4.6 • 32K Ratings
🗓️ 17 August 2017
⏱️ 44 minutes
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0:00.0 | Hey there, Freakinomics Radio listeners. We are taking advantage of August to replay you a special |
0:05.2 | three-part series we did last year called Bad Medicine. Today, part one, the story of 98.6, |
0:13.5 | and it starts right now. We begin with the story of 98.6. You know the number, right? |
0:21.5 | It is one of the most famous numbers there is because the body temperature of a healthy human being |
0:27.1 | is 98.6 degrees Fahrenheit, isn't it? So now I'm going to take your temperature if you don't mind, |
0:35.6 | just open your mouth and I'll insert the thermometer. Perfect. The story of 98.6 dates back to a |
0:46.3 | physician by the name of Carl Wunderlich. This was in the mid 1800s. Wunderlich was medical director |
0:53.0 | of the hospital at Leipzig University. In that capacity, he oversaw the care and the taking of |
1:00.7 | vital signs on some 25,000 patients. Pretty big data set, yes? 25,000 patients. And what did |
1:09.6 | Wunderlich determine? He determined that the average temperature of the normal human being |
1:17.1 | was 98.6 degrees Fahrenheit or 37 degrees centigrade. This is Philip McCovic, a professor of medicine |
1:26.8 | and a medical historian at the University of Maryland. Well, I am an internist by trade and |
1:33.2 | an infectious disease specialist by subspecialty. So my bread and butter is fever. |
1:39.7 | There's one more thing McCovic is. I am by nature skeptic and it occurred to me very early in my |
1:49.6 | career that this idea that 98.6 was normal and that if you didn't have a temperature of 98.6, |
1:58.2 | you were somehow abnormal, just didn't sit right. Philip McCovic, I have to understand, cares a lot |
2:06.0 | about what is called clinical thermometry. And if you care a lot about clinical thermometry, |
2:11.4 | you care a lot about the thermometer that Carl Wunderlich used to establish 98.6. His thermometer |
2:19.6 | is an amazing key to this story of 98.6. So you can imagine how excited McCovic was when |
2:27.9 | on a tour of the weird and wonderful Mooter Museum in Philadelphia, the curator told him |
2:33.8 | they had one of Wunderlich's original thermometers. I said, good heavens, may I see it? And she said, |
2:41.5 | sure, would you like to borrow it? And I said, of course. And so I was able to take this thermometer |
... |
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