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There were/are a number of ways to sharpen microtomes Wullie, depending on the type. The one shown above with a long sleeve and no handle is often referred to as a 'microtome knife' and if it is not...

Nothing. Like Cangooner pointed out, you wouldn't want to take all that metal off - it takes an extremely long time and if you are not ultra careful lifting the blade up to see how you are...

Quite a few did have a sleeve arrangement, but most that resembled a straight razor in all respcts were not honed that way. The flat side was never sharpened - too much work taking all that steel...

Just remember to abandon all hope before you leave, hell and damnation await... :)

Regards
Neil

They are terribly popular in Ultima Thule so I'm told.

The woeful inhabitants of that strange and terrible place shave with razors made by Ockham, formed from curiously curved strips of metal...

As said above, the rattler type of grind, which was once very popular, was done with the wheel on its side. The thinness of the blade meant that the shaving angle would be all wrong, so the spine...