Anatomy Lesson Outlander Trauma-Drama, Part 2

Hey, all.

Hope you had a grand couple of weeks awaiting part two of Outlander Trauma-Drama… Here it is. Yay! 🤗

Our last Anatomy Lesson, Outlander Trauma-Drama, Part 1, showed the system pathologists use to classify trauma. In that lesson, we covered different types of mechanical trauma including contusion, abrasion, laceration, incision, avulsion, projectile injury, and puncture wounds.

Remember? Yasss! 😊

    • Mechanical trauma
      • Contusion
      • Abrasion
      • Laceration
      • Incision
      • Avulsion
      • Projectile injuries
      • Puncture wounds
    • Thermal Injury
    • Radiation Injury
    • Personal Exposure (tobacco and alcohol)
    • Therapeutic Drugs
    • Air Pollution
    • Industrial Exposures
    • Agricultural Hazards
    • Natural Toxins
    • Oxygen Deprivation
    • Infectious Agents
    • Immunological Diseases
    • Genetic Derangements
    • Nutritional Diseases

Today’s lesson continues with the trauma-drama theme ‘cos there are still loads of Outlander owies to uncover and discover!

Again, examples from Diana’s big books and the Starz Outlander series will serve as anatomical models for the injuries. 👍🏻

Today’s lesson will cover thermal injury and alcohol abuse. So, let’s get started!

There are six types of Thermal Injury:

    • Thermal burns
    • Hyperthermia
    • Chilblains
    • Hypothermia
    • Frostbite
    • Electrical injury

Here we go!

Thermal Burns: Thermal burns are caused by harmful exposure to heat, electricity, chemicals, or radiation.

Thermal burns are usually classified as first, second, or third degree burns. Occasionally, we hear of fourth degree burns, but do you ken there are also fifth and sixth degrees? Indeed there are! 🤓

Some students may have read Anatomy Lesson #5 and Anatomy Lesson #6 wherein we learned that skin is composed of epidermis (surface layer of skin cells) and dermis (underlying connective tissue). Thus, another useful way of grading thermal burns is to describe their relative depths.

Partial-thickness Burn: This type damages the epidermis or both the epidermis and outer dermis; it includes first and second degree burns. Such burns are red and may blister and are very painful. Most partial-thickness burns heal without scarring because hair follicle cells regenerate to cover the damaged surface. Even here, if a partial-thickness burn is too large, a skin graft may be required.

Full-thickness Burns: Full-thickness burns extend through both epidermis and  dermis and into underlying tissues. Such wounds are typically aesthetic (painless) because nerve endings are destroyed, although the rim of such a burn is usually painful. Full-thickness burns include third, fourth, fifth and sixth degree burns which may pass into muscle and bone. Fifth and Sixth degree burns are typically fatal.

We can imagine fifth and sixth degree burns suffered by poor Father Alexandre and Johiehon, his love interest in Outlander episode 412, Man of Worth.

Diana’s fourth big book, Drums of Autumn details the sad and horrific conflagration as the lovers burned to ash.

When the Indians had nearly finished with the priest, they untied him from the stake and fastened his hands instead to a long pole, held above his head, from which to suspend him in the flames….

… It was then that he had seen the Indian girl standing on Claire’s other side, with a cradleboard in her arms. … “She didna look to left or right, but walked straight into the fire.” … The flames had embraced the girl in moments. 

… “Her clothes caught, and then her hair. By the time she reached him, she was burning like a torch.” Still, he had seen the dark silhouette of her arms, raised to embrace the empty body of the priest. Within moments, it was no longer possible to distinguish man or woman; there was only the one figure, black amid the towering flames.

…The smell of burnt things hung in the air. We passed close by the pit and I couldn’t help seeing from the corner of my eye the heap of charred fragments, shattered ends frosted white with ash.

Hyperthermia: Hyperthermia  occurs if body temperature rises significantly above normal (>104 °F / 40 °C ). Many challenges, including infections, cause excessive body temperature.

Typhoid fever,  a.k.a. enteric fever, is caused by food and water contaminated with salmonella bacteria. Symptoms include:

    • High fever
    • Headache
    • Stomach pain
    • Constipation or diarrhea

A great example of hyperthermia appears in Outlander episode 310, Heaven and Earth. You remember Claire’s splendid  wee aide, Elias, who falls ill with typhoid? Claire is comforts him as he bravely succumbs to fever and dehydration. 😭

Cold temperatures 🥶 also cause thermal injury because the human body is poorly equipped to regulate and prevent heat loss; this is especially true of children and the elderly. Normally, fat deposits, heart, blood vessels, brain, skin, and muscles help combat cold. These organs provide insulation, induce shivering, re-direct blood flow from skin to vital organs, and reduce energy consumption.

However, exposure to cold temperatures over long periods of time overcomes our coping mechanisms and produces a range of thermal cold injuries such as chilblains, hypothermia, and frostbite.

Chilblains: Chilblains is a 16th century term for skin trauma due to repeated expose to cold, but not freezing, air. Digits are most commonly affected. The skin becomes red, swollen ,and itchy (next image), but usually heals without permanent damage.

Outlander TV episodes do not feature chilblains. But have no fear, our amazingly witty and resourceful Diana writes about it in her second book, Dragonfly in Amberwherein Claire treats imprisoned men with chilblains.

She’s a wonder! Which “she” do I mean? Take your pick – either woman works!

I talked my way into the cells of the prison, and spent some time in treating the prisoners’ ailments, ranging from scurvy and the more generalized malnutrition common in winter, to chafing sores, chilblains, arthritis, and a variety of respiratory ailments.

Ouch, that looks a wee bit uncomfortable!

Hypothermia: Hypothermia occurs when the body’s core temperature drops below 95°F / 35°C as a result of extended cold exposure. Symptoms include low core temperature, vigorous shivering, confusion, sleepiness, slurred speech, shallow breathing, weak pulse, low blood pressure, changes in behavior, and slowed reactions.

Put simply, the victim of hypothermia experiences  the “umbles” meaning grumbles, mumbles, stumbles and fumbles because cold affects muscle and nerve response.

If the core temperature drops to 90º F / 32.2º C, then bradycardia (slow heart rate) and atrial fibrillation (fast and irregular contraction of the heart’s two upper chambers) may ensue.

The teenager, bad-lass Laoghaire, wasn’t suffering from hypothermia when she exposed her “ladies” to Jamie  in Outlander episode 109, The Reckoning, but she was well on her way!

Take a keek at that goose flesh! 😉

Frostbite: Frostbite is cold injury in which the body’s surface is exposed to freezing temperatures; it affects mostly feet, hands, noses, cheeks, and ears. And, as Prince Harry points out in his tell-all book, “Spare,” the todger must be protected from frostbite. This makes sense since it is also an appendage. 😉

Frostbite occurs in three stages:

    • Frostnip: Frostnip is a mild form of frostbite. Continued cold exposure leads to numbness in the affected area. As the skin warms, the sufferer feels pain and tingling but no permanent skin damage.
    • Superficial Frostbite: Superficial frostbite causes slight changes in skin color. The skin may begin to feel warm — a sign of serious skin damage. Rewarming at this stage causes the skin to appear mottled. The victim may notice stinging, burning and swelling. Fluid-filled blisters may appear over the next 12 to 36 hours (next image).
    • Deep Frostbite. As frostbite progresses, it affects all layers of the skin and underlying tissues. The skin turns white or blue-gray; all sensation of cold, pain, or discomfort is lost in the affected area. Joints or muscles may stop working. Large blisters form 24 to 48 hours after rewarming. The tissue turns black and hardens as it dies. Amputation is usually warranted.

Claire teasingly relates how she and Jamie avoid getting frostbite in this steamy tidbit from Drums of Autumn.

His mouth was warm and soft, and whether he approved of what he was doing or not, he did it awfully well.

…“Ooooh,” I said, and shuddered ecstatically as his teeth sank delicately into my earlobe.

….“Oh, well, if it’s like that,” he said in resignation, and taking my hand, pressed it firmly between his thighs.

..“Gracious,” I said. “And here I thought the cold …”

…“It’ll be warm enough soon,” he assured me. “Get them off, aye?”

…It was rather awkward, given the cramped quarters, the difficulty of staying covered in order not to suffer frostbite in any exposed portions, and the fact that Jamie was able to lend only the most basic assistance, but we managed quite satisfactorily nonetheless. 😅

Electrical Injury: What is this? Electrical injury is damage to the skin or internal organs after a person comes into direct contact with a high-voltage source. An electric shock can be life-threatening.

Good advice: Get emergency help if the source of the injury is a high-voltage wire or lightning. Even those with minor injuries or no symptoms should be checked by a physician for internal injuries because these may not be evident to the non-professional.

Rare but life-threatening symptoms include severe burns, muscle pain and contractions, seizures, and unconsciousness. In some cases, heartbeat and breathing may be difficult to detect.

In the US, there are approximately 1000 deaths per year, as a result of electrical injuries. Of these, approximately 400 are high-voltage electrical injuries and lightning causes 50 to 300. There are also at least 30,000 shock incidents per year that are non-fatal.

If you think these stats are grim, consider the UK: Faulty electrical equipment and sockets cause approximately 70 deaths and 350,000 injuries in UK homes every year (RHA, 2022). Such figures show how important it is to follow electrical safety guidelines.

Outlander book and TV don’t really contain much about electrical injury. the closest I can come is Claire’s eerie encounter with Otter-Tooth’s ghost in Outlander episode 403, The False Bride. Here, she experiences the aftermath of a lightning strike.

Diana describes the scene in vivid detail. Again, from Drums of Autumn:

Sheet lightning shimmered far away, across the mountains. Then more bolts, sizzling across the sky, each succeeded by a louder roll of thunder. The hailstorm passed, and the rain resumed, pelting down as hard as ever. The valley below disappeared in cloud and mist, but the lightning lit the stark mountain ridges like bones on an X ray.

I woke all the way to the smell of burning, and sat bolt upright. The rain had stopped; it was the silence that wakened me, I thought. The smell of smoke was still strong in my nostrils…

…The ground rose in front of me to a small ridge. At the top of this stood a large balsam poplar tree, the source of the smoke. The tree had been struck by lightning; half of it still bore green leaves, the canopy bushy against the pale sky. The other half was blackened and charred all down one side of the massive trunk. Wisps of white smoke rose from it like ghosts escaping an enchanter’s bondage, and red lines of fire showed fleetingly, glowing beneath the blackened shell.

Echoes of the shock of impact wavered through my flesh, and I tried frantically to fit myself back into my body. Then I drew breath, a painful gasp, and found myself shaking, the shock turning to the first intimations of damage. I lay still, eyes closed, concentrating on breathing, conducting an inventory. 

…The rain was still pounding down onto my face, puddling in my eye sockets and running down into my ears. My face and hands were numb. My arms moved. I could breathe a little easier now.

Drenched in cold, relentless rain, Claire spies the spooky ghost of Otter-tooth. Careful, lest you get hyperthermic, Claire!

And, there he is. Sharp as an Otter’s Tooth!

That is it for thermal injury. But….

Here’s some exciting thermal news: The US Department of Energy is developing clothes with thermal properties that adapt to the environment and to the wearer’s body. By changing the make-up or shuttling heat to and from the body, the garments can keep people comfortable whatever the external temperature (30 January 2016, New Scientist). I’m ready for one of these jackets, how about you?

Onward! 

Alcohol: Alcohol is a colorless, volatile, and flammable liquid that is the intoxicating element of wine, beer, and other spirits (duh!); it is also used as a fuel and is an industrial solvent! 😮

How the body handles alcohol: The stomach lining contains alcohol dehydrogenase (ADH), an enzyme which metabolizes alcohol. The liver also has ADH plus other enzymes that help break down alcohol. But, bad news for the lassies: Women naturally have lower levels of GAD than men and often develop higher blood alcohol levels after drinking the same or even less alcohol. So, be wary if ye are an XX!

Claire offers a pithy analysis of alcohol in this quote from the big book, “Drums of Autumn,“wherein Jamie gets John Quincy Myers drunk in preparation for his hernia surgery.  (Psst…Non-book readers ken Claire performed this surgery on Edmond Fanning in episode 408, Wilmington.)

“Alcohol isn’t a good anesthetic at all,” I said, shaking my head. “It’s a poison. It depresses the central nervous system. Put the shock of operating on top of alcohol intoxication, and it could kill him, easily.”

And, there we have it in a nutshell!

Not surprisingly, alcohol is the most widely used and abused toxic agent in the world. (Not meaning to preach as I enjoy a wee bit now and then)

Alcohol injury ranges from binge drinking to full on alcoholism with a myriad of accompanying ailments. Most of us are well-versed on the effects of excessive alcohol intake and realize some effects are acute and others are chronic.

Acute Alcohol Intoxication: In the US, there are over 3,000,000 reported cases of acute alcohol intoxication (AAI) from drinking too much, too quickly. Symptoms include slurred speech, incoordination, mood and behavioral changes, and poor judgement. Acute alcohol intake effects breathing, heart rate, body temperature, gag reflex, and can lead to coma and death. (psst… I wager many more cases go unreported) 🫢

Risk factors include:

      • Injuries, such as motor vehicle crashes, falls, drownings, and burns.
      • Violence, including homicide, suicide, sexual assault, and intimate partner violence.
      • Alcohol poisoning, a medical emergency that results from high blood alcohol levels.
      • Risky sexual behaviors, including unprotected sex or sex with multiple partners. These behaviors can result in unintended pregnancy or sexually transmitted diseases, including HIV.
      • Miscarriage and stillbirth or fetal alcohol spectrum disorders (FASDs) among pregnant women.
Alcohol intoxication is managed with rest, hydration, and abstaining from alcohol. It is worth noting that severe cases may require hospitalization, intravenous fluids, observation, and supportive care.

Oh, Jamie is in the throes of AAI at Lallybroch (episode 112, Lallybroch). He is stinking drunk as he stumbles into the bedchamber reeking of booze; Claire is not “amoozed.” 

But, he looks marvelous in his da’s splendid leather coat! 😜 

Chronic Alcohol Use: Alcohol Dependence Syndrome (ADS or alcoholism) is a condition characterized by long-term alcohol dependence and alcohol abuse that result in specific physiological and behavioral problems. ADS  includes ten or more different signs and symptoms, but from a medical standpoint, only two are required for diagnosis. Chronic use causes a host of problems, including:
    • High blood pressure, heart disease, stroke, liver disease, and digestive problems.
    • Cancer of the breast, mouth, throat, esophagus, larynx, liver, colon, and rectum.
    • Weakening of the immune system, increasing the chances of illness.
    • Learning and memory problems, including dementia and poor school performance.
    • Mental health problems, including anxiety and depression.
    • Social problems, including family problems, job-related problems, and unemployment.
    • Alcohol use disorders, or alcohol dependence

In season six of Outlander, we witness Fergus falling into ADS as he struggles with the cruelty and intolerance toward his dwarf son (episode 603, Temperance).  Alcohol  is commonly used to cope with personal tragedy and trauma.

You remember Colum MacKenzie back in Outlander, seasons 1 and 2?  Yes, of course ye do! 😊 Claire diagnosed Colum as a sufferer of  Toulouse-Lautrec Syndrome, also known as pycnodysostosis. 

Colum required large quantities of rhenish wine (9% alcohol content) to quell and dispel the agony of his existence (Outlander episode 102, Castle Leoch). 

…  “I beg your pardon?” I turned, having missed Colum’s words in the growing noise, to find him offering me the decanter, a lovely bell-shaped thing of pale green crystal.

The liquid within, seen through the glass, seemed green as the sea-depths, but once poured out it proved to be a beautiful pale-rose color, with the most delicious bouquet. The taste was fully up to the promise, and I closed my eyes in bliss, letting the wine fumes tickle the back of my palate before reluctantly allowing each sip of nectar to trickle down my throat.

“Good, isn’t it?” The deep voice held a note of amusement, and I opened my eyes to find Colum smiling at me in approval. I opened my mouth to reply, and found that the smooth delicacy of the taste was deceptive; the wine was strong enough to cause a mild paralysis of the vocal cords.

“Won—wonderful,” I managed to get out. Colum nodded.

“Aye, that it is. Rhenish, ye know. …”

Clearly, Colum suffered from his genetic disability but also from ADS . Near the end, when rhenish no long offered the needed relief, he turned to Claire to assist him in end of life options (Outlander episode 210 Prestonpans).

ADS is considered a medical emergency because it can lead to coma and death. Guidelines exist about the amount of alcohol the liver can metabolize per hour and these rates should not be exceeded. Again, please get informed if this is an issue in your life.

As a final example, we see wee Flora MacDonald taking a wee nip from her personal hip flask in Outlander, episode 605, Give Me Liberty!  Now, just because she carries a personal flask, it doesn’t mean she is suffering from either acute or chronic alcohol poisoning! 😉

Finally, this is an interesting tidbit. Some people carry a gene variant encoded for alcohol dehydrogenase (ALDH2*2) that stops the enzyme working, so these folks experience flushing soon after drinking. This happens because they have a lowered ability to metabolize alcohol and includes some 8% of the world’s population. Now, a link has been found showing that this gene raises heart disease risk in those who experience alcohol flush (New Scientist, 4 Feb. 2023). The risk of heart disease is four times greater in regular drinkers with the defective gene! if you flush immediately after alcohol ingestion, you may wish to consult your physician?

OK, that is our lesson for today. But before we call it quits let’s have a –

Pop Quiz! 

Name the injury (red arrow) Jamie sports after the Battle of Alamance, in Outlander episode 507, The Ballad of Roger Mac.

What was that you said?

An abrasion?  🚫

A laceration? 🚫🚫

An avulsion? 🚫🚫🚫

What was that you said?

 

 

A contusion? Yep!

Well done, anatomy students! 👏🏻👏🏻👏🏻

Next time, Part 3!

The deeply grateful,

Outlander Anatomist

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Photo creds: Sony/Starz, www.en.wikipedia, www.britannica.com

 

Clan-Slam – MIK and Clanlands!

If  you are like me, you binge watched Men in Kilts as soon as it became available on Starz.  What a delightful respite after a very looong Droughlander! At least we can rewatch as we wait and wait and wait for season six of Outlander! 😉

Also, I immediately snagged hard copy and digital versions of Clanlands, the book written by these two inventive lads. And, I listened to the audible version, the official title of the books being: Clanlands: Whisky, Warfare, and a Scottish Adventure Like No Other.

Basically,  TV series and various book forms offer a splendid record of one big, fabulous road trip taken by Sam Heughan and Graham McTavish, stars of the beloved Outlander TV series. And, in an interesting switch-up, the books, the show, and the audible versions are not precisely the same. So, if you are able, I recommend all three forms for conspicuous consumption! 😋

As if reading about this Scottish pair isn’t sufficient to pique ones interest, the book forward is written by Herself, Diana Gabaldon! With typical wit and charm, her first words are:

“Well, in The Beginning…there was a man in a kilt.” 😍

Now, I don’t want to crow (well, maybe a little), but I snagged an autographed version of the hard copy of Clanlands. 🤗

Yes, I know. The “autograph” consists of Sam’s initials and Graham’s… what? There’s maybe a “G” in there, but can the last line possibly read as McTavish??? 🤷‍♀️

The book of their Scottish odyssey begins with this prophetic promise:

“The story of two men who know nothing”

Sam and Graham

Followed by:

“It’s a dangerous business, Graham, going out your door. You step onto the road, and if you don’t keep your feet, there’s no knowing where you might be swept off to.”

Sam Heughan on behalf of

J.R.R. Tolkien, The Lord of the Rings

Annnnd….. it goes downhill from there.

Seriously, they begin an arduous week-long journey “to find the real Scotland and what it means to be Scottish,” while sequestered in a Fiat Auto-Roller Clan-Van sporting a gear shift! Now, I wonder who came up with that Clan-Plan? 🤔

It had been years since Sam used a gear shift. So, Graham-wise patiently reviewed the ABC mnemonic for the three foot pedals: A = acceleration; B = brake; C= clutch.  A discussion then ensues – is the ABC from left to right or right to left? Right to left assures Graham. 

“Ka-chunk wheeeeeeeeeeeerrrrrrrrrt ka-chunk”

And, They’re off! 😱

The camper looks rather typical from the outside, but was ever so exotic on the inside. Looks a wee bit crowded for these two rather largish Scots!

Between camper van excursions the blokes also travel by bike.

Look ma – No hands! 🙌🏻

They also toured by tandem bike, ending with the slightly naughty, but apropos ditty, “Shovellin’ Coal” by Tony Pranses! 

Travel by kayak.  Well, below is not a kayak – more like a rowboat. Notice Graham relaxes as “coxswain” while Sam and Gary Lewis (aka Colum McKenzie) work! Row, row, row your boat! 🚣🏼

And, the most notable mode of transport: a motorbike with sidecar! Guess who’s driving “Miss Daisy?”

(Sam looks grim; Graham appears worrit)

Their adventure took them to the Highlands of Scotland where they scampered up hills.

And, gazed on magestic vistas! (These guys own a lot of clothes!)

They pulled fishing nets from the sea. And, why wouldn’t they? Scotland has over 6,000 miles of coastline!!!

Hum…. wonder if they had fishing licenses? (Nice shades, Graham!) 😎

They marched with a bagpipe band, possibly the Inverness Youth Pipe Band, as described in Clanlands:

‘Scotland the Brave’ is blasting from the next room as the Inverness Youth Pipe Band warm up, the base drum reverberating off the walls.”

Clearly, Graham and Sam are pumped by the pipes! Bagpipes, that is. 😉

Dressed in snappy threads, they visit Clava Cairn, a type of Bronze Age circular chamber tomb near Inverness. (Like Jamie and Claire, they are separated by 202 years 😜) 

Btw, I was privileged to tour this amazing historical site in 2016. Please go if you get the chance. You won’t regret it.  

The lads even put on Sunday best to attempt the Scottish sword dance.

Not sure what  in the world Sam is doing, but  Lord of the Dance, it is NOT!  Tiptoeing through the tulips, perhaps? 😂

Joy!  Joy!  Joy! One of their happiest moments involved the delightful daredevils rolling in grain on a malting floor, later to be transformed into whisky! 🥃 Happy dance!!!

But, for me, their most impressive accomplishment was not the history lessons, geography tidbits, driving (sort of) tips, clan warfare, or cultural subtleties. Nope, it was the  inventive bits of “slander” furiously lobbed between Sam  and Graham. The first one appears on p. 9 of Clanlands:

“I’m not a ginger [Graham:You kind of are] or a virgin, either!”

Alrighty, then! 😲

Having grown up with three brothers, I well understand, that such defamations often represent the highest form of affection expressed between bros. (Sad isn’t it? 😜)

So what did these two jokesters do? Well, they plastered each other with  various and sundry Clan-slams: zingers, insults, slanders, one-liners, jokes, barbs, quips, ribs, ripostes, giggles, boffo, waggery, drollery, disparagements, jeers, taunts, pokes, prods, nudges and digs! All were meant to gently malign and disparage but, most of all, to entertain with the gentlest of intents! 💓

Sam and Graham have always sparred with each other, even as their respective characters in the Outlander series!

Take this faceoff from Starz, Outlander episode 209, Je Suis Prest. (Psst….Mine is bigger than yours! aka, who’s the man?) 😂

Dougal “pursues” Jamie at Prestonpans (Starz, Outlander episode 210, Prestonpans)! Watch yer back, McDubh! 😉

Oops, Jamie finishes off Dougal. My apologies, uncle! 🗡 (Starz, Outlander episode 213, Dragonfly in Amber) 😱

The lingual gymnastics executed by the two stars immediately grabbed my attention prompting me to start a running tab of their salty jibes. Sharing my initial compendium via Twitter, I was gobsmacked by this response from Sam:

Which was quickly followed by Graham’s reply!

After publishing my first list, I have expanded it,  adding a few “insults” missed the first time around. Below, is my latest compilation. Doubtless, I have missed a few so will update if I find more. 

Which are your favorites? I am very fond of Mr. Shouty for Graham and Booze Hound for Sam (clothes hound might also work). Other favs are Scottish Baby Jesus (re Sam’s birth place) and Capricorn Goat (Graham’s a January babe).

Now, a quick bit of math reveals that Clan-Man, Graham, is a less prolific insulter than Sam, producing only 75% as many grand-slams as those  inflicted by the Hot Scot. This may mean Graham is a nicer guy, or perhaps more gentlemanly not to express every thought that rattles his grey matter, or mayhap he has more important things to do. What do you think?

Ahhhh! Finally at journey’s end, Sam and Graham take a well-earned rest, backs resting against the trusty camper van and cheeks on the as-phalt 😜. (Psst… Honestly, they look a wee bit wasted!)

In the end, let us recall, these two blokes harbor great affection for one another. Sam makes this abundantly clear on the final page of Clanlands…  His touching tribute to Graham:

Lord, ye gave me a rare friend,

and God! I loved the old sod well.”

Sam Heughan on behalf of Diana Gabaldon,

Dragonfly in Amber

As for me, I remain a die-hard, Clan-Fan!

The deeply grateful,

Outlander Anatomist

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Photo Credits:  www.Starz.com; Clanlands; Ed Miller; www.brainstudy.info; www.heraldscotland.com; www.monstersandcritics.com; www.oprahdaily.com, www.outlanderanatomy.com; www.scotsman.com; www.sundaypost.com; www.thescottishsun.co.uk; www.thedipp.com; www.vulture.com; You tube

Tour Outlander & Scotland with Me – Part 2

Welcome budding anatomists to my 2016 Scotland Outlander tour, Part 2 (here is Part 1). As before, Starz images and book quotes are sprinkled amid the travelogue. A few  spoilers from Diana’s books are included but I will alert you to major ones so you can skip if need be. Just look for this book kitteh…that’s your major spoiler cue (there are minor ones too).

kitteh spoiler 3

Let’s get right to it!

Returning to my travel saga, we visited a memorial (Photo A) in the form of a massive cairn honoring The Black Watch, a.k.a. The Highland Watch or The Watch. The monument is topped with a statue of Private Farquhar Shaw dressed in the original uniform of the Black Watch Regiment.

The Watch was originally commissioned in 1667 by King Charles II who authorized clan chiefs to raise independent companies “to be a constant guard for securing the peace in the Highlands” and to “watch upon the braes.” Members of the Watch wore dark tartans to distinguish them from the redcoats and thus became known the “Freiceadan Dubh” or “The Black Watch.”

Later, The Watch morphed into the 42nd Royal Highlander, a foot company that fought with valor in many conflicts including Culloden, Fort Ticonderoga, Napoleonic Wars, and Waterloo!

Black Watch

Photo A

You recall The Watch, right? We first met them burning a cottage and stealing goods and chickens from suspected redcoat sympathizers (Starz episode 105, Rent).

kitteh spoiler 3

BOOK SPOILER: This reference to The Watch does not appear in Outlander episodes. The next quote comes from Outlander book; skip if you do not want to read it:

“It’s the Watch,” he said, nodding back in the direction of the inn. “We’re safe enough, but I thought we’d as soon be a bit further away.” I had heard of the famous Black Watch, that informal police force that kept order in the Highlands, and heard also that there were other Watches, each patrolling its own area, collecting “subscriptions” from clients for the safeguarding of cattle and property.

ep 105 Black Watch

The Watch briefly re-emerges at the end of Starz, episode 112, Lallybroch, as leader Taran MacQuarrie holds a pistol to Jamie’s head. They’re baaaack!  Taran, don’t you dare shoot our beloved lad!

ep 112 Black Watch 02

You may also recall that in Starz episode 113, The Watch, Jamie joins Taran and his men on a raid. Instead, horrible Horrocks set up an ambush where Jamie and MacQuarrie are taken prisoner by the redcoats.

kitteh spoiler 3

BOOK SPOILER! Starz episodes 112 and 113 deviate in the depiction of The Watch as presented in the books. Skip these next sentences and two quotes if you don’t want to know the alternative reality!

In Outlander book, Jamie is betrayed by his own tenant, Ronald MacNab. The Watch takes Jamie prisoner and turns him over to the redcoats to collect the price on his head. This is how he ends up in BJR’s beastly grasp! Ian explains to Claire and Jenny:

“Jamie,” he gasped. “We met the Watch near the mill. Waiting for us. They knew we were coming.” My stomach lurched. “Is he alive?” He nodded, panting for breath. “Aye. Not wounded, either. They took him to the west, toward Killin.

Claire reflects back on that terrifying moment in this excerpt from Diana’s second book, Dragonfly in Amber:

The hair prickled on the back of my neck, despite the heat of the day. Ronald MacNab was the tenant who had betrayed Jamie to the men of the Watch a year before, the man who had died for his treachery within a day of its being found out.

ep 113 Black Watch

Near The Watch monument stands the impressive “General Wade’s Bridge” as it crosses the River Tay (Photo B). An architectural work of art, this stone bridge was built in 1733 by General Wade as part of some 40 bridges and 250 miles of new roads across the Highlands in the aftermath of the 1715 Jacobite uprising. It sports arches, parapets, and obelisks and, given the era, was very expensive to build (over £4,000). The bridges and roads were designed for military purposes to provide improved routes between Highlands and Lowlands, and ensure that government troops could move quickly to suppress any future Jacobite rebellions. Ironically, the new roads were of most use to Bonnie Prince Charlie during the 1745 Jacobite uprising – at least at first.

SORT OF SPOILER! Ever the historian, Diana mentions General Wade’s historic efforts in her fourth book, The drums of Autumn. You might skip the next quote if you haven’t read the book. No spoilers as to who are the “he” and the “she” of the quote!

He had carried her through the summer-green glens and rock-lined gorges without a slip, taking her higher and higher along the good roads made by the English general Wade fifty years before, and the bad roads beyond the General’s reach, splashing through brushy burns and climbing up to the places where the roads dwindled away to nothing more than a red deer’s track across the moor.

The incredible Wade bridge was designed by Scottish architect, William Adam, and some 300 years later, is still used by today’s traffic despite it being designed to bear lighter loads; we drove over it. The bridge was also build mostly by Scots laborers. Pretty amazing engineering feat. Way to go, lads!

Wade bridge

Photo B

Clearly not the same bridge but of similar design, Dougal’s rent party rides over a stone arched bridge near Castle Leoch (Starz episode 109, The Reckoning). Yep, Jamie feels very uneasy after giving Claire a good hiding for not staying put. He thought a sword belt would giver her a clearer understanding of the meaning of keeping hid. But, as a newly minted hubby, he had precious little experience with a wife, especially one as spirited as Claire! Ye misjudged the fallout over that one, Jamie. Only a dirk at your throat and some major TLC is gonna settle that trauma drama! Man up, lad!

ep 109 bridge

We motored the same day to beautiful Loch Rannoch, a large east-to-west oriented lake of the highlands (Photo C). Not just another pretty face, it also features in a Starz Outlander episode.

Loch Rannoch

Photo C

On the bonny banks of this Loch (Starz episode 105, Rent), Claire and Ned quote verses by the English poet, John Donne (1572-1631):

ABSENCE, hear thou my protestation

Against thy strength,

Distance, and length;

Do what thou canst for alteration:

For hearts of truest mettle

Absence doth join, and Time doth settle.

ep 105 Loch Rannoch 01

Their pastoral poetry recitation is cut short by Dougal’s men encouraging innocent Willie (we miss ye lad!) to engage in Biblical relations with his sister! What? Claire is a bit weirded out by that one but Ned explains: this is Willie’s first time on the road and he sits at the bottom of the pack!

On the bonny banks of this Loch, Claire treats a hacking Ned Gowan – she would have him smoke a pipe for a cough? Well, the pipe contains thornapple (Jimson weed), an herbal treatment for asthma. It helps. Yay, nurse Claire strikes again!

ep 105 Loch Rannoch 02

Our next stop was an 18th century thatched village at The Highland Folk Museum, a large open air preserve of ancient buildings designed to demonstrate life of an earlier Scotland. The museum sits on 80 acres of lush, green land surrounded by the Cairngorm mountains. The village itself is a cluster of various cottages and a stable – peaceful and quiet, radiating the texture of a by-gone era (Photo D).

village 12

Photo D

Based on an ancient settlement (Badenoch of Easter Riatts), the buildings were recreated as accurately as possible. Thatched roofs, structural timbers, stone foundations, and turf and stone walls gave the feeling that we, too, had travelled back through the stones (Photo E). But, the most thrilling fact about this historical settlement: Outlander used the village (2014) to film scenes for Starz episode 105, Rent.

Village 01

Photo E

Stepping into the central green, I was able to get a full view of this large cottage and the central green. Ancient wooden tools stand on display (Photo F). Love the mossy stone walls and the wooden crib in the foreground!

Village 10

Photo F

Moving closer, the cottage features a stone foundation, sod walls, and thatched roof (Photo G) typical of crofter’s or cottar’s abodes. Thatching in the Highlands did not use water reed (common in Lowlands and England) but rather employed one of the following materials:

  • Fraoch – heather
  • Luachair – soft rush
  • Muran – marram grass
  • Bun dubh raineach – black foot of bracken
  • Oat straw
  • Bealaidh – Scotch broom (Abundant in my neck of the woods!)

Thatch had to be renewed and repaired fairly often although some materials (heather) were more durable than others (Scotch broom).

Village 03

Photo G

Cottages were typically divided into thirds: one third for livestock, a middle third for living, and a final third reserved for healing, birth, and death – the so-called patch, batch and dispatch area!

The middle living space was compact, dirt-floored, and dim. Furnishings were sparse being limited to plain wooden chairs and tables. A small, peat fire burned in a central rock-lined pit. The pungent smoky air was somewhat relieved by a roof hole to admit rising peat smoke and a little light (Photo H).

SORT OF SPOILER: Skip if you must. Book readers ken that Diana writes about peat fires and cramped living quarters. This quote from Dragonfly in Amber explains living conditions from Claire’s point of view but doesn’t give away plot details:

…While I had been raised under conditions that would strike most people of my time as primitive—often living in tents and mud houses on Uncle Lamb’s field expeditions—still, I wasn’t used to living crowded cheek by jowl with numbers of other people, as was customary here. People ate, slept, and frequently copulated, crammed into tiny, stifling cottages, lit and warmed by smoky peat fires. The only thing they didn’t do together was bathe—largely because they didn’t bathe.

village 14

Photo H (Photo by Jonathan Giacalone – John and his wife, Maria, were tour members)

The living area also included a small wooden box bed in which families slept seated upright (Photo I).  Yes, you read it correctly! Three to four people shared these cramped frames, a far cry from our king-sized, every-kind-of-imaginable-mattress beds! Why in the world did they sleep this way? Well, for two reasons: they slept upright to ease breathing because the constant peat smoke caused lung disease. They slept in multiples to keep warm which also explains the presence of livestock inside human dwellings; the animals produced a good deal of body heat. Talk about reuse, recycle, and repurpose!

Village 06

Photo I

Difficult to see inside the dim “patch, batch, and dispatch” area, but the only furnishing was a primitive birthing chair (Photo J – red arrow). Women sat up-right on this stool to deliver a child, historically a preferable position because gravity assists delivery.

Village 05

Photo J

Outside the cottage stood this knowledgeable interpreter and expert weaver. She kindly and patiently answered questions and responded to comments with droll humor (Photo K). Also, this shot provides a nice close-up view of those early tools leaning against the cottage thatch.

Village 13

Photo K

I was completely charmed by a pair of gorgeous Scots dumpies (Photo L) who responded to the weaver’s call for corn. An ancient breed some 700 years old, Diana includes them in the storyline of her eighth book, Written in My Own Heart’s Blood.

Dumpies carry a recessive gene that results in some offspring with very short legs and hence the name, dumpy. The regal cock was called Eric – the hen went by a somewhat less elegant name, something ignoble, like gimpy. Puir gal. I am happy to say she got her fair share of the ground corn!

village 11

Photo L

Corn? Someone say corn? Corn reminds me of the delightful and bawdy ditty Jamie and the men chanted while traveling the rent-road (Starz episode 105, Rent)! The so-called Miller’s Song, these are the first two stanzas and, yes, it is indeed from the 18th century. The words remind me of Chaucer:

The maid gaed tae the mill by nicht,
Hech hey sae wanton
The maid gaed tae the mill by nicht,
Hech hey sae wanton she,
She swore by moon and stars sae bricht that she would get her corn grund
She would get her corn grund, meal and multure free

Oot then cam the miller’s man,
Hech hey sae wanton
Oot then cam the miller’s man,
Hech hey sae wanton he
He swore he’d do the best he can for tae get her corn grund,
For tae get her corn grund, meal and multure free

Word Translations:

gaed: go

nicht: night

hech: expression of disgust (Jamie and the Rent lads don’t seem all that disgusted)

bricht: bright

oot: out

grund: ground

multure: measure of meal paid to the miller as part of his fee

ep 105 rent 09

Although the angle is shifted to the right and the view more expansive, the Rent scene below was shot in the same area as Photo F. Here, Ned Gowan crossly receives two fat pigs and one fine goat as tribute to the Laird (Starz episode 105, Rent). A bored Claire gloomily sits on bags of grain as Jamie helps load goods into the wagon. The stone walls stand at middle left but I don’t spy Eric!

ep 105 rent 04

Bored Claire takes a walk and I did too! Moving a little uphill, I am standing almost exactly where Amanda Gillquist takes Claire to meet the women waulking (working) wool (Photo M). The grassy mound at mid-right appears directly behind the women in the rent image below.

SORT OF SPOILER! Again, if you don’t want to read anything from later books, please skip this next quote which explains waulking wool – from Diana’s 7th book, An Echo in the Bone. Mum about who is the “he” of the quote.

So he explained what waulking was: “The women all working together, pushing and pulling and kneading the wet wool cloth to make it tight and waterproof…”

Village 08

Photo M

Like Dougal’s men, the womenfolk don’t trust Claire. But, add some hot piss mixed with a wee bit of folk song and they are BFF. OK, a potent cup of “our little secret so don’t-tell-the-menfolk” ale also waulks wonders! Hee, hee.

ep 105 rent 10

One very elegant cottage housed a loom and large gathering area. Beautifully maintained, the thatched roof is neatly trimmed and the interior sports massive wooden beams (Photo N). I was taken with the neat and tidy sod walls.

Village 02

Photo N

The interior of this cottage was purportedly used for the infamous “Dougal-strips-Jamie” scene of Starz, episode 105, Rent. Mayhap this is the moment when Murtagh decides that Dougal needs killin’ sooner rather than later! Dougal was one proper dobber in this scene. Actually, this just gives us another chance to oogle Jamie’s manly chest (Anatomy Lesson #4, “Jamie’s Chest” or “The 8th wonder of the world!”). Whew, that anatomy lesson was written looong ago!

ep 105 rent 11

The village also includes a stable, the site where Lieutenant Jeremy Foster, in disguise, offers Claire his gentlemanly aid. May I assist you, madam? Feisty Angus snarls for Jeremy to butt out and head home to his mam’s paps. No one delivers insults better than Angus (Anatomy Lesson #41, The Sad Demise of Angus Mhor). We miss ye, too, lad!

ep 105 rent 07

Much later, we reunite with a wounded Lieutenant Foster on the Prestonpan battlefield. Dougal praises Jeremy as the only honorable redcoat of Lord Thomas’s staff. Unwisely, the Lieutenant utters a couple of put-Dougal-down comments about the awesomeness of the British army coupled with a war chief should know that and, bingo: Dougal skewers Jeremy with his dirk (Starz episode 210, Prestonpans)! Dougal has a major problem with impulse control. Needs some anger management classes, ASAP!

ep 210 Prestonpans

Leaving the thatched village with renewed memories of past Outlander episodes, we headed for Culloden Moor. Along the way, Highland hills were dotted with numerous small white flowers on thin stalks. Our tour guide, Hugh, explained: the flowers are actually seed heads of bog cotton. Close up, the head is a tuft of fluff that is wonderfully soft and silky (Photo O). In earlier times the silk was used to stuff pillows; 18th century mams sent restless children outdoors to keep them occupied by picking a sackful. The tufts were also used as candlewicks, for paper making, and for wound dressing during World War I.

Bog cotton

Photo O

Moving along a small highway, the Highlands displayed marvelous and varied shades of green. We passed numerous stands of mixed forest, supporting both native and foreign species. There are planted stands of Douglas-fir trees (not really firs), native to my area of the globe. Interestingly, both the common and scientific names for Douglas firs were bestowed in honor of a pair of rival Scottish botanists (David Douglas and Archibald Menzies). Aye, it is true!

I was especially taken with the Scots pine, a native conifer of Caledonia forests. This tree has a flat but rounded top unlike our PNW varieties all of which are tapered. These are the dark green trees in the foreground of Photo P. Hugh called them Caledonian pines.

SORT OF SPOILER! Yes, another quote but this one also doesn’t reveal any plot info. The trees reminded me of Claire’s own poignant description of a Highland forest from Outlander book:

The grove was dark, but not still. The pines roared softly to themselves, millions of needles scouring in the wind. Very ancient trees, pines, and eerie in the gloom. Gymnosperms, cone-bearers, winged-seed scatterers, older and sterner by far than the soft-leaved, frail-limbed oaks and aspens.

Diana paints with words, an artist of language!

Caledonia pines(1)

Photo P

Soon, we arrived at Culloden Moor Visitor’s Center, a beautiful, sleek modern building seated on the open moor. Just looking at the building brought tears to my eyes (Anatomy Lesson #29, “The Eyes Have It” or “the Eyes – Part One.”) and a lump in my throat (Photo Q).

Culloden Moor Visitor Center(1)

Photo Q

The walkway to the Center is made of plaques engraved with names of supporters. Near the entrance is this wonderful tribute to Diana Gabaldon (photo R) from her long time fan group, The Ladies of Lallybroch. A splendid idea, ladies!

Diana plaque(1)

Photo R

The Visitor’s Center was filled with facts and artifacts but I was most impressed with a simple, bare-square room. Visitors quietly filled the room and then the lights dimmed leaving us in total darkness. We waited quietly and then slowly the walls came alive with projections of Jacobites and redcoats before, during, and after the battle. Watching the battle unfold in this manner complete with surround sound  was more than moving.  The effect was immediate and visceral; as if we were time voyagers, witnesses to the carnage! One Highlander was shot in the eye causing me to recall Rupert’s unfortunate injury (Starz, episode 212, The Hail Mary). There was really no way to photograph events in the square room. Not only was I was too overwhelmed to even think about it, events were unfolding on all four walls at once. No way to capture such an immersing experience!

This plaque from outside the Visitor’s Center shows the Jacobite line (blue flags) facing the redcoat line (red flags). Clearly, the lines are not parallel, a fact contributing to the Jacobite’s defeat (Photo S). More about this in the next post.

Culloden 02(1)

Photo S

Let’s end with all things, Diana! One of her latest activities is to lend her gravitas to preserve and protect both Culloden and Rannoch Moor (Photo T). You can read the full article about her commitment at The Press and Journal.

Diana activist(1)

Photo T

A deeply grateful,

Outlander Anatomist

Photo creds: Starz, Outlander Anatomy, Jonathan Giacalone (Photo H), www.highlifehighland.com (Photo D), www.pressandjournal.com (Photo T), www.rias.org.uk (Photo Q)