Rob is reunited with Rebecca, who has come down with the plague, and is able to bond with her since her husband temporarily abandons the city, leaving her to become sick. Rob suggests that oriental rat fleas may be the carriers of the Black Death, and with rat poison the pest may be suppressed. Only by Rob's discovery and rapid application of basic hygienic principles, the plague is overcome. Thousands begin to die after being cared for by Ibn Sina and his students. After the Shah refuses a peace treaty with the Seljuks, the Seljuks send a man infected with the Black Death to deliberately infect the city. Rob learns to perform a medical history and medical examination including pulse diagnosis, the leech treatment, the use of opium, including the analgesic effect, and surgical procedures. In a bimaristan (hospital) and madrasa (college), he is treated by Ibn Sina and admitted as a student to learn the basics of scientific medicine as well as other sciences and philosophy (including Aristotelian and Islamic philosophy). The doctor, scientist and philosopher Ibn Sina teaches in Isfahan, the most important school for aspiring practitioners in the world at that time. During the Islamic Golden Age, the medicine in the medieval Islamic world is far more advanced than in Europe. So he decides to train there to become a physician. There, Rob sees for the first time a world map, and learns of the famous Ibn Sina, who teaches medicine in distant Kakuyid Persia. He speaks with two children, Jesse and Benjamin.

He learns a little bit of Jewish culture.

This Jewish doctor completely heals Barber of his cataracts. When Barber suffers from a cataract, Rob consults a Medicus for him. Even as an apprentice Rob recognizes the limitations of these simple practices. Barber teaches him the basics of medieval medicine, with services such as cupping therapy, bloodletting, and dental extraction. The young orphan joins an itinerant barber-surgeon who calls himself Barber. He notices this for the first time when he feels it as a little boy when his sick mother is dying of side sickness, a disease of which he was unaware. Robert Cole has an extraordinary gift, where he can sense when someone left untreated has a terminal illness.

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