In the early 19th century most Americans healed themselves, as their ancestors had for centuries. Professional medical assistance was either too far away, too expensive, or both. Even wealthy urban families usually attempted some sort of home health care before the doctor was called. This care was usually administered with the aid of books, pamphlets, and proprietary medicines purchased at the general store. Proprietary medicine advertisements were the mainstay of newspapers in the Old West. Newspapers carried notices for medicated vapor baths, artificial teeth, genuine Galvanic Rings, the Anodyne Necklace and other amulets. Some patent medicine companies spent more than $100,000 a year advertising their products. Patent medicines were the hottest-selling items on store shelves. If the labels on the medicines were to be believed, they could handle just about any and every complaint. One concoction grandly promised to cure 30 different disorders, including “nervous debility caused by the indiscretions of youth.” Mostly they relied on heavy lacing alcohol to work their proclaimed wonders. It didn’t really cure what was ailing you but you didn’t mind so much.