Probably had too much blood in their blood. Have to get that blood out.
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He may be addicted to cocaine, but look at him go! Now that's a productive member of society!
Explanation: The 19th century, in an explosion of technological advancement, created all sorts of brand new compounds and extracts for doctors to use! Like 'cocaine' and 'heroin'!
Surely none of them with positive initial effects would end up being harmful in the long run, would they?
How can something that makes You feel like a hero be bad for you?
“The cocaine is for the patients?” - William Stewart Halsted.
I think the funniest part of his story is when he tried to get off cocaine by going on a sailing trip with only enough cocaine to get him halfway. https://maximumfun.org/episodes/sawbones/sawbones-the-man-behind-the-knick/
His patient satisfaction ratings are incredible.