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Comment by OkayPhysicist

4 days ago

I've recently come around on bloodletting. It seems barbarous, but there are some ailments that it really does help with. It wasn't a wild extrapolation for our ancestors to think it helped with other things. For example, gout: I recently had an appointment to give blood during a pretty bad gout flare, but I didn't want to reschedule so I hobbled over there, cane and all. By the time I was done, I felt better than I had in days. Looked it up, and turns out there's a not-insignificant amount of research on the subject.

I can totally imagine one of my gout-ridden relatives incidentally discovering that after losing a good chunk of blood (maybe a hunting accident, or a fuckup in a pottery workshop) that their foot stopped stabbing in pain. And then going "what else can I cure this way?".

And there's some new things that bloodletting is the only known treatment for. Like PFAS accumulation.

> And then going "what else can I cure this way?"

That's the difference. Bloodletting seems barbarous because it definitely didn't cure most things it was used for.

What is the mechanism by which bloodletting helps? And could we not accomplish the same thing by filtering it, dialysis style?

> PFAS accumulation

Highly overblown. People drink alcohol at quantities know to be carginogenic and we don’t have the histeria that we do about something in the ppb range.