58. What Do Hand-Washing and Financial Illiteracy Have in Common?
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🗓️ 19 January 2012
⏱️ 34 minutes
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| 0:00.0 | In the mid-19th century, Vienna General Hospital was considered a world-class research center. |
| 0:13.5 | But the hospital's maternity ward didn't have such a good reputation. |
| 0:17.6 | Because it became known throughout the city of Vienna that if you went onto the doctor's |
| 0:22.9 | division or the doctor's clinic, you were much more likely to die. |
| 0:29.4 | That's Sherwin Nuland. He's a professor of medicine at Yale. He wrote a book called |
| 0:34.5 | The Doctors Plague about the situation at Vienna General Hospital. In the early 1840s, |
| 0:40.8 | one in ten women whose baby was delivered by a doctor there died from what was called |
| 0:45.9 | childbed fever. Childbed fever is an infection primarily of the uterus and it spreads out |
| 0:54.7 | through the tubes into the abdominal cavity of women immediately after they have given birth. |
| 1:02.4 | In 1847, one in six women died. And that was a year a young Hungarian-born doctor named |
| 1:10.3 | Ignat's Semelweiss joined the staff. He was horrified by the situation and he went digging |
| 1:15.9 | in the numbers for a clue. Now, here was something strange. There were two separate maternity |
| 1:21.7 | wards in the hospital. One staffed by doctors who were all male and the other by midwives |
| 1:26.7 | who were female. The death rate in the midwives ward was far lower. So was it a guy thing |
| 1:33.4 | that was causing all this death? One theory at the time held that birthing mothers were |
| 1:39.1 | such fragile creatures that being seen naked by a male doctor was enough to kill them. |
| 1:45.6 | Semelweiss didn't buy it. He also discovered that women who delivered their own babies on the |
| 1:52.3 | street had an even lower rate of childbed fever. In those days, it would occasionally happen that |
| 2:00.6 | women out of wet luck would deliver herself. Sometimes in the streets, the Germans had a word for it. |
| 2:07.4 | Gassen, Ghiburte, they were street births and he was hard put to find anybody who died |
| 2:17.5 | when a woman self delivered. And so Semelweiss came to suspect the likely cause of these |
| 2:24.3 | thousands of deaths, his fellow doctors. But how? The answer came in the form of a tragedy. |
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