WEBVTT - The Shocking History of Electricity in Medicine

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<v Speaker 1>Welcome to text Stuff, a production of I Heart Radios

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<v Speaker 1>How Stuff Works. Hey there, and welcome to tex Stuff.

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<v Speaker 1>I'm your host, Jonathan Strickland. I'm an executive producer with

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<v Speaker 1>I Heart Radio and I love all things tech and

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<v Speaker 1>I was recently listening to an episode of a different podcast,

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<v Speaker 1>the podcast Sawbones, in which wife and husband team Sydney

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<v Speaker 1>and Justin McElroy discussed some of the ways we humans

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<v Speaker 1>have tried to treat medical issues using a limited understanding

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<v Speaker 1>of those issues and the various treatments we were applying.

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<v Speaker 1>So they've done tons of episodes on stuff like blood

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<v Speaker 1>letting or trepid nation, and recently they did one on

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<v Speaker 1>the use of electricity as a means of treating medical issues,

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<v Speaker 1>and they do a great job, but I thought I

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<v Speaker 1>would dive into it a little bit more and talk

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<v Speaker 1>about how we built an understanding around electricity and then

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<v Speaker 1>how we made use of electricity to try and treat ourselves,

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<v Speaker 1>sometimes not so well. And I'm looking really at the

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<v Speaker 1>early uses. I'll talk a little bit about modern uses

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<v Speaker 1>of electricity, but I'm mostly focusing on how we first

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<v Speaker 1>started applying electricity to medical uses. And I want to

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<v Speaker 1>keep in mind that we do still have electrotherapy today,

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<v Speaker 1>though it's still a matter of some mystery and confusion,

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<v Speaker 1>also largely because some people appropriate the term electrotherapy to

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<v Speaker 1>pedal medically questionable products and services. So you've got more

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<v Speaker 1>reputable sources that are attempting to determine whether or not

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<v Speaker 1>electrotherapy is a working means of treatment, and you have

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<v Speaker 1>other people who don't really concern themselves with that part.

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<v Speaker 1>They're just looking to sell stuff. And electricity is almost

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<v Speaker 1>like magic to a lot of us. And also in

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<v Speaker 1>this episode, I'll be focusing primarily on direct application of electricity.

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<v Speaker 1>It's pretty obvious that many medical procedures either depend directly

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<v Speaker 1>or indirectly on electricity and electrical instruments and equipment, and

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<v Speaker 1>I'm not getting down all those pathways, though we should

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<v Speaker 1>understand their. Use of electricity in the medical field began

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<v Speaker 1>to emerge around the same time as our understanding of

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<v Speaker 1>other phenomena such as X rays and ultra violet rays,

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<v Speaker 1>and so a lot of histories about electricity and medicine

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<v Speaker 1>also talk about these, And sure we could talk about

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<v Speaker 1>lots of different types of equipment, scanners, things like that,

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<v Speaker 1>instruments but I really want to talk about directly applying

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<v Speaker 1>electricity to the human body. Back to Sawbones, which I

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<v Speaker 1>should add is is not affiliated with the I Heart

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<v Speaker 1>Radio network at all. Just in the interest of full disclosure,

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<v Speaker 1>I am a fan of Sawbones. I also have no

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<v Speaker 1>connection with the macl roys tho. Hey guys, Sydney, Justin Griffin,

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<v Speaker 1>Travis if you if you want to chat, hit me up.

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<v Speaker 1>But the Sawbones episode was inspired by Benjamin Franklin, who

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<v Speaker 1>conducted famous experiments with electricity. If you are familiar with

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<v Speaker 1>Benjamin Franklin as a historical figure, you've probably heard about

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<v Speaker 1>his experiment with the kite and the key during the thunderstorm.

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<v Speaker 1>So some of this episode will play into that a

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<v Speaker 1>little bit. But our knowledge of electricity actually dates much

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<v Speaker 1>further back than that founding father of the United States.

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<v Speaker 1>You could even really say that humans were at least

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<v Speaker 1>aware of electricity in some measure, just from the presence

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<v Speaker 1>of lightning. Now, we didn't understand what it was, we

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<v Speaker 1>didn't have a name for it like electricity, and we

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<v Speaker 1>didn't know how it was formed, but we knew it existed.

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<v Speaker 1>We could see that, but it would take a long

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<v Speaker 1>time to figure out what those bolts actually were. In fact,

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<v Speaker 1>during Benjamin Franklin's time, the thought was it was some

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<v Speaker 1>form of fluid. In fact, that's why we get the

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<v Speaker 1>word current, because of a flow of some sort of

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<v Speaker 1>electrical ether fluid stuff. Now, the earliest account that describes

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<v Speaker 1>one aspect of electricity, one that is going to be

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<v Speaker 1>very important for this discussion, comes from sales of Milita's

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<v Speaker 1>And I know I've butchered that name. My Greek is

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<v Speaker 1>worse than my Latin, which is terrible. But he was

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<v Speaker 1>a Greek philosopher. Aristotle actually thought of him as the

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<v Speaker 1>first true philosopher, who was born in six hundred twenty

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<v Speaker 1>four b c e. And he asked a lot of questions,

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<v Speaker 1>which is what philosophers do. And these are questions that

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<v Speaker 1>had before his time largely been met with the answer

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<v Speaker 1>because the gods want it to be that way, you know,

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<v Speaker 1>like like lightning was Zeus's way of saying, hey, knock

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<v Speaker 1>that crap off. But this philosopher was more inclined to

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<v Speaker 1>believe that there were less mythological explanations for certain phenomena

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<v Speaker 1>there might be more natural and one could argue in

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<v Speaker 1>the future scientific explanations for those things, and one thing

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<v Speaker 1>he observed had to do with what we now know

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<v Speaker 1>as static electricity. He wrote something that likely people had

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<v Speaker 1>already been observing for quite some time, which was if

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<v Speaker 1>you rubbed amber was something like animal fur. If you

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<v Speaker 1>did it vigorously enough, the fur would then start to

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<v Speaker 1>attract other stuff like moats of dust to it. Particles

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<v Speaker 1>would drift toward the fur. It was drawing stuff to it.

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<v Speaker 1>Stuff like blades of dried grass would move toward it,

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<v Speaker 1>and there was some sort of power of attraction going

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<v Speaker 1>on that people just couldn't easily explain. But I can

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<v Speaker 1>do it now. To be fair, very smart people figured

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<v Speaker 1>all this stuff out way way before I was ever born,

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<v Speaker 1>and I just benefit from having been able to read

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<v Speaker 1>about it. But it comes down to some basic features

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<v Speaker 1>in atoms. So yeah, this is gonna get super super basic,

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<v Speaker 1>and then we'll build up from there. You know, typical

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<v Speaker 1>text stuff approach. Atoms have neutrons, protons and electrons. Protons

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<v Speaker 1>have a positive charge, electrons have a negative charge, and

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<v Speaker 1>neutrons just want to get through the day without too

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<v Speaker 1>much hassle. Opposite charges attract each other, so a negative

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<v Speaker 1>charge attracts a positive charge Likewise, like charges repel each other.

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<v Speaker 1>So if you get to positively charged particles together, well,

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<v Speaker 1>you're gonna be spending a lot of energy because those

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<v Speaker 1>positive charges are gonna push back against each other. Uh.

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<v Speaker 1>There are forces within the nucleus of an atom that

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<v Speaker 1>bind protons together, which is why they don't just fly

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<v Speaker 1>apart from the fact that their charges are repelling each other.

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<v Speaker 1>With the amber and animal, for what's really going on

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<v Speaker 1>is a transfer of electrons from one material to the

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<v Speaker 1>surface of another material. The animal for collects electrons from

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<v Speaker 1>the amber and thus builds up a negative charge. This

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<v Speaker 1>charge is nowhere to go. It's static. There's no current

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<v Speaker 1>to flow through, there's no circuit there for it to

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<v Speaker 1>create a current. So if the negatively charged material makes

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<v Speaker 1>contact with something else, it can then release that electric charge.

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<v Speaker 1>It can discharge, and that's when you get that little

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<v Speaker 1>snappy spark. It's also what happens if you rub your

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<v Speaker 1>feet against the carpet and then touch someone else or

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<v Speaker 1>something metal and you get that little shock. It's because

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<v Speaker 1>you've got this build up of electrons that you then

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<v Speaker 1>discharge when you come in contact with something that doesn't

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<v Speaker 1>have that build up. So the animal fur with a

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<v Speaker 1>negative charge will attract stuff that has a greater positive

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<v Speaker 1>charge than the fur does. So those dust moats have

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<v Speaker 1>a slight positive charge to them, they're being attracted to

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<v Speaker 1>that negative charge. On a related note, if you've ever

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<v Speaker 1>seen a person's hair stand on end after taking off

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<v Speaker 1>a hat, or if they're playing with an electrostatic generator,

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<v Speaker 1>that because the hairs get negatively charged, and because like

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<v Speaker 1>charges repel each other, the hairs are actually repelling one another.

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<v Speaker 1>They stand on end because they're attempting to get as

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<v Speaker 1>far away from each other as they possibly can. Uh,

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<v Speaker 1>or so I'm told, I don't know. I've been bald

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<v Speaker 1>for twenty years. I have no idea what hair even

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<v Speaker 1>does anymore. It never comes to visit doesn't even call

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<v Speaker 1>me anyway. While philosophers like the one I was just

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<v Speaker 1>mentioning observed phenomena like these, they had no way to

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<v Speaker 1>explain what was actually going on, and it remained a

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<v Speaker 1>mystery for centuries, and no one yet had had been

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<v Speaker 1>able to link this curious observation with more dramatic examples

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<v Speaker 1>like lightning. There was no way of saying these two

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<v Speaker 1>things are related. If we want to talk about therapy, well,

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<v Speaker 1>there are actually some stories about ancient people using electrotherapy,

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<v Speaker 1>uh Pacrates or Hippocrates. If you prefer treated patients by

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<v Speaker 1>placing them in barrels filled with water and electric eels,

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<v Speaker 1>it's pretty primitive electrotherapy. He did that to treat stuff

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<v Speaker 1>like gout and rheumatism. I'm not sure to what effect,

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<v Speaker 1>because I ran out of time before I could really

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<v Speaker 1>dig up more accounts of that particular therapy. Now we

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<v Speaker 1>probably get the word electricity thanks mainly to a fellow

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<v Speaker 1>named William Gilbert. He was born in fifteen forty four

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<v Speaker 1>in England, and he became an astronomer and a physician.

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<v Speaker 1>He actually served Elizabeth the First at one point as

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<v Speaker 1>a court physician. He also wrote a work titled d Magnete,

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<v Speaker 1>which he published around six hundred. This work was filled

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<v Speaker 1>with his observations on matters surrounding magnetism and electrical phenomena.

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<v Speaker 1>He differentiated between magnets and the attractive effect observed when

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<v Speaker 1>using amber, sometimes helpfully called the amber effect. Gilbert said

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<v Speaker 1>these two things were similar but distinct phenomena that magnets

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<v Speaker 1>and this attractive force he was observing through electrostatic build

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<v Speaker 1>up were related somehow or similar in many ways, but

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<v Speaker 1>they were not exactly the same thing. Later scientists would

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<v Speaker 1>determine that they are both manifestations of a single force,

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<v Speaker 1>that of electro magnetism, but they are distinct. So that

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<v Speaker 1>would be getting ahead of ourselves. Let's get back to Gilbert.

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<v Speaker 1>He referred to the materials that were known for this

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<v Speaker 1>static electricity effect as electricus. That is a new Latin word,

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<v Speaker 1>meaning it wasn't an existing Latin phrase. He actually took

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<v Speaker 1>a Greek word and then he sort of latinized it

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<v Speaker 1>and he meant it to mean like amber. So electricus

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<v Speaker 1>is like amber. The Greek word was electron, which meant

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<v Speaker 1>amber itself. So he took a Greek word, made it

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<v Speaker 1>sort of Latin and then got electricus. He described the

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<v Speaker 1>attractive force as an electric force. Another smarty pants named

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<v Speaker 1>Francis Bacon used the word electric to describe materials that

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<v Speaker 1>could create this attractive force, and in sixteen forty six,

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<v Speaker 1>Sir Thomas Brown went a step further and he coined

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<v Speaker 1>the word electricity. Now, in this case, it was a

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<v Speaker 1>word meant to describe a material's behavior or the property

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<v Speaker 1>of being electric, sort of like if you were elastic

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<v Speaker 1>you would describe the quality of elastic as elasticity. Well,

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<v Speaker 1>that was the case with electricity. It didn't mean a

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<v Speaker 1>current or a flow or anything. It was a way

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<v Speaker 1>of describing the tendency for material to be electric. Moving

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<v Speaker 1>forward a century, two different people independently invented a device

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<v Speaker 1>capable of storing static electricity. One of those was evolved

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<v Speaker 1>joe Orge von Kleist, and together was Peter von muschen

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<v Speaker 1>Brook And again i'm butchering names. Both of these guys

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<v Speaker 1>developed their version in the early seventeen forties, and the

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<v Speaker 1>basic device was pretty simple in its original form. It

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<v Speaker 1>was a glass vial that had some water in it,

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<v Speaker 1>and the vial had a cork that capped the vial.

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<v Speaker 1>But piercing through the cork was a piece of metallic

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<v Speaker 1>wire that was long enough to have one end of

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<v Speaker 1>it dipping into the water in the vial. The other

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<v Speaker 1>end would extend out from the end of the cork

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<v Speaker 1>and it would be brought into contact with what was

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<v Speaker 1>called a friction device, essentially electrostatic generator. This was the

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<v Speaker 1>device meant to build up a static charge, and this

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<v Speaker 1>would transfer a build up of electrons to the wire,

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<v Speaker 1>which they could then actually hold on to that that charge,

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<v Speaker 1>and it would hold onto it until you touched it

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<v Speaker 1>to something that would allow it to complete a circuit,

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<v Speaker 1>and then it would discharge that electricity in a spark.

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<v Speaker 1>So it was sort of like a very primitive capacitor. UH.

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<v Speaker 1>This would end up being called a Leyden jar because

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<v Speaker 1>the area that it was that where it was being

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<v Speaker 1>invented was near Leyden in the Netherlands. UH and later

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<v Speaker 1>versions of it would end up using metallic components, not

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<v Speaker 1>just a glass vial filled with water, but the earliest

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<v Speaker 1>versions were basically just that. Now this brings us to

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<v Speaker 1>Benjamin Franklin. Franklin met with a doctor named Dr Spence,

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<v Speaker 1>apparently who had traveled from Scotland. According to Franklin, there's

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<v Speaker 1>actually some scholastic debate over who Dr Spence might have been.

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<v Speaker 1>Maybe he was Spencer, not Spence. Franklin got to see

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<v Speaker 1>a Leyden jar in action and he was fascinated by it,

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<v Speaker 1>and not long afterward, Peter Collinson of the Royal Society

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<v Speaker 1>of London sent Benjamin Franklin the equipment that he needed

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<v Speaker 1>to make his own Leaden jar, and Franklin began doing

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<v Speaker 1>experiments and sussing out the nature of this electricity thing. Now,

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<v Speaker 1>some of those experiments involved using electricity to treat people

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<v Speaker 1>with paralysis or people who were dealing with symptoms that

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<v Speaker 1>they developed in the aftermath of a stroke. He observed

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<v Speaker 1>that some patients reported improvement and relief after receiving electro

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<v Speaker 1>static shocks, but he wrote in seventeen fifty seven to

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<v Speaker 1>the Royal Society that he quote never knew any advantages

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<v Speaker 1>from electricity in patients that were permanent end quote. So

0:14:34.680 --> 0:14:37.480
<v Speaker 1>in other words, the effects he observed appeared to be

0:14:37.520 --> 0:14:40.880
<v Speaker 1>temporary in nature. They did not seem to be a cure,

0:14:41.480 --> 0:14:45.120
<v Speaker 1>although they might treat acute symptoms, and he couldn't really

0:14:45.120 --> 0:14:48.840
<v Speaker 1>explain what was going on. Also, I should add that

0:14:48.880 --> 0:14:53.520
<v Speaker 1>Benjamin Franklin wasn't necessarily just doing this on his own, thinking, well, gosh,

0:14:53.560 --> 0:14:56.000
<v Speaker 1>I wonder what happens if I shock people who aren't

0:14:56.000 --> 0:14:59.560
<v Speaker 1>feeling well? Will they feel better? This was sort of

0:14:59.560 --> 0:15:01.920
<v Speaker 1>an accut humulative approach. There were a lot of people

0:15:01.960 --> 0:15:05.440
<v Speaker 1>who were speculating that electricity might be used for things

0:15:05.480 --> 0:15:09.120
<v Speaker 1>that they had frankly run out of ideas as far

0:15:09.160 --> 0:15:11.160
<v Speaker 1>as how they could treat them. There were a lot

0:15:11.160 --> 0:15:15.480
<v Speaker 1>of diseases and disorders that we just didn't know how

0:15:15.520 --> 0:15:19.520
<v Speaker 1>to treat. None of the conventional approaches seemed to work,

0:15:19.960 --> 0:15:23.520
<v Speaker 1>so it was almost a move of desperation. Now, Franklin

0:15:23.600 --> 0:15:26.360
<v Speaker 1>also went on to prove that lightning and the sparks

0:15:26.400 --> 0:15:29.960
<v Speaker 1>that he was seeing from these electro static discharges were

0:15:29.960 --> 0:15:33.880
<v Speaker 1>in fact the same thing. Different orders of magnitude and strength,

0:15:34.040 --> 0:15:36.440
<v Speaker 1>but they were the same thing. He also invented the

0:15:36.520 --> 0:15:40.560
<v Speaker 1>lightning rod to help protect houses against lightning strikes. Now,

0:15:40.600 --> 0:15:44.440
<v Speaker 1>speaking of the Royal Society, its members were also experimenting

0:15:44.520 --> 0:15:47.680
<v Speaker 1>with using electricity as a medical treatment for all sorts

0:15:47.680 --> 0:15:52.040
<v Speaker 1>of ailments, though primarily for things like paralysis, seizures, and

0:15:52.080 --> 0:15:56.480
<v Speaker 1>neurological disorders and diseases in general. The physicians of the

0:15:56.520 --> 0:16:00.240
<v Speaker 1>eighteenth century who were inclined to try electricity as a

0:16:00.240 --> 0:16:04.160
<v Speaker 1>means of treating these issues did so because more conventional

0:16:04.200 --> 0:16:07.920
<v Speaker 1>treatments were failing. This isn't quite like saying, well nothing

0:16:07.960 --> 0:16:10.840
<v Speaker 1>else worked, let's shock them. But it's not far from

0:16:10.840 --> 0:16:13.600
<v Speaker 1>that point of view, And we're still talking about discharging

0:16:13.640 --> 0:16:18.560
<v Speaker 1>and electrostatic charge, so zapping someone not subjecting someone to

0:16:18.600 --> 0:16:23.600
<v Speaker 1>a prolonged, uninterrupted current of electricity, so this was usually

0:16:23.600 --> 0:16:28.720
<v Speaker 1>done with the zapp going to whatever area of the

0:16:28.760 --> 0:16:33.000
<v Speaker 1>body was thought to be affected. So, depending upon the

0:16:33.080 --> 0:16:36.680
<v Speaker 1>disease or the disorder, the doctors would say, well, let's

0:16:36.760 --> 0:16:39.400
<v Speaker 1>target let's say the liver, and they would deliver an

0:16:39.440 --> 0:16:44.360
<v Speaker 1>electric shocked toward the the person's abdomen in an effort

0:16:44.440 --> 0:16:47.600
<v Speaker 1>to shock the liver out of whatever the problem was.

0:16:48.600 --> 0:16:52.960
<v Speaker 1>Erasmus Darwin, who was the grandfather of the famous Charles Darwin,

0:16:53.560 --> 0:16:57.480
<v Speaker 1>was one of the physicians who experimented with medical uses

0:16:57.560 --> 0:17:01.520
<v Speaker 1>of electricity. The medical community was not universal in its

0:17:01.560 --> 0:17:04.800
<v Speaker 1>acceptance of electricity as a means of treatment, but Darwin

0:17:04.920 --> 0:17:07.960
<v Speaker 1>and a few other physicians sought to employ electricity to

0:17:08.040 --> 0:17:12.399
<v Speaker 1>treat certain ailments and conditions, again mostly in places where

0:17:12.760 --> 0:17:19.320
<v Speaker 1>other treatments just weren't working. These included neurological disorders and diseases, paralysis, seizures,

0:17:19.480 --> 0:17:23.560
<v Speaker 1>things like that. And his fellow philosophers felt that natural philosophy,

0:17:23.720 --> 0:17:27.120
<v Speaker 1>which was their term for the natural sciences, primarily physics,

0:17:27.359 --> 0:17:30.280
<v Speaker 1>had the potential to make life better for people in general,

0:17:30.560 --> 0:17:33.160
<v Speaker 1>and using electricity to help some of the most vulnerable

0:17:33.160 --> 0:17:35.679
<v Speaker 1>people in the population seemed like a great way to

0:17:35.840 --> 0:17:39.840
<v Speaker 1>do that now, Darwin believed in a concept called the

0:17:39.920 --> 0:17:43.400
<v Speaker 1>spirit of animation. This would be a type of energy

0:17:43.520 --> 0:17:48.159
<v Speaker 1>within living beings that gave life to those beings. This

0:17:48.280 --> 0:17:52.640
<v Speaker 1>energy would travel along nerves to muscles, and in some

0:17:52.720 --> 0:17:56.760
<v Speaker 1>ways it was similar to electricity itself, and it was

0:17:56.880 --> 0:18:00.199
<v Speaker 1>kind of heading down the right path towards how our

0:18:00.240 --> 0:18:04.840
<v Speaker 1>neurological systems use electrochemical signals to control our muscles. But

0:18:04.880 --> 0:18:09.359
<v Speaker 1>it was a much more primitive and somewhat spiritual outlook

0:18:09.560 --> 0:18:12.840
<v Speaker 1>on that process. Now that being said, Darwin and his

0:18:12.880 --> 0:18:17.959
<v Speaker 1>contemporaries had a limited understanding of electricity. Darwin described it

0:18:18.040 --> 0:18:23.040
<v Speaker 1>as an ethereal fluid. Likewise, the understanding of actual ailments

0:18:23.200 --> 0:18:27.600
<v Speaker 1>was limited and the language describing them sometimes imprecise. So

0:18:27.800 --> 0:18:31.639
<v Speaker 1>Darwin used electricity to treat everything from jaundice to tape worms.

0:18:32.000 --> 0:18:35.440
<v Speaker 1>He also used it to treat symptoms like pain and swelling,

0:18:35.760 --> 0:18:39.040
<v Speaker 1>and he noted that the shocks could restore some movement

0:18:39.119 --> 0:18:41.960
<v Speaker 1>to what appeared to be lifeless limbs, something that a

0:18:42.000 --> 0:18:45.639
<v Speaker 1>couple of other physicians would expand upon later. And early

0:18:45.680 --> 0:18:50.919
<v Speaker 1>electrician named Tiberius Cavallo from Italy immigrated to England and

0:18:50.960 --> 0:18:53.440
<v Speaker 1>became a member of the Royal Society. He worked to

0:18:53.680 --> 0:18:57.480
<v Speaker 1>improve electrical devices, and he also lamented that many of

0:18:57.480 --> 0:19:00.880
<v Speaker 1>the people in England making use of electricity medicine were

0:19:00.960 --> 0:19:05.400
<v Speaker 1>under qualified to do it properly. He said natural philosophers

0:19:05.400 --> 0:19:09.560
<v Speaker 1>frequently lacked sufficient education and training in medicine whereat while

0:19:09.760 --> 0:19:14.160
<v Speaker 1>the physicians the doctors fell short in the natural philosophy department.

0:19:14.640 --> 0:19:18.000
<v Speaker 1>And indeed, as word spread, many people began incorporating stuff

0:19:18.040 --> 0:19:21.880
<v Speaker 1>like Leyden jars in their various treatments. Some like Darwin,

0:19:22.000 --> 0:19:24.480
<v Speaker 1>were attempting to approach things from a more or less

0:19:24.600 --> 0:19:29.320
<v Speaker 1>scientific perspective. Others were more on the snake oil con

0:19:29.480 --> 0:19:32.919
<v Speaker 1>man side of things, and because of some advances in

0:19:32.960 --> 0:19:37.080
<v Speaker 1>science technology, things were about to get more complicated. But

0:19:37.200 --> 0:19:40.160
<v Speaker 1>before I get into that, I want to tell you

0:19:40.520 --> 0:19:45.040
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0:19:45.200 --> 0:19:48.280
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0:19:48.359 --> 0:19:50.560
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0:19:50.680 --> 0:19:54.440
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0:20:00.480 --> 0:20:03.960
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0:20:03.960 --> 0:20:06.320
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0:20:09.800 --> 0:20:12.080
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0:20:12.160 --> 0:20:15.240
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0:20:15.560 --> 0:20:19.560
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0:20:19.600 --> 0:20:24.520
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0:20:24.600 --> 0:20:28.320
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0:20:28.320 --> 0:20:31.560
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0:20:31.720 --> 0:20:34.280
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0:20:34.280 --> 0:20:37.639
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0:20:37.720 --> 0:20:41.760
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0:20:45.160 --> 0:20:48.239
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0:21:05.560 --> 0:21:09.200
<v Speaker 1>get back to electricity as a type of medical therapy.

0:21:09.720 --> 0:21:12.760
<v Speaker 1>Up until this point, I've been talking about using electrostatic

0:21:12.920 --> 0:21:17.280
<v Speaker 1>charges to target specific body parts or general regions of

0:21:17.320 --> 0:21:20.840
<v Speaker 1>the body. That means every treatment would be administered as

0:21:20.880 --> 0:21:24.480
<v Speaker 1>a single or a series of single shocks, so you'd

0:21:24.480 --> 0:21:27.160
<v Speaker 1>get shocked, and maybe they'd have to use a couple

0:21:27.160 --> 0:21:30.160
<v Speaker 1>of different electro stag generators to continue to build up

0:21:30.200 --> 0:21:34.160
<v Speaker 1>a charge to shock you. Again, these were not necessarily

0:21:34.359 --> 0:21:38.399
<v Speaker 1>super powerful shocks, though sometimes they could be, and with

0:21:38.440 --> 0:21:41.600
<v Speaker 1>electro static charges, you're talking about discharging it pretty much

0:21:41.640 --> 0:21:45.240
<v Speaker 1>all at once, at least until Alessandro Volta invented the

0:21:45.320 --> 0:21:48.800
<v Speaker 1>electro forests. But never mind that it gets a little

0:21:48.840 --> 0:21:51.520
<v Speaker 1>too deep in the weeds for us. Then we get

0:21:51.600 --> 0:21:57.000
<v Speaker 1>to Luigi Galvani, an Italian physician in the late seventeen hundreds.

0:21:57.080 --> 0:22:01.320
<v Speaker 1>On November six, eighty, galva he began to experiment with

0:22:01.440 --> 0:22:07.480
<v Speaker 1>fresh frog legs, freshly cut from the frog. Galvanni hypothesized

0:22:07.520 --> 0:22:10.360
<v Speaker 1>that the muscle, tissue and the nerves in a frog's

0:22:10.440 --> 0:22:13.919
<v Speaker 1>legs could generate electricity, and that this was the energy

0:22:14.080 --> 0:22:18.040
<v Speaker 1>used for motive force. This was different from the prevailing

0:22:18.080 --> 0:22:21.600
<v Speaker 1>wisdom at the time, and he was largely derided for

0:22:21.680 --> 0:22:25.600
<v Speaker 1>this hypothesis. In one of his experiments, he connected a

0:22:25.680 --> 0:22:29.720
<v Speaker 1>nerve from a frog leg to a Franklin square capacitor,

0:22:30.119 --> 0:22:33.600
<v Speaker 1>which caused the leg to twitch. He later used an

0:22:33.720 --> 0:22:38.240
<v Speaker 1>arc of metallic wire to connect a nerve to a

0:22:38.520 --> 0:22:41.520
<v Speaker 1>muscle in the frog leg, and that also caused the

0:22:41.640 --> 0:22:45.920
<v Speaker 1>leg to contract again. Galvani published his results a decade

0:22:46.000 --> 0:22:52.879
<v Speaker 1>later in sev Alessandro Volta recreated Galvani's experiments and discovered

0:22:52.920 --> 0:22:55.280
<v Speaker 1>that he got even better results if he used a

0:22:55.280 --> 0:23:00.560
<v Speaker 1>metallic arc made of two different metals, so bi metallic wire.

0:23:01.160 --> 0:23:03.840
<v Speaker 1>Volta believed that the two different types of metal were

0:23:03.880 --> 0:23:07.320
<v Speaker 1>necessary to create what he thought of as an electrical imbalance,

0:23:08.000 --> 0:23:12.200
<v Speaker 1>so a differential, if you will, and that Galvani's hypothesis

0:23:12.280 --> 0:23:15.679
<v Speaker 1>that the animal's tissue generated its own electricity was off base.

0:23:16.080 --> 0:23:19.440
<v Speaker 1>Galvanni responded with a new experiment in which he connected

0:23:19.480 --> 0:23:22.880
<v Speaker 1>the nerves of two different frog legs together and that

0:23:22.920 --> 0:23:27.160
<v Speaker 1>caused both frog legs to twitch. Galvani and Volta engaged

0:23:27.200 --> 0:23:31.639
<v Speaker 1>in a spirited debate through correspondence and publications. That debate

0:23:31.760 --> 0:23:36.000
<v Speaker 1>ended in se not because one side had thoroughly defeated

0:23:36.040 --> 0:23:39.000
<v Speaker 1>the other, but because Galvanni went the way of his

0:23:39.080 --> 0:23:44.560
<v Speaker 1>frogs and croaked get it. Volta took his idea and

0:23:44.600 --> 0:23:47.439
<v Speaker 1>he created a device that we call the voltaic pile.

0:23:48.280 --> 0:23:51.760
<v Speaker 1>It was a stack of alternating layers of copper and

0:23:51.960 --> 0:23:55.920
<v Speaker 1>cardboard soaked in salt water and zinc, and you had

0:23:55.920 --> 0:23:58.720
<v Speaker 1>a wire connecting the bottom plate of the pile to

0:23:58.880 --> 0:24:01.720
<v Speaker 1>the top plate, and that made a circuit through which

0:24:01.720 --> 0:24:05.080
<v Speaker 1>electricity could flow. So you could actually put a load

0:24:05.240 --> 0:24:07.560
<v Speaker 1>on that wire and it would power it. Not that

0:24:07.600 --> 0:24:10.920
<v Speaker 1>there was anything to really power at that point. Sure enough,

0:24:10.920 --> 0:24:14.119
<v Speaker 1>the pile generated a steady current of electricity, so it

0:24:14.200 --> 0:24:16.800
<v Speaker 1>was an early type of battery. Now I'm not going

0:24:16.840 --> 0:24:19.000
<v Speaker 1>to go into the full chemistry of what's going on

0:24:19.119 --> 0:24:22.000
<v Speaker 1>here because it would require a pretty big tangent in

0:24:22.040 --> 0:24:25.400
<v Speaker 1>this episode, but we'll save that for a future episode. Well,

0:24:25.440 --> 0:24:28.840
<v Speaker 1>we'll go into more detail. And as for the debate

0:24:28.880 --> 0:24:31.960
<v Speaker 1>between Galvani and Volta, turns out both guys were right.

0:24:32.359 --> 0:24:35.199
<v Speaker 1>Volta was correct that the two medals connected through a

0:24:35.240 --> 0:24:39.560
<v Speaker 1>salty medium generated electricity. It proved to be true, and

0:24:39.640 --> 0:24:43.679
<v Speaker 1>Galvanni's hypothesis that nerves and muscles generate electricity also proved

0:24:43.680 --> 0:24:47.399
<v Speaker 1>to be true. So everybody wins. The invention of the

0:24:47.400 --> 0:24:50.720
<v Speaker 1>battery would lead to new applications of electricity in medicine,

0:24:50.840 --> 0:24:54.800
<v Speaker 1>and slowly physicians were starting to change their understanding of

0:24:54.840 --> 0:24:58.560
<v Speaker 1>how the body works. In the seventeen forties and seventeen fifties,

0:24:58.720 --> 0:25:04.120
<v Speaker 1>the prevailing ideas felt into a category called iatro mechanical theories.

0:25:04.160 --> 0:25:06.080
<v Speaker 1>And I'm sure I messed that up too, but the

0:25:06.160 --> 0:25:10.040
<v Speaker 1>underlying assumption for that theory was that most illnesses were

0:25:10.080 --> 0:25:15.320
<v Speaker 1>caused because something somewhere in the body was all gunked up. Essentially,

0:25:15.720 --> 0:25:20.600
<v Speaker 1>either the blood wasn't flowing properly, or nerves were somehow constricted,

0:25:21.280 --> 0:25:24.720
<v Speaker 1>or your gushy fluids in your body had become sludgy

0:25:24.880 --> 0:25:29.160
<v Speaker 1>like jello, and we'll see there's your problem. Well, many

0:25:29.200 --> 0:25:32.680
<v Speaker 1>people at the time believe that electricity could get stuff

0:25:32.880 --> 0:25:36.600
<v Speaker 1>moving again, that it could quicken the pulse, and perhaps

0:25:36.640 --> 0:25:38.920
<v Speaker 1>it could even break up that sludgy stuff in your

0:25:38.920 --> 0:25:42.920
<v Speaker 1>body to make you better. That electricity could dislodge blocked

0:25:43.040 --> 0:25:46.920
<v Speaker 1>humors in your body, and that those humors would otherwise

0:25:46.960 --> 0:25:49.640
<v Speaker 1>prevent your body from being able to get rid of them.

0:25:49.920 --> 0:25:52.480
<v Speaker 1>You know, you would just sweat them out or excrete

0:25:52.520 --> 0:25:55.560
<v Speaker 1>them in some way you would get rid of noxious humors.

0:25:56.040 --> 0:25:58.600
<v Speaker 1>And this seems awfully similar to something that gets pedaled

0:25:58.600 --> 0:26:01.680
<v Speaker 1>a lot today, which is namely the concept of toxins.

0:26:02.000 --> 0:26:07.199
<v Speaker 1>You'll hear a lot about various treatments from massage you know,

0:26:07.680 --> 0:26:11.240
<v Speaker 1>a massage therapist, to to sweat lodges, to all sorts

0:26:11.280 --> 0:26:14.159
<v Speaker 1>of different things where you get this vague concept of

0:26:14.240 --> 0:26:19.840
<v Speaker 1>removing toxins from your body, like knocking loose toxins. That's

0:26:19.880 --> 0:26:23.280
<v Speaker 1>an old, old, old idea that has no basis in

0:26:24.000 --> 0:26:28.840
<v Speaker 1>real science. Uh, your liver actually does process toxins already,

0:26:28.880 --> 0:26:31.880
<v Speaker 1>So assuming you have a working liver, then your liver

0:26:31.960 --> 0:26:34.520
<v Speaker 1>is already doing that for you. That's its job. If

0:26:34.560 --> 0:26:36.800
<v Speaker 1>you don't have a working liver, you've got bigger problems

0:26:36.800 --> 0:26:40.440
<v Speaker 1>to worry about. But this bit of medical misunderstanding has

0:26:40.480 --> 0:26:45.159
<v Speaker 1>been incredibly persistent and remains a key component in a

0:26:45.240 --> 0:26:48.080
<v Speaker 1>lot of different places, saying like this is what our

0:26:48.119 --> 0:26:51.760
<v Speaker 1>treatments do for you. By the way, I'm not knocking massages.

0:26:51.880 --> 0:26:54.920
<v Speaker 1>I love them, but yeah, the whole toxin thing is

0:26:55.000 --> 0:27:01.560
<v Speaker 1>kind of um. Let's just say hello blue over nothing.

0:27:02.160 --> 0:27:05.760
<v Speaker 1>On a related note, magnetism was also an area of

0:27:05.800 --> 0:27:09.399
<v Speaker 1>intense interest among physicians and the general public, and because

0:27:09.440 --> 0:27:13.000
<v Speaker 1>it's related to electricity through the electro magnetism force, I

0:27:13.040 --> 0:27:16.160
<v Speaker 1>thought i'd chat about just for a second, like electricity.

0:27:16.200 --> 0:27:19.480
<v Speaker 1>There are legitimate uses of magnets in the medical industry.

0:27:19.800 --> 0:27:23.200
<v Speaker 1>There are many of them, magnetic resonance imaging, for example. However,

0:27:23.760 --> 0:27:27.600
<v Speaker 1>magnets also gave rise to the opportunity for Charlatan's to

0:27:27.640 --> 0:27:31.960
<v Speaker 1>ascribe magical or vague properties to them that would somehow

0:27:32.040 --> 0:27:35.560
<v Speaker 1>be a benefit to humans. Sure, they couldn't really explain

0:27:35.880 --> 0:27:39.160
<v Speaker 1>how the magnets did this, but the claims were there.

0:27:39.640 --> 0:27:42.320
<v Speaker 1>The fact that magnets could attract and repel each other

0:27:42.400 --> 0:27:45.800
<v Speaker 1>through some invisible force made it seem kind of mystical

0:27:46.119 --> 0:27:48.160
<v Speaker 1>to people, and I think this is why to this

0:27:48.240 --> 0:27:51.679
<v Speaker 1>day you can find companies that market magnetic bracelets that

0:27:51.720 --> 0:27:55.560
<v Speaker 1>supposedly do everything from improving your circulation to somehow giving

0:27:55.600 --> 0:27:58.880
<v Speaker 1>you a boost in athletic performance. There's no real scientific

0:27:58.920 --> 0:28:01.480
<v Speaker 1>evidence to bear any of that out. By the way,

0:28:01.640 --> 0:28:05.480
<v Speaker 1>the premise depends upon the target customer taking a leap

0:28:05.560 --> 0:28:09.120
<v Speaker 1>of faith. It's actually pretty hard to understand how magnets work.

0:28:09.119 --> 0:28:12.200
<v Speaker 1>I mean, just ask the insane clown Posse. And sometimes

0:28:12.200 --> 0:28:15.040
<v Speaker 1>we humans are willing to take another leap if we

0:28:15.080 --> 0:28:18.119
<v Speaker 1>see something that we can tell does something, but we

0:28:18.119 --> 0:28:21.960
<v Speaker 1>don't understand how it does. That something. So if I

0:28:22.000 --> 0:28:25.480
<v Speaker 1>see a device do something that is really incredible, and

0:28:25.520 --> 0:28:28.360
<v Speaker 1>then you tell me it can do something even more incredible,

0:28:28.600 --> 0:28:30.760
<v Speaker 1>I might be inclined to believe you. I've already witnessed

0:28:30.760 --> 0:28:33.360
<v Speaker 1>it do something that I can't explain, so I might

0:28:33.400 --> 0:28:35.359
<v Speaker 1>be willing to just go along for the ride for

0:28:35.400 --> 0:28:37.600
<v Speaker 1>the whole thing. And a lot of people found that

0:28:37.600 --> 0:28:41.360
<v Speaker 1>out with magnets. So ignorance is the friend of the

0:28:41.440 --> 0:28:43.960
<v Speaker 1>con man, is what I'm saying there, and it would

0:28:44.000 --> 0:28:46.840
<v Speaker 1>be true both for magnets and electricity. However, I'm going

0:28:46.880 --> 0:28:50.560
<v Speaker 1>to be a little bit more charitable. Not everyone in

0:28:51.000 --> 0:28:55.080
<v Speaker 1>the eighteenth and nineteen centuries was out to pull a

0:28:55.160 --> 0:28:58.280
<v Speaker 1>fast one on people. I guess it's important to acknowledge

0:28:58.520 --> 0:29:02.760
<v Speaker 1>physicians around this time were largely in an experimental phase.

0:29:03.720 --> 0:29:07.040
<v Speaker 1>They were very slowly learning which treatments were most effective

0:29:07.080 --> 0:29:10.719
<v Speaker 1>for various ailments. We weren't quite in the era of

0:29:10.760 --> 0:29:14.280
<v Speaker 1>modern medicine yet, nor did we have a basic understanding

0:29:14.520 --> 0:29:18.080
<v Speaker 1>of most pathogens. So it shouldn't be a huge surprise

0:29:18.360 --> 0:29:22.040
<v Speaker 1>that some physicians were willing to try all new approaches,

0:29:22.160 --> 0:29:25.200
<v Speaker 1>including the use of something they didn't fully understand, in

0:29:25.240 --> 0:29:28.520
<v Speaker 1>the hopes that perhaps some positive effect would follow. Many

0:29:28.600 --> 0:29:31.760
<v Speaker 1>of their patients had tried all other available treatments, and

0:29:31.800 --> 0:29:35.240
<v Speaker 1>so any port in a storm. I guess with the

0:29:35.280 --> 0:29:37.960
<v Speaker 1>invention of the voltaic pile, we were on our way

0:29:38.040 --> 0:29:40.520
<v Speaker 1>to the creation of batteries, and these would provide a

0:29:40.600 --> 0:29:44.080
<v Speaker 1>supply of direct current, typically at pretty low voltages. And

0:29:44.120 --> 0:29:47.160
<v Speaker 1>the early experiments in using electricity to treat a host

0:29:47.200 --> 0:29:49.640
<v Speaker 1>of ailments meant that you could have a lot of

0:29:49.640 --> 0:29:53.240
<v Speaker 1>opportunity to jump on the chance to create products that

0:29:53.400 --> 0:29:57.160
<v Speaker 1>leverage the legitimacy given to the practice by the pioneers

0:29:57.160 --> 0:30:00.080
<v Speaker 1>and medicine. So in other words, you had legitim it

0:30:00.280 --> 0:30:04.640
<v Speaker 1>respectable people looking into ways of using electricity to actually

0:30:04.680 --> 0:30:07.160
<v Speaker 1>try and treat people. Then you had all the people

0:30:07.200 --> 0:30:09.480
<v Speaker 1>who said, hey, I think this is a way I

0:30:09.520 --> 0:30:12.200
<v Speaker 1>can make a buck, and I can trade upon the

0:30:12.280 --> 0:30:16.440
<v Speaker 1>legitimacy made by these other people who are also just experimenting.

0:30:16.920 --> 0:30:20.240
<v Speaker 1>So this was also the era of patent medicines, also

0:30:20.280 --> 0:30:24.200
<v Speaker 1>known as nostrums. These were products marketed as cures for

0:30:24.320 --> 0:30:27.440
<v Speaker 1>various illnesses that were sold as over the counter treatments

0:30:27.600 --> 0:30:29.520
<v Speaker 1>and there was no need for a prescription and there

0:30:29.560 --> 0:30:33.800
<v Speaker 1>was no accountability either. In many cases. Perhaps in most cases,

0:30:34.160 --> 0:30:36.880
<v Speaker 1>the best you could hope for is that you would

0:30:36.920 --> 0:30:39.720
<v Speaker 1>end up with something that was ineffective but didn't cause

0:30:39.800 --> 0:30:43.320
<v Speaker 1>any further harm. In the worst cases, you would end

0:30:43.360 --> 0:30:46.640
<v Speaker 1>up with quote unquote cures that could be toxic all

0:30:46.680 --> 0:30:49.960
<v Speaker 1>on their own. If you've seen the original version of

0:30:50.040 --> 0:30:54.960
<v Speaker 1>the Disney film Pete's Dragon, there's an antagonist named Doctor Terminus.

0:30:55.200 --> 0:30:58.400
<v Speaker 1>He's a con man who deals in patent medicines. Well,

0:30:58.440 --> 0:31:02.160
<v Speaker 1>electricity would join the banks of those supposed cures in

0:31:02.200 --> 0:31:05.720
<v Speaker 1>the eighteen hundreds. So let's take the work of Dr

0:31:06.040 --> 0:31:10.120
<v Speaker 1>James Bryan for example. I do not know much about

0:31:10.200 --> 0:31:13.680
<v Speaker 1>this person. My initial research didn't turn up any real

0:31:13.760 --> 0:31:16.400
<v Speaker 1>facts other than there are a lot of doctors who

0:31:16.480 --> 0:31:19.200
<v Speaker 1>happened to have the name James Bryan, both in the

0:31:19.240 --> 0:31:23.200
<v Speaker 1>past and in present day. But this doctor James Bryan

0:31:23.400 --> 0:31:27.480
<v Speaker 1>produced a pamphlet advertising his products and services, which included

0:31:27.560 --> 0:31:32.680
<v Speaker 1>electric belts and electric baths. So what the what? We'll

0:31:32.720 --> 0:31:35.840
<v Speaker 1>explain more in a second, but first let's take a

0:31:35.920 --> 0:31:46.440
<v Speaker 1>quick break. Before the break, I alluded to the electric

0:31:46.560 --> 0:31:49.960
<v Speaker 1>belts and baths of doctor James Bryan, So what the

0:31:50.000 --> 0:31:53.120
<v Speaker 1>heck were those? Well, an electric belt is kind of

0:31:53.160 --> 0:31:55.400
<v Speaker 1>what it sounds like. It was a belt worn against

0:31:55.440 --> 0:31:58.400
<v Speaker 1>the skin, and the belt had electrodes in it through

0:31:58.440 --> 0:32:01.440
<v Speaker 1>which it could administer a current into the body of

0:32:01.480 --> 0:32:04.160
<v Speaker 1>the person wearing the belt and be attached to a

0:32:04.160 --> 0:32:09.280
<v Speaker 1>battery or voltaic pile. The pamphlet helpfully has illustrations showing

0:32:09.280 --> 0:32:12.520
<v Speaker 1>how different belts could be worn around the waist, around

0:32:12.520 --> 0:32:16.000
<v Speaker 1>the stomach, as well as a harness version that would

0:32:16.000 --> 0:32:19.880
<v Speaker 1>include electrodes near the back or the chest. And according

0:32:19.920 --> 0:32:22.120
<v Speaker 1>to the Good Doctor, these belts were meant to treat

0:32:22.160 --> 0:32:28.600
<v Speaker 1>problems like nervous prostration, hysteria, kidney disorders, liver disease, spinal

0:32:28.720 --> 0:32:32.440
<v Speaker 1>injuries and stuff what is not going well in your brain.

0:32:33.040 --> 0:32:36.120
<v Speaker 1>The devices were priced at around fifteen dollars to twenty

0:32:36.120 --> 0:32:40.120
<v Speaker 1>dollars a princely some in the early nineteen century, the

0:32:40.160 --> 0:32:42.840
<v Speaker 1>electric baths were a little bit different. They involved a

0:32:42.840 --> 0:32:45.880
<v Speaker 1>patient getting into a special bathtub made out of a

0:32:45.920 --> 0:32:50.520
<v Speaker 1>metallic material, whatever it might be. The tub was filled

0:32:50.560 --> 0:32:53.640
<v Speaker 1>with water and that would include some form of electro

0:32:53.760 --> 0:32:57.680
<v Speaker 1>light component in it to facilitate conductivity. According to one

0:32:57.680 --> 0:33:02.200
<v Speaker 1>description by a doctor Maurice urn Uh, an electric bath,

0:33:02.520 --> 0:33:04.840
<v Speaker 1>the type of mixture sometimes you know a type of

0:33:04.840 --> 0:33:07.840
<v Speaker 1>acid would depend upon whatever ailment you were actually trying

0:33:07.920 --> 0:33:11.640
<v Speaker 1>to treat. So here's a passage from his description quote.

0:33:12.120 --> 0:33:17.360
<v Speaker 1>The water is slightly acidulated to increase its conductibility, and

0:33:17.400 --> 0:33:22.360
<v Speaker 1>the acid varies according to cases. Nitric or hydrochloric acid

0:33:22.760 --> 0:33:26.320
<v Speaker 1>is used for the extraction of mercury, silver or gold,

0:33:26.800 --> 0:33:30.840
<v Speaker 1>other acids for that of lead. This done the negative

0:33:30.880 --> 0:33:34.800
<v Speaker 1>pole of the pile, meaning a voltaic pile, is brought

0:33:34.920 --> 0:33:38.280
<v Speaker 1>into contact with the sides of the bathing tub and

0:33:38.320 --> 0:33:41.400
<v Speaker 1>the positive pole placed in the hands of the patient.

0:33:42.120 --> 0:33:45.480
<v Speaker 1>The work of purification is now in full activity. The

0:33:45.520 --> 0:33:49.200
<v Speaker 1>electrical current precipitates itself through the body of the sufferer,

0:33:49.520 --> 0:33:54.200
<v Speaker 1>penetrating into the depth of his bones, pursues in all

0:33:54.360 --> 0:33:59.240
<v Speaker 1>the tissues. Every particle of metal seizes it, restores its

0:33:59.280 --> 0:34:03.480
<v Speaker 1>primitive form, and chasing it out of the organism, deposits

0:34:03.520 --> 0:34:06.040
<v Speaker 1>it on the sides of the tub, where it becomes

0:34:06.040 --> 0:34:10.880
<v Speaker 1>apparent to the naked eye. Well, that just sounds grand,

0:34:10.920 --> 0:34:13.840
<v Speaker 1>don't it. It also sounds like hogwash to me. The

0:34:13.920 --> 0:34:17.600
<v Speaker 1>process described would see deposits on the tub due to

0:34:17.680 --> 0:34:21.919
<v Speaker 1>chemical changes within the water and the acid mixture. As

0:34:22.000 --> 0:34:24.840
<v Speaker 1>electrical current was passing through it, It would not be

0:34:24.880 --> 0:34:27.719
<v Speaker 1>an indicator that stuff was getting pushed out of the

0:34:27.760 --> 0:34:32.439
<v Speaker 1>person's body and then accumulating on the sides of the tub. Rather,

0:34:32.680 --> 0:34:35.120
<v Speaker 1>it would be a build up of stuff from the

0:34:35.160 --> 0:34:38.720
<v Speaker 1>actual chemicals that were in the water already. This actually

0:34:38.719 --> 0:34:42.920
<v Speaker 1>reminds me of ear candling, a practice that is equally dubious,

0:34:42.920 --> 0:34:45.680
<v Speaker 1>and that practice a person with an ear ailment places

0:34:45.719 --> 0:34:49.560
<v Speaker 1>a small candle in their ear canal and they light it. Now,

0:34:49.600 --> 0:34:54.160
<v Speaker 1>according to those who practice this, the principle, the mechanical

0:34:54.200 --> 0:34:57.440
<v Speaker 1>principle that makes this work, is that the burning flame

0:34:57.680 --> 0:35:00.960
<v Speaker 1>wicks away stuff like earwax out of your ear. The

0:35:01.000 --> 0:35:05.040
<v Speaker 1>idea that it kind of pulls that wax up through

0:35:05.080 --> 0:35:08.080
<v Speaker 1>the candle. And when you're done, assuming you haven't set

0:35:08.120 --> 0:35:11.040
<v Speaker 1>yourself on fire or anything, when you take the candle

0:35:11.080 --> 0:35:12.960
<v Speaker 1>out and you blow it out, you see that there

0:35:12.960 --> 0:35:15.239
<v Speaker 1>does seem to be some gunk around there. But these

0:35:15.280 --> 0:35:18.319
<v Speaker 1>are candles that are made of gunk. If you just

0:35:18.440 --> 0:35:20.160
<v Speaker 1>lit one of the candles and you just let it

0:35:20.200 --> 0:35:23.080
<v Speaker 1>burn on its own, without being inside somebody's ear, you

0:35:23.120 --> 0:35:25.560
<v Speaker 1>would get a very similar result. So, in other words,

0:35:25.840 --> 0:35:29.480
<v Speaker 1>we're still seeing these old methods and these old tricks

0:35:29.520 --> 0:35:32.400
<v Speaker 1>being used today, both by people who know better but

0:35:32.440 --> 0:35:35.160
<v Speaker 1>who are pulling a con and some people who are

0:35:35.200 --> 0:35:39.040
<v Speaker 1>well intentioned but misled. In general, the approach of the

0:35:39.160 --> 0:35:42.960
<v Speaker 1>nineteenth century, particularly as the years went on, was to

0:35:43.000 --> 0:35:46.440
<v Speaker 1>move away from delivering a dramatic shock the way the

0:35:46.480 --> 0:35:50.280
<v Speaker 1>electrostatic approaches had in the eighteenth century, and more toward

0:35:50.480 --> 0:35:54.080
<v Speaker 1>using low voltage currents to deliver therapist to patients. And

0:35:54.280 --> 0:35:55.839
<v Speaker 1>most of the time the goal was to try and

0:35:55.840 --> 0:35:59.560
<v Speaker 1>find the lowest possible intensity in order to treat the

0:35:59.600 --> 0:36:03.000
<v Speaker 1>malath ease, because more is not always better, and finding

0:36:03.000 --> 0:36:06.239
<v Speaker 1>a method to provide treatment with the minimum discomfort and

0:36:06.280 --> 0:36:09.200
<v Speaker 1>the minimum side effects was really the goal. But our

0:36:09.320 --> 0:36:14.360
<v Speaker 1>understanding remained limited. So let's move up to the twentieth century,

0:36:14.360 --> 0:36:16.799
<v Speaker 1>the nineteen hundreds. At this point we had a better

0:36:16.880 --> 0:36:20.080
<v Speaker 1>knowledge of how electricity works. We had discovered electrons for

0:36:20.160 --> 0:36:22.880
<v Speaker 1>one thing. We knew the basic structure of the atom.

0:36:23.000 --> 0:36:27.000
<v Speaker 1>By this point in the psychiatric medicine world, what was

0:36:27.080 --> 0:36:31.640
<v Speaker 1>once called electroshock therapy today we call it electro convulsive

0:36:31.719 --> 0:36:35.560
<v Speaker 1>therapy used electricity to deliver a current through the brain

0:36:35.760 --> 0:36:38.800
<v Speaker 1>of a patient with the intent of triggering a small

0:36:38.960 --> 0:36:43.759
<v Speaker 1>brief seizure on purpose. Now this is still done today

0:36:43.880 --> 0:36:47.640
<v Speaker 1>with varying degrees of success, and it's also under much

0:36:47.680 --> 0:36:52.080
<v Speaker 1>more carefully controlled circumstances today. Oh and sometimes it also

0:36:52.160 --> 0:36:54.719
<v Speaker 1>is called shock treatment, which also happens to be the

0:36:54.800 --> 0:36:57.520
<v Speaker 1>name of an amazing musical and a sort of sequel

0:36:57.560 --> 0:37:01.279
<v Speaker 1>to the Rocky Horror picture show. But I digress. This

0:37:01.360 --> 0:37:04.520
<v Speaker 1>electro convulsive therapy is used to treat conditions like major

0:37:04.600 --> 0:37:08.800
<v Speaker 1>depression or bipolar disorder, and it's particularly for patients again

0:37:08.840 --> 0:37:11.360
<v Speaker 1>who have not responded well to other types of treatment.

0:37:11.680 --> 0:37:14.920
<v Speaker 1>And indeed, doctors learned back in the eighteenth century that

0:37:15.040 --> 0:37:19.239
<v Speaker 1>seizures could sometimes help with certain disorders and diseases. It

0:37:19.320 --> 0:37:24.760
<v Speaker 1>really has a medical beneficial effect. Now. Back in those days,

0:37:24.800 --> 0:37:27.799
<v Speaker 1>they were typically induced through the use of certain chemicals,

0:37:28.239 --> 0:37:32.280
<v Speaker 1>including one that became known as metrosol. That was until

0:37:32.400 --> 0:37:37.920
<v Speaker 1>about eight when Lucy Obeni and Ugo Cerletti experimented with

0:37:37.960 --> 0:37:43.280
<v Speaker 1>electricity to induce seizures instead of using chemicals. Many patients

0:37:43.320 --> 0:37:47.480
<v Speaker 1>reported that after they had to take metrosol, that that

0:37:47.600 --> 0:37:50.160
<v Speaker 1>chemical I was talking about a second ago, they would

0:37:50.200 --> 0:37:55.240
<v Speaker 1>experience intense feelings of terror just before they had a seizure,

0:37:55.920 --> 0:37:59.960
<v Speaker 1>and they were so intense and so unpleasant that patients

0:38:00.080 --> 0:38:04.280
<v Speaker 1>would try to avoid taking the chemical for understandable reasons,

0:38:04.280 --> 0:38:08.520
<v Speaker 1>they did not want to experience this traumatizing reaction, but

0:38:08.760 --> 0:38:12.640
<v Speaker 1>that meant treatment was becoming even more challenging. So Beanie

0:38:12.640 --> 0:38:16.080
<v Speaker 1>and Serletti actually were hoping that their approach using electricity

0:38:16.239 --> 0:38:20.280
<v Speaker 1>to induce seizures rather than chemicals, would actually work better

0:38:20.400 --> 0:38:24.480
<v Speaker 1>and not cause this intense reaction in patients, and it

0:38:24.520 --> 0:38:27.680
<v Speaker 1>did seem to have that effect for about half the

0:38:27.719 --> 0:38:32.200
<v Speaker 1>patients that tried it, so about a fifty success rate. Also,

0:38:32.239 --> 0:38:35.360
<v Speaker 1>there were reports that patients would experience a mild form

0:38:35.480 --> 0:38:39.520
<v Speaker 1>of amnesia about the treatment itself, so they would have

0:38:39.600 --> 0:38:43.240
<v Speaker 1>some amnesia that were that the effects were right around

0:38:43.400 --> 0:38:47.239
<v Speaker 1>when they experienced the treatment. It wasn't general amnesia, it

0:38:47.320 --> 0:38:50.080
<v Speaker 1>wasn't severe, and it wasn't permanent either. People would over

0:38:50.120 --> 0:38:55.919
<v Speaker 1>time be able to remember effects, but because they would

0:38:55.920 --> 0:39:01.800
<v Speaker 1>be somewhat forgetful of the experience of the electro convulsive therapy,

0:39:01.840 --> 0:39:04.920
<v Speaker 1>they wouldn't develop a lot of strong negative feelings toward it.

0:39:04.960 --> 0:39:07.680
<v Speaker 1>They just didn't remember what it was like. Now, that

0:39:07.719 --> 0:39:10.359
<v Speaker 1>does not mean it was actually pleasant to go through it,

0:39:10.400 --> 0:39:14.360
<v Speaker 1>but it does mean that patients weren't necessarily avoiding treatment.

0:39:14.920 --> 0:39:17.600
<v Speaker 1>Now that being said, this treatment was also used in

0:39:17.640 --> 0:39:20.759
<v Speaker 1>the nineteen fifties as a way to control unruly patients

0:39:20.760 --> 0:39:24.279
<v Speaker 1>in mental hospitals, a practice that was dramatized in the

0:39:24.400 --> 0:39:28.040
<v Speaker 1>novel and in future play and film of One Flew

0:39:28.120 --> 0:39:32.319
<v Speaker 1>Over the Cuckoo's Nest. The experience was painful and it

0:39:32.320 --> 0:39:36.280
<v Speaker 1>could be dangerous, you know, seizures are are serious. Over time,

0:39:36.480 --> 0:39:40.000
<v Speaker 1>doctors would adjust their approach to e CT to minimize

0:39:40.040 --> 0:39:42.800
<v Speaker 1>the risks and the discomfort of the patient, but it

0:39:42.920 --> 0:39:46.200
<v Speaker 1>was definitely something disturbing to witness in the early days.

0:39:47.120 --> 0:39:50.040
<v Speaker 1>On top of that, some practitioners used e c T

0:39:50.480 --> 0:39:53.600
<v Speaker 1>to treat things that were not disorders at all. For example,

0:39:53.600 --> 0:39:57.960
<v Speaker 1>to quote unquote treat homosexuality. They were subscribing to the

0:39:58.000 --> 0:40:03.880
<v Speaker 1>belief that homosexuality was behavioral disorder. Between that barbaric practice

0:40:04.040 --> 0:40:06.560
<v Speaker 1>and the disturbing reports coming out of hospitals in the

0:40:06.680 --> 0:40:12.880
<v Speaker 1>nineteen fifties, electro convulsive therapy understandably got a pretty bad reputation.

0:40:13.160 --> 0:40:17.040
<v Speaker 1>Now that does not mean it's an illegitimate practice, and

0:40:17.160 --> 0:40:20.400
<v Speaker 1>it doesn't work for for some disorders. It does work,

0:40:20.719 --> 0:40:25.879
<v Speaker 1>but because it was used poorly in several cases, and

0:40:26.440 --> 0:40:30.480
<v Speaker 1>not just poorly but inhumanely in some cases, the overall

0:40:30.520 --> 0:40:33.919
<v Speaker 1>approach got a pretty negative stigma attached to it. Now

0:40:33.960 --> 0:40:38.680
<v Speaker 1>these days, the way it works is more measured and

0:40:38.800 --> 0:40:43.239
<v Speaker 1>scientific and controlled. A patient is put under anesthesia so

0:40:43.280 --> 0:40:47.560
<v Speaker 1>that they don't experience pain. They're given muscle RELAXANTCE as well,

0:40:47.640 --> 0:40:51.920
<v Speaker 1>and that way it helps reduce the risk of seizure,

0:40:52.000 --> 0:40:55.239
<v Speaker 1>the physical risks of seizure, and it certainly has proven

0:40:55.280 --> 0:40:57.920
<v Speaker 1>to be effective to treat some patients who are dealing

0:40:57.960 --> 0:41:02.719
<v Speaker 1>with massive severe depression for example. So the stigma still remains,

0:41:02.719 --> 0:41:05.440
<v Speaker 1>but for some people it has literally become a life

0:41:05.440 --> 0:41:09.680
<v Speaker 1>saving therapy. Now, there are some other uses of electricity

0:41:09.760 --> 0:41:13.000
<v Speaker 1>in medicine, some of them are disputed. Uh there are

0:41:13.040 --> 0:41:16.600
<v Speaker 1>devices that claim to use mild electrical stimulation to encourage

0:41:16.640 --> 0:41:20.279
<v Speaker 1>healing in wounds. So let's say that you've broken a

0:41:20.320 --> 0:41:23.560
<v Speaker 1>bone or you've got a bad cut. There are some

0:41:23.640 --> 0:41:28.160
<v Speaker 1>devices that say that using electrical impulses you can encourage

0:41:28.160 --> 0:41:31.280
<v Speaker 1>the healing process and speed it up. There are others

0:41:31.320 --> 0:41:34.479
<v Speaker 1>that are using electricity to help manage pain. But there's

0:41:34.480 --> 0:41:37.640
<v Speaker 1>also a lot of disagreement over whether there's actually a

0:41:37.760 --> 0:41:42.000
<v Speaker 1>real effect happening with these devices or if the effects

0:41:42.000 --> 0:41:45.480
<v Speaker 1>are more psychological in nature. In other words, if you

0:41:45.520 --> 0:41:50.359
<v Speaker 1>believe it works, it seems to work for you, there

0:41:50.360 --> 0:41:52.040
<v Speaker 1>are there are a lot of questions about it. It

0:41:52.160 --> 0:41:57.200
<v Speaker 1>might work, it might not. A report on transcutaneous electrical

0:41:57.360 --> 0:42:01.360
<v Speaker 1>nerve stimulation or TENS, as a practice in which electricity

0:42:01.400 --> 0:42:04.760
<v Speaker 1>is used to reduce pain. It's thought to inhibit part

0:42:04.800 --> 0:42:08.960
<v Speaker 1>of the nervous system that processes the pain sensation. It's

0:42:09.000 --> 0:42:12.880
<v Speaker 1>a good example of this issue in medicine. The report

0:42:13.000 --> 0:42:17.360
<v Speaker 1>is titled Using TENS for Pain Control the State of

0:42:17.400 --> 0:42:21.480
<v Speaker 1>the Evidence. It was published in the journal Pain Manage,

0:42:21.920 --> 0:42:26.520
<v Speaker 1>and it states the evidence for TENS efficacy is conflicting

0:42:26.800 --> 0:42:31.800
<v Speaker 1>and requires not only description but also critique. Population specific

0:42:31.840 --> 0:42:37.320
<v Speaker 1>systemic reviews and meta analyzes are emerging indicating both HF

0:42:37.360 --> 0:42:43.160
<v Speaker 1>and LF tens are being shown to provide analgesia, specifically

0:42:43.160 --> 0:42:47.200
<v Speaker 1>when applied at a strong, non painful intensity. So, in

0:42:47.239 --> 0:42:50.560
<v Speaker 1>other words, the jury is still out on this, and

0:42:50.640 --> 0:42:54.480
<v Speaker 1>there's also still some mystery around the actual mechanisms of

0:42:54.520 --> 0:42:58.480
<v Speaker 1>electricity and its role in healing. That doesn't mean electrotherapy

0:42:58.520 --> 0:43:00.920
<v Speaker 1>as a sham, or that there's no way for it

0:43:01.000 --> 0:43:03.400
<v Speaker 1>to work. I want to be clear about that, But

0:43:03.719 --> 0:43:05.880
<v Speaker 1>what it does mean is we do not have a

0:43:06.000 --> 0:43:10.400
<v Speaker 1>full understanding of what is actually going on. That's just

0:43:10.520 --> 0:43:16.680
<v Speaker 1>like weird man. Like with technology, we typically know if

0:43:16.760 --> 0:43:20.719
<v Speaker 1>something works, and we typically know how it works and

0:43:20.760 --> 0:43:25.800
<v Speaker 1>why it works. Typically there are exceptions, but in medicine,

0:43:25.880 --> 0:43:29.880
<v Speaker 1>sometimes we know that something seems to be working, but

0:43:30.040 --> 0:43:33.600
<v Speaker 1>we have no idea why it's working, or why it

0:43:33.680 --> 0:43:37.800
<v Speaker 1>might work in one case but not in another similar case,

0:43:38.239 --> 0:43:41.080
<v Speaker 1>or whether the effects we see are due directly to

0:43:41.160 --> 0:43:45.160
<v Speaker 1>the treatment or more through the perception that the patient

0:43:45.280 --> 0:43:49.120
<v Speaker 1>and the doctors have of that treatment. It's weird man.

0:43:49.200 --> 0:43:54.120
<v Speaker 1>I'm glad I'm stuck with technology because that's way easier

0:43:54.120 --> 0:43:58.080
<v Speaker 1>to understand than you know us. Now. I plan on

0:43:58.160 --> 0:44:01.839
<v Speaker 1>doing some more episodes related to this topic. I plan

0:44:01.920 --> 0:44:04.920
<v Speaker 1>on revisiting topics that we have covered in past episodes

0:44:04.960 --> 0:44:08.440
<v Speaker 1>of tech stuff, like the electric chair. It's a terrifying

0:44:08.520 --> 0:44:11.240
<v Speaker 1>use of electricity that I think we need to revisit,

0:44:11.680 --> 0:44:16.200
<v Speaker 1>or devices that are meant to stimulate muscles using electrical pulses.

0:44:16.239 --> 0:44:19.240
<v Speaker 1>I get ads for that occasionally because now that I

0:44:19.280 --> 0:44:22.120
<v Speaker 1>am more health conscious. I tend to get ads for

0:44:22.160 --> 0:44:24.799
<v Speaker 1>all sorts of stuff related to that. Some of them

0:44:25.000 --> 0:44:28.920
<v Speaker 1>might be somewhat suspect, So keep on the lookout for

0:44:28.920 --> 0:44:31.360
<v Speaker 1>those episodes. They should be coming out before too long.

0:44:31.560 --> 0:44:35.480
<v Speaker 1>But as always, remember to ask questions and to use

0:44:35.600 --> 0:44:39.640
<v Speaker 1>critical thinking and do your homework, because that's the way

0:44:39.760 --> 0:44:43.680
<v Speaker 1>you are best suited to getting what you need. Whether

0:44:43.840 --> 0:44:46.719
<v Speaker 1>it's a specific kind of device that you want or

0:44:46.920 --> 0:44:49.880
<v Speaker 1>you're looking at treatments, it's always good for you to

0:44:50.040 --> 0:44:54.160
<v Speaker 1>do some research and see if you can find as

0:44:54.360 --> 0:44:58.319
<v Speaker 1>non biased a source of information as possible in order

0:44:58.360 --> 0:45:00.640
<v Speaker 1>to draw your conclusions. Because there are a lot of

0:45:00.640 --> 0:45:05.000
<v Speaker 1>people out there who either consciously are trying to take

0:45:05.000 --> 0:45:10.600
<v Speaker 1>advantage of you or unconsciously promoting pseudo science thinking that

0:45:10.640 --> 0:45:14.400
<v Speaker 1>they're doing the right thing, and that doesn't necessarily bode

0:45:14.400 --> 0:45:18.160
<v Speaker 1>well for anyone out there. And whether it's ill intention

0:45:18.280 --> 0:45:21.080
<v Speaker 1>or not, I want you guys to get the absolute

0:45:21.080 --> 0:45:25.000
<v Speaker 1>best out of life you possibly can. So critical thinking,

0:45:25.440 --> 0:45:27.640
<v Speaker 1>I know, I say it a lot. What I also

0:45:27.680 --> 0:45:31.120
<v Speaker 1>say a lot is if you have suggestions for future

0:45:31.160 --> 0:45:33.799
<v Speaker 1>episodes of tech Stuff, please reach out and tell me

0:45:33.880 --> 0:45:36.760
<v Speaker 1>what they are. You can email me at tech Stuff

0:45:36.840 --> 0:45:39.600
<v Speaker 1>at how stuff works dot com. Pop on over to

0:45:39.920 --> 0:45:44.680
<v Speaker 1>our podcast website that's tech stuff podcast dot com. You

0:45:44.719 --> 0:45:48.120
<v Speaker 1>will find links there for every episode that we have

0:45:48.360 --> 0:45:52.239
<v Speaker 1>ever published. You will also find where we are on

0:45:52.320 --> 0:45:55.520
<v Speaker 1>social media, so you can hunt me down on Facebook

0:45:55.600 --> 0:45:58.200
<v Speaker 1>or Twitter and get in touch with me that way.

0:45:58.640 --> 0:46:00.799
<v Speaker 1>You can also find a link to our online store,

0:46:00.840 --> 0:46:03.080
<v Speaker 1>where every purchase you make goes to help the show,

0:46:03.080 --> 0:46:05.360
<v Speaker 1>and we greatly appreciate it, and I will talk to

0:46:05.360 --> 0:46:13.160
<v Speaker 1>you again really soon. Hext Stuff is a production of

0:46:13.160 --> 0:46:16.239
<v Speaker 1>I Heart Radio's How Stuff Works. For more podcasts from

0:46:16.239 --> 0:46:20.040
<v Speaker 1>my heart Radio, visit the i heart Radio app, Apple Podcasts,

0:46:20.160 --> 0:46:22.120
<v Speaker 1>or wherever you listen to your favorite shows.