Lonesome Dove (1989)

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Gus McCrae: It's an accident she is even on this trip.
Clara Allen: I never noticed you having accidents with ugly girls.

Question: Gus was shot in the same leg with two arrows. Why would he need to have both legs removed?

Answer: They didn't have antibiotics to prevent infections from setting in. No sterilized equipment. No clean rooms to work in. Everything was dirty.