflammatory disease, mental illness, parasites, skin infections, snowblindness, gunshot wound, dislocated joints, muscle spasm, and more. Anecdotes from his own practice enrich the information he gathered from current medical publications. He also presents medical and anecdotal evidence supporting the theory that Meriwether Lewis died from suicide rather than murder.

351 pages, Hardcover

First published January 1, 2002

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About the author

David J. Peck

6 books1 follower
Dr. David J Peck, a San Diego based physician has authored two books on the famed Lewis and Clark Expedition. His first, OR PERISH IN THE ATTEM{PT (Bison Books-Univ. of Nebraska Press 2011) has achieved the status of the "go to" book on medicine and the famed expedition. His latest book, "SO HARD TO DIE--A PHYSICIAN AND A PSYCHOLOGIST EXPLORE THE MYSTERY OF MERIWETHER LEWIS'S DEATH (2021), was written with his wife, Dr. Marti Peck, a clinical psychologist and adult psychoanalyst. "So Hard to Die" is the authoritative and definitive analysis of the mysterious death of Meriwether Lewis at the age of 35, a victim of gunshot wounds. Originally reported as a suicide, controversy still swirls around suicide vs. murder, with multiple erroneous theories having been presented as "fact" over the past 50 years. The Drs. Peck have clarified and commented extensively on Lewis's death as well as other author's theories.

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5 stars
14 (22%)
4 stars
25 (40%)
3 stars
19 (30%)
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Displaying 1 - 12 of 12 reviews
23 reviews
February 8, 2018
great read. not only a great description of the Lewis and Clark expedition but an interesting view of the medical perrils they faced. well done
Profile Image for Ruben.
95 reviews
April 12, 2020
Interesting book, a mix of history and medicine!
Profile Image for Merenwen Inglorion.
280 reviews43 followers
May 15, 2023
5 stars!

Things I liked:
-clean writing style, with just enough of a modern "voice" to add flavor without detracting from the time period
-index, references, and appendices!
-factual reporting of diseases and injuries, without trying to be over the top with descriptions

Things I didn't like:
-this thing took me forever to read (but that's my own fault for not prioritizing it and packing it up for a bit :P)
1 review2 followers
October 2, 2026
This book gave me a completely different view of the Lewis and Clark expedition. I’ve never considered the medicine aspect that the expedition would have had to have figured out. I found the discussion of different medicines they had to carry with them to be so interesting and I can’t believe more members of the expedition didn’t die en route!
Profile Image for Summer.
289 reviews14 followers
February 2, 2019
Subject was interesting, but I think it might have been better if it wasn't written chronologically. It felt like a catalog instead of an interesting look at how they viewed medicine and the medicals needs they faced.
103 reviews
October 22, 2019
Not exactly what I thought it was going to be, but it will still go in my MT book collection.
15 reviews
October 13, 2021
Very interesting even if your not interested in wilderness medicine. Peck has an interesting and informative style of writing.
Profile Image for Casey Kyler-West.
1 review
October 2, 2026
This was a really fascinating read. I’ve never given any thought to the threat of parasites and other diseases during that time. I’m glad I took the time to read it.
Profile Image for Kimberly.
218 reviews2 followers
June 21, 2012
I used to think the fact that Lewis & Clark succeeded on their expedition was simply wonderful. After reading this book, I realize their success was nothing short of a miracle!

Very interesting and highly recommended.
Profile Image for Jay.
40 reviews1 follower
January 24, 2008
Ok, this book has two of my favorite topics wilderness/primitive medicine and the Lewis & Clark expedition. Naturally this is one of my favorite books.
Displaying 1 - 12 of 12 reviews