WEBVTT - I Want a New Blood

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<v Speaker 1>Hey, Doc, I've been thinking I need a new blood. Oh,

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<v Speaker 1>the animal blood it's not working. Yeah, I tried it.

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<v Speaker 1>It made me crash my car, made me feel you know,

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<v Speaker 1>about three feet thick. Well what about true blood? Just

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<v Speaker 1>hit the market? Headache, dry mouth, made my eyes too red. Well,

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<v Speaker 1>there's currently a clinical trial for something called day Breaker.

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<v Speaker 1>I'll stop you right there, Doc, I got some on

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<v Speaker 1>the black market. Made me vomit and explode. But what

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<v Speaker 1>exactly are you looking for? Well, you know, I don't

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<v Speaker 1>want to go crazy with hunger. I don't want my

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<v Speaker 1>things too long. I also don't want it to spill

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<v Speaker 1>or come in a pill. Now, now you're rhyming again.

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<v Speaker 1>Have you been taking your syntho gore because that's one

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<v Speaker 1>of the withdrawal symptoms. I'm all out, Doc, and I

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<v Speaker 1>don't imagine you have anything else around here on tap,

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<v Speaker 1>welcome to Stuff to Blow Your Mind, production of My

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<v Speaker 1>Heart Radio. Hey you, welcome to Stuff to Blow your Mind.

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<v Speaker 1>My name is Robert lamp and I'm Joe McCormick. And

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<v Speaker 1>here we are covered in blood. That's right. Last year

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<v Speaker 1>we put out a Halloween episode titled I Drink Your

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<v Speaker 1>Blood Type, all about blood types. That you know humans have,

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<v Speaker 1>but with a vampire flavoring. I think we did a

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<v Speaker 1>fun skit at the beginning of that one. Um we

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<v Speaker 1>briefly mentioned synthetic blood in vampire fiction. In that one,

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<v Speaker 1>I remember we did reference true blood as well as

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<v Speaker 1>a nineteen thirty nine film titled The Return of Doctor X,

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<v Speaker 1>which I haven't seen yet. I still haven't seen this one,

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<v Speaker 1>but it stars Humphrey Bogart as an evil doctor with

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<v Speaker 1>this kind of like skunk streak in his hair and

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<v Speaker 1>round glasses who's been brought back to life with synthetic blood.

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<v Speaker 1>The hair suggests elsa Anchester like in bright A Frankenstein.

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<v Speaker 1>It does. Yeah, you definitely can see the Frenstein d

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<v Speaker 1>NA um maybe even the lazy Frankenstein DNA in this

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<v Speaker 1>costume design. Now, in that episode, like you said, we

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<v Speaker 1>mainly ended up talking about natural uh properties of blood types,

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<v Speaker 1>what evolutionary pressures drove the development of different blood types,

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<v Speaker 1>how that functions in medicine, and then I think we

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<v Speaker 1>also talked about some pseudo scientific beliefs about blood types

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<v Speaker 1>and personality and psychology. But I think we only briefly

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<v Speaker 1>mentioned the possibility of synthetic blood or using something other

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<v Speaker 1>than human blood in your veins. Yeah, that's right, we did.

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<v Speaker 1>We didn't get into the topic all that much, and

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<v Speaker 1>subsequently we had some listeners suggested for October twenty fair.

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<v Speaker 1>So here we are now, first and foremost, we should

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<v Speaker 1>really establish what blood literally is and maybe a little

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<v Speaker 1>bit about what it metaphorically is. So blood is technically

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<v Speaker 1>both a fluid and a tissue, since it's made out

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<v Speaker 1>of similar specialized cells bended in a liquid matrix of plasma.

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<v Speaker 1>It carries oxygen and nutrients to the cells and carries

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<v Speaker 1>off carbon dioxide and other waste products. The heart pumps

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<v Speaker 1>it through the body, but it's also part of the

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<v Speaker 1>larger circulatory system, so organs like the kidney and the

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<v Speaker 1>lung are also important to blood. And of course, if

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<v Speaker 1>we lose enough blood in a short enough period of time,

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<v Speaker 1>we die, as we all know. Yes, uh, And it's

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<v Speaker 1>it's amazing to stop and think how blood is not

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<v Speaker 1>just in your body, but constantly moving throughout it, you know,

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<v Speaker 1>like while you're alive, it never stops. This is one

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<v Speaker 1>of those ideas that sometimes makes me feel the you know,

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<v Speaker 1>the flame run under my skin. It's it's just a

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<v Speaker 1>little too creepy thinking about how even when I'm sitting

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<v Speaker 1>perfectly still and perfectly at rest, the blood is still going.

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<v Speaker 1>It's rushing through every inch of me. And that's true

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<v Speaker 1>for all of us, of course, And so one thing

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<v Speaker 1>I was wondering, actually is how long does it take

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<v Speaker 1>for each red blood cell to circulate all the way

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<v Speaker 1>through your body and make it back to the heart. Uh.

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<v Speaker 1>I was reading an interesting Q and A by the

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<v Speaker 1>Naked Scientists where they worked out the math on this,

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<v Speaker 1>and I thought this was pretty cool. So it depends

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<v Speaker 1>on a number of factors. But their estimate was that

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<v Speaker 1>for most people, the body performs a complete blood circuit

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<v Speaker 1>roughly every minute. And they found this because the average

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<v Speaker 1>adult has, you know, roughly five leaders of blood in

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<v Speaker 1>the body. The average heart pumps about seventy milli leaders

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<v Speaker 1>of blood every time it beats, and the average resting

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<v Speaker 1>heart rate is something like seventy beats per minute. And

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<v Speaker 1>if you multiply all these together, you find that the

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<v Speaker 1>heart circulates about four point nine are close to five

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<v Speaker 1>leaders of blood every minute. So on average, it probably

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<v Speaker 1>takes about one minute for your heart to circulate your

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<v Speaker 1>entire blood volume. And it does this minute after minute

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<v Speaker 1>after minute until you die. Isn't that crazy the longer

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<v Speaker 1>you look at it. Yeah, this idea of this endless

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<v Speaker 1>river of blood just circulating through your body. Now, blood,

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<v Speaker 1>of course, also has taken on various UH additional connotations,

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<v Speaker 1>connotations of heredity, class, race, violence, sacrifice, and more. I

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<v Speaker 1>was reading an article titled bio Securitization, the Quest for

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<v Speaker 1>Synthetic Blood and the Taming of Kinship by Cath Weston.

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<v Speaker 1>The author gets gets a bit deeper into the connotations

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<v Speaker 1>that will be discussing today, but there were several aspects

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<v Speaker 1>worth highlighting. First of all, just the idea of royal

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<v Speaker 1>blood and the divine right of kings, the idea that

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<v Speaker 1>there's like literally there's something in the bloodline, UM, the

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<v Speaker 1>idea of blood is a signifier of kinship, the idea

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<v Speaker 1>of the idea that your relatives are your blood relatives, etcetera,

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<v Speaker 1>and UH. An interesting thing that Weston points out to

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<v Speaker 1>is a historical tidbit is that blood transfusion UH during

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<v Speaker 1>its history has been objected to for both religious reasons

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<v Speaker 1>and we'll get into an example of that in a bit,

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<v Speaker 1>but also for reasons steeped in racist ideologies. UM. And

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<v Speaker 1>so the you know, the the metaphorical idea of blood

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<v Speaker 1>has often seemed to muddy our biological understanding of blood.

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<v Speaker 1>I think what this comes down to is that in

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<v Speaker 1>many ways, blood is seen as some kind of essence.

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<v Speaker 1>That it's not just a part of the body that

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<v Speaker 1>plays a particular role in um in energy and the

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<v Speaker 1>oxygenation of tissues and the removal of waste products and

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<v Speaker 1>the circulation of chemicals, hormones and things throughout the body.

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<v Speaker 1>But it also is somehow the soul of the thing.

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<v Speaker 1>It There are properties inherent to the animal or the

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<v Speaker 1>human that are represented by or borne through the blood

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<v Speaker 1>in particular. Yeah, it gets kind of weird when you

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<v Speaker 1>think about the fact that, like, on one hand, to

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<v Speaker 1>think that the blood is not us, that the blood

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<v Speaker 1>is just this this oil that we run on, Like

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<v Speaker 1>that's that's not completely correct. Like the blood we we

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<v Speaker 1>are blood, the blood is part of our body again,

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<v Speaker 1>it's it's tissue and a liquid. But on the other hand,

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<v Speaker 1>it were not just the blood. It's not like if

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<v Speaker 1>you drained our blood out and put us in a jar,

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<v Speaker 1>that's not us in the jar and empty shell over here.

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<v Speaker 1>Like I'm I'm reminded of of myths, for instance, that

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<v Speaker 1>involve something like blood in other beings, like the the

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<v Speaker 1>episode we did on Tallos the Bronze automaton and the

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<v Speaker 1>idea that he had this I corp in his body

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<v Speaker 1>that was like the magical substance that that made him function,

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<v Speaker 1>and that that reveals a lot about how blood was

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<v Speaker 1>was considered in prior ages. Yeah, it's like the oil

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<v Speaker 1>and the car engine, but it's also the it's somehow magical,

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<v Speaker 1>it's somehow bearing the properties of godhood. And when you

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<v Speaker 1>take out the plug and allow all of the I

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<v Speaker 1>cord to drain out, he just kind of comes to

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<v Speaker 1>a halt. Yeah. So indeed, like the idea of taking

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<v Speaker 1>the blood from one person, the blood that is part

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<v Speaker 1>of that person, in putting it into another person, you

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<v Speaker 1>know that that that opens up the door for a

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<v Speaker 1>lot of you know, I guess, uh, you know, metaphorical

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<v Speaker 1>ideas about what that means. What does it mean that

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<v Speaker 1>that person is now in me um or what orient

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<v Speaker 1>in the when there's an injury, What does it mean

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<v Speaker 1>that a lot of me is an out like on

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<v Speaker 1>the pavement. That sort of thing. Now that brings us

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<v Speaker 1>to what we're mainly going to be talking about today

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<v Speaker 1>the idea of blood transfusions. Again, if you lose too

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<v Speaker 1>much blood in a short period of time, you can die.

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<v Speaker 1>One way that we know that that can be prevented

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<v Speaker 1>today is by adding more blood, assuming it is the

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<v Speaker 1>correct sort of blood. When a blood transfusion is done correctly,

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<v Speaker 1>can save lives. It's you know, this is I think

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<v Speaker 1>something that most of us are familiar with. UH and

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<v Speaker 1>as we detailed in last year's episode, which I think

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<v Speaker 1>we recently re ran in our feed UH, one does

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<v Speaker 1>have to get it just right to respect the different

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<v Speaker 1>blood types and this was a significant hurdle to overcome

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<v Speaker 1>in medical science totally. But the idea of synthetic blood

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<v Speaker 1>or a blood substitute, you know, the idea of there

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<v Speaker 1>being something other than blood that you could fill one

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<v Speaker 1>up with when you're you're facing a life threatening shortage. UM.

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<v Speaker 1>The key argument here would be, you know, something could

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<v Speaker 1>be manufactured it ahead of time and some degree kept

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<v Speaker 1>on a shelf for use in times of emergency. So

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<v Speaker 1>this was you know, just decreasing to some extent the

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<v Speaker 1>reliance on blood and tissue donation. UM. I think it's

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<v Speaker 1>also been argued that this would be ideal if you

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<v Speaker 1>were dealing with a very far flung situation. You can't

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<v Speaker 1>have a proper blood bank on hand, but perhaps you

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<v Speaker 1>have some sort of short term substitute that can be

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<v Speaker 1>used instead. But of course, the other side of the

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<v Speaker 1>scenario is that such blood would be a product not

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<v Speaker 1>unlike true blood from the TV show that we mentioned earlier.

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<v Speaker 1>We'll discuss where we are in our quest for a

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<v Speaker 1>true blood substitute, but first we want to explore some

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<v Speaker 1>of the earliest and really some of the weirdest and

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<v Speaker 1>grossest ideas for synthetic blood. It's really a wonderfully bizarre

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<v Speaker 1>bit of history. So one of the sources I was

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<v Speaker 1>looking at here is titled Artificial Blood by Suma and Sarkar,

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<v Speaker 1>and it was published in two thousand and eight by

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<v Speaker 1>the Indian Journal of Critical Care Medicine. And in this

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<v Speaker 1>the author points out that the notion of artificial blood

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<v Speaker 1>has pretty much stirred in the human mind for as

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<v Speaker 1>long as people have bled to death from their injuries.

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<v Speaker 1>Like we've we've realized that there's something and and this

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<v Speaker 1>can get kind of, I think, kind of vague and

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<v Speaker 1>magical as to the you know, the idea that blood

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<v Speaker 1>is important and if we lose it we can die,

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<v Speaker 1>and hey have its loss means death. Perhaps it's uh,

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<v Speaker 1>to add blood is to add life or to restore it. Now,

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<v Speaker 1>certainly there's a there's a mix of magic and myth

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<v Speaker 1>and early medicine here. Uh. Sarkar points to ink and

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<v Speaker 1>folklore depicting something arguably like blood transfusion. I've also seen

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<v Speaker 1>it pointed out elsewhere that Odysseus temporarily resuscitates underworld shades

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<v Speaker 1>by offering them um blood sacrifice in the Odyssey. The

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<v Speaker 1>idea of blood as if not a biological underpinning of life,

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<v Speaker 1>you know, something tied up with our conception of the

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<v Speaker 1>life force. That that passage in the Odyssey is pretty stirring.

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<v Speaker 1>I was looking at a Robert Fagel's translation of it,

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<v Speaker 1>and basically, Odysseus is instructed to um to to flay

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<v Speaker 1>and then burn these um the the the animals and

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<v Speaker 1>sacrificial rams or what have you, in order to like

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<v Speaker 1>draw in the spirits of the dead so that he

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<v Speaker 1>can commune with them. And then of course later on

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<v Speaker 1>he does it. Uh. And it's it's it's actually really

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<v Speaker 1>rather creepy. Yes, and I would say one reason is

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<v Speaker 1>that it contains this older Greek view of the afterlife,

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<v Speaker 1>sort of the pre Platonic view of the afterlife in

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<v Speaker 1>Greek thought, which is less the idea of you know,

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<v Speaker 1>places of possible reward or punishment, and more the idea

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<v Speaker 1>that everyone who dies just dwells forever. In this miserable,

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<v Speaker 1>confused dungeon of shades. All right, on that wonderfully spooky note,

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<v Speaker 1>We're gonna take a quick break, but we'll be right

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<v Speaker 1>back with tales of early blood transfusions. Thank alright, we're

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<v Speaker 1>back now in talking about substitutes for human blood that

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<v Speaker 1>can be hooked up to your veins. One of the

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<v Speaker 1>easiest places you know, you can imagine people would have

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<v Speaker 1>looked is to the blood of other animals. That's right, yeah,

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<v Speaker 1>and uh and and this at this point, we're gonna

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<v Speaker 1>we're gonna move to around uh sixteen sixteen, because that's

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<v Speaker 1>when a man by the name of William Harvey described

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<v Speaker 1>blood circulation, which is going to be key just a

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<v Speaker 1>better understanding of like what's actually going on with blood.

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<v Speaker 1>And in the following years, numerous substances were tried out

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<v Speaker 1>as a stand in for human blood, and the list

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<v Speaker 1>provided by Sarkar in that article I cited earlier is

0:12:32.960 --> 0:12:38.600
<v Speaker 1>pretty horrific. It includes beer, urine, milk, plant resins, and

0:12:38.679 --> 0:12:43.400
<v Speaker 1>of course sheep blood. Now sheep's blood is at least blood, right,

0:12:43.600 --> 0:12:45.560
<v Speaker 1>so at least it has that going for it. And

0:12:45.559 --> 0:12:50.359
<v Speaker 1>and this is known as zeno transfusion. The first documented

0:12:50.480 --> 0:12:55.280
<v Speaker 1>zeno transfusion was conducted by French physicians Jean Baptiste du

0:12:55.400 --> 0:12:59.120
<v Speaker 1>Ni and Paul Imarez in sixteen sixty seven, and it

0:12:59.320 --> 0:13:04.720
<v Speaker 1>apparently successful between a fifteen year old boy and a lamb. Uh. Yeah,

0:13:04.960 --> 0:13:08.640
<v Speaker 1>So this first one was largely reported as successful. I

0:13:08.679 --> 0:13:10.840
<v Speaker 1>think that could be defined in a number of ways,

0:13:10.920 --> 0:13:14.440
<v Speaker 1>depending on what you what you call success. At least

0:13:14.480 --> 0:13:17.520
<v Speaker 1>it was reported that the fifteen year old boy felt

0:13:17.559 --> 0:13:22.240
<v Speaker 1>good afterwards. But this whole saga of Jean Baptiste Denny

0:13:22.280 --> 0:13:26.000
<v Speaker 1>is actually I started looking into this a little bit deeper,

0:13:26.040 --> 0:13:29.080
<v Speaker 1>and the more I looked, the weirder and weirder. God,

0:13:29.720 --> 0:13:31.960
<v Speaker 1>So I want to take a digression here to talk

0:13:32.040 --> 0:13:36.160
<v Speaker 1>about Denny and his his historical context. So one of

0:13:36.160 --> 0:13:39.040
<v Speaker 1>the papers I want to look at is by Benjamin H.

0:13:39.120 --> 0:13:42.200
<v Speaker 1>Chin Ye and I N. H chin Ye, published in

0:13:42.240 --> 0:13:45.680
<v Speaker 1>the Canadian bulletin of medical history in twenty sixteen called

0:13:46.000 --> 0:13:50.160
<v Speaker 1>Blood Transfusion and the Body and Early Modern France. Now,

0:13:50.200 --> 0:13:53.480
<v Speaker 1>a lot of this paper is concerned with what medical

0:13:53.640 --> 0:13:58.000
<v Speaker 1>worldview guided the work of late seventeenth century physicians like

0:13:58.120 --> 0:14:02.200
<v Speaker 1>Denny and Denise contemporaries, and the authors argued that the

0:14:02.240 --> 0:14:06.080
<v Speaker 1>physicians of France in this time did not really have

0:14:06.320 --> 0:14:10.160
<v Speaker 1>a unified system of anatomical theory guiding their work, but

0:14:10.360 --> 0:14:15.000
<v Speaker 1>rather a somewhat contradictory patchwork of contemporary natural philosophy and

0:14:15.040 --> 0:14:22.280
<v Speaker 1>anatomical research with a received background of galenic humoralism. So

0:14:22.360 --> 0:14:25.520
<v Speaker 1>this is the system that you're probably pretty familiar with

0:14:25.560 --> 0:14:30.200
<v Speaker 1>by this time that views health issues as largely related

0:14:30.280 --> 0:14:35.520
<v Speaker 1>to the balance and status of the four humors blood, flim,

0:14:35.920 --> 0:14:39.360
<v Speaker 1>black bile, and yellow bile. This is received from uh,

0:14:39.440 --> 0:14:42.640
<v Speaker 1>not invented by, but sort of shaped and received by

0:14:42.680 --> 0:14:46.280
<v Speaker 1>the Roman physician Galen. Now, the authors of this paper

0:14:46.320 --> 0:14:51.160
<v Speaker 1>tell the story of the first documented zeno transfusion with

0:14:51.240 --> 0:14:54.320
<v Speaker 1>some quotes from the report at the time. As you said,

0:14:54.320 --> 0:14:57.120
<v Speaker 1>the patient was a fifteen year old boy and he

0:14:57.160 --> 0:15:01.720
<v Speaker 1>had already been through twenty round ones of blood letting.

0:15:02.440 --> 0:15:06.000
<v Speaker 1>This was in order quote to assuage the excessive heat

0:15:06.800 --> 0:15:10.160
<v Speaker 1>that was a result of the boy's violent fever. And

0:15:10.160 --> 0:15:15.440
<v Speaker 1>in galenic theory, blood is associated with heat and excitation.

0:15:15.760 --> 0:15:17.520
<v Speaker 1>This is part of the place we get the idea

0:15:17.520 --> 0:15:20.640
<v Speaker 1>of being sanguine, right, you know, having an excess of

0:15:20.640 --> 0:15:24.920
<v Speaker 1>blood makes you sort of a brilliant and excited and energetic.

0:15:25.520 --> 0:15:28.960
<v Speaker 1>But this could be bad in in uh, in galenic thinking,

0:15:29.320 --> 0:15:32.680
<v Speaker 1>by causing fevers, by causing mania, and that sort of thing.

0:15:33.080 --> 0:15:36.920
<v Speaker 1>So they let this guy's blood twenty times, and after

0:15:37.000 --> 0:15:41.160
<v Speaker 1>the twenty bleedings quote, his wit seemed wholly sunk, his

0:15:41.320 --> 0:15:45.240
<v Speaker 1>memory perfectly lost, and his body so heavy and drowsy

0:15:45.320 --> 0:15:48.560
<v Speaker 1>that he was not fit for anything all right. So,

0:15:48.680 --> 0:15:51.960
<v Speaker 1>so basically a situation where the bathtub was too hot.

0:15:52.600 --> 0:15:56.160
<v Speaker 1>Uh let some of the bathwater out. Now it seems

0:15:56.200 --> 0:15:58.480
<v Speaker 1>a bit too cold, right. The problem is that, yeah,

0:15:58.520 --> 0:16:01.360
<v Speaker 1>he's he's appearing sluggish. It seems something is wrong with

0:16:01.440 --> 0:16:05.160
<v Speaker 1>his brain. Maybe he doesn't have memories or much energy.

0:16:05.280 --> 0:16:09.840
<v Speaker 1>Uh So Denny counters this by starting a transfusion. He

0:16:09.920 --> 0:16:13.680
<v Speaker 1>draws blood from the carotid artery of a lamb, and

0:16:13.720 --> 0:16:17.800
<v Speaker 1>then that blood goes into the vein in the boy's arm. Ultimately,

0:16:17.880 --> 0:16:21.400
<v Speaker 1>the boy received about nine ounces of lamb blood, and

0:16:21.440 --> 0:16:25.200
<v Speaker 1>then Denny wrote that quote afterwards, he hath no longer

0:16:25.320 --> 0:16:28.960
<v Speaker 1>that slowness of spirit nor heaviness of body, which before

0:16:29.080 --> 0:16:33.240
<v Speaker 1>rendered him unfit for anything. He grows fat visibly, and

0:16:33.320 --> 0:16:36.280
<v Speaker 1>in brief is a subject of amazement to all those

0:16:36.360 --> 0:16:39.800
<v Speaker 1>that know him and dwell with him. So Danny concludes, Yeah,

0:16:39.800 --> 0:16:42.040
<v Speaker 1>it seems like he's doing good. Uh, And this was

0:16:42.080 --> 0:16:47.480
<v Speaker 1>on June sixty seven. But blood transfusions can be unpredictable.

0:16:47.520 --> 0:16:51.360
<v Speaker 1>There can be wildly different reactions and different patients depending

0:16:51.440 --> 0:16:56.200
<v Speaker 1>on often how the host's immune system in particular responds

0:16:56.280 --> 0:16:59.680
<v Speaker 1>to what's being put into the veins. And as we've

0:16:59.680 --> 0:17:01.760
<v Speaker 1>been taught talking about, despite being on the cutting edge

0:17:01.760 --> 0:17:05.840
<v Speaker 1>of seventeenth century anatomy and new surgical techniques, Denny was

0:17:05.920 --> 0:17:08.680
<v Speaker 1>also still in the grip of Galenism, which had been,

0:17:09.200 --> 0:17:11.720
<v Speaker 1>you know, a dominant force in European medicine since the

0:17:11.840 --> 0:17:16.320
<v Speaker 1>Roman Empire, and which attributed the bulk of medical pathologies

0:17:16.400 --> 0:17:21.200
<v Speaker 1>to imbalances or corruptions in the four humors. And Deny himself,

0:17:21.240 --> 0:17:23.920
<v Speaker 1>he agreed with this. He believed quote, the greatest part

0:17:24.040 --> 0:17:27.720
<v Speaker 1>of our diseases are but results of the distemper and

0:17:27.800 --> 0:17:31.880
<v Speaker 1>corruption of the blood. Now he doesn't say quite every disease,

0:17:31.920 --> 0:17:34.639
<v Speaker 1>but you can imagine he thinks most of them. So like, oh, no,

0:17:34.960 --> 0:17:38.280
<v Speaker 1>you've got arthritis. Uh, your problem is you've got bad blood,

0:17:39.119 --> 0:17:42.040
<v Speaker 1>or you know you've got oh a fever. I think

0:17:42.080 --> 0:17:43.879
<v Speaker 1>that's that's a blood issue. We've got to get some

0:17:43.920 --> 0:17:47.919
<v Speaker 1>of that blood out. And so as a result, he believed, quote,

0:17:47.960 --> 0:17:51.959
<v Speaker 1>the speediest and commonest remedy they have in practice is

0:17:52.080 --> 0:17:56.480
<v Speaker 1>to evacuate the same by phlebotomy. Phlebotomy means blood letting,

0:17:56.920 --> 0:18:01.600
<v Speaker 1>or else refresh it and cool it by juliah. Uh So,

0:18:01.640 --> 0:18:04.240
<v Speaker 1>in other words, if you know, for most diseases, the

0:18:04.280 --> 0:18:06.480
<v Speaker 1>cause is bad blood, and the best treatment is to

0:18:06.560 --> 0:18:10.280
<v Speaker 1>drain the blood out or possibly to give the patient julips.

0:18:10.600 --> 0:18:13.119
<v Speaker 1>The paper doesn't explain what julips means here, so I

0:18:13.119 --> 0:18:16.440
<v Speaker 1>tried to look this up. I think what julips refers

0:18:16.480 --> 0:18:20.119
<v Speaker 1>to here is a flavored drink, for example, rose water

0:18:20.320 --> 0:18:22.960
<v Speaker 1>sweetened with sugar syrup. All right, so this is when

0:18:22.960 --> 0:18:25.040
<v Speaker 1>we talked to say about a mint julip. This is

0:18:25.640 --> 0:18:28.080
<v Speaker 1>the same word. Yeah, I think it was. Later on

0:18:28.160 --> 0:18:31.720
<v Speaker 1>that julip came to often have alcoholic connotations. I think

0:18:31.720 --> 0:18:34.240
<v Speaker 1>at this time it just would have meant a flavored drink,

0:18:34.280 --> 0:18:37.080
<v Speaker 1>not necessarily with alcohol in it. I don't know why

0:18:37.119 --> 0:18:39.320
<v Speaker 1>that is thought to deal with corruption of the blood,

0:18:39.640 --> 0:18:41.399
<v Speaker 1>but that is amazing. You know. Can you imagine you

0:18:41.400 --> 0:18:44.480
<v Speaker 1>show up at the hospital with dingay fever or whatever

0:18:44.520 --> 0:18:47.120
<v Speaker 1>and they're like, you could use some rose water? Yeah,

0:18:47.240 --> 0:18:50.199
<v Speaker 1>Or if the or the two possible treatments on the

0:18:50.240 --> 0:18:53.680
<v Speaker 1>table are bleeding or a sweet drink, it's like, yeah,

0:18:54.520 --> 0:18:56.600
<v Speaker 1>essentially you're gonna have kool aid or they're going to

0:18:56.680 --> 0:18:59.240
<v Speaker 1>drain you into a bucket. Well, it seems like between

0:18:59.320 --> 0:19:01.960
<v Speaker 1>the two, didn't he kind of favored one over the other.

0:19:02.040 --> 0:19:04.800
<v Speaker 1>It seems like he was a bleeder. And yeah that

0:19:04.880 --> 0:19:08.800
<v Speaker 1>that kid had not had twenty julips prior to the lamblood.

0:19:08.800 --> 0:19:10.760
<v Speaker 1>To be fair, I don't know how many julips he had,

0:19:10.760 --> 0:19:14.840
<v Speaker 1>but they did bleed him twenty times. Uh, maybe you

0:19:14.880 --> 0:19:17.600
<v Speaker 1>got a julip every time, who knows. It's like the

0:19:17.640 --> 0:19:19.280
<v Speaker 1>brownie they give you and the when you go to

0:19:19.320 --> 0:19:22.199
<v Speaker 1>donate blood, you know you get brownies. Oh man, I

0:19:22.240 --> 0:19:26.080
<v Speaker 1>get um like peanut butter crackers. Sometimes I get what

0:19:26.240 --> 0:19:29.280
<v Speaker 1>is it? There's a special treat, oh Nutter butters. Sometimes

0:19:29.280 --> 0:19:31.800
<v Speaker 1>there are no I've seen the Nutter butters. Yeah, that

0:19:32.000 --> 0:19:35.119
<v Speaker 1>confirmed in my experience. Like it it forces me to

0:19:35.480 --> 0:19:39.840
<v Speaker 1>equate peanut butter with the blood. Like basically, you know,

0:19:39.880 --> 0:19:42.200
<v Speaker 1>we're thinking about the same thing here. It's like, well,

0:19:42.240 --> 0:19:44.360
<v Speaker 1>I lost some blood, gotta get some peanut butter in there.

0:19:44.480 --> 0:19:47.119
<v Speaker 1>That taste of the Nutter butter or the what is

0:19:47.240 --> 0:19:49.600
<v Speaker 1>it's I was trying to remember the name of the

0:19:50.600 --> 0:19:53.280
<v Speaker 1>little brownie that's got the colorful sprinkle on top that

0:19:53.320 --> 0:19:56.440
<v Speaker 1>they give you sometimes, and Seth chimed in there called

0:19:56.440 --> 0:19:59.639
<v Speaker 1>cosmic brownies. We think, yeah, I've never heard of that.

0:19:59.680 --> 0:20:03.800
<v Speaker 1>I mean, like space I believe Seth space cakes. But

0:20:03.840 --> 0:20:05.320
<v Speaker 1>I don't think you should have one of those after

0:20:06.160 --> 0:20:09.600
<v Speaker 1>blood donation. You should have some space shrimp cocktail after

0:20:09.640 --> 0:20:14.080
<v Speaker 1>blood donation. But anyway, okay, So, so bleedings, bleedings, all

0:20:14.119 --> 0:20:17.280
<v Speaker 1>those bleedings obviously that Denny loves. They can really take

0:20:17.359 --> 0:20:19.879
<v Speaker 1>a toll. As described. You know what happened to this

0:20:19.920 --> 0:20:24.760
<v Speaker 1>fifteen year old so Denise saw blood transfusion from animals

0:20:24.800 --> 0:20:28.840
<v Speaker 1>as a perfect compliment to blood letting, and in his words,

0:20:28.880 --> 0:20:32.879
<v Speaker 1>It's quote the old and corrupt being first evacuated, could

0:20:32.880 --> 0:20:36.480
<v Speaker 1>then make room for the new and pure. So in

0:20:36.520 --> 0:20:39.920
<v Speaker 1>the case of the June sixteen sixty seven transfusion, this

0:20:40.000 --> 0:20:42.760
<v Speaker 1>teenage boy, he's blood twenty times to bring down his fever.

0:20:42.840 --> 0:20:45.159
<v Speaker 1>He's pretty low after that, and then lamb's blood is

0:20:45.280 --> 0:20:49.560
<v Speaker 1>used to revive him with a fresh, clean, non corrupted supply.

0:20:50.240 --> 0:20:53.879
<v Speaker 1>But Denny did not stop there with the xeno transfusions.

0:20:54.000 --> 0:20:58.320
<v Speaker 1>Later that same year, Denny also transfused sheep's blood into

0:20:58.320 --> 0:21:01.880
<v Speaker 1>the veins of a healthy forty five year old sedan chairman.

0:21:02.280 --> 0:21:04.200
<v Speaker 1>Now that means he was one of those guys who

0:21:04.240 --> 0:21:06.800
<v Speaker 1>carries fancy people around in the litter, you know. So

0:21:06.840 --> 0:21:08.399
<v Speaker 1>if you're fancy and you don't want to get your

0:21:08.400 --> 0:21:10.760
<v Speaker 1>boots wet, you can ride in a box where four

0:21:10.760 --> 0:21:13.400
<v Speaker 1>guys carry you on poles. So you have to imagine

0:21:13.400 --> 0:21:16.320
<v Speaker 1>if if this guy is a professional sedan chairman, he's

0:21:16.320 --> 0:21:18.919
<v Speaker 1>probably pretty fit, right, Yeah, he's got to be kind

0:21:18.920 --> 0:21:21.400
<v Speaker 1>of a hoss. And for that reason, I've seen this

0:21:21.440 --> 0:21:25.960
<v Speaker 1>case and the idea that there's no identified cause for it,

0:21:25.960 --> 0:21:28.639
<v Speaker 1>it seems like this was maybe a negative control, just

0:21:28.720 --> 0:21:31.600
<v Speaker 1>like seeing what a transfusion does into a healthy guy,

0:21:31.720 --> 0:21:34.760
<v Speaker 1>and reportedly this guy was fine. And then after that,

0:21:34.880 --> 0:21:38.400
<v Speaker 1>Denis performed a transfusion of Calf's blood on a Swedish

0:21:38.440 --> 0:21:42.040
<v Speaker 1>and nobleman who was dying of an unspecified illness in Paris.

0:21:42.720 --> 0:21:45.760
<v Speaker 1>And the first transfusion this guy got seemed to sort

0:21:45.760 --> 0:21:48.640
<v Speaker 1>of enliven him, bringing him back a bit freshen him up,

0:21:48.920 --> 0:21:51.320
<v Speaker 1>but then he died while in the middle of receiving

0:21:51.320 --> 0:21:54.520
<v Speaker 1>his second transfusion. We don't know why he died. But

0:21:54.600 --> 0:21:57.720
<v Speaker 1>then finally the authors tell the story of how Dennis

0:21:57.760 --> 0:22:01.520
<v Speaker 1>performed again a similar operation on a thirty four year

0:22:01.560 --> 0:22:05.600
<v Speaker 1>old man named Antoine Moroy in an attempt to treat

0:22:05.640 --> 0:22:09.520
<v Speaker 1>a supposed mental illness. I read this case described more

0:22:09.560 --> 0:22:13.920
<v Speaker 1>fully in another paper by James G. Chandler, Teresa L. Chin,

0:22:14.080 --> 0:22:17.760
<v Speaker 1>and Max V. Wool Hour called direct Blood Transfusions in

0:22:17.760 --> 0:22:22.000
<v Speaker 1>the Journal of Vascular Surgery from and I was having

0:22:22.040 --> 0:22:26.520
<v Speaker 1>trouble finding out exactly what Moroy's symptoms were. The main

0:22:26.840 --> 0:22:29.960
<v Speaker 1>report about him. The main symptom that is described is

0:22:30.000 --> 0:22:33.840
<v Speaker 1>that he would quote intermittently disappear from his suburban home

0:22:34.240 --> 0:22:38.400
<v Speaker 1>to indulge in paris Is sensual pleasures. I'm not sure

0:22:38.400 --> 0:22:41.040
<v Speaker 1>if that's actually a symptom of an illness, but right,

0:22:41.080 --> 0:22:43.359
<v Speaker 1>I mean, because certainly that that could go along, that

0:22:43.400 --> 0:22:45.800
<v Speaker 1>could certainly be the practice of one who's suffering from

0:22:45.920 --> 0:22:48.560
<v Speaker 1>a true mental illness. But you know, this could also

0:22:48.600 --> 0:22:51.400
<v Speaker 1>just this could also be a case of sexual addiction

0:22:51.640 --> 0:22:53.919
<v Speaker 1>or they or it could just be you know, merely

0:22:53.960 --> 0:22:57.359
<v Speaker 1>this person had a very you know, exciting sex life,

0:22:57.840 --> 0:23:01.480
<v Speaker 1>and whether they decided to treat yeah, so I don't know,

0:23:01.520 --> 0:23:04.119
<v Speaker 1>but it is widely reported at the time. Everyone says

0:23:04.119 --> 0:23:07.760
<v Speaker 1>he was a known madman. So without any other we

0:23:07.880 --> 0:23:10.320
<v Speaker 1>just have to assume that there is something else going

0:23:10.320 --> 0:23:13.840
<v Speaker 1>on with him, I guess. So. Denny, of course, attributed

0:23:13.920 --> 0:23:19.399
<v Speaker 1>this supposed insanity to humorl imbalance. Deny's solution, well, you've

0:23:19.400 --> 0:23:22.080
<v Speaker 1>got to remove this man's blood and replace it with

0:23:22.160 --> 0:23:25.959
<v Speaker 1>calf's blood, and din he believed that the sweetness and

0:23:26.080 --> 0:23:29.760
<v Speaker 1>freshness of the calf's blood would temper the ardor and

0:23:29.800 --> 0:23:34.080
<v Speaker 1>the boiling of the man's existing blood. So Denny tries

0:23:34.160 --> 0:23:37.120
<v Speaker 1>this out. They bled him of two d ninety milli

0:23:37.240 --> 0:23:40.040
<v Speaker 1>leaders of his own blood, and then they put about

0:23:40.080 --> 0:23:42.760
<v Speaker 1>a hundred and seventy five milli leaders of blood from

0:23:42.760 --> 0:23:47.160
<v Speaker 1>a calf's femoral artery into a vein in Moroy's arm,

0:23:47.200 --> 0:23:50.280
<v Speaker 1>and it was reported that his temperament became more subdued

0:23:50.400 --> 0:23:53.520
<v Speaker 1>by the process. So it was repeated in the presence

0:23:53.520 --> 0:23:56.120
<v Speaker 1>of a number of observing physicians a few days later,

0:23:56.880 --> 0:23:59.679
<v Speaker 1>and the second transfusion did not go as well as

0:23:59.720 --> 0:24:03.600
<v Speaker 1>the first one. Maroy reacted first by he said he

0:24:03.640 --> 0:24:06.399
<v Speaker 1>had lumbar pains, a pain in the lower back, and

0:24:06.520 --> 0:24:10.680
<v Speaker 1>tightness in his chest, and he presented an irregular pulse.

0:24:11.240 --> 0:24:14.280
<v Speaker 1>And then the next day this progressed into vomiting and

0:24:14.359 --> 0:24:18.159
<v Speaker 1>a nose bleed, and maybe most alarmingly, h to quote

0:24:18.200 --> 0:24:22.200
<v Speaker 1>from Denise report, he produced a tall glass of urine,

0:24:22.280 --> 0:24:25.919
<v Speaker 1>as black as if it had been deluded by my fireplace.

0:24:27.480 --> 0:24:29.680
<v Speaker 1>I want to be clear here that it may sound,

0:24:29.840 --> 0:24:31.600
<v Speaker 1>it may come through a little bit like I'm I'm

0:24:31.600 --> 0:24:35.400
<v Speaker 1>purely laughing on my side, but um, this is I'm

0:24:35.440 --> 0:24:38.359
<v Speaker 1>feeling an immense sense of revulsion here. This has just

0:24:38.440 --> 0:24:41.440
<v Speaker 1>giving me the all over. Yeah god, uh So you

0:24:41.680 --> 0:24:45.120
<v Speaker 1>would think this would suggest the transfusion was a bad idea, right,

0:24:45.160 --> 0:24:49.639
<v Speaker 1>that this guy's he's experiencing chest pain, back pain, he's vomiting,

0:24:49.720 --> 0:24:53.639
<v Speaker 1>his nose is bleeding and he's peeing black. Yes, but

0:24:53.760 --> 0:24:57.520
<v Speaker 1>Denny considered it a success, And the reason he considered

0:24:57.520 --> 0:25:00.280
<v Speaker 1>it a success was he interpreted the results of into

0:25:00.359 --> 0:25:03.880
<v Speaker 1>humorl theory. He believed that the black urine was an

0:25:03.880 --> 0:25:08.119
<v Speaker 1>evacuation of excess black bile from the body, which he

0:25:08.160 --> 0:25:11.280
<v Speaker 1>wrote is known to send vapors up into the brain

0:25:11.480 --> 0:25:15.159
<v Speaker 1>which disrupt its function. So, according to Deny, he had

0:25:15.200 --> 0:25:18.480
<v Speaker 1>been mistaken that the problem was too much corrupted blood. Instead,

0:25:18.520 --> 0:25:21.800
<v Speaker 1>the problem was too much corrupted black bile, and the

0:25:21.840 --> 0:25:25.720
<v Speaker 1>transfusion had caused the body to evacuate at all, and

0:25:25.800 --> 0:25:30.520
<v Speaker 1>Dinny believed that his transfusion had somewhat succeeded in curing Moroy.

0:25:31.960 --> 0:25:34.080
<v Speaker 1>It's such a the The history thus far is is

0:25:34.160 --> 0:25:37.160
<v Speaker 1>very fascinating because you know, if you're not familiar with it,

0:25:37.280 --> 0:25:40.159
<v Speaker 1>and you hear about, okay, the first blood transfusion and

0:25:40.200 --> 0:25:43.879
<v Speaker 1>it's going to involve a human and um and and lamb,

0:25:44.359 --> 0:25:47.119
<v Speaker 1>you just assume it's going to end and just disaster

0:25:47.280 --> 0:25:49.520
<v Speaker 1>and just to end in death, and that that will

0:25:49.560 --> 0:25:53.359
<v Speaker 1>be a stumbling block. But then it's not, or seemingly not.

0:25:53.720 --> 0:25:55.720
<v Speaker 1>And then in this case, something that seems like a

0:25:55.760 --> 0:25:59.760
<v Speaker 1>firm warning, um, do not proceed, rethink what you were

0:25:59.760 --> 0:26:04.040
<v Speaker 1>doing is interpreted as a success. Yeah, exactly, though not

0:26:04.119 --> 0:26:07.160
<v Speaker 1>by everyone. I should note because the paper by chin

0:26:07.240 --> 0:26:09.840
<v Speaker 1>Ye and chin Ye notes that there was a rival

0:26:09.920 --> 0:26:14.399
<v Speaker 1>Parisian physician named Guillome Lamie who he disagreed, and he

0:26:14.520 --> 0:26:17.240
<v Speaker 1>argued that the black urine was a negative reaction to

0:26:17.280 --> 0:26:20.560
<v Speaker 1>the calf's blood. But the reason, he said was that

0:26:20.600 --> 0:26:23.439
<v Speaker 1>it was indicative of the body's attempt to purge the

0:26:23.480 --> 0:26:27.800
<v Speaker 1>contamination of a substance that was against its nature, which

0:26:28.240 --> 0:26:31.480
<v Speaker 1>sounds kind of close. But I think this opposition is

0:26:31.520 --> 0:26:34.520
<v Speaker 1>being infused with, you know, ideas of sort of like

0:26:34.800 --> 0:26:39.920
<v Speaker 1>spiritual essential is um that are not really proper in medicine. Uh.

0:26:40.119 --> 0:26:43.440
<v Speaker 1>It sounds to me like Mroy was probably suffering from

0:26:43.440 --> 0:26:47.480
<v Speaker 1>what is now called an acute hemolytic reaction, which is

0:26:47.840 --> 0:26:51.720
<v Speaker 1>a widely known rare side effect of a blood transfusion,

0:26:51.760 --> 0:26:53.800
<v Speaker 1>I guess, more common if it is not a properly

0:26:54.000 --> 0:26:58.240
<v Speaker 1>controlled blood transfusion, and this is where the recipient's immune

0:26:58.240 --> 0:27:03.560
<v Speaker 1>system interprets the donor red blood cells as invasive pathogens

0:27:03.600 --> 0:27:08.520
<v Speaker 1>and attacks them hemolysis in in the name acute hemolytic reaction.

0:27:08.600 --> 0:27:12.760
<v Speaker 1>Hemallysis means the destruction of red blood cells, and then

0:27:12.760 --> 0:27:16.000
<v Speaker 1>the red blood cells under attack release a substance into

0:27:16.000 --> 0:27:18.720
<v Speaker 1>the blood that the body has to try to purge,

0:27:18.760 --> 0:27:21.800
<v Speaker 1>and this substance can cause severe damage to the kidneys.

0:27:22.359 --> 0:27:25.560
<v Speaker 1>And this will sound pretty familiar now. Symptoms of an

0:27:25.600 --> 0:27:29.920
<v Speaker 1>acute hemolytic reaction include, among other things, chest and lower

0:27:29.960 --> 0:27:34.159
<v Speaker 1>back pain, nausea, and dark urine. But then there is

0:27:34.200 --> 0:27:37.879
<v Speaker 1>an even stranger epilogue to the Moroy story. Uh So,

0:27:38.000 --> 0:27:42.119
<v Speaker 1>picking up with what's covered in the Chandler at All paper, Denny,

0:27:42.200 --> 0:27:45.359
<v Speaker 1>of course considered Moroy somewhat cured, and I guess this

0:27:45.440 --> 0:27:48.520
<v Speaker 1>meant that he was no longer a seeker of sensual pleasures,

0:27:48.560 --> 0:27:51.640
<v Speaker 1>at least at first after what happened. And the authors

0:27:51.680 --> 0:27:54.880
<v Speaker 1>here say that at first Maroy behaved as his wife wished,

0:27:55.000 --> 0:27:58.239
<v Speaker 1>but then he became truculent again, and they say this

0:27:58.320 --> 0:28:01.480
<v Speaker 1>was quote prompting her to insist st on another transfusion.

0:28:01.920 --> 0:28:05.240
<v Speaker 1>Moroy refused to cooperate and received no blood, so he

0:28:05.320 --> 0:28:07.400
<v Speaker 1>was going to get a third transfusion, but it didn't

0:28:07.440 --> 0:28:10.919
<v Speaker 1>go forward, and then quote he died that evening, and

0:28:11.040 --> 0:28:14.840
<v Speaker 1>his wife perhaps with the encouragement of some physician critics,

0:28:14.880 --> 0:28:18.399
<v Speaker 1>accused Denny of killing her husband. Denny was tried for

0:28:18.560 --> 0:28:22.919
<v Speaker 1>manslaughter but exonerated when it was discovered that Mrs Moroy

0:28:23.119 --> 0:28:27.560
<v Speaker 1>was poisoning her husband with arsenic and then the following year,

0:28:27.640 --> 0:28:31.199
<v Speaker 1>the French Parliament enacted a ban on transfusion of blood

0:28:31.200 --> 0:28:34.840
<v Speaker 1>into humans, so he tries to do this third transfusion

0:28:35.520 --> 0:28:39.200
<v Speaker 1>doesn't work out. Maroy dies, his wife is found to

0:28:39.240 --> 0:28:41.400
<v Speaker 1>have been poisoning him, or at least is believed to

0:28:41.440 --> 0:28:43.360
<v Speaker 1>have been poisoning him, and then we get a ban

0:28:43.520 --> 0:28:47.360
<v Speaker 1>on on transfusions in France. But it also doesn't stop

0:28:47.440 --> 0:28:50.520
<v Speaker 1>there because while you can imagine it's common enough for

0:28:50.600 --> 0:28:53.200
<v Speaker 1>a person to be murdered by a spouse, the story

0:28:53.240 --> 0:28:56.080
<v Speaker 1>gets even more complicated. I was reading about a book

0:28:56.200 --> 0:29:01.160
<v Speaker 1>by a Vanderbilt University historian named Holly tuck Her that

0:29:01.600 --> 0:29:06.080
<v Speaker 1>argues the case for a conspiracy of rival physicians to

0:29:06.360 --> 0:29:12.320
<v Speaker 1>intentionally murder Antoine Mouroy and framed Deny fore causing his death. Now,

0:29:12.320 --> 0:29:15.840
<v Speaker 1>I haven't read this book. That sounds extremely interesting, but

0:29:15.920 --> 0:29:17.880
<v Speaker 1>I want to give you the gist, mostly based on

0:29:17.920 --> 0:29:22.000
<v Speaker 1>a review in the Journal of Clinical Investigation by Neil Blumberg. So,

0:29:22.160 --> 0:29:26.360
<v Speaker 1>to start, we know that Denise galenic humor theory was

0:29:26.400 --> 0:29:29.080
<v Speaker 1>hopelessly misguided. Right, This is not a good basis for

0:29:29.120 --> 0:29:32.320
<v Speaker 1>medical intervention. There is no reason to think that blood

0:29:32.400 --> 0:29:35.800
<v Speaker 1>from a docile lamb will treat mania and humans mental

0:29:35.840 --> 0:29:39.160
<v Speaker 1>illness doesn't work that way, and there's no way to

0:29:39.200 --> 0:29:41.600
<v Speaker 1>predict or prevent which of these would result in a

0:29:41.680 --> 0:29:45.280
<v Speaker 1>severe or life threatening rejection of the donor blood. But

0:29:45.560 --> 0:29:50.320
<v Speaker 1>despite how misguided and dangerous Denise treatments were, Denise rivals

0:29:50.400 --> 0:29:54.360
<v Speaker 1>opposed them for almost equally misguided reasons. A lot of

0:29:54.400 --> 0:29:59.120
<v Speaker 1>these I think some were probably just sort of motivated

0:29:59.120 --> 0:30:01.280
<v Speaker 1>by ambition, you know, they were kind of temporal and

0:30:01.360 --> 0:30:06.240
<v Speaker 1>political rivalries. But many of Denise opponents had extreme religious

0:30:06.280 --> 0:30:11.160
<v Speaker 1>and conceptual opposition to blood transfusions. For example, some of

0:30:11.200 --> 0:30:14.320
<v Speaker 1>them believed that the transfusion of blood from an animal

0:30:14.720 --> 0:30:18.040
<v Speaker 1>could turn a human into a type of chimera or

0:30:18.120 --> 0:30:21.280
<v Speaker 1>some kind of animal human hybrid. You might become a

0:30:21.360 --> 0:30:25.360
<v Speaker 1>subhuman ware lamb or a ware calf, which is very

0:30:25.360 --> 0:30:30.520
<v Speaker 1>Gary Larson uh. And some also believed that the ingestion

0:30:30.680 --> 0:30:35.320
<v Speaker 1>of foreign blood through transfusion was a slippery slope to cannibalism.

0:30:35.360 --> 0:30:37.520
<v Speaker 1>I'm not quite sure how you get there, but that

0:30:37.600 --> 0:30:40.360
<v Speaker 1>at least was was argued. Yeah, because it's I mean,

0:30:40.400 --> 0:30:43.560
<v Speaker 1>it's not like the humans we're talking about here weren't

0:30:43.560 --> 0:30:47.880
<v Speaker 1>already eating meat, right, Yeah, I would think that the

0:30:47.920 --> 0:30:51.000
<v Speaker 1>eating of meat would more likely give way to cannibalism

0:30:51.040 --> 0:30:54.680
<v Speaker 1>than the transfusion of blood from animals. Yeah. Yeah, And

0:30:54.760 --> 0:30:57.080
<v Speaker 1>this might sound kind of outlandish, like, well, how could

0:30:57.080 --> 0:30:58.920
<v Speaker 1>you get to that, you know, how could you have

0:30:59.040 --> 0:31:02.440
<v Speaker 1>this kind of opposite sh into blood transfusions? But uh,

0:31:02.600 --> 0:31:05.040
<v Speaker 1>I know, the case is made in Holly Tucker's book,

0:31:05.040 --> 0:31:07.760
<v Speaker 1>and Bloomberg himself brings up as a point of comparison

0:31:08.160 --> 0:31:11.520
<v Speaker 1>that quote. One might consider that current disagreements about stem

0:31:11.600 --> 0:31:14.960
<v Speaker 1>cell therapies are similar in nature, as some find it

0:31:15.000 --> 0:31:19.760
<v Speaker 1>impossible to separate considerations of religious belief and scientific approach.

0:31:20.360 --> 0:31:24.440
<v Speaker 1>So even today, we certainly do have, you know, bioethical

0:31:24.480 --> 0:31:29.120
<v Speaker 1>debates that are largely prompted by religious beliefs. That's true,

0:31:29.280 --> 0:31:31.680
<v Speaker 1>that's true. I mean, you know, I certainly think to

0:31:31.760 --> 0:31:37.520
<v Speaker 1>any number of of chimerical um uh studies that have

0:31:37.600 --> 0:31:40.040
<v Speaker 1>come out, you know, there's always going to be that

0:31:40.040 --> 0:31:42.400
<v Speaker 1>that voice of criticism. That's going to raise the specter

0:31:42.520 --> 0:31:45.480
<v Speaker 1>of some sort of uh, you know, man goat hybrid

0:31:45.600 --> 0:31:48.080
<v Speaker 1>or whatever the case may be. Right, this is against nature,

0:31:48.240 --> 0:31:52.400
<v Speaker 1>This is a perversion. Yeah, yeah, the shadow of Frankenstein there.

0:31:52.960 --> 0:31:55.080
<v Speaker 1>At the same time, it's interesting looking at all this

0:31:55.160 --> 0:31:57.680
<v Speaker 1>and thinking about like the sort of spirit that the

0:31:57.720 --> 0:31:59.960
<v Speaker 1>spiritual and religious ideas that are kind of a tribute

0:32:00.040 --> 0:32:03.120
<v Speaker 1>it to the idea of of first and foremost, you know,

0:32:03.160 --> 0:32:05.640
<v Speaker 1>the draining of the blood, the bleeding of the patient,

0:32:05.880 --> 0:32:08.200
<v Speaker 1>but then the idea of well it looks like, uh,

0:32:08.720 --> 0:32:11.840
<v Speaker 1>looks like your treatment didn't take You're still running, trying

0:32:11.840 --> 0:32:13.600
<v Speaker 1>to run off to Paris. We need to replace that

0:32:13.600 --> 0:32:16.800
<v Speaker 1>blood again. It reminds me of some of the criticisms

0:32:16.880 --> 0:32:21.080
<v Speaker 1>leveled at so called young blood transfusion that we've uh

0:32:21.200 --> 0:32:23.920
<v Speaker 1>we we've seen in in in recent years. You know,

0:32:23.960 --> 0:32:27.240
<v Speaker 1>the idea that an an older person could receive the

0:32:27.280 --> 0:32:30.720
<v Speaker 1>transfused blood of a younger person, uh, with some sort

0:32:30.760 --> 0:32:32.800
<v Speaker 1>of health benefits. And I believe this is this is

0:32:33.120 --> 0:32:37.280
<v Speaker 1>largely seen as pseudo scientific um. But but but I

0:32:37.280 --> 0:32:39.520
<v Speaker 1>can I can see some of the same energy in

0:32:40.000 --> 0:32:43.160
<v Speaker 1>young blood transfusion that you see kind of attributed to

0:32:43.920 --> 0:32:47.000
<v Speaker 1>the the you know, the poorly understood nature of blood

0:32:47.000 --> 0:32:50.800
<v Speaker 1>transfusion at the time in the UH the seventeenth century. Yeah,

0:32:50.840 --> 0:32:53.280
<v Speaker 1>I can totally see that, like this view of there's

0:32:53.320 --> 0:32:57.440
<v Speaker 1>some kind of unholy experiment that's being done in in

0:32:57.560 --> 0:33:01.200
<v Speaker 1>dark rooms that we don't have access to. And by

0:33:01.240 --> 0:33:04.480
<v Speaker 1>the way, anyone who watched the television series Silicon Valley

0:33:04.520 --> 0:33:08.240
<v Speaker 1>you might remember the the the young blood UH thing

0:33:08.320 --> 0:33:11.000
<v Speaker 1>being a part of the plot as the Holy Founder. A.

0:33:11.040 --> 0:33:13.760
<v Speaker 1>Gavin Belson at one point has a quote unquote blood

0:33:13.760 --> 0:33:17.480
<v Speaker 1>boy who was responsible for providing him blood transfusions to

0:33:17.720 --> 0:33:20.320
<v Speaker 1>UH as as a as a believe like a life

0:33:20.320 --> 0:33:23.520
<v Speaker 1>hack to keep him young. Home man. Well, it's interesting

0:33:23.560 --> 0:33:26.920
<v Speaker 1>again to compare to the case of Dennis and his rivals.

0:33:27.560 --> 0:33:29.720
<v Speaker 1>I mean, well, maybe I should finish it first and

0:33:29.720 --> 0:33:32.600
<v Speaker 1>then say this. So. In the end, Holly Tucker's book

0:33:32.960 --> 0:33:37.200
<v Speaker 1>makes the argument that it was denise opponents, especially a

0:33:37.200 --> 0:33:41.840
<v Speaker 1>physician named Henri Martin de la Martiniere, who arranged the

0:33:41.960 --> 0:33:46.080
<v Speaker 1>murder of the patient of Antoine Mouroy by giving arsenic

0:33:46.080 --> 0:33:50.000
<v Speaker 1>to Moroy's wife and encouraging her to poison him. Ultimately,

0:33:50.200 --> 0:33:53.640
<v Speaker 1>she argues this was in an attempt to discredit Denise

0:33:53.760 --> 0:33:57.200
<v Speaker 1>medical theories, and it's a it's a case where there's

0:33:57.200 --> 0:34:00.520
<v Speaker 1>really no good guys because if you know, if Holly

0:34:00.560 --> 0:34:03.280
<v Speaker 1>Tucker's theory is correct, and they really did this, it

0:34:03.360 --> 0:34:06.880
<v Speaker 1>was a case of two camps that were both entirely

0:34:07.000 --> 0:34:12.600
<v Speaker 1>wrong fighting over this conceptual biomedical space. Oh wow, this

0:34:12.920 --> 0:34:15.640
<v Speaker 1>is such a wonderful bit of a bit of history. It.

0:34:16.520 --> 0:34:19.000
<v Speaker 1>I wonder if this has been adapted in any kind

0:34:19.040 --> 0:34:22.040
<v Speaker 1>of historical drama, because it's perfect for that sort of thing. Yeah,

0:34:22.080 --> 0:34:26.040
<v Speaker 1>absolutely so. Anyway, that that is the very weird story

0:34:26.080 --> 0:34:30.640
<v Speaker 1>of early zeno transfusion in sixteen sixties France. Now, xeno

0:34:30.680 --> 0:34:35.640
<v Speaker 1>transfusion is technically still on the table today, but it's

0:34:35.640 --> 0:34:39.280
<v Speaker 1>generally not practiced with humans today because generally human blood

0:34:39.520 --> 0:34:44.640
<v Speaker 1>is much more forthcoming. Um but uh, but yeah, this

0:34:44.800 --> 0:34:47.759
<v Speaker 1>this strange history of of of blood, not just as

0:34:47.840 --> 0:34:49.880
<v Speaker 1>zeno transfusion, but again, thinking of the idea of like

0:34:49.960 --> 0:34:54.000
<v Speaker 1>beer and urine or or milk being used. Uh, this

0:34:54.080 --> 0:34:57.480
<v Speaker 1>brings to mind the various alternative bloods you often encounter

0:34:57.600 --> 0:35:00.480
<v Speaker 1>in humanoid beings in sci fi and fantasy. You know,

0:35:00.520 --> 0:35:03.320
<v Speaker 1>I instantly think of the milk white blood in Ridley

0:35:03.360 --> 0:35:07.400
<v Speaker 1>Scott's various androids or the yellow blood that you see

0:35:07.440 --> 0:35:10.920
<v Speaker 1>in Phantasms the Tall Man, or in the The Androids

0:35:10.960 --> 0:35:15.120
<v Speaker 1>of Halloween three, one of my favorites. Yeah. Um. Now,

0:35:15.360 --> 0:35:18.960
<v Speaker 1>on the subject of milk, Sarkar rights that indeed, in

0:35:19.040 --> 0:35:22.239
<v Speaker 1>eighteen fifty four, milk was injected into the veins of

0:35:22.320 --> 0:35:25.799
<v Speaker 1>patients with the asiatic cholera, thinking that it would help

0:35:25.840 --> 0:35:29.360
<v Speaker 1>regenerate white blood. Sells, Oh, maybe is it like a

0:35:29.400 --> 0:35:33.719
<v Speaker 1>color match thing. That's what it sounds like. Now. The

0:35:33.719 --> 0:35:37.239
<v Speaker 1>thing is enough patients survived that they kept trying it.

0:35:38.120 --> 0:35:40.640
<v Speaker 1>They're like, well, nobody's dying. It seems like they're eventually

0:35:40.640 --> 0:35:43.360
<v Speaker 1>getting better. Let's just keep doing it. And there's a

0:35:43.360 --> 0:35:46.760
<v Speaker 1>lot of skepticism about the practice even at that time,

0:35:47.080 --> 0:35:50.120
<v Speaker 1>and this never really took off. There is so much

0:35:50.160 --> 0:35:53.279
<v Speaker 1>of medical history in a way, it's almost it's amazing

0:35:53.400 --> 0:35:56.640
<v Speaker 1>that medicine exists at all, because I don't know what

0:35:56.760 --> 0:36:00.120
<v Speaker 1>the year was, where on the whole medicine became more

0:36:00.160 --> 0:36:04.640
<v Speaker 1>helpful than harmful. It's like shockingly recent. If you go

0:36:05.600 --> 0:36:07.920
<v Speaker 1>not even all that far back into the past, it

0:36:07.960 --> 0:36:11.920
<v Speaker 1>seems like the majority of medical interventions were just like

0:36:12.120 --> 0:36:14.919
<v Speaker 1>painful and terrible and did nothing to help and maybe

0:36:14.920 --> 0:36:17.600
<v Speaker 1>it would kill you. Yeah. Once again, I come back

0:36:17.640 --> 0:36:21.560
<v Speaker 1>to that that that excellent Soderberg television series The Nick,

0:36:22.000 --> 0:36:24.400
<v Speaker 1>which takes place in New York City and nine D

0:36:24.920 --> 0:36:28.040
<v Speaker 1>and it's just portraying just the cutting edge of medicine

0:36:28.040 --> 0:36:30.560
<v Speaker 1>at the time, and even you know then you see

0:36:30.600 --> 0:36:34.160
<v Speaker 1>like just the catastrophic ways they get it wrong at times. Uh,

0:36:34.200 --> 0:36:37.280
<v Speaker 1>you know, be at things like blood transfusions or drug

0:36:37.320 --> 0:36:40.359
<v Speaker 1>interactions or the use of X rays. Now, in terms

0:36:40.400 --> 0:36:43.279
<v Speaker 1>of other potential blood substitutes, things you can put into

0:36:43.320 --> 0:36:45.920
<v Speaker 1>the body in place of at least some of the blood, uh,

0:36:45.960 --> 0:36:49.440
<v Speaker 1>sailing solutions seemed to promising, uh solution for a bit

0:36:49.560 --> 0:36:52.320
<v Speaker 1>fair as doctors found that you could give a frog

0:36:52.480 --> 0:36:56.239
<v Speaker 1>a complete transfusion of sailing and it would survive, though

0:36:56.280 --> 0:36:59.319
<v Speaker 1>only for a short while. Um. However, that this is

0:36:59.320 --> 0:37:03.400
<v Speaker 1>the stuff was stally developed as a plasma volume expander. Now,

0:37:03.440 --> 0:37:05.719
<v Speaker 1>Sarkar does not go into detail about the beer and

0:37:05.800 --> 0:37:09.399
<v Speaker 1>the urine um tidbits, but they certainly don't highlight them

0:37:09.400 --> 0:37:14.480
<v Speaker 1>as successes. So UM, I assume they were not, you know,

0:37:14.600 --> 0:37:18.279
<v Speaker 1>huge medical successes. Now, in the eighteen hundreds, hemoglobin and

0:37:18.320 --> 0:37:21.920
<v Speaker 1>animal plasma seemed promising, but there were technical hurdles to

0:37:22.120 --> 0:37:27.160
<v Speaker 1>isolating enough hemoglobin, and animal blood um often contain toxins

0:37:27.200 --> 0:37:30.320
<v Speaker 1>that we're challenging to remove at the time. In eighteen

0:37:30.400 --> 0:37:33.880
<v Speaker 1>eighty three, the creation of Ringer's solution. This is named

0:37:34.000 --> 0:37:38.640
<v Speaker 1>for Sydney Ringer, who lived eighteen nine. UH. This changed

0:37:38.680 --> 0:37:41.280
<v Speaker 1>things a bit. Uh. So this is a solution of sodium,

0:37:41.280 --> 0:37:44.840
<v Speaker 1>potassium and calcium salts that was found to restore healthy

0:37:44.840 --> 0:37:48.239
<v Speaker 1>blood pressure after blood volume loss, and it's still used

0:37:48.239 --> 0:37:50.759
<v Speaker 1>today as a blood volume expander, but it does not

0:37:50.920 --> 0:37:54.040
<v Speaker 1>actually work as a blood substitute. Again, we have to

0:37:54.080 --> 0:37:57.560
<v Speaker 1>think of all the things that that blood does, and

0:37:57.760 --> 0:38:01.279
<v Speaker 1>this particular solution it doesn't, for instance, do anything that

0:38:01.320 --> 0:38:04.959
<v Speaker 1>red blood cells do, such as carrying oxygen. Because again,

0:38:04.960 --> 0:38:07.000
<v Speaker 1>the human body is not just a big blood balloon.

0:38:07.080 --> 0:38:09.399
<v Speaker 1>You know, It's not just about warm volume. It's about

0:38:09.440 --> 0:38:11.920
<v Speaker 1>the vital function of the blood. So you can boost

0:38:11.920 --> 0:38:15.040
<v Speaker 1>the volume, but you still need something in the veins

0:38:15.120 --> 0:38:18.080
<v Speaker 1>doing the things that blood does. Now, as we discussed

0:38:18.120 --> 0:38:21.360
<v Speaker 1>in our previous episode on blood types, UH, the Austrian

0:38:21.640 --> 0:38:26.000
<v Speaker 1>UH immunologists and pathologist Carl Landsteiner, who of eighteen sixty

0:38:26.040 --> 0:38:29.720
<v Speaker 1>eight through ninety three discovered the primary a bio blood

0:38:29.719 --> 0:38:33.560
<v Speaker 1>groups around the years nineteen hundred or nineteen o one.

0:38:34.040 --> 0:38:37.240
<v Speaker 1>At the time, doctors knew that many blood transfusions caused

0:38:37.280 --> 0:38:41.400
<v Speaker 1>adverse reactions in their recipient, mainly agglutination, which is where

0:38:41.280 --> 0:38:45.600
<v Speaker 1>the red blood cells clumped together. Blood transfusion technology advanced

0:38:45.600 --> 0:38:48.479
<v Speaker 1>a great deal from from that point on, and um

0:38:48.560 --> 0:38:51.680
<v Speaker 1>an interest in blood substitute was renewed, especially during the

0:38:51.680 --> 0:38:54.040
<v Speaker 1>World Wars of the twentieth century. I think I said

0:38:54.080 --> 0:38:56.080
<v Speaker 1>this in the Last Blood episode, but I can't see

0:38:56.080 --> 0:38:58.640
<v Speaker 1>the name of Carl Landsteiner without thinking of him as

0:38:58.960 --> 0:39:04.959
<v Speaker 1>Carl landst Er. Alright, So fast forward to nineteen sixty six.

0:39:05.120 --> 0:39:08.960
<v Speaker 1>This is when um per floro chemicals or PFC was

0:39:09.040 --> 0:39:12.040
<v Speaker 1>explored as a potential blood substitute. Doctors found that a

0:39:12.200 --> 0:39:15.680
<v Speaker 1>rat's blood could be completely removed and replaced with the stuff,

0:39:15.680 --> 0:39:18.080
<v Speaker 1>but only for a few hours at a time. Uh.

0:39:18.120 --> 0:39:20.720
<v Speaker 1>This stuff then had to be replaced with actual blood,

0:39:20.760 --> 0:39:24.399
<v Speaker 1>but a full recovery was possible. So obviously you can

0:39:24.400 --> 0:39:27.720
<v Speaker 1>see the possibilities there. You know, something something that's not blood.

0:39:27.760 --> 0:39:29.200
<v Speaker 1>We could at least get in there for a little

0:39:29.200 --> 0:39:32.239
<v Speaker 1>bit to stabilize the patient until actual blood can be

0:39:32.280 --> 0:39:35.640
<v Speaker 1>made available. Star Car writes that while there was renewed

0:39:35.680 --> 0:39:39.160
<v Speaker 1>interest during the AIDS epidemic and during Vietnam, for the

0:39:39.239 --> 0:39:43.520
<v Speaker 1>most part, advances in blood banking itself has, you know,

0:39:43.640 --> 0:39:46.799
<v Speaker 1>has resulted in less research for the idea of a

0:39:46.840 --> 0:39:50.799
<v Speaker 1>true blood substitute, because ultimately, nothing takes the place of

0:39:50.920 --> 0:39:53.839
<v Speaker 1>human blood quite like human blood. But if we're going

0:39:53.880 --> 0:39:57.000
<v Speaker 1>to have synthetic blood, star Car points out that there

0:39:57.040 --> 0:40:01.760
<v Speaker 1>are a few key uh points that must be met. Okay,

0:40:01.800 --> 0:40:03.719
<v Speaker 1>like what so, First of all, it has to be

0:40:03.800 --> 0:40:07.560
<v Speaker 1>safe and compatible with the human body. Ideally, it should

0:40:07.560 --> 0:40:10.520
<v Speaker 1>also be universal for all blood types. You know, that's

0:40:10.560 --> 0:40:13.520
<v Speaker 1>not an absolute requirement, but certainly, if you're talking about

0:40:13.560 --> 0:40:15.960
<v Speaker 1>something that is just on a hand, say in a

0:40:16.040 --> 0:40:20.239
<v Speaker 1>field hospital situation, to hold the patient over until an

0:40:20.239 --> 0:40:23.279
<v Speaker 1>actual blood bank can come into play, it would be

0:40:23.360 --> 0:40:25.440
<v Speaker 1>nice if it just took care of all humans and

0:40:25.480 --> 0:40:28.520
<v Speaker 1>you didn't have to to deal with type. On top

0:40:28.520 --> 0:40:30.600
<v Speaker 1>of that, it needs to be able to transport oxygen

0:40:30.640 --> 0:40:34.160
<v Speaker 1>throughout the body, and it needs to offer more robust

0:40:34.239 --> 0:40:37.400
<v Speaker 1>shelf stability, such as lasting a year rather than a

0:40:37.440 --> 0:40:40.920
<v Speaker 1>mere month as with donor blood. As such, there are

0:40:41.120 --> 0:40:44.560
<v Speaker 1>basically two major areas of research under way. First of all,

0:40:44.719 --> 0:40:48.440
<v Speaker 1>per floral carbons, these are inexpensive, they're devoid of biological

0:40:48.480 --> 0:40:51.920
<v Speaker 1>materials that could spread infection. However, they're not water soluble

0:40:52.160 --> 0:40:57.160
<v Speaker 1>and they carry much less oxygen compared to hemoglobin based products. Second,

0:40:57.239 --> 0:41:00.840
<v Speaker 1>you have hemoglobin based products, so these are oxygen containing.

0:41:00.880 --> 0:41:04.560
<v Speaker 1>They're involved in oxygen transport with our own red blood cells,

0:41:04.600 --> 0:41:07.360
<v Speaker 1>so it's a great place to start. Now. The downside

0:41:07.360 --> 0:41:10.680
<v Speaker 1>to this direction is that raw hemoglobin would break down

0:41:10.680 --> 0:41:15.239
<v Speaker 1>into toxic compounds, and there are solutions stability issues as well.

0:41:15.640 --> 0:41:19.720
<v Speaker 1>Quote the challenge and creating a hemoglobin based artificial blood

0:41:19.960 --> 0:41:23.960
<v Speaker 1>is to modify the hemoglobin molecule so these problems are resolved.

0:41:24.600 --> 0:41:29.160
<v Speaker 1>So you could depend on either isolated hemoglobin or synthetically

0:41:29.239 --> 0:41:34.040
<v Speaker 1>produced hemoglobin. If it's isolated, the product is actually made

0:41:34.080 --> 0:41:38.279
<v Speaker 1>from human blood, typically blood for transfusions that has already expired.

0:41:38.600 --> 0:41:41.360
<v Speaker 1>Animal blood is another option, apparently, but in this case

0:41:41.400 --> 0:41:47.200
<v Speaker 1>the hemoglobin would need to be modified before use. Hemoglobin synthesis, however,

0:41:47.320 --> 0:41:49.440
<v Speaker 1>is a process that involves the use of a strain

0:41:49.520 --> 0:41:52.640
<v Speaker 1>of E. Coli bacteria that has the ability to produce

0:41:52.760 --> 0:41:57.960
<v Speaker 1>human hemoglobin. There's a process involving bacterial destruction, fermentation and

0:41:58.040 --> 0:42:02.160
<v Speaker 1>isolation in a centrifuge, then final processing via the addition

0:42:02.200 --> 0:42:05.880
<v Speaker 1>of water and electrolytes, so farming it from bacteria. I

0:42:05.960 --> 0:42:10.040
<v Speaker 1>like that. Yeah. Yeah. Now, as as for limitations, again,

0:42:10.080 --> 0:42:13.080
<v Speaker 1>as of this paper's writing, most of the hemoglobin based

0:42:13.080 --> 0:42:15.840
<v Speaker 1>products were lasting no more than twenty to thirty hours

0:42:15.840 --> 0:42:19.480
<v Speaker 1>in the body hold. Blood transfusions last thirty four days

0:42:20.120 --> 0:42:23.560
<v Speaker 1>for comparison. Also, this sort of blood substitute wouldn't bring

0:42:23.600 --> 0:42:26.560
<v Speaker 1>clotting or disease fighting to the table, so that leaves

0:42:26.560 --> 0:42:29.760
<v Speaker 1>its potential again more as a short term solution, something

0:42:29.800 --> 0:42:32.719
<v Speaker 1>to get in the body, uh, while you're waiting to

0:42:32.800 --> 0:42:36.120
<v Speaker 1>access the fruits of blood bank. And of course this

0:42:36.160 --> 0:42:38.480
<v Speaker 1>is not even getting into some of the issues concerning

0:42:38.480 --> 0:42:44.840
<v Speaker 1>biosecurity and privatization of synthetic biology as it concerns ethical dimensions, etcetera.

0:42:45.200 --> 0:42:47.920
<v Speaker 1>Oh wait, so you could have like, uh, somebody's got

0:42:47.960 --> 0:42:51.000
<v Speaker 1>a patent on the blood that's in your arteries right now,

0:42:51.120 --> 0:42:53.120
<v Speaker 1>and yeah, well that's the well, that's the kind of

0:42:53.120 --> 0:42:57.680
<v Speaker 1>thing that's often brought up in these discussions. I mean, however, obviously,

0:42:57.680 --> 0:42:59.560
<v Speaker 1>the way I do, I do think it is important to,

0:42:59.680 --> 0:43:01.680
<v Speaker 1>you know, stress that it would be great if there

0:43:01.880 --> 0:43:05.680
<v Speaker 1>was if we were to develop a pure, you know,

0:43:05.719 --> 0:43:08.000
<v Speaker 1>blood substitute that, even if it only worked for a

0:43:08.000 --> 0:43:11.959
<v Speaker 1>short time, could be kept on hand. You know, that's

0:43:12.000 --> 0:43:15.480
<v Speaker 1>something that that was universal, something with with a decent

0:43:15.520 --> 0:43:18.200
<v Speaker 1>shelf life. Uh, you know, even if it wasn't a

0:43:18.200 --> 0:43:20.800
<v Speaker 1>permanent solution, if it wasn't quite as good as human blood,

0:43:21.000 --> 0:43:24.120
<v Speaker 1>if it could just serve as a as as a patch,

0:43:24.480 --> 0:43:27.360
<v Speaker 1>you know, until a proper blood transfusion can take place,

0:43:27.440 --> 0:43:30.440
<v Speaker 1>that would be immensely helpful. Totally. Should we take a

0:43:30.440 --> 0:43:32.960
<v Speaker 1>break and then come back to talk a little more, Yes,

0:43:34.360 --> 0:43:39.799
<v Speaker 1>thank alright, we're back. So I was looking around for

0:43:39.800 --> 0:43:42.040
<v Speaker 1>for more recent work. I was looking at a two

0:43:42.080 --> 0:43:45.440
<v Speaker 1>thousand seventeen study by Wing at All published in Bio

0:43:45.480 --> 0:43:49.480
<v Speaker 1>macro Molecules, and they point out that hemoglobin on its own,

0:43:49.520 --> 0:43:52.920
<v Speaker 1>like we discussed this toxic, but that a chemically modified

0:43:53.040 --> 0:43:58.000
<v Speaker 1>version forms um methemoglobin, which doesn't bind oxygen. Uh, this

0:43:58.520 --> 0:44:01.600
<v Speaker 1>decreases the oxygen in the blood. In the generation of

0:44:01.920 --> 0:44:06.759
<v Speaker 1>methemoglobin produces cell damaging hydrogen peroxide. So the researchers in

0:44:06.800 --> 0:44:10.440
<v Speaker 1>this case looked into packaging hemoglobin in a quote unquote

0:44:10.440 --> 0:44:15.360
<v Speaker 1>benign envelope in this case um polydopamine or p d A,

0:44:15.719 --> 0:44:20.160
<v Speaker 1>which is already understudy for biomedical applications. Their findings showed

0:44:20.239 --> 0:44:24.920
<v Speaker 1>promise with the package delivering oxygen while preventing the formation

0:44:25.400 --> 0:44:29.440
<v Speaker 1>of meth, methmoglobin and hydrogen peroxide, and this resulted in

0:44:29.480 --> 0:44:32.160
<v Speaker 1>minimal cell damage. I mean, you can see pretty easily

0:44:32.160 --> 0:44:34.680
<v Speaker 1>why you wouldn't really want too much hydrogen peroxide in

0:44:34.719 --> 0:44:39.640
<v Speaker 1>your blood right now on the xeno transfusion front. Uh,

0:44:39.800 --> 0:44:42.920
<v Speaker 1>this was interesting. I came across a case report in

0:44:42.960 --> 0:44:46.960
<v Speaker 1>Clinical Case Reports by Rubinstein at All which discusses the

0:44:46.960 --> 0:44:50.160
<v Speaker 1>case of a fifty seven year old Jehovah's Witness with

0:44:50.280 --> 0:44:54.840
<v Speaker 1>a form of pure red cell um aplasia or pr

0:44:54.920 --> 0:44:56.960
<v Speaker 1>c A. Now, this is a type of anemia that

0:44:57.040 --> 0:45:00.400
<v Speaker 1>impacts the patient's ability to produce red but not white

0:45:00.400 --> 0:45:04.400
<v Speaker 1>blood cells. So blood transfusions are an important form of treatment.

0:45:04.760 --> 0:45:08.160
<v Speaker 1>But the individual in question turned down these transfusions for

0:45:08.280 --> 0:45:12.600
<v Speaker 1>religious reasons. And I believe the stems with the Jehovah's

0:45:12.640 --> 0:45:16.839
<v Speaker 1>Witness faith is an interpretation of abstaining from blood in

0:45:16.880 --> 0:45:19.560
<v Speaker 1>the Bible. I think this is from Leviticus. Yeah, there

0:45:19.600 --> 0:45:23.000
<v Speaker 1>are multiple passages cited by the Jehovah's witnesses. I think

0:45:23.040 --> 0:45:25.920
<v Speaker 1>the most common one is this one in Leviticus chapter seventeen,

0:45:26.080 --> 0:45:29.000
<v Speaker 1>where it says, Uh, for the life of the flesh

0:45:29.080 --> 0:45:30.799
<v Speaker 1>is in the blood, and I have given it to

0:45:30.800 --> 0:45:33.240
<v Speaker 1>you upon the altar to make atonement for your souls.

0:45:33.320 --> 0:45:35.759
<v Speaker 1>For it is the blood that makes the atonement for

0:45:35.760 --> 0:45:38.640
<v Speaker 1>the soul. Uh. And he says, therefore, to the children

0:45:38.640 --> 0:45:41.640
<v Speaker 1>of Israel, you shall not eat blood. And this and

0:45:41.840 --> 0:45:45.040
<v Speaker 1>some other passages are sort of interpreted in a in

0:45:45.080 --> 0:45:47.160
<v Speaker 1>a way to say, well, to be safe in following this,

0:45:47.280 --> 0:45:50.680
<v Speaker 1>you probably shouldn't receive blood transfusions either. But I was

0:45:50.680 --> 0:45:54.160
<v Speaker 1>actually this is this is interesting. There's a whole Wikipedia

0:45:54.200 --> 0:45:58.600
<v Speaker 1>page on the Jehovah's Witnesses and blood transfusions that has

0:45:58.640 --> 0:46:04.160
<v Speaker 1>this gigantic of what types of procedures are allowed and

0:46:04.200 --> 0:46:07.120
<v Speaker 1>what are not allowed according to Church doctrine, because there

0:46:07.160 --> 0:46:10.200
<v Speaker 1>are there's not just one type of blood transfusion. They

0:46:10.239 --> 0:46:13.960
<v Speaker 1>are all kinds of blood related products that you can

0:46:14.120 --> 0:46:16.239
<v Speaker 1>have put into your body, and so there are some

0:46:16.360 --> 0:46:19.320
<v Speaker 1>that they accept and some they don't. In this case, however,

0:46:19.400 --> 0:46:21.120
<v Speaker 1>it seems like it was it was pretty much. A

0:46:21.200 --> 0:46:24.560
<v Speaker 1>don't on the idea of more human blood being put

0:46:24.600 --> 0:46:29.000
<v Speaker 1>into the patient for this treatment, but in this case,

0:46:29.160 --> 0:46:35.440
<v Speaker 1>the physicians used a quote bovine hemoglobin based oxygen carrier quote.

0:46:35.480 --> 0:46:39.200
<v Speaker 1>The patient received more than twenty units of HBOC two

0:46:39.200 --> 0:46:42.040
<v Speaker 1>oh one and was showing early signs of red blood

0:46:42.040 --> 0:46:45.800
<v Speaker 1>cell count recovery. Although the patient did not survive, administration

0:46:45.880 --> 0:46:48.920
<v Speaker 1>of the HBOC two o one did sustain her long

0:46:49.040 --> 0:46:53.880
<v Speaker 1>enough to allow for administration of immunosuppressive therapy, which ultimately

0:46:54.239 --> 0:47:01.520
<v Speaker 1>improved erythropoesis. Thus, administration of alternative hemoglobin based oxygen carriers

0:47:01.560 --> 0:47:04.719
<v Speaker 1>in the setting of red cell at plasia associated with

0:47:04.920 --> 0:47:08.920
<v Speaker 1>thy momus warrants further investigation. And that's interesting. So this

0:47:08.960 --> 0:47:13.560
<v Speaker 1>is a product that is derived from the hemoglobin, the

0:47:13.680 --> 0:47:16.279
<v Speaker 1>oxygen carrying protein that would be found in the red

0:47:16.280 --> 0:47:19.080
<v Speaker 1>blood cells originally of cows or some of their bovine

0:47:19.640 --> 0:47:21.839
<v Speaker 1>And uh yeah, And I think this is in line

0:47:21.840 --> 0:47:23.279
<v Speaker 1>with a lot of the stuff I was seeing about

0:47:23.320 --> 0:47:27.240
<v Speaker 1>Jehovah's witnesses beliefs that um often that they will receive

0:47:27.320 --> 0:47:30.000
<v Speaker 1>certain types of blood products, but the objection more often

0:47:30.120 --> 0:47:33.880
<v Speaker 1>is to whole blood. Now, leaving medical research and uh,

0:47:33.920 --> 0:47:36.960
<v Speaker 1>and religious beliefs. Maybe we should come back to our

0:47:37.040 --> 0:47:43.240
<v Speaker 1>vampire introduction because I think you were hypothesizing that vampires

0:47:43.400 --> 0:47:46.839
<v Speaker 1>might might find themselves rather picky over what types of

0:47:46.880 --> 0:47:50.000
<v Speaker 1>synthetic blood are are tasty or or go well with

0:47:50.080 --> 0:47:51.600
<v Speaker 1>their I don't know what it would it be the

0:47:51.600 --> 0:47:56.400
<v Speaker 1>digestive system, what system receives the blood vampire? Well, I

0:47:56.400 --> 0:47:59.399
<v Speaker 1>guess that's the tricky thing about vampires, right, is that there,

0:47:59.440 --> 0:48:02.200
<v Speaker 1>of course create is a fantasy and interpretations of their

0:48:02.280 --> 0:48:05.360
<v Speaker 1>their blood drinking. It's going to range from the biological,

0:48:06.239 --> 0:48:10.080
<v Speaker 1>the biologically grounded, to the utterly magical. So what like,

0:48:10.160 --> 0:48:12.080
<v Speaker 1>what is the nature of the blood that the vampire

0:48:12.160 --> 0:48:15.280
<v Speaker 1>is drinking? Are they drinking like the magical life force

0:48:15.360 --> 0:48:18.360
<v Speaker 1>of a being, you know, the splendid iy core of

0:48:19.040 --> 0:48:21.840
<v Speaker 1>the Sons of Adam? Or is it like actual blood?

0:48:21.880 --> 0:48:25.920
<v Speaker 1>Are they an actual sangovore much like a vampire bat?

0:48:26.400 --> 0:48:28.279
<v Speaker 1>And obviously, depending on what your answer is is going

0:48:28.320 --> 0:48:30.799
<v Speaker 1>to be, you know, entirely different, and certainly you could

0:48:30.840 --> 0:48:33.319
<v Speaker 1>have You can imagine a situation where you have a

0:48:33.360 --> 0:48:38.439
<v Speaker 1>synthetic blood that is certainly helpful treating individuals who who

0:48:38.480 --> 0:48:40.719
<v Speaker 1>who need it, but is going to be kind of

0:48:40.840 --> 0:48:44.120
<v Speaker 1>useless or at least not all that desired by blood

0:48:44.200 --> 0:48:48.759
<v Speaker 1>drinking supernatural beings. But I thought, you know, what's what's

0:48:48.760 --> 0:48:51.440
<v Speaker 1>the one thing we can definitely do. We can definitely

0:48:51.480 --> 0:48:54.560
<v Speaker 1>look to the vampire bats. We can look at blood

0:48:54.640 --> 0:48:57.160
<v Speaker 1>drinking in the natural world and see if there's anything

0:48:57.200 --> 0:49:00.239
<v Speaker 1>out there that at all relates to this question. So

0:49:00.280 --> 0:49:03.319
<v Speaker 1>I was looking at wanted blood for vampire bats by

0:49:03.400 --> 0:49:07.319
<v Speaker 1>Lynn Laws, writing for the Iowa State University College of

0:49:07.360 --> 0:49:12.239
<v Speaker 1>Agricultural and Life Sciences. So, vampire bats we've discussed in

0:49:12.280 --> 0:49:15.920
<v Speaker 1>the show before typically feed on fresh cow blood and

0:49:16.040 --> 0:49:21.400
<v Speaker 1>only rarely bite humans. Typically for captive vampire bats, and

0:49:21.600 --> 0:49:24.200
<v Speaker 1>like a laboratory or a zoo environment or some sort

0:49:24.239 --> 0:49:28.200
<v Speaker 1>of enclosure, cow blood does the trick um, but in

0:49:28.280 --> 0:49:32.600
<v Speaker 1>zoo conditions, especially, an anticoagulant is added to the blood

0:49:32.600 --> 0:49:35.800
<v Speaker 1>to keep it fresh enough for feeding via little peachy

0:49:35.920 --> 0:49:38.919
<v Speaker 1>dishes that are placed out in the enclosure. Oh I see,

0:49:38.960 --> 0:49:41.520
<v Speaker 1>So like, if you don't add an anticoagulant, you could

0:49:41.520 --> 0:49:43.160
<v Speaker 1>have the same problem you get where you leave the

0:49:43.239 --> 0:49:46.879
<v Speaker 1>soup out and it forms a skin. Yeah, one imagines, yeah,

0:49:46.920 --> 0:49:50.120
<v Speaker 1>that you need to keep you want the blood obviously,

0:49:50.320 --> 0:49:52.520
<v Speaker 1>vampire bats are not going to go around in their

0:49:52.600 --> 0:49:56.200
<v Speaker 1>natural environment drinking blood out of little puddles. Uh, you know,

0:49:56.239 --> 0:49:58.000
<v Speaker 1>so you need to keep it fresh. You need something

0:49:58.000 --> 0:50:00.360
<v Speaker 1>to fresh it up, an anticoagulant see ms to do

0:50:00.400 --> 0:50:03.600
<v Speaker 1>the trick. There apparently have also been experiments with freezing

0:50:03.640 --> 0:50:06.600
<v Speaker 1>the blood, and there's hope that we could eventually create

0:50:06.640 --> 0:50:11.239
<v Speaker 1>a dried powder that could be reconstituted at zoos for

0:50:11.400 --> 0:50:14.279
<v Speaker 1>the bats. So you add water to it and you

0:50:14.360 --> 0:50:17.520
<v Speaker 1>got blood, you know, sort of like a kool aid powder,

0:50:17.640 --> 0:50:24.680
<v Speaker 1>but for blood drinkers. Oh yeah, um, this brings me back.

0:50:24.680 --> 0:50:27.640
<v Speaker 1>I think there's a part in Guillermo del Toro's Blade

0:50:27.680 --> 0:50:32.480
<v Speaker 1>to where like Russian vampires are like snorting lines of

0:50:32.480 --> 0:50:35.400
<v Speaker 1>of like crystallized blood or something or something. You know,

0:50:35.440 --> 0:50:38.480
<v Speaker 1>they're supposed to be crystallized blood. Um. So, I don't know,

0:50:38.520 --> 0:50:40.719
<v Speaker 1>maybe they ran across the same sort of research when

0:50:40.760 --> 0:50:44.439
<v Speaker 1>they were putting together to that film. That's funny. Would

0:50:44.480 --> 0:50:48.480
<v Speaker 1>it be different snorted than it would be just drank? Um? Well,

0:50:48.520 --> 0:50:51.360
<v Speaker 1>I don't know. I mean, it doesn't really, it doesn't

0:50:51.400 --> 0:50:55.680
<v Speaker 1>make a lot of sense that the psychological difference. Yeah,

0:50:55.800 --> 0:50:58.000
<v Speaker 1>I don't know. You get the idea. It's like, as vampires,

0:50:58.040 --> 0:50:59.799
<v Speaker 1>they just like blood. They'll take it anyway they can

0:50:59.800 --> 0:51:02.040
<v Speaker 1>get it. They'll drink it, they'll snort it up their nose,

0:51:02.120 --> 0:51:05.240
<v Speaker 1>they'll freak a bath in it. Yeah, paste the blood,

0:51:05.920 --> 0:51:09.440
<v Speaker 1>smoke the blood. Um. Uh. You know, well whatever serves

0:51:09.440 --> 0:51:12.480
<v Speaker 1>as a useful metaphor for you know, for us to

0:51:12.560 --> 0:51:15.360
<v Speaker 1>use in creating a vampire, like the vampire has addict

0:51:15.800 --> 0:51:20.080
<v Speaker 1>the vampire as as you know, a moral themed etcetera. Now,

0:51:20.120 --> 0:51:22.720
<v Speaker 1>going back to what we're discussing though, in the possibilities

0:51:22.760 --> 0:51:26.640
<v Speaker 1>for for a synthetic blood, if you end up with

0:51:26.840 --> 0:51:30.960
<v Speaker 1>a blood substitute that is actually made from human blood,

0:51:31.320 --> 0:51:34.680
<v Speaker 1>you know, that's the that's depending on the hemoglobin. Uh.

0:51:34.760 --> 0:51:37.239
<v Speaker 1>That would be an interesting scenario, right, because you could

0:51:37.280 --> 0:51:41.080
<v Speaker 1>potentially have fake blood for the vampires to keep the

0:51:41.160 --> 0:51:44.320
<v Speaker 1>vampires at bay, that is actually made from human blood,

0:51:44.560 --> 0:51:46.680
<v Speaker 1>but maybe is like you know, it is the the

0:51:46.800 --> 0:51:50.040
<v Speaker 1>result of of blood bank blood that has not been

0:51:50.040 --> 0:51:52.920
<v Speaker 1>fully utilized. So the vampires might not be really all

0:51:52.920 --> 0:51:55.760
<v Speaker 1>that happy about it. But maybe you know, you wouldn't

0:51:55.760 --> 0:51:59.719
<v Speaker 1>behave be having to just bleed yourself dry for the vampires.

0:52:00.120 --> 0:52:03.000
<v Speaker 1>You would you would have like a secondary product that

0:52:03.320 --> 0:52:06.319
<v Speaker 1>makes them mostly happy. Yeah, they'd be helping us deal

0:52:06.360 --> 0:52:10.000
<v Speaker 1>with medical waste. Yeah, so that would that things kind

0:52:10.000 --> 0:52:12.360
<v Speaker 1>of like a very very much a reduced stature for

0:52:12.440 --> 0:52:15.000
<v Speaker 1>something like Count Dracula. You know, it's like, I know,

0:52:15.120 --> 0:52:16.719
<v Speaker 1>you want to be the Lord of the night and

0:52:16.760 --> 0:52:19.319
<v Speaker 1>you know, drink our blood and have a serview, But

0:52:19.400 --> 0:52:22.799
<v Speaker 1>what if you just gobbled up our medical waste? Are

0:52:22.800 --> 0:52:28.359
<v Speaker 1>you on board? Yes? All right. On that note, we're

0:52:28.400 --> 0:52:30.839
<v Speaker 1>gonna go ahead and close it out here. We're gonna

0:52:30.880 --> 0:52:33.480
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