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99% Invisible

270- The Stethoscope

99% Invisible

SiriusXM Podcasts and Roman Mars

Design, Arts

4.827.5K Ratings

🗓️ 9 August 2017

⏱️ 19 minutes

🧾️ Download transcript

Summary

Imagine for a moment the year 1800. A doctor is meeting with a patient – most likely in the patient’s home. The patient is complaining about shortness of breath. A cough, a fever. The doctor might check the patient’s pulse … Continue reading →

Transcript

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0:00.0

This is 99% Invisible. I'm Roman Mars.

0:06.7

Imagine for a moment the year 1800, a doctor is meeting with a patient, most likely in the patient's

0:13.2

home. The patient is complaining about shortness of breath, a cough, a fever.

0:18.7

The doctor listens to the patient's complaints, asks a ton of questions, scribbles some notes,

0:24.8

producer Emmett Fitzgerald, and the doctor might check the patient's pulse, but unlike today,

0:31.6

what's happening inside of the patient is basically unknowable. There's no MRI, no X-rays.

0:39.4

The living body is like a black box that can't be opened. The only way for a doctor to figure out

0:46.0

what's wrong with the patient is to ask them. You needed the patient to tell you what was wrong

0:51.1

and what they were suffering. So doctors were very interested in the patient's history, the story

0:56.2

of what the symptom was, how long it had been there, how it had changed, what made it better,

1:00.8

what made it worse. This is Dr. Jacqueline Duffin. I am a hematologist and a historian of medicine

1:08.0

at Queen's University. Duffin says that because the patient's story was all the doctor had to go on,

1:14.4

the symptoms were often seen as diseases in themselves. So for example, today, if you have a fever,

1:21.0

you think of it as a symptom of some underlying disease like the flu. But back at the turn of the

1:27.5

19th century, the fever itself was considered the disease. There were all different kinds of

1:33.1

fevers, and fever itself was a broad category of diagnosis. Because doctors had no way of connecting

1:39.3

symptoms with what was actually going on inside the body. Until someone built a device that would

1:46.6

help the doctor open the black box and travel inside the human body.

1:57.4

And suddenly the doctor could hear everything so much more clearly. The heart belongs the breath.

2:03.7

And everything changed. The inventor of the stethoscope was unsurprisingly a doctor.

2:16.7

Renee Leineck was born in Brittany in 1781, and he went to medical school in Paris, where he learned

2:23.3

to practice percussion, a technique in which the doctor taps their fingers against a patient's

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