1 00:00:05,760 --> 00:00:07,800 Speaker 1: Hey, welcome to Stuff to Blow your Mind. My name 2 00:00:07,840 --> 00:00:10,560 Speaker 1: is Robert Lamb and I'm Joe McCormick, and it's Saturday. 3 00:00:10,600 --> 00:00:12,640 Speaker 1: Time to go into the Vault, and boy do we 4 00:00:12,680 --> 00:00:15,600 Speaker 1: have a treat for you. This is a grand old episode, Robert, 5 00:00:15,640 --> 00:00:18,440 Speaker 1: I know you're very excited about this one. When did 6 00:00:18,480 --> 00:00:21,720 Speaker 1: this originally air in? Yes, this is this is a 7 00:00:21,800 --> 00:00:23,840 Speaker 1: much older episode than a lot of the other Vault episodes. 8 00:00:23,880 --> 00:00:29,800 Speaker 1: We've discussed. It published August and it's a pair of 9 00:00:29,840 --> 00:00:34,120 Speaker 1: episodes that Julie Douglas and I put together that discussed 10 00:00:34,240 --> 00:00:37,440 Speaker 1: the history of syphilis, how the science of syphilis, how 11 00:00:37,479 --> 00:00:41,519 Speaker 1: syphilis works. Yes, the the sexually transmitted disease syphilis, and 12 00:00:41,600 --> 00:00:44,599 Speaker 1: it is just a fascinating topic. It's it's easily one 13 00:00:44,640 --> 00:00:47,680 Speaker 1: of my my favorite episodes of all time. Uh So, 14 00:00:47,800 --> 00:00:50,920 Speaker 1: we we've taken those two episodes and stitched them together 15 00:00:51,280 --> 00:00:54,160 Speaker 1: into one episode. So it might be a little clunky 16 00:00:54,160 --> 00:00:58,240 Speaker 1: at times, but all the information is is definitely still valid. 17 00:00:58,400 --> 00:01:02,200 Speaker 1: Will there be vampires, There will be vampires. Be prepared 18 00:01:02,240 --> 00:01:05,120 Speaker 1: for the syphilitic vampire. All right, Well, let's go right in. 19 00:01:08,760 --> 00:01:11,880 Speaker 1: Welcome to Stuff to Blow your Mind. From How Stuff Works, 20 00:01:11,920 --> 00:01:19,280 Speaker 1: Dot com hey, you welcome to stuff to blow your mind. 21 00:01:19,360 --> 00:01:21,640 Speaker 1: My name is Robert Lamb and um Julie Douglas, and 22 00:01:21,680 --> 00:01:23,320 Speaker 1: I'd like you to take a moment to just try 23 00:01:23,600 --> 00:01:28,520 Speaker 1: and create, try and imagine the most destructive disease possible. 24 00:01:28,680 --> 00:01:33,160 Speaker 1: Imagine the disease that ravages the body. That ravage is 25 00:01:33,200 --> 00:01:36,240 Speaker 1: just about every tissue, every every part of the human 26 00:01:36,280 --> 00:01:40,680 Speaker 1: form that it takes down, the sex organs, that takes 27 00:01:40,680 --> 00:01:43,920 Speaker 1: apart the face, takes apart your identity, and in some 28 00:01:43,959 --> 00:01:47,199 Speaker 1: cases ultimately robs you of your mind as well before 29 00:01:47,280 --> 00:01:50,840 Speaker 1: killing you outright. Yeah, you mentioned sex organs. So also 30 00:01:50,960 --> 00:01:54,400 Speaker 1: imagine that there's a moral to mention to this disease 31 00:01:54,520 --> 00:01:57,280 Speaker 1: that would give you the sort of outward appearance that 32 00:01:57,400 --> 00:02:02,280 Speaker 1: perhaps you had been engaging in conduct unbecoming to you. Yes, 33 00:02:02,520 --> 00:02:04,480 Speaker 1: And of course, in all of this, we're talking about 34 00:02:04,520 --> 00:02:08,520 Speaker 1: a very real illness, and that is syphilis. We're actually 35 00:02:08,520 --> 00:02:11,360 Speaker 1: going to devote two whole episodes to syphilis here. This 36 00:02:11,400 --> 00:02:14,679 Speaker 1: first episode, Syphilis the Great Imitator, is mainly going to 37 00:02:14,760 --> 00:02:19,600 Speaker 1: focus on the organism that causes syphilis and how syphilis 38 00:02:19,639 --> 00:02:22,880 Speaker 1: manifests itself in the human body. In the second episode, 39 00:02:23,040 --> 00:02:26,760 Speaker 1: we are going to get into the cultural and historical 40 00:02:26,840 --> 00:02:29,560 Speaker 1: impact of syphilis, because that that in its own right 41 00:02:29,639 --> 00:02:33,040 Speaker 1: is an enormous topic of interest because for four and 42 00:02:33,080 --> 00:02:38,600 Speaker 1: a half centuries, syphilis ravages the Old World, ravages Western culture, 43 00:02:38,919 --> 00:02:43,280 Speaker 1: and it's it's really kind of difficult to overstate the 44 00:02:43,280 --> 00:02:47,880 Speaker 1: the role that syphilis played in coloring Western civilization during 45 00:02:47,880 --> 00:02:50,359 Speaker 1: that time. Yes, don't run away, because this is alf 46 00:02:50,440 --> 00:02:53,480 Speaker 1: really interesting that the bacteriaum itself is fascinating, and then 47 00:02:53,520 --> 00:02:57,080 Speaker 1: of course the cultural implications. Now we have our first 48 00:02:57,160 --> 00:03:02,760 Speaker 1: recorded epidemic of venereal syphilus occurring in Europe, and by 49 00:03:02,800 --> 00:03:05,880 Speaker 1: the close of the fifteenth century you have chaos just 50 00:03:05,960 --> 00:03:10,960 Speaker 1: reraining in Naples, Italy, where there's a huge outbreak. In fact, uh, 51 00:03:11,120 --> 00:03:15,600 Speaker 1: Pope Innocent the eighth asked French King Charles the Eighth 52 00:03:15,800 --> 00:03:17,880 Speaker 1: to invade the city with troops to try to keep 53 00:03:17,880 --> 00:03:20,280 Speaker 1: it under control. But what do you think happens? Well, 54 00:03:21,120 --> 00:03:24,200 Speaker 1: as we would, as we would eventually learned, sending troops 55 00:03:24,200 --> 00:03:27,560 Speaker 1: and to deal with syphilis not the best strategy because 56 00:03:27,800 --> 00:03:29,920 Speaker 1: because that they're going to end up catching the syphilis, 57 00:03:30,000 --> 00:03:31,680 Speaker 1: and then when you draw the troops out, they're going 58 00:03:31,720 --> 00:03:35,600 Speaker 1: to take the syphilis elsewhere exactly. And the problem here 59 00:03:35,680 --> 00:03:38,960 Speaker 1: is that syphis as being known as the great imitator 60 00:03:39,160 --> 00:03:42,480 Speaker 1: because it has all these different symptoms that at the 61 00:03:42,600 --> 00:03:47,320 Speaker 1: outset might be mistaken for other illnesses. So imagine this 62 00:03:47,360 --> 00:03:49,520 Speaker 1: time period in which this was happening and people not 63 00:03:49,600 --> 00:03:53,040 Speaker 1: quite knowing what they were dealing with. Yeah, to quote 64 00:03:53,160 --> 00:03:55,600 Speaker 1: Sir William Ostler, he says, no syphilis in all its 65 00:03:55,640 --> 00:03:58,640 Speaker 1: manifestations and relations and all other things clinical will be 66 00:03:58,680 --> 00:04:00,840 Speaker 1: added to you. There is no organ in the body, 67 00:04:00,880 --> 00:04:04,200 Speaker 1: nor any tissue in the organs, which syphilis does not invade. 68 00:04:04,480 --> 00:04:08,160 Speaker 1: And it is therefore manifestly difficult to speak, at least 69 00:04:08,320 --> 00:04:11,320 Speaker 1: at all concisely of the pathology of the disease, just 70 00:04:11,400 --> 00:04:14,360 Speaker 1: as as it is almost impossible to describe its clinical 71 00:04:14,400 --> 00:04:18,520 Speaker 1: symptoms without mentioning almost every symptom of every known disease. 72 00:04:19,000 --> 00:04:20,960 Speaker 1: And these symptoms are not going to be the same 73 00:04:20,960 --> 00:04:23,200 Speaker 1: from one person to the next. So you have a 74 00:04:23,240 --> 00:04:26,880 Speaker 1: disease that is that is seemingly very stealthy, very nefarious. 75 00:04:26,880 --> 00:04:30,240 Speaker 1: It's uh, it's it's changing its shape, it's changing its strategy, 76 00:04:30,279 --> 00:04:33,400 Speaker 1: it's going dormant, it's popping back up and uh. And 77 00:04:33,480 --> 00:04:36,000 Speaker 1: the whole time everyone's trying to understand what's going on, 78 00:04:36,080 --> 00:04:39,200 Speaker 1: how to prevent it. Uh. Again, there's there's this this 79 00:04:39,240 --> 00:04:42,560 Speaker 1: whole seemingly moral side to it because it's spread through 80 00:04:42,560 --> 00:04:46,800 Speaker 1: sexual contact, and it ends up spreading across every social 81 00:04:47,400 --> 00:04:50,560 Speaker 1: level in society. Uh. It's it's a disease that ravages 82 00:04:50,600 --> 00:04:53,880 Speaker 1: the poor, it ravages the rich. It's hitting the royalty, 83 00:04:53,960 --> 00:04:57,080 Speaker 1: it's hitting the clergy, it's hitting anyone who's engaging in 84 00:04:57,120 --> 00:05:01,080 Speaker 1: sexual contact, which everyone. Right. In fact, it is so 85 00:05:01,200 --> 00:05:04,640 Speaker 1: prevalent that you get a couple of references to it 86 00:05:04,680 --> 00:05:07,479 Speaker 1: in Shakespeare's works like Pox of your Houses and Romeo 87 00:05:07,480 --> 00:05:09,960 Speaker 1: and Juliet, which is now a curse like a pox 88 00:05:10,040 --> 00:05:13,760 Speaker 1: on you. It's but the problem with this is that 89 00:05:13,839 --> 00:05:17,440 Speaker 1: we tend to think of it as this antiquated illness, right, 90 00:05:17,960 --> 00:05:21,640 Speaker 1: it is not. In fact, the Centers for Disease Control 91 00:05:21,800 --> 00:05:26,279 Speaker 1: estimate that annually more than fifty five people in the 92 00:05:26,400 --> 00:05:30,560 Speaker 1: US get new syphilis infections, and during two thousand and 93 00:05:30,600 --> 00:05:33,440 Speaker 1: twelve there were more than forty nine thousand reported new 94 00:05:33,480 --> 00:05:38,320 Speaker 1: cases of syphilis compared to forty eight thousand estimated new 95 00:05:38,440 --> 00:05:43,479 Speaker 1: diagnosis of HIV. So it is still present and it 96 00:05:43,600 --> 00:05:46,800 Speaker 1: is most common in people between the ages of twenty 97 00:05:46,960 --> 00:05:50,120 Speaker 1: and twenty nine years of age, which has led it 98 00:05:50,160 --> 00:05:54,000 Speaker 1: to be called cupids disease by the way. Yeah, and 99 00:05:54,080 --> 00:05:56,200 Speaker 1: of course, one other way we should mention that you 100 00:05:56,240 --> 00:05:59,560 Speaker 1: can transfer syphilis is through an unborn child, and so 101 00:06:00,160 --> 00:06:03,000 Speaker 1: congenital syphilis, which we'll we'll talk about a little bit 102 00:06:03,000 --> 00:06:06,040 Speaker 1: more later. That's also a huge problem because when the 103 00:06:06,120 --> 00:06:10,440 Speaker 1: syphilis manifests in a newborn child, uh, the the the 104 00:06:10,680 --> 00:06:13,720 Speaker 1: effects are kin it can be pretty disastrous. So once 105 00:06:13,720 --> 00:06:16,240 Speaker 1: against syphilis, even though it is a tremendous interest from 106 00:06:16,240 --> 00:06:20,560 Speaker 1: a historical standpoint, it is not a purely historical disease. 107 00:06:20,800 --> 00:06:24,440 Speaker 1: Now we just don't put as much emphasis on it 108 00:06:24,520 --> 00:06:29,160 Speaker 1: these days in terms of infectious diseases because it can 109 00:06:29,200 --> 00:06:31,920 Speaker 1: be controlled by penicillin, and we'll talk about that later. Yes, yes, 110 00:06:31,960 --> 00:06:35,200 Speaker 1: it can be wiped out by penicillin and uh and 111 00:06:35,200 --> 00:06:37,920 Speaker 1: and that has been a huge advantage in the war 112 00:06:37,960 --> 00:06:40,560 Speaker 1: against syphilis for sure. But still it is it is 113 00:06:40,600 --> 00:06:44,200 Speaker 1: an adversary that that carries on even in the advent 114 00:06:44,320 --> 00:06:46,800 Speaker 1: of what would seem a magic bullet. Yeah, and let's 115 00:06:46,800 --> 00:06:52,360 Speaker 1: talk about this dastardly organism also known as treponema palladum. Yes, 116 00:06:52,440 --> 00:06:56,160 Speaker 1: such Treponema palladum, which is a treponemal disease. There are 117 00:06:56,240 --> 00:06:59,919 Speaker 1: other treponemal diseases which will get into these and cool 118 00:07:00,000 --> 00:07:03,680 Speaker 1: include a visual penta and yaws. None of these, of 119 00:07:03,720 --> 00:07:07,680 Speaker 1: course are sexually transmitted, but they are essentially skin ailments 120 00:07:07,720 --> 00:07:11,200 Speaker 1: that are that are transferred by skin to skin contact. Yes, 121 00:07:11,280 --> 00:07:14,560 Speaker 1: so they are related to Treponema palladum, but they themselves, 122 00:07:14,600 --> 00:07:18,960 Speaker 1: as you say, are not spread through sexual contact. And 123 00:07:19,320 --> 00:07:21,400 Speaker 1: I should add to to be clear if you want 124 00:07:21,440 --> 00:07:26,480 Speaker 1: to get really particular. Syphilis is caused by a subspecies 125 00:07:26,560 --> 00:07:30,960 Speaker 1: of Treponema palladum, essentially Treponema paladum palatum. But for all 126 00:07:31,000 --> 00:07:35,720 Speaker 1: intents and references going forward, Treponema palladum ke paalatum syphilis. 127 00:07:36,200 --> 00:07:38,840 Speaker 1: You'll know what we're talking about. Yeah, Now, this is 128 00:07:38,840 --> 00:07:41,480 Speaker 1: a spiral shaped bacterium also known as a sparrow keet 129 00:07:41,920 --> 00:07:46,960 Speaker 1: and we're talking about slender, spirally undulating bacteria here and 130 00:07:47,040 --> 00:07:51,760 Speaker 1: again it is most often spread by sexual contact, and 131 00:07:51,920 --> 00:07:56,440 Speaker 1: the disease occurs in three primary stages. We'll talk more 132 00:07:56,480 --> 00:08:01,080 Speaker 1: about that and uh, now, these these later stages that 133 00:08:01,120 --> 00:08:06,680 Speaker 1: will discuss are not so common in our modern era, right, Yeah, 134 00:08:06,800 --> 00:08:09,640 Speaker 1: because the later stages obviously deal with a case of 135 00:08:09,680 --> 00:08:12,080 Speaker 1: syphilis that has not been treated, not been cured with 136 00:08:12,160 --> 00:08:15,960 Speaker 1: the penicillin. All right, let's let's talk about how syphalis 137 00:08:16,040 --> 00:08:18,760 Speaker 1: is transmitted. And I'd like you to think about this, 138 00:08:19,200 --> 00:08:22,520 Speaker 1: uh in terms of an invasion, because that's what it is. 139 00:08:23,000 --> 00:08:26,080 Speaker 1: We're dealing with an invasion of these spiral keets into 140 00:08:26,080 --> 00:08:29,080 Speaker 1: the human body. And this invasion takes place in a 141 00:08:29,080 --> 00:08:32,280 Speaker 1: few different phases. So syphilis can be spread again by 142 00:08:32,880 --> 00:08:36,720 Speaker 1: through the through the birthless, sent by kissing, close contact, um, 143 00:08:36,880 --> 00:08:39,760 Speaker 1: transfusion of fresh human blood. But the main ways that 144 00:08:39,800 --> 00:08:42,360 Speaker 1: it's that it's spreading us through sexual contact. We're talking 145 00:08:43,080 --> 00:08:46,560 Speaker 1: vaginal sex, oral sex, anal sex um. All of these 146 00:08:46,720 --> 00:08:49,560 Speaker 1: will serve as as a as an entry point. Now, 147 00:08:50,520 --> 00:08:52,760 Speaker 1: the way that the spiro keets into the body they 148 00:08:52,880 --> 00:08:56,080 Speaker 1: enter through the skin, and when intimate contact of this 149 00:08:56,160 --> 00:08:58,680 Speaker 1: nature is made, that is when when the spiro keet 150 00:08:58,760 --> 00:09:01,640 Speaker 1: enters the body, enters through the skin and there it 151 00:09:01,679 --> 00:09:05,079 Speaker 1: will hang out until it makes itself known in the 152 00:09:05,120 --> 00:09:09,280 Speaker 1: form of a syphilitics or also known as a shanker 153 00:09:09,840 --> 00:09:14,439 Speaker 1: and shankers occur mainly on external genitals that jina anus 154 00:09:14,559 --> 00:09:17,040 Speaker 1: or in the rectum. They can also occur on the 155 00:09:17,080 --> 00:09:20,640 Speaker 1: lips and in the mouth. So this is when you 156 00:09:20,760 --> 00:09:23,880 Speaker 1: see most of the transmission occur among people when these 157 00:09:23,880 --> 00:09:27,360 Speaker 1: sores are present. Right, this is primary syphilis. This is 158 00:09:27,440 --> 00:09:30,520 Speaker 1: first stage syphilis. And think of this in terms of 159 00:09:30,640 --> 00:09:33,679 Speaker 1: the enemy initially getting into the fortress. This is the 160 00:09:34,120 --> 00:09:38,000 Speaker 1: shanker is literally the entry point for the for the 161 00:09:38,040 --> 00:09:40,520 Speaker 1: spiro keets. And it may be a small number of 162 00:09:40,520 --> 00:09:42,640 Speaker 1: spire keets and maybe a larger number of spiro keets, 163 00:09:42,679 --> 00:09:44,120 Speaker 1: but this is where they're getting in. This is the 164 00:09:44,160 --> 00:09:47,040 Speaker 1: whole in the fortress wall. Yeah. And these shankers can 165 00:09:47,080 --> 00:09:51,320 Speaker 1: appear usually around twenty one days after infection, but sometimes 166 00:09:51,360 --> 00:09:54,560 Speaker 1: as little as ten or even ninety days. Yeah, and 167 00:09:54,559 --> 00:09:57,240 Speaker 1: they may hang around for three to six weeks. And 168 00:09:57,320 --> 00:09:59,600 Speaker 1: here's the thing. They can if you look up pictures 169 00:10:00,120 --> 00:10:03,240 Speaker 1: online and sure you should definitely go into a Google 170 00:10:03,240 --> 00:10:06,520 Speaker 1: image search for for what these look like. Your loins, 171 00:10:06,559 --> 00:10:10,600 Speaker 1: your your loins, But they may look pretty intense at times, 172 00:10:10,640 --> 00:10:14,520 Speaker 1: but these are painless. Uh, And they're easily confused with 173 00:10:15,120 --> 00:10:18,560 Speaker 1: any number of small skin ailments that may pop up 174 00:10:18,760 --> 00:10:20,920 Speaker 1: in even a healthy person's life, you know, the stuff 175 00:10:21,000 --> 00:10:25,280 Speaker 1: like ingrown hairs or or you know, or various other bumps. 176 00:10:25,280 --> 00:10:28,400 Speaker 1: So that would be caused by by any number of 177 00:10:28,440 --> 00:10:32,480 Speaker 1: other ailments. Again, it's a great imitator. Right now. If 178 00:10:32,520 --> 00:10:34,880 Speaker 1: you do not get treated at this point, well then 179 00:10:34,880 --> 00:10:38,840 Speaker 1: it gets into secondary syphilis. And during this stage that's 180 00:10:38,840 --> 00:10:42,079 Speaker 1: when you see those skin rashes, swords in your mouth. 181 00:10:42,280 --> 00:10:45,120 Speaker 1: And so that's the primary stage and the and it's 182 00:10:45,200 --> 00:10:48,319 Speaker 1: key to note here that the shanker disappears advantishes. So 183 00:10:48,720 --> 00:10:51,120 Speaker 1: if you were concerned about it, if you really I 184 00:10:51,120 --> 00:10:53,679 Speaker 1: wonder what this painless, you know, ugly spot on my 185 00:10:53,760 --> 00:10:56,880 Speaker 1: genitals is, well, then it goes away. And that's one 186 00:10:56,920 --> 00:10:59,520 Speaker 1: of the dangers that we see over and over again 187 00:10:59,520 --> 00:11:02,720 Speaker 1: with syphilis is that the the infection seems to go away, 188 00:11:02,760 --> 00:11:05,760 Speaker 1: the illness may seem to go away, but as we're 189 00:11:05,760 --> 00:11:09,560 Speaker 1: about to learn, it does not. And again, imagine yourself 190 00:11:09,800 --> 00:11:12,320 Speaker 1: in you know, the fifteenth century. If you have this 191 00:11:12,480 --> 00:11:15,240 Speaker 1: and then that disappears, you think, oh, everything is fine, right, 192 00:11:15,520 --> 00:11:18,160 Speaker 1: So I got was upset over and over nothing, and 193 00:11:18,200 --> 00:11:20,840 Speaker 1: you know, maybe you didn't even notice. It's it's entirely 194 00:11:20,880 --> 00:11:23,840 Speaker 1: likely that one wouldn't even notice that the shanker had 195 00:11:23,880 --> 00:11:26,960 Speaker 1: popped up. Now, most likely you wouldn't have been treated 196 00:11:27,040 --> 00:11:29,640 Speaker 1: at that point in time because there wasn't anything necessarily 197 00:11:29,679 --> 00:11:32,600 Speaker 1: to treat you with that was really effective. So it 198 00:11:32,640 --> 00:11:37,840 Speaker 1: would then develop into a secondary stage called secondary syphilis, 199 00:11:37,880 --> 00:11:40,680 Speaker 1: in which you would have skin rashes and or sores 200 00:11:40,800 --> 00:11:45,520 Speaker 1: in your mouth, vagina, and anus also called mucus membrane lesions. Yeah, 201 00:11:45,559 --> 00:11:49,800 Speaker 1: and you may also see other varying symptoms such as fever, lethargy, headaches, 202 00:11:50,520 --> 00:11:54,839 Speaker 1: general body aches, hair loss. And this is the point 203 00:11:54,840 --> 00:11:57,560 Speaker 1: of the invasion in which the enemy, the enemy made 204 00:11:57,600 --> 00:12:00,760 Speaker 1: it in in the primary stage and in second dary syphilis, 205 00:12:00,840 --> 00:12:03,800 Speaker 1: the enemy has spread throughout the castle, all right, and 206 00:12:03,800 --> 00:12:07,640 Speaker 1: and is making itself known throughout the invaded city, that 207 00:12:07,760 --> 00:12:10,599 Speaker 1: is the human body, right, and you are highly contagious 208 00:12:10,600 --> 00:12:12,880 Speaker 1: at this point in fact, gentle mill source caused by 209 00:12:12,920 --> 00:12:15,600 Speaker 1: syphilis make it a lot easier to transmit and acquire 210 00:12:15,679 --> 00:12:18,560 Speaker 1: things like HIV infection, right, so you can get a 211 00:12:18,600 --> 00:12:21,560 Speaker 1: secondary infection at this point in fact, there is an 212 00:12:21,679 --> 00:12:26,000 Speaker 1: estimated two to fivefold increased risk of acquiring HIV if 213 00:12:26,040 --> 00:12:29,319 Speaker 1: you're exposed to infection when syphilis is present in these 214 00:12:29,320 --> 00:12:33,520 Speaker 1: first and second stages. Now at this point after secondary syphilis, 215 00:12:33,520 --> 00:12:36,440 Speaker 1: and here again we see that the secondary syphilis, this 216 00:12:36,520 --> 00:12:40,400 Speaker 1: outbreak period, this goes away as well, which again could 217 00:12:40,480 --> 00:12:42,600 Speaker 1: lead someone to say, well, that was horrible, and maybe 218 00:12:42,640 --> 00:12:45,000 Speaker 1: they may not even realize that it was connected to 219 00:12:45,080 --> 00:12:49,199 Speaker 1: the primaries outbreak, and they might, but they can easily imagine, well, 220 00:12:49,200 --> 00:12:51,440 Speaker 1: I'm done with this now, it's it's it's it's done. 221 00:12:51,520 --> 00:12:54,480 Speaker 1: It's finished. Whatever illness was affecting me, the pox has 222 00:12:54,559 --> 00:12:56,800 Speaker 1: left me, right. Yeah, But little do they know that 223 00:12:56,840 --> 00:13:00,640 Speaker 1: this is just the latent stage of the US and 224 00:13:01,120 --> 00:13:03,520 Speaker 1: it's just waiting around. It might not even reveal itself 225 00:13:03,559 --> 00:13:06,800 Speaker 1: for decades. Yeah. So imagine the enemy has invaded the castle, 226 00:13:06,840 --> 00:13:08,640 Speaker 1: They've made a lot of mischief, and then suddenly they 227 00:13:08,679 --> 00:13:10,480 Speaker 1: seem to be gone. But they're not gone. There in 228 00:13:10,480 --> 00:13:12,840 Speaker 1: the basement. They're in the basement, They're in there in 229 00:13:12,960 --> 00:13:15,600 Speaker 1: every house in the city. There. They've literally become a 230 00:13:15,640 --> 00:13:18,400 Speaker 1: part of the city. They're essentially a sleeper cell. Uh. 231 00:13:18,440 --> 00:13:23,400 Speaker 1: And that is what latent syphilis is. Tertiary syphilis. The 232 00:13:23,480 --> 00:13:26,840 Speaker 1: stage really is quite gruesome because it kind of takes 233 00:13:26,920 --> 00:13:29,640 Speaker 1: everything in the body down to the studs, or more so, 234 00:13:29,720 --> 00:13:33,120 Speaker 1: I should say, it's like you say, the sleeper cells 235 00:13:33,160 --> 00:13:36,840 Speaker 1: in the basements, they become stronger and they come roaring 236 00:13:36,920 --> 00:13:40,079 Speaker 1: back into the body and they cause a lot of havoc. Yeah, 237 00:13:40,320 --> 00:13:42,520 Speaker 1: it's I mean, we see this over and over again 238 00:13:42,520 --> 00:13:46,120 Speaker 1: with with syphilis. But it has such metaphorical power. Is 239 00:13:46,160 --> 00:13:49,000 Speaker 1: one of the reasons that I think we're aside from 240 00:13:49,000 --> 00:13:52,280 Speaker 1: its uh, its power to harm and di figuous, uh, 241 00:13:52,880 --> 00:13:55,400 Speaker 1: the reason we're drawn to it so is you do 242 00:13:55,480 --> 00:13:59,080 Speaker 1: see this idea of of the the infection. It flared up, 243 00:13:59,080 --> 00:14:01,400 Speaker 1: then it flared up again, and then it comes back 244 00:14:01,800 --> 00:14:05,960 Speaker 1: in only fifteen of the case is a much stronger 245 00:14:06,000 --> 00:14:09,760 Speaker 1: form in the tertiary stage, far more debilitating, far more 246 00:14:09,840 --> 00:14:14,959 Speaker 1: destructive and ultimately lethal stage of the illness. Yeah. In 247 00:14:14,960 --> 00:14:18,479 Speaker 1: this late stage you could have symptoms that include difficulty 248 00:14:18,640 --> 00:14:22,280 Speaker 1: coordinating your muscle movements, paralysis, not being able to move 249 00:14:22,360 --> 00:14:26,680 Speaker 1: some of your body, uh, numbness, blindness, and dementia. And 250 00:14:26,680 --> 00:14:30,240 Speaker 1: then in the late late stages, the disease begins to 251 00:14:30,400 --> 00:14:34,120 Speaker 1: ravage your internal organs and that is what can result 252 00:14:34,160 --> 00:14:36,560 Speaker 1: in death. And this is one of the remarkable things 253 00:14:36,560 --> 00:14:39,040 Speaker 1: about this is that this stage can occur ten to 254 00:14:39,160 --> 00:14:44,120 Speaker 1: twenty years after primary syphilis. So this is it's again 255 00:14:44,160 --> 00:14:46,920 Speaker 1: the metaphorical phorical power of this. It's like the the 256 00:14:47,040 --> 00:14:50,880 Speaker 1: sins of the young individual coming back to destroy the 257 00:14:50,920 --> 00:14:56,040 Speaker 1: older individual. You know. It's um, it's it's gruesome stuff, 258 00:14:56,120 --> 00:14:59,520 Speaker 1: and and and against that one may not even remember 259 00:14:59,560 --> 00:15:02,680 Speaker 1: that for style, break all that clearly and suddenly all 260 00:15:02,680 --> 00:15:05,240 Speaker 1: these changes are happening to their body and ultimately to 261 00:15:05,280 --> 00:15:08,320 Speaker 1: their mind. Yeah. And we have largely up until this 262 00:15:08,360 --> 00:15:11,800 Speaker 1: point treated this in a very clinical fashion and not 263 00:15:11,880 --> 00:15:14,040 Speaker 1: really talked about the sights and the sounds and the 264 00:15:14,080 --> 00:15:16,840 Speaker 1: spells of what this looks like, which we'll do more 265 00:15:16,920 --> 00:15:21,000 Speaker 1: in the next podcast. But just know that at this point, um, 266 00:15:21,240 --> 00:15:25,320 Speaker 1: this this, this is really adding injury to insult because 267 00:15:25,320 --> 00:15:28,320 Speaker 1: you might have lost your nose, you know, and recovered 268 00:15:28,360 --> 00:15:30,960 Speaker 1: from that, and and all of a sudden you think 269 00:15:30,960 --> 00:15:33,320 Speaker 1: you're out in the clear, and boom it comes back 270 00:15:34,160 --> 00:15:38,080 Speaker 1: in in such a corrosive manner that you find out 271 00:15:38,160 --> 00:15:40,920 Speaker 1: that this is really the death knell. Yeah. Corrosive is 272 00:15:40,960 --> 00:15:43,760 Speaker 1: an excellent term to use because you see the you 273 00:15:43,800 --> 00:15:46,280 Speaker 1: see loss of teeth, you see the destruction of the 274 00:15:46,320 --> 00:15:49,640 Speaker 1: palette in the mouth, you see you see the the 275 00:15:49,640 --> 00:15:52,440 Speaker 1: the collapse of the nose into what is known as 276 00:15:52,440 --> 00:15:56,680 Speaker 1: saddle nose, where basically the nose collapses and around the 277 00:15:56,720 --> 00:16:00,240 Speaker 1: bridge and becomes kind of upturned and smaller looking, and 278 00:16:00,280 --> 00:16:04,440 Speaker 1: then they eventually um appear to rot entirely. Uh. Saddle 279 00:16:04,480 --> 00:16:06,560 Speaker 1: nose is also caused can also be caused by just 280 00:16:06,680 --> 00:16:09,440 Speaker 1: damage to the nose. You'll see boxers that suffer from 281 00:16:09,440 --> 00:16:15,480 Speaker 1: saddle nose. Also. UH. Extreme cocaine addiction can somehow sometimes 282 00:16:15,480 --> 00:16:18,000 Speaker 1: have that effect on individuals. But yeah, you're seeing it 283 00:16:18,040 --> 00:16:21,960 Speaker 1: attack your facial features, You're seeing it attack uh, your 284 00:16:22,040 --> 00:16:26,480 Speaker 1: genitals in a very destructive manner, and then also getting 285 00:16:26,480 --> 00:16:29,440 Speaker 1: into your organs. You only again to back to the 286 00:16:29,520 --> 00:16:31,320 Speaker 1: quote that I read at the beginning of the podcast 287 00:16:31,360 --> 00:16:35,640 Speaker 1: by h Dr William Osler. It it the spiral keets 288 00:16:35,880 --> 00:16:39,440 Speaker 1: of syphilis attack every part of the body like nothing 289 00:16:39,480 --> 00:16:41,600 Speaker 1: is off limits. To go back to that castle analogy 290 00:16:41,680 --> 00:16:45,040 Speaker 1: from from earlier, the invader has lived in the city 291 00:16:45,040 --> 00:16:48,800 Speaker 1: for ten to twenty years and now in potentially every 292 00:16:48,840 --> 00:16:52,200 Speaker 1: household in the city has decided to just burn everything 293 00:16:52,240 --> 00:16:55,040 Speaker 1: to the ground right now. The other part of this 294 00:16:55,360 --> 00:16:59,160 Speaker 1: is that syphilis, as we have mentioned before, can be 295 00:16:59,240 --> 00:17:02,240 Speaker 1: tru trans admitted through the placenta. So what does this mean. 296 00:17:02,280 --> 00:17:05,159 Speaker 1: It means that during that time period from the fifteenth 297 00:17:05,200 --> 00:17:07,520 Speaker 1: century to the twentieth century, there are a lot of 298 00:17:07,600 --> 00:17:12,440 Speaker 1: children born with syphilis also called congenital syphilis, and even 299 00:17:12,440 --> 00:17:15,000 Speaker 1: to this day, according to the World Health Organization, you 300 00:17:15,040 --> 00:17:19,760 Speaker 1: have a million children born annually with congenital syphilis. Yeah, 301 00:17:19,760 --> 00:17:22,719 Speaker 1: and it's very serious stuff because nearly half of all 302 00:17:22,800 --> 00:17:25,840 Speaker 1: children infected with syphilis, whether or in the womb, die 303 00:17:25,920 --> 00:17:29,680 Speaker 1: shortly before or after birth, and sometimes this can also 304 00:17:29,720 --> 00:17:33,320 Speaker 1: result in still borns um And despite the fact that 305 00:17:33,320 --> 00:17:36,439 Speaker 1: syphilis can be cure with antbiotics if caught early, there 306 00:17:36,480 --> 00:17:39,600 Speaker 1: are arising rates among pregnant women in the United States, 307 00:17:40,040 --> 00:17:42,480 Speaker 1: and that of course has increased the number of infants 308 00:17:42,520 --> 00:17:46,840 Speaker 1: born with this. Now, some of the complications include blindness, deafness, 309 00:17:47,160 --> 00:17:51,240 Speaker 1: deformity of the face, and nervous system problems. Now, why 310 00:17:51,240 --> 00:17:53,040 Speaker 1: does syphilis hang out in the body so long, you 311 00:17:53,119 --> 00:17:55,840 Speaker 1: might be wondering, Well, Uh, it's it maybe due in 312 00:17:55,920 --> 00:17:59,400 Speaker 1: part to keep a pallatum having a slow dividing time 313 00:17:59,480 --> 00:18:02,439 Speaker 1: of thirty to thirty three hours, and it's likely that 314 00:18:02,560 --> 00:18:06,040 Speaker 1: t pautum undergoes an even slower rate of division during 315 00:18:06,080 --> 00:18:09,920 Speaker 1: the latent stages of the disease. So it's a it's 316 00:18:09,960 --> 00:18:14,200 Speaker 1: it's a long living creature. From a bacterial standpoint, yes, 317 00:18:14,320 --> 00:18:19,320 Speaker 1: it's like a bacterial croc pot Yeah. Alright, Um, let's 318 00:18:19,320 --> 00:18:22,200 Speaker 1: talk about the current state of treatment and infections. Oh, 319 00:18:22,240 --> 00:18:25,439 Speaker 1: but I say current, I have to mention that there 320 00:18:25,480 --> 00:18:27,959 Speaker 1: are a couple of old timey ways in which they 321 00:18:27,960 --> 00:18:31,560 Speaker 1: were thought to be cures for it, one of which 322 00:18:32,280 --> 00:18:37,560 Speaker 1: is mercury. Yes, inhaling mercury vapor. In fact, there is 323 00:18:37,600 --> 00:18:40,640 Speaker 1: This was so common for hundreds of years that a 324 00:18:40,680 --> 00:18:43,200 Speaker 1: little phrase came out of that, A night with venus 325 00:18:43,680 --> 00:18:47,400 Speaker 1: a lifetime with mercury. Yeah. So you would find yourself 326 00:18:47,760 --> 00:18:51,680 Speaker 1: going regularly for essentially skin treatments, taking these these mercury 327 00:18:51,720 --> 00:18:56,160 Speaker 1: steam bats and and enduring the harmful effects of that 328 00:18:56,359 --> 00:19:00,000 Speaker 1: of that mercury anihilation on top of the ravages of syphilis. 329 00:19:00,359 --> 00:19:03,200 Speaker 1: It did kill the sparrow key but yes, it also 330 00:19:03,280 --> 00:19:06,439 Speaker 1: poisoned the patient. Yeah. Well, there are a few different 331 00:19:06,720 --> 00:19:10,080 Speaker 1: factors involved there, because on one hand, uh, their you know, 332 00:19:10,119 --> 00:19:13,240 Speaker 1: their arguments to what effect the mercury had in killing 333 00:19:13,240 --> 00:19:15,639 Speaker 1: the sparrow keets. But then the sparrow keets are so 334 00:19:15,800 --> 00:19:20,040 Speaker 1: entrenched in the body, what can you do. Also, again, 335 00:19:20,200 --> 00:19:23,080 Speaker 1: think about that that primary and secondary stage, the flare 336 00:19:23,160 --> 00:19:25,800 Speaker 1: ups and the disappearance. You have individuals that could go 337 00:19:25,840 --> 00:19:28,680 Speaker 1: into it to be treated for for their symptoms of syphilis, 338 00:19:28,720 --> 00:19:32,320 Speaker 1: and low and behold, the symptoms vanish with the treatment, 339 00:19:32,680 --> 00:19:34,959 Speaker 1: not because of the treatment, just because of the timing 340 00:19:35,000 --> 00:19:38,040 Speaker 1: of the treatment. And ultimately, again you're dealing with four 341 00:19:38,080 --> 00:19:40,080 Speaker 1: and a half centuries in which there is no cure 342 00:19:40,119 --> 00:19:43,399 Speaker 1: for this illness. So if someone's trying to sell you 343 00:19:43,440 --> 00:19:45,359 Speaker 1: an illness, you're going to try and buy it. That's 344 00:19:45,400 --> 00:19:47,879 Speaker 1: just how it goes. And you know, if this disease 345 00:19:47,920 --> 00:19:50,520 Speaker 1: is ravaging my body, if you tell me that mercury 346 00:19:50,600 --> 00:19:53,280 Speaker 1: might help, then I'm probably going to try mercury. Sure, 347 00:19:53,320 --> 00:19:56,080 Speaker 1: you're going to try anything at that point, including malaria, 348 00:19:56,240 --> 00:20:00,280 Speaker 1: which was apparently something that was discovered in n by 349 00:20:00,359 --> 00:20:05,480 Speaker 1: Julius Wagner Jarig to help halt some of the symptoms 350 00:20:06,000 --> 00:20:10,000 Speaker 1: of syphilis, particularly in neurosyphilis, that advanced stage in which 351 00:20:10,040 --> 00:20:14,080 Speaker 1: you get psychosis and you get paralysis. And they found 352 00:20:14,119 --> 00:20:19,120 Speaker 1: that if you induced a malarial fever in patients, well 353 00:20:19,760 --> 00:20:23,600 Speaker 1: that could help with the actual infection. You also saw 354 00:20:23,680 --> 00:20:27,280 Speaker 1: the use of so called ciphilization treatments. This was where 355 00:20:27,320 --> 00:20:31,240 Speaker 1: you would essentially try to inoculate the patient in the 356 00:20:31,240 --> 00:20:34,960 Speaker 1: same way that you would treat them for smallpox. Um, 357 00:20:35,000 --> 00:20:39,800 Speaker 1: this didn't work. Uh, it's submitting yourself to the disease, 358 00:20:39,880 --> 00:20:42,359 Speaker 1: right right, Yeah, trying to to build up you know, 359 00:20:42,680 --> 00:20:46,359 Speaker 1: bodily immunity doesn't work. Now, I've I've read some mixed 360 00:20:46,359 --> 00:20:50,719 Speaker 1: reports of how experiments on rabbits uh in the modern 361 00:20:50,800 --> 00:20:55,600 Speaker 1: age have potentially shown some possibility there. But you get 362 00:20:55,640 --> 00:21:00,200 Speaker 1: into a situation where it would take so many applications 363 00:21:00,200 --> 00:21:03,040 Speaker 1: of syphilis and and we're talking about a rabbit and 364 00:21:03,080 --> 00:21:05,200 Speaker 1: it hasn't been studied enough and you would certainly could 365 00:21:05,240 --> 00:21:08,360 Speaker 1: not study it in humans. So so yeah, and then 366 00:21:08,400 --> 00:21:10,720 Speaker 1: also why study it when we have penicillin that can 367 00:21:10,720 --> 00:21:14,320 Speaker 1: wipe it out? And sometimes it's diagnosed by testing fluid 368 00:21:14,359 --> 00:21:17,440 Speaker 1: from a syphilis sore and looking for the sparrow keet 369 00:21:17,640 --> 00:21:21,120 Speaker 1: via dark field microscopy. The name of that blood test, 370 00:21:21,119 --> 00:21:23,399 Speaker 1: by the way, is the Wasserman blood test. Uh. And 371 00:21:23,560 --> 00:21:26,000 Speaker 1: it was developed in nineteen o six just to get 372 00:21:26,000 --> 00:21:29,720 Speaker 1: everything in the timeline squared away there so as we 373 00:21:29,720 --> 00:21:32,200 Speaker 1: had mentioned syphilis can be treated with antibotics, so we're 374 00:21:32,200 --> 00:21:37,359 Speaker 1: talking about penicillin. We're talking about g venzatine, doxycycline, or tetracycline, 375 00:21:37,640 --> 00:21:40,760 Speaker 1: and that's for patients who are usually allergic to penicillin. 376 00:21:40,840 --> 00:21:43,840 Speaker 1: In the length of treatment depends on the extent of 377 00:21:43,880 --> 00:21:47,280 Speaker 1: the infection and factors such as the person's overall health. 378 00:21:47,359 --> 00:21:50,120 Speaker 1: So let's say you didn't get to it right away 379 00:21:50,160 --> 00:21:51,840 Speaker 1: and you kind of get to the second or or 380 00:21:52,560 --> 00:21:55,840 Speaker 1: have a secondary phase of it, you would still have 381 00:21:55,960 --> 00:21:59,639 Speaker 1: to deal with any sort of ill effects that you 382 00:21:59,760 --> 00:22:02,520 Speaker 1: might have sustained at that point. All right, So at 383 00:22:02,520 --> 00:22:04,480 Speaker 1: this point you might be wondering, what can I do 384 00:22:05,240 --> 00:22:11,119 Speaker 1: two decrease my chances of catching syphilis. Well, according to 385 00:22:11,160 --> 00:22:13,720 Speaker 1: the CDC, there basically two things you can do because 386 00:22:13,760 --> 00:22:16,639 Speaker 1: there's no there's no vaccine for syphilis. We have a 387 00:22:16,640 --> 00:22:18,720 Speaker 1: cure for syphilis. But then again you get into the 388 00:22:18,760 --> 00:22:23,560 Speaker 1: problem of detecting it, knowing to report it, et cetera. UM. 389 00:22:23,600 --> 00:22:26,120 Speaker 1: And then even once you've treated syphilis, there's no undoing 390 00:22:26,119 --> 00:22:29,359 Speaker 1: any damage that it's done. UM. So number one, be 391 00:22:29,440 --> 00:22:32,080 Speaker 1: a part of a long term, mutually monogamous relationship with 392 00:22:32,119 --> 00:22:34,880 Speaker 1: a partner who has been tested and has negative STD 393 00:22:35,080 --> 00:22:39,000 Speaker 1: test results. And number two, use latex condoms the right 394 00:22:39,000 --> 00:22:42,119 Speaker 1: way every time you have sex. Condoms prevent transmission of 395 00:22:42,119 --> 00:22:46,000 Speaker 1: syphilis by preventing contact with a sore. Sometimes sores occurring 396 00:22:46,040 --> 00:22:49,000 Speaker 1: areas not covered by a condom. However, in contact with 397 00:22:49,080 --> 00:22:52,560 Speaker 1: these sores can still transmit syphilis. Because again it's about 398 00:22:53,119 --> 00:22:55,600 Speaker 1: it's it's it's it goes through the skin. It's not 399 00:22:55,680 --> 00:23:01,720 Speaker 1: something that travels through the orifice. Now this might surprise you, 400 00:23:01,920 --> 00:23:04,800 Speaker 1: but the people who really need to hear this most 401 00:23:04,840 --> 00:23:11,080 Speaker 1: besides year olds, are senior citizens. Yes, and this surprised me. 402 00:23:11,160 --> 00:23:14,640 Speaker 1: This was some some some interesting material that you discovered. Yeah, 403 00:23:14,680 --> 00:23:17,000 Speaker 1: we actually a while ago we had someone from the 404 00:23:17,040 --> 00:23:19,719 Speaker 1: CDC come and talk to us about STDs. Not because 405 00:23:19,960 --> 00:23:22,480 Speaker 1: our group needed a talking to but because of the 406 00:23:22,480 --> 00:23:25,320 Speaker 1: cyphilis outbreak at work right now, but because every once 407 00:23:25,320 --> 00:23:27,280 Speaker 1: in a while, as someone will come and and sort 408 00:23:27,280 --> 00:23:30,600 Speaker 1: of give us information and and um, it's always very interesting. 409 00:23:30,800 --> 00:23:36,720 Speaker 1: And he had mentioned then that retirement communities, assisted living facilities, 410 00:23:37,200 --> 00:23:41,000 Speaker 1: these are all hotbeds for STDs. And this is in 411 00:23:41,119 --> 00:23:45,040 Speaker 1: part because they are not practicing safe sex. And also 412 00:23:45,119 --> 00:23:49,000 Speaker 1: you have to keep in mind that that for a 413 00:23:49,000 --> 00:23:54,080 Speaker 1: long time, perhaps many of of the community members were 414 00:23:54,160 --> 00:23:57,480 Speaker 1: in long term relationships, but now they probably have lost 415 00:23:57,480 --> 00:24:02,920 Speaker 1: a partner. And it's a very social community. Uh, there's 416 00:24:02,960 --> 00:24:05,480 Speaker 1: a lot of sex going on with senior citizens in 417 00:24:05,520 --> 00:24:09,560 Speaker 1: these communities. And numbers from the Centers for Disease Control 418 00:24:09,600 --> 00:24:13,840 Speaker 1: and Prevention show a rapid increase among older people. Were 419 00:24:13,840 --> 00:24:16,399 Speaker 1: talking about between two thousand and seven and two thousand 420 00:24:16,440 --> 00:24:20,560 Speaker 1: and eleven, clamydium infections among Americans six five and over 421 00:24:20,600 --> 00:24:26,920 Speaker 1: increased by thirty one and syphilis by fifty two percent. See, 422 00:24:26,960 --> 00:24:29,359 Speaker 1: I just had I had no idea. I end up 423 00:24:29,359 --> 00:24:32,399 Speaker 1: struggling to try and piece together, like a timeline for 424 00:24:32,440 --> 00:24:37,840 Speaker 1: a hypothetical uh assisted living resident, how they acquire the 425 00:24:37,840 --> 00:24:40,280 Speaker 1: syphilis and then how and then how they end up 426 00:24:40,320 --> 00:24:43,560 Speaker 1: passing it on to multiple people in the facility. They 427 00:24:43,640 --> 00:24:45,960 Speaker 1: just need to get the old posters, you know, in 428 00:24:46,080 --> 00:24:48,240 Speaker 1: the nineteen forties and put them back up. And we'll 429 00:24:48,240 --> 00:24:50,560 Speaker 1: talk more about that in the next episode. But there 430 00:24:50,600 --> 00:24:54,399 Speaker 1: were definite campaigns, uh, you know, trying to get some 431 00:24:54,400 --> 00:24:58,960 Speaker 1: sort of awareness going with Americans about STDs. Indeed, yes, 432 00:24:59,000 --> 00:25:01,280 Speaker 1: we'll get into all of that in our next episode 433 00:25:01,520 --> 00:25:05,679 Speaker 1: titled Syphilis through the Ages. Hey, welcome to Stuff to 434 00:25:05,680 --> 00:25:08,760 Speaker 1: blow your mind. My name is Robert lamp and Julie Douglas. 435 00:25:08,800 --> 00:25:12,320 Speaker 1: This is part two of our little series here on syphilis. 436 00:25:12,320 --> 00:25:17,200 Speaker 1: The first episode, Syphilis the Great Imitator, dealt with the 437 00:25:17,200 --> 00:25:19,919 Speaker 1: the organism that causes syphilis stuff which is known as 438 00:25:20,080 --> 00:25:24,399 Speaker 1: Treponema palladum. Actually it's a subspecies of Trepinema palladum. And 439 00:25:24,400 --> 00:25:28,480 Speaker 1: this is all caused by this tiny, tightly coiled spiral key, 440 00:25:28,600 --> 00:25:31,679 Speaker 1: this little bacterium that ends up causing all of this 441 00:25:31,760 --> 00:25:34,199 Speaker 1: trouble for those that infected. So if you have not 442 00:25:34,280 --> 00:25:37,560 Speaker 1: listened to that first episode, go back, have a listen. 443 00:25:37,640 --> 00:25:40,240 Speaker 1: We will walk you through all the stages of a 444 00:25:40,240 --> 00:25:44,399 Speaker 1: syphilis infection from that that from the tiny annoyances of 445 00:25:44,440 --> 00:25:48,720 Speaker 1: the primary infection on up to the disastrously deforming and 446 00:25:48,880 --> 00:25:52,639 Speaker 1: ultimately lethal stages of tertiary syphilis, as well as the 447 00:25:52,760 --> 00:25:57,359 Speaker 1: treatment of it. Finally, um alright, this has been mentioned 448 00:25:57,400 --> 00:26:00,240 Speaker 1: in the other episode, but it bears mentioning again. The 449 00:26:00,440 --> 00:26:05,000 Speaker 1: first recorded epidemic of narial syphilis occurred in Europe in 450 00:26:06,600 --> 00:26:09,720 Speaker 1: by the close of the fifteenth century, it was pretty 451 00:26:09,840 --> 00:26:13,879 Speaker 1: rampant in fact, in Naples, Italy, there was such a 452 00:26:13,960 --> 00:26:17,160 Speaker 1: huge outbreak that the pope that said, hey, we need 453 00:26:17,200 --> 00:26:21,640 Speaker 1: some help here. Soldiers were brought in, five thousand of them. 454 00:26:21,680 --> 00:26:24,399 Speaker 1: And what do you think happened, Well, they got to 455 00:26:24,400 --> 00:26:27,679 Speaker 1: the prostitutes and they got more syphilis, and then of 456 00:26:27,720 --> 00:26:30,600 Speaker 1: course they just got worse and worse. So what we're 457 00:26:30,600 --> 00:26:36,000 Speaker 1: talking about is is a disease that ravished for centuries 458 00:26:36,080 --> 00:26:39,640 Speaker 1: throughout Europe, and today we're going to try to get 459 00:26:39,680 --> 00:26:43,840 Speaker 1: at the origins of it, and they're gonna try to 460 00:26:43,920 --> 00:26:47,080 Speaker 1: tease out some of the morality that has been paired 461 00:26:47,160 --> 00:26:50,320 Speaker 1: with it, as well as the sort of xenophobia that 462 00:26:50,560 --> 00:26:53,400 Speaker 1: surrounds it as well. Yeahs, As I mentioned before, it's 463 00:26:53,520 --> 00:26:56,720 Speaker 1: it's it's kind of difficult to overstate the importance of 464 00:26:56,760 --> 00:27:01,080 Speaker 1: syphilis in Western culture for the four and a half 465 00:27:01,240 --> 00:27:04,880 Speaker 1: plus centuries um that it that that it was a problem. 466 00:27:05,320 --> 00:27:07,879 Speaker 1: Um And and as we discussed in the last episode, 467 00:27:07,920 --> 00:27:11,479 Speaker 1: syphilis is not eradicated. It is still around the day. 468 00:27:11,520 --> 00:27:14,600 Speaker 1: It's still something to be concerned about, and it's still 469 00:27:14,680 --> 00:27:17,520 Speaker 1: something we have to to treat both with with with 470 00:27:17,640 --> 00:27:21,600 Speaker 1: penicillin and with education. But during the fourteenth century to 471 00:27:21,640 --> 00:27:25,960 Speaker 1: the early twentieth century, it was really permeating the fabric 472 00:27:26,119 --> 00:27:30,160 Speaker 1: of culture. It was rampant. Yes, when we break down 473 00:27:30,200 --> 00:27:32,320 Speaker 1: the percentages of it, it's going to vary depending on 474 00:27:32,600 --> 00:27:35,159 Speaker 1: where in Europe you're looking, but you're generally looking at 475 00:27:35,240 --> 00:27:39,679 Speaker 1: a ten to fifteen percent of the population has syphilis. Um, 476 00:27:39,800 --> 00:27:42,280 Speaker 1: you know, with some degree uh you know, margin for 477 00:27:42,400 --> 00:27:47,879 Speaker 1: air there and then uh upwards of in military because 478 00:27:48,080 --> 00:27:51,560 Speaker 1: event you have younger men who are initially traveling around 479 00:27:52,240 --> 00:27:55,320 Speaker 1: and they are the ones that are spreading it from 480 00:27:55,320 --> 00:27:59,320 Speaker 1: place to place, visiting prostitutes, et cetera. Yeah, and because 481 00:27:59,440 --> 00:28:03,280 Speaker 1: of it's association with Columbus, who sailed under the Spanish flag, 482 00:28:03,520 --> 00:28:06,320 Speaker 1: it was called the Spanish disease for a while, and 483 00:28:06,400 --> 00:28:10,600 Speaker 1: then the French called it the Neopolitan or Italian disease 484 00:28:11,040 --> 00:28:13,760 Speaker 1: because they caught it from residents of Naples, or should 485 00:28:13,760 --> 00:28:15,879 Speaker 1: they say when Naples, of course, was one of the 486 00:28:16,359 --> 00:28:20,800 Speaker 1: major outbreak areas. The Russians called it a Polish disease, 487 00:28:21,160 --> 00:28:23,959 Speaker 1: the Polish called it a Russian disease, and the Turks 488 00:28:24,040 --> 00:28:27,720 Speaker 1: called it a Christian disease, while the English called it 489 00:28:27,840 --> 00:28:29,639 Speaker 1: the French pox. So what do you see here? A 490 00:28:29,760 --> 00:28:33,119 Speaker 1: lot of finger pointing, Yes, it's always the other that 491 00:28:33,200 --> 00:28:34,920 Speaker 1: you blame the disease, and you have to draw that 492 00:28:35,040 --> 00:28:38,240 Speaker 1: firm line in your worldview between we the clean and 493 00:28:38,360 --> 00:28:40,840 Speaker 1: they the diseased, and hope that that line doesn't come 494 00:28:40,880 --> 00:28:44,840 Speaker 1: to envelop you as well. Um, the the Columbus thing 495 00:28:45,120 --> 00:28:47,720 Speaker 1: is so fascinating, and it's a it's a it's a 496 00:28:47,840 --> 00:28:53,000 Speaker 1: point that is continually studied and argued about. But again 497 00:28:53,280 --> 00:28:57,480 Speaker 1: we see that first big outbreak in and as we 498 00:28:57,600 --> 00:29:02,200 Speaker 1: all know, in four Columbus sailed the ocean. So it 499 00:29:02,320 --> 00:29:05,640 Speaker 1: sounds it sounds almost too good to be true, slash 500 00:29:05,760 --> 00:29:08,360 Speaker 1: too horrible to be treat It almost sounds too easy, 501 00:29:09,200 --> 00:29:11,600 Speaker 1: But but we keep coming back to it at time 502 00:29:11,640 --> 00:29:14,640 Speaker 1: and time. Again, here we have Columbus sailing to this 503 00:29:15,320 --> 00:29:21,160 Speaker 1: drastically new land and their contact, be it sexual or 504 00:29:21,280 --> 00:29:25,000 Speaker 1: merely skin on skin is occurring between members of his 505 00:29:25,400 --> 00:29:28,080 Speaker 1: his crew and the native population. And then they return 506 00:29:28,280 --> 00:29:31,600 Speaker 1: to Europe, and then in their wake we see the 507 00:29:31,680 --> 00:29:35,640 Speaker 1: emergence of this, this this powerful illness. Yeah, and you 508 00:29:35,760 --> 00:29:40,160 Speaker 1: see a lot of wrongheaded ideas about this, this idea 509 00:29:40,480 --> 00:29:44,040 Speaker 1: of xenophobia, right, this fear of strangers, this idea that 510 00:29:44,080 --> 00:29:48,720 Speaker 1: there are savages that have uh spread this disease to 511 00:29:49,160 --> 00:29:52,640 Speaker 1: Europeans via Columbus. Yeah, you laid with a member of 512 00:29:52,680 --> 00:29:55,320 Speaker 1: another nation, you laid with a member of another another race. 513 00:29:55,520 --> 00:29:59,760 Speaker 1: All these these weird taboos spring up and seemingly in 514 00:30:00,040 --> 00:30:03,760 Speaker 1: concert with the parameters of the illness. As we mentioned before, 515 00:30:03,840 --> 00:30:06,200 Speaker 1: one of the reasons that syphilis is such a captivating 516 00:30:06,280 --> 00:30:10,520 Speaker 1: topic is because it's so rife for metaphor, you know, 517 00:30:10,680 --> 00:30:18,040 Speaker 1: be it a metaphor of morality, of a metaphor of racism, nationalism, sexism, 518 00:30:18,320 --> 00:30:20,200 Speaker 1: whatever you want to throw at it. It seems to 519 00:30:20,640 --> 00:30:23,720 Speaker 1: conform to that that form rather nicely. Yeah, now we 520 00:30:23,840 --> 00:30:26,240 Speaker 1: will get back to Columbus and we're going to try 521 00:30:26,280 --> 00:30:29,360 Speaker 1: to get to the origins of of syphilis. But before 522 00:30:29,440 --> 00:30:31,800 Speaker 1: we do, it's just worth it to say that this 523 00:30:32,120 --> 00:30:34,600 Speaker 1: is syphilis. And trying to get to the origins of 524 00:30:34,640 --> 00:30:38,120 Speaker 1: it is really difficult. Um, it's very hard to study. 525 00:30:38,560 --> 00:30:41,760 Speaker 1: There are many strains, some of which don't exist anymore, 526 00:30:42,400 --> 00:30:45,920 Speaker 1: and then you have anecdotal claims throughout the centuries, so 527 00:30:46,080 --> 00:30:49,000 Speaker 1: you can't really pair that with, you know, a systematic 528 00:30:49,080 --> 00:30:51,960 Speaker 1: approach to say, yes, indeed, this was a case of syphilis. 529 00:30:52,440 --> 00:30:55,560 Speaker 1: Because again, as we have mentioned, before. Syphilis is the 530 00:30:55,640 --> 00:30:59,280 Speaker 1: great imitator. So it's very possible that someone had leprosy 531 00:30:59,400 --> 00:31:03,360 Speaker 1: and not syphilis exactly. And and again on that difficult 532 00:31:03,400 --> 00:31:06,680 Speaker 1: to study. Note, you you can't grow syphilis in a culture. 533 00:31:06,800 --> 00:31:09,760 Speaker 1: You can't have a little petrie dish of syphilis. Even today, 534 00:31:09,920 --> 00:31:12,920 Speaker 1: we have to study it in rabbits, so right, you 535 00:31:13,040 --> 00:31:15,480 Speaker 1: have to have it in an actual organism to really 536 00:31:15,520 --> 00:31:19,280 Speaker 1: get a good idea about it. That being said, there 537 00:31:19,320 --> 00:31:23,560 Speaker 1: have been these pre Columbian theories kicked around. In other words, 538 00:31:23,720 --> 00:31:27,960 Speaker 1: this idea of hey, could syphilis have existed before the 539 00:31:28,040 --> 00:31:32,960 Speaker 1: New World, previous to the late fourteen hundreds in the 540 00:31:33,120 --> 00:31:36,560 Speaker 1: old world. That's again called the pre Columbian theory. Yeah, 541 00:31:36,600 --> 00:31:39,560 Speaker 1: and this this theory is basically that to say that, well, 542 00:31:39,840 --> 00:31:42,160 Speaker 1: when we have other illnesses, and if you look back 543 00:31:42,200 --> 00:31:44,520 Speaker 1: at some accounts of leprosy, you might say, well that 544 00:31:44,720 --> 00:31:46,960 Speaker 1: that account of leprosy doesn't match up as well with 545 00:31:47,080 --> 00:31:50,040 Speaker 1: our modern understanding of leprosy. Perhaps that was a different ailment, 546 00:31:50,280 --> 00:31:53,400 Speaker 1: Perhaps that was in fact syphilis. And instead we're just 547 00:31:53,480 --> 00:31:57,560 Speaker 1: kind of latching onto this easy explanation of Columbus. Since 548 00:31:57,720 --> 00:32:02,360 Speaker 1: this groundbreaking expedition takes place just a few years before 549 00:32:02,440 --> 00:32:06,160 Speaker 1: this major outbreak. But of course the world good because 550 00:32:06,200 --> 00:32:07,800 Speaker 1: I mean it makes sense, right, I mean, the world 551 00:32:08,120 --> 00:32:11,640 Speaker 1: is more complicated than one ship sailing off and coming back. 552 00:32:11,920 --> 00:32:14,440 Speaker 1: There are other movements going on in the world. It's 553 00:32:14,480 --> 00:32:18,240 Speaker 1: a time of great change. People are moving around, not 554 00:32:18,400 --> 00:32:22,360 Speaker 1: only throughout Europe, but you have movements going into into 555 00:32:22,520 --> 00:32:25,000 Speaker 1: into Asia and Africa. So what so why not? Why 556 00:32:25,600 --> 00:32:28,040 Speaker 1: why could there not be another route for this illness 557 00:32:28,120 --> 00:32:30,920 Speaker 1: to take? And we'll discuss that, we'll really try to 558 00:32:30,960 --> 00:32:32,520 Speaker 1: get to the bottom of this. But so when we 559 00:32:32,600 --> 00:32:35,080 Speaker 1: call when we say pre Columbian, we're talking about Old World. 560 00:32:35,080 --> 00:32:37,400 Speaker 1: When we talk about Columbia and we're talking about New World. 561 00:32:37,880 --> 00:32:42,240 Speaker 1: Generally here, old world is Europe, Old world is is 562 00:32:42,320 --> 00:32:46,960 Speaker 1: Western civilization. New World the America's Columbia, etcetera. Right, And 563 00:32:47,040 --> 00:32:49,520 Speaker 1: if you're going to talk about New World, you have 564 00:32:49,600 --> 00:32:52,560 Speaker 1: to talk about something called yaws and facial Now, these 565 00:32:52,600 --> 00:32:57,840 Speaker 1: are tropical diseases that are closely related to Troponema palladum, 566 00:32:57,920 --> 00:33:02,520 Speaker 1: which is of course syphilis, although they are different. Bagel 567 00:33:02,800 --> 00:33:06,840 Speaker 1: causes mouth stores and lumps in the bone, and yaws 568 00:33:06,960 --> 00:33:10,520 Speaker 1: caused skin stores and disfiguring growths on the legs. So 569 00:33:10,880 --> 00:33:14,200 Speaker 1: of course they're they're related to syphilis, but they are 570 00:33:14,360 --> 00:33:17,840 Speaker 1: non venereal, right, they're spread through skin to skin contact, 571 00:33:17,920 --> 00:33:21,440 Speaker 1: They're not. They're they're not straight up venereal diseases. Um. 572 00:33:21,560 --> 00:33:23,560 Speaker 1: You know, granted you could catch them in skin to 573 00:33:23,600 --> 00:33:27,240 Speaker 1: skin contact during sexual intercourse, but they're not depending on 574 00:33:27,360 --> 00:33:30,080 Speaker 1: that as their mode of transmission. Yeah, but these are 575 00:33:30,120 --> 00:33:31,959 Speaker 1: all trimp and emial diseases that are These are all 576 00:33:32,000 --> 00:33:37,640 Speaker 1: close relatives of the subspecies of Trimpanema pallatum that causes syphilis. 577 00:33:37,920 --> 00:33:40,320 Speaker 1: And we bring them up because they're important to study 578 00:33:40,480 --> 00:33:43,320 Speaker 1: if you're if you're trying to look at where cyphilis, 579 00:33:43,360 --> 00:33:46,240 Speaker 1: syphilis originated from, then you're gonna want to look at 580 00:33:46,440 --> 00:33:51,960 Speaker 1: yaws and basil because paleo pathologists Bruce and Christine Rothschild 581 00:33:52,360 --> 00:33:56,959 Speaker 1: use that information to point toward a new world origin 582 00:33:57,200 --> 00:34:01,920 Speaker 1: of syphilis. And they examined six eighties seven skeletons from 583 00:34:02,040 --> 00:34:06,680 Speaker 1: archaeological sites in the US. We're talking about arranging an 584 00:34:06,680 --> 00:34:09,680 Speaker 1: age from four hundred to six thousand years and what 585 00:34:09,760 --> 00:34:12,239 Speaker 1: they found is that populations to the south look to 586 00:34:12,320 --> 00:34:16,320 Speaker 1: have syphilis while those to the north had yaws. And 587 00:34:16,400 --> 00:34:22,279 Speaker 1: then by contrast, they examined one thousand Old World skeletons 588 00:34:22,560 --> 00:34:25,799 Speaker 1: dating to before contact with the New World, and they 589 00:34:25,840 --> 00:34:30,960 Speaker 1: found zero cases of syphilis. So this kind of gets 590 00:34:31,000 --> 00:34:34,560 Speaker 1: you onto the route of, well, maybe the New World 591 00:34:34,840 --> 00:34:38,120 Speaker 1: did have the case of syphilis, although it's not that 592 00:34:38,640 --> 00:34:41,279 Speaker 1: clear cut, as well discussed, and this leads us to 593 00:34:41,800 --> 00:34:44,800 Speaker 1: what is called the Unitarian hypothesis, which has nothing to 594 00:34:44,840 --> 00:34:48,160 Speaker 1: do with unitarians in the religious sense of the world, 595 00:34:48,239 --> 00:34:50,640 Speaker 1: where don't worry, unitarians, We're not We're not nailing this 596 00:34:50,680 --> 00:34:52,880 Speaker 1: one on you. Unitarian in the sense of that that 597 00:34:53,040 --> 00:34:57,240 Speaker 1: it unites the Old World and New World hypotheses regarding 598 00:34:57,560 --> 00:35:01,239 Speaker 1: the emergence of syphilis in Europe. The basic idea here 599 00:35:01,760 --> 00:35:04,600 Speaker 1: is that you do have Columbus and New sailors setting 600 00:35:04,640 --> 00:35:07,560 Speaker 1: sail from Europe to the New World to the America's 601 00:35:07,920 --> 00:35:09,920 Speaker 1: and when they're there, they do come into skin to 602 00:35:09,960 --> 00:35:14,759 Speaker 1: skin contact sexual and non sexual with natives there, and 603 00:35:14,880 --> 00:35:19,839 Speaker 1: then they end up acquiring trimpanemal diseases. Now you know, again, 604 00:35:19,920 --> 00:35:22,319 Speaker 1: think to the jewel, think to to tin, to think 605 00:35:22,360 --> 00:35:26,120 Speaker 1: to yaws, but not necessarily syphilis proper. But they bring 606 00:35:26,200 --> 00:35:28,439 Speaker 1: back a relative of syphilis and they bring it back 607 00:35:29,000 --> 00:35:33,440 Speaker 1: to a drastically new incubation world. We're talking about a 608 00:35:33,520 --> 00:35:36,520 Speaker 1: different environment because in the in the America's uh, you know, 609 00:35:36,800 --> 00:35:40,600 Speaker 1: individuals syphilis they're gonna largely be in you know, smaller communities. 610 00:35:40,960 --> 00:35:43,319 Speaker 1: But then you bring them to a European port town. 611 00:35:43,960 --> 00:35:46,160 Speaker 1: You bring it to a world where individuals are wearing 612 00:35:46,239 --> 00:35:50,680 Speaker 1: more clothes, thus allowing for less skin on skin contact. 613 00:35:50,880 --> 00:35:52,880 Speaker 1: You're bringing it to a world where you have brothels, 614 00:35:52,920 --> 00:35:55,880 Speaker 1: a world where you have tiny ships tightly packed with 615 00:35:56,040 --> 00:35:59,120 Speaker 1: men sailing from one port to the next port throughout Europe. 616 00:35:59,719 --> 00:36:04,040 Speaker 1: And what happens, according to this hypothesis is that the 617 00:36:04,840 --> 00:36:09,560 Speaker 1: the tremponamal disease changes and and we get this subspecies 618 00:36:09,640 --> 00:36:13,000 Speaker 1: of Tremponema palladum that causes syphilis as we know it. 619 00:36:13,200 --> 00:36:17,560 Speaker 1: So it is a story of mutation under new environmental circumstances. Yeah, 620 00:36:17,600 --> 00:36:21,200 Speaker 1: if anyone is interested in taking a deeper dive into 621 00:36:21,320 --> 00:36:25,000 Speaker 1: this and and some of the skeletal evidence behind this, 622 00:36:25,239 --> 00:36:27,440 Speaker 1: there is a paper two thousand and toll paper called 623 00:36:27,480 --> 00:36:30,680 Speaker 1: the science behind pre Columbian evidence of Syphilis and Europe 624 00:36:30,719 --> 00:36:35,399 Speaker 1: Research by Documentary and that goes into this, uh much more. 625 00:36:35,560 --> 00:36:38,520 Speaker 1: And I wanted to quote Molly Zuckerman. She's one of 626 00:36:38,560 --> 00:36:41,480 Speaker 1: the authors of paper, and she says, in reality, it 627 00:36:41,560 --> 00:36:45,440 Speaker 1: appears that venereal syphilis was the byproduct of two different 628 00:36:45,520 --> 00:36:50,560 Speaker 1: populations meeting and exchanging a pathogen. It was an adaptive event, 629 00:36:50,840 --> 00:36:56,359 Speaker 1: the natural selection of a disease, independent of morality or blame. Yeah, 630 00:36:56,560 --> 00:36:59,480 Speaker 1: it's not as situation of, Ah, those sinful sailors are 631 00:36:59,480 --> 00:37:03,239 Speaker 1: all those diseased natives in this new world. It's it's 632 00:37:03,280 --> 00:37:07,480 Speaker 1: something more complicated than that. Yeah. And you know, at 633 00:37:07,520 --> 00:37:10,680 Speaker 1: the outset of this, the researchers for those paper, they 634 00:37:10,800 --> 00:37:14,600 Speaker 1: really wanted to to sort of disprove this idea that 635 00:37:14,800 --> 00:37:19,560 Speaker 1: Columbus and his crew were vectors for syphilis, because I thought, 636 00:37:19,600 --> 00:37:22,120 Speaker 1: it can't be that just you know, Columbus and his 637 00:37:22,520 --> 00:37:25,759 Speaker 1: his guys hung out in America and then brought it 638 00:37:25,960 --> 00:37:28,719 Speaker 1: back to Europe and spread syphilis all over the place. 639 00:37:28,800 --> 00:37:32,680 Speaker 1: Can't be that simple. And it's not that simple, um, 640 00:37:32,880 --> 00:37:35,480 Speaker 1: you know, because the trick here is that it mutated, 641 00:37:35,600 --> 00:37:40,200 Speaker 1: it adapted rather um. But they really they went into 642 00:37:40,280 --> 00:37:43,200 Speaker 1: it with the intent of saying, nah, it can't be yeah, 643 00:37:43,239 --> 00:37:45,520 Speaker 1: because it does sound like something you would read and 644 00:37:45,640 --> 00:37:49,319 Speaker 1: sort of conspiracy theory kind of message board, right, like, well, 645 00:37:49,400 --> 00:37:52,120 Speaker 1: these two dates line up, we can correlate this a 646 00:37:52,160 --> 00:37:55,239 Speaker 1: little bit. Therefore that must be what happened. Um. Now, 647 00:37:55,400 --> 00:37:57,439 Speaker 1: you know, we do want to drive home that these 648 00:37:57,480 --> 00:38:00,680 Speaker 1: are all hypotheses and that this is own area that 649 00:38:00,760 --> 00:38:02,719 Speaker 1: everyone that there are a lot of papers that come 650 00:38:02,719 --> 00:38:04,440 Speaker 1: out about this. There's a lot of discussion, a lot 651 00:38:04,440 --> 00:38:06,640 Speaker 1: of argument, loss did, a lot of disagreement. So there's 652 00:38:06,640 --> 00:38:09,120 Speaker 1: no definitive answer here, and it may indeed be one 653 00:38:09,120 --> 00:38:11,160 Speaker 1: of those areas where we never have a definitive answer. 654 00:38:11,920 --> 00:38:15,560 Speaker 1: It's true. And uh, you know that the researchers who 655 00:38:15,600 --> 00:38:17,799 Speaker 1: worked on that paper also worked on some of them 656 00:38:18,000 --> 00:38:21,000 Speaker 1: worked on a different paper looking at fifty four published 657 00:38:21,040 --> 00:38:27,000 Speaker 1: reports of pre Columbian evidence and skeletal remains of syphilis, 658 00:38:27,120 --> 00:38:30,759 Speaker 1: and they found there that again there wasn't enough supporting 659 00:38:31,440 --> 00:38:36,520 Speaker 1: information and real evidence to say that it existed in 660 00:38:36,640 --> 00:38:40,000 Speaker 1: its form of syphilis as we know and talk about 661 00:38:40,000 --> 00:38:43,440 Speaker 1: it now in the old world. So again, there seems 662 00:38:43,480 --> 00:38:46,480 Speaker 1: to be some sort of direction here in terms of 663 00:38:46,680 --> 00:38:49,400 Speaker 1: the way that the river is streaming with information, but 664 00:38:49,520 --> 00:38:52,640 Speaker 1: it doesn't mean that this is the endpoint of the 665 00:38:52,760 --> 00:38:55,680 Speaker 1: origins of syphilis. And we're going to talk about more 666 00:38:55,719 --> 00:38:58,120 Speaker 1: of the sort of sights and sounds and smells of 667 00:38:58,320 --> 00:39:03,960 Speaker 1: what it might be like in a syphilitic era in Europe. 668 00:39:04,160 --> 00:39:07,080 Speaker 1: And uh, I wanted to just read this. This is 669 00:39:07,160 --> 00:39:11,440 Speaker 1: from the BBC, A Cultural History of Syphilis, says in 670 00:39:11,520 --> 00:39:14,920 Speaker 1: the fourteen nineties, and apparently new and terrifying disease struck 671 00:39:15,040 --> 00:39:18,760 Speaker 1: naples in southern Italy and swept fire like across Europe, 672 00:39:18,960 --> 00:39:23,120 Speaker 1: reaping a dreadful human cost. It must have been as 673 00:39:23,200 --> 00:39:26,840 Speaker 1: though Hell had come to earth. Pustules spread across the 674 00:39:26,920 --> 00:39:31,040 Speaker 1: genitals and the face of its many sufferers. Unbearable gastro 675 00:39:31,239 --> 00:39:37,680 Speaker 1: intestinal pain followed upon fevers, screamingly severe headaches and other symptoms. Finally, 676 00:39:38,120 --> 00:39:42,520 Speaker 1: flush fell from bones. Syphilis had arrived in Europe, where 677 00:39:42,520 --> 00:39:45,880 Speaker 1: it would stay misunderstood, lacking any form of cure for 678 00:39:45,960 --> 00:39:50,839 Speaker 1: nearly five years. Yeah, that's that's pretty rough sounding. Um. 679 00:39:50,960 --> 00:39:53,680 Speaker 1: And again, remember that this was not a disease that 680 00:39:53,760 --> 00:39:57,000 Speaker 1: affected just the poor. This was a disease that affected 681 00:39:57,360 --> 00:40:00,640 Speaker 1: rich and poor alike, that affected royalty and peasant, that 682 00:40:00,719 --> 00:40:04,120 Speaker 1: affected clergy members, anyone that was engaging in sexual contact. 683 00:40:04,560 --> 00:40:08,359 Speaker 1: Uh ran the risk a high risk of acquiring uh, 684 00:40:08,480 --> 00:40:11,640 Speaker 1: this this illness. And yeah, this was not a quiet 685 00:40:12,120 --> 00:40:14,800 Speaker 1: sort of illness. I mean, people could smell you before 686 00:40:14,800 --> 00:40:17,080 Speaker 1: you even came around. And we're talking about rotting flesh. 687 00:40:17,160 --> 00:40:21,360 Speaker 1: We are talking about your face bearing the marks of syphilis, 688 00:40:21,440 --> 00:40:23,640 Speaker 1: your body bearing the marks of it. In fact, you 689 00:40:23,719 --> 00:40:25,520 Speaker 1: could even kind of see it as a sort of 690 00:40:26,960 --> 00:40:32,200 Speaker 1: scarlet letter a brought into your flesh. Yeah. Again, the 691 00:40:32,640 --> 00:40:36,560 Speaker 1: metaphorical power of syphilis is unavoidable here because you already 692 00:40:36,600 --> 00:40:40,480 Speaker 1: have the idea, uh, in Western culture, that that physical 693 00:40:40,560 --> 00:40:46,359 Speaker 1: deformities may signal inner deformities, that that that that an 694 00:40:46,400 --> 00:40:51,760 Speaker 1: inner sin can have a fleshly manifestation. And it's super 695 00:40:51,840 --> 00:40:54,399 Speaker 1: easy to apply that line of thinking to syphilis, because 696 00:40:54,440 --> 00:40:56,919 Speaker 1: here's something that spread through sex. Here is something that's 697 00:40:56,920 --> 00:41:00,920 Speaker 1: spread through uh through sin, if you will, and and 698 00:41:01,040 --> 00:41:05,960 Speaker 1: then has these these terrifying physical um manifestations, certainly in 699 00:41:06,040 --> 00:41:09,480 Speaker 1: its later stages. So it's it's easy then for someone 700 00:41:09,560 --> 00:41:12,080 Speaker 1: to point the figure and say this, this is the way. 701 00:41:12,200 --> 00:41:14,160 Speaker 1: These are the wages of sin right here. All you 702 00:41:14,200 --> 00:41:16,359 Speaker 1: have to do is look at this individual, look at 703 00:41:16,400 --> 00:41:18,920 Speaker 1: the look at the sores on their body, look at 704 00:41:18,960 --> 00:41:22,000 Speaker 1: the deformities of their facial feature, look what has happened 705 00:41:22,040 --> 00:41:24,400 Speaker 1: to them? Uh, And and so you see this just 706 00:41:24,520 --> 00:41:27,680 Speaker 1: throughout it, So throughout its four and a half centuries 707 00:41:28,000 --> 00:41:32,400 Speaker 1: of unchecked rampaging, and even beyond into the twentieth century 708 00:41:32,440 --> 00:41:35,680 Speaker 1: and even into the twenty one there's there's a moral 709 00:41:35,800 --> 00:41:39,440 Speaker 1: aspect to syphilis and to other venereal diseases. This is 710 00:41:39,520 --> 00:41:42,760 Speaker 1: something you caught because you were doing something that was wrong. 711 00:41:42,920 --> 00:41:47,520 Speaker 1: Like that's the script that is often applied to the scenario. Yeah, 712 00:41:47,719 --> 00:41:51,920 Speaker 1: and now people have the sort of calling card hallmarks 713 00:41:52,120 --> 00:41:55,080 Speaker 1: of that disease. Right. They look at you and they say, oh, 714 00:41:55,880 --> 00:41:59,600 Speaker 1: let me see you've you've got a nasty rash there, 715 00:41:59,760 --> 00:42:04,319 Speaker 1: you lost your hair um, perhaps your nose is even 716 00:42:04,760 --> 00:42:07,920 Speaker 1: caving in into what's called saddle nose. And so what 717 00:42:08,120 --> 00:42:11,440 Speaker 1: do people do, Well, they try to find anything and 718 00:42:11,680 --> 00:42:15,600 Speaker 1: everything that might cover up their transgressions or what would 719 00:42:15,600 --> 00:42:18,239 Speaker 1: be perceived as transgressions. Right, And bear in mind again 720 00:42:18,280 --> 00:42:20,160 Speaker 1: through all of this, that there are no set of 721 00:42:20,280 --> 00:42:24,360 Speaker 1: standard symptoms for syphilis, and there are stages where it's undetectable. 722 00:42:24,719 --> 00:42:28,600 Speaker 1: So so every everyone's going crazy with ways to detect 723 00:42:28,640 --> 00:42:32,440 Speaker 1: and treat it. While the illness itself is is so 724 00:42:32,640 --> 00:42:35,480 Speaker 1: difficult to get your hands on. It's the great imitator, 725 00:42:35,560 --> 00:42:40,319 Speaker 1: it's the it's the great hider um. So yeah, bad 726 00:42:40,400 --> 00:42:43,239 Speaker 1: stuff is happening to your body in in the varying 727 00:42:43,280 --> 00:42:46,360 Speaker 1: stages of syphilis. So one thing you might do is, 728 00:42:46,440 --> 00:42:48,680 Speaker 1: of course, you may cover things up. Since we were 729 00:42:48,719 --> 00:42:51,320 Speaker 1: wearing clothes, we're wearing makeup. You can apply clothing and 730 00:42:51,440 --> 00:42:55,320 Speaker 1: makeup to cover up your source. Yeah. In fact, syphilis 731 00:42:55,400 --> 00:42:58,759 Speaker 1: just creates this whole cottage industry of of different things 732 00:42:58,840 --> 00:43:01,520 Speaker 1: you can buy and do to either feel better or 733 00:43:01,920 --> 00:43:04,720 Speaker 1: look better. So there might be some sort of snake 734 00:43:04,840 --> 00:43:07,200 Speaker 1: oil that you can buy right that has absolutely no 735 00:43:07,320 --> 00:43:11,320 Speaker 1: medical merit. Or you might visit your local wig maker 736 00:43:11,600 --> 00:43:14,000 Speaker 1: quite a bit, because again you want to cover up 737 00:43:14,040 --> 00:43:17,200 Speaker 1: the bald patch on your head or the baldness so 738 00:43:17,280 --> 00:43:20,399 Speaker 1: that people don't suspect that you have syphilis. And if 739 00:43:20,480 --> 00:43:25,000 Speaker 1: you are a prostitute, American is a must, because yeah, 740 00:43:25,040 --> 00:43:26,600 Speaker 1: you might be saving your pubic care any way to 741 00:43:26,640 --> 00:43:29,080 Speaker 1: cut down on lights, but then you also might have 742 00:43:29,760 --> 00:43:32,400 Speaker 1: an outbreak of syphilis down there. You want to disguise 743 00:43:32,480 --> 00:43:35,600 Speaker 1: the signs, so you get a wig for your genitals, 744 00:43:35,920 --> 00:43:40,279 Speaker 1: also called American, which is not a Muppet character. Yeah, 745 00:43:40,320 --> 00:43:43,640 Speaker 1: they apparently used a lot now in for films, especially 746 00:43:43,719 --> 00:43:48,439 Speaker 1: historical films. Yeah, but historically it was more a matter 747 00:43:48,560 --> 00:43:52,160 Speaker 1: of venereal diseases for the men. Generally wasn't really an 748 00:43:52,200 --> 00:43:55,920 Speaker 1: option because the well there's just more to cover up 749 00:43:55,960 --> 00:43:58,719 Speaker 1: down there, and uh, just do a Google immed search, 750 00:43:58,760 --> 00:44:01,319 Speaker 1: she'll see what I'm talking about. All right, Yeah, there 751 00:44:01,360 --> 00:44:04,560 Speaker 1: are some logisticks there that you can't quite uh cover 752 00:44:04,719 --> 00:44:09,440 Speaker 1: with American But what happens when your nose caves in 753 00:44:09,840 --> 00:44:12,920 Speaker 1: and your flesh begins to rot away, Well, h this 754 00:44:13,080 --> 00:44:15,800 Speaker 1: creates a problem. And in general it was kind of 755 00:44:15,840 --> 00:44:18,520 Speaker 1: a rough time for noses anyway. If you remember the 756 00:44:18,600 --> 00:44:22,040 Speaker 1: story of Tico Brahy, the the astronomer, I think we 757 00:44:22,120 --> 00:44:23,839 Speaker 1: did an episode on him, or at least he's come 758 00:44:23,880 --> 00:44:28,040 Speaker 1: he comes up a time. Yeah, yeah, fascinating individual. Um. 759 00:44:28,960 --> 00:44:32,520 Speaker 1: There may be some biographers that that creep syphilis in there, 760 00:44:32,520 --> 00:44:34,840 Speaker 1: but but I think it's pretty established that that he 761 00:44:34,920 --> 00:44:37,520 Speaker 1: lost the nose in a duel. So on on one level, 762 00:44:37,600 --> 00:44:40,080 Speaker 1: you can lose that nose in a duel living an 763 00:44:40,080 --> 00:44:43,880 Speaker 1: adventurous lifestyle, getting yourselves into arguments with other armed a gentleman. 764 00:44:44,280 --> 00:44:48,200 Speaker 1: But you can also acquire sephilis through your adventurous lifestyle. 765 00:44:48,480 --> 00:44:50,600 Speaker 1: And then you see the saddle nose, the eventual rotting 766 00:44:50,600 --> 00:44:52,719 Speaker 1: away of the nose. So one thing you can do 767 00:44:52,880 --> 00:44:55,479 Speaker 1: is you can buy a fake nose to where over 768 00:44:56,000 --> 00:44:59,719 Speaker 1: your destroyed nose. And this is this is as simple 769 00:44:59,719 --> 00:45:01,800 Speaker 1: as its ounds. If you've ever seen a digital underground 770 00:45:01,840 --> 00:45:04,080 Speaker 1: video and you've seen Humpty Hump with the big fake 771 00:45:04,160 --> 00:45:07,520 Speaker 1: nos on his on his face, who incidentally, according to 772 00:45:07,600 --> 00:45:10,920 Speaker 1: the backstory, lost it in a frying accident, I believe so, 773 00:45:11,360 --> 00:45:15,160 Speaker 1: so no dueling or syphilis involved with Humpty. But but 774 00:45:15,239 --> 00:45:18,320 Speaker 1: it's basically the same scenario, a fake NOS that is 775 00:45:18,520 --> 00:45:22,520 Speaker 1: strapped onto the body or held with wires over the 776 00:45:22,840 --> 00:45:27,840 Speaker 1: over the the the vacant area. Yeah, in fact, and 777 00:45:27,920 --> 00:45:30,600 Speaker 1: this is according to Lindsay fitz Harris, who is a 778 00:45:30,800 --> 00:45:36,360 Speaker 1: medical historian and writes on the Chiujian Apprentice, which is 779 00:45:36,400 --> 00:45:41,160 Speaker 1: a great website documenting medical surgeries. She writes that this 780 00:45:41,320 --> 00:45:44,240 Speaker 1: deformity was so common amongst these suffering from the pots, 781 00:45:44,320 --> 00:45:48,320 Speaker 1: as it was sometimes called, that no nose clubs sprung 782 00:45:48,440 --> 00:45:52,839 Speaker 1: up in London. On February eighteen seventy four, The Star 783 00:45:52,960 --> 00:45:57,120 Speaker 1: reported Miss Sanborn tells us that an eccentric gentleman, having 784 00:45:57,200 --> 00:45:59,759 Speaker 1: taken taken a fancy to see a large party of 785 00:46:00,040 --> 00:46:04,480 Speaker 1: noseless persons, invited everyone thus afflicted whom he met in 786 00:46:04,560 --> 00:46:06,600 Speaker 1: the streets to dine on a certain day at a 787 00:46:06,640 --> 00:46:11,080 Speaker 1: tavern where he formed them into a brotherhood. And on 788 00:46:11,239 --> 00:46:15,440 Speaker 1: this site again that Lindsay fitz Harris has put together, 789 00:46:15,840 --> 00:46:19,120 Speaker 1: there is a great example of one of these sort 790 00:46:19,160 --> 00:46:24,359 Speaker 1: of noses that's attached to a pair of glasses, that's 791 00:46:24,360 --> 00:46:27,000 Speaker 1: attached to a sort of almost looks like a headgear, 792 00:46:27,200 --> 00:46:33,120 Speaker 1: like early headgear braces. And it's one that that a 793 00:46:33,280 --> 00:46:35,919 Speaker 1: female patient war Yeah, and you can imagine that worn 794 00:46:35,960 --> 00:46:38,520 Speaker 1: with a wig, and it makes makes perfect sense. And 795 00:46:38,680 --> 00:46:41,480 Speaker 1: you know, the no Nose Club also makes a lot 796 00:46:41,520 --> 00:46:43,960 Speaker 1: of sense because if you're you're dealing with this illness, 797 00:46:44,000 --> 00:46:46,560 Speaker 1: you're having to cover yourself up and where this this 798 00:46:46,840 --> 00:46:50,279 Speaker 1: this fake nose over your your your face. I mean, 799 00:46:50,480 --> 00:46:52,000 Speaker 1: there's gonna come a time when you want to be 800 00:46:52,040 --> 00:46:55,440 Speaker 1: able to just take that off and be yourself, no 801 00:46:55,600 --> 00:46:58,800 Speaker 1: matter what has happened to yourself in this illness. You 802 00:46:58,840 --> 00:47:00,520 Speaker 1: want to be able to just say, hey, here we are. 803 00:47:01,360 --> 00:47:04,040 Speaker 1: We may not have noses anymore because of this illness, 804 00:47:04,120 --> 00:47:07,160 Speaker 1: but hey, we're people, and we want to look at 805 00:47:07,200 --> 00:47:09,319 Speaker 1: each other like we're people and and not worry about 806 00:47:09,320 --> 00:47:11,880 Speaker 1: oh whatsever and all these other people that don't have syphilis, 807 00:47:12,080 --> 00:47:14,240 Speaker 1: or don't realize they have syphilis, or in other stages 808 00:47:14,239 --> 00:47:16,400 Speaker 1: of the illness are looking at me and judging me 809 00:47:16,840 --> 00:47:19,400 Speaker 1: for for what I am, and making judgments about my 810 00:47:19,480 --> 00:47:22,600 Speaker 1: moral character based on what has happened. Well, and fitz 811 00:47:22,640 --> 00:47:25,719 Speaker 1: Harris has that blog post Syphilis a Love Story which 812 00:47:25,800 --> 00:47:28,000 Speaker 1: essentially talks about this, and I believe it is miss 813 00:47:28,080 --> 00:47:32,680 Speaker 1: Sanborne who eventually takes the fake nose off at her 814 00:47:32,719 --> 00:47:36,560 Speaker 1: husband's request because he accepts her as she is. You know, 815 00:47:36,600 --> 00:47:38,560 Speaker 1: it's interesting. I was listening to that to BBC program, 816 00:47:38,600 --> 00:47:42,120 Speaker 1: the Cultural History of Syphilis, which I'll link to on 817 00:47:42,239 --> 00:47:46,040 Speaker 1: the landing page for this podcast episode. But they go 818 00:47:46,239 --> 00:47:50,440 Speaker 1: into some of the cases of individuals, particularly in the 819 00:47:50,920 --> 00:47:56,040 Speaker 1: seventeenth century, who end up, if not finding pride in 820 00:47:56,200 --> 00:47:59,000 Speaker 1: their syphilitic appearance, they at least, you know, come to 821 00:47:59,080 --> 00:48:02,440 Speaker 1: own it. Uh. You see individuals like Sir William davenant 822 00:48:02,880 --> 00:48:07,400 Speaker 1: Um sixteen o six through sixteen sixty eight as a poet, playwright, 823 00:48:07,440 --> 00:48:11,120 Speaker 1: and he was famously not shy about being painted or 824 00:48:11,160 --> 00:48:13,879 Speaker 1: depicted in artwork without a false nose. So you see 825 00:48:13,920 --> 00:48:18,120 Speaker 1: a very sunken saddle nose, you know, almost a vacant um, 826 00:48:18,280 --> 00:48:20,719 Speaker 1: you know, part of his facial features. And he was, 827 00:48:20,840 --> 00:48:23,640 Speaker 1: you know, pretty upfront about it. Um. Another instance, you 828 00:48:23,760 --> 00:48:28,840 Speaker 1: have artist Gerard Delorice one through seventeen eleven, who was 829 00:48:28,880 --> 00:48:32,640 Speaker 1: actually a prominent painter. Uh and uh and he was 830 00:48:32,719 --> 00:48:36,160 Speaker 1: born with congenital syphilis. Um. And he he was. There's 831 00:48:36,160 --> 00:48:39,399 Speaker 1: actually a painting of him by Rembrandt, which I'll put 832 00:48:39,440 --> 00:48:41,920 Speaker 1: on the blog for everyone to see because it's it's 833 00:48:41,960 --> 00:48:45,080 Speaker 1: a it's a Rembrandt piece, so it's it's splendid to behold. 834 00:48:45,480 --> 00:48:47,279 Speaker 1: But here's an individual who you know, he's setting for 835 00:48:47,360 --> 00:48:50,280 Speaker 1: a portrait. He's he's he's open and uh and free 836 00:48:50,400 --> 00:48:53,160 Speaker 1: about who he is. You know, he's not trying to 837 00:48:53,239 --> 00:48:55,879 Speaker 1: hide it at this point. And you see a number 838 00:48:55,880 --> 00:49:00,400 Speaker 1: of individuals say um, John Wilmot, the second Earl of Rochester, 839 00:49:00,560 --> 00:49:04,640 Speaker 1: who was portrayed by Johnny Depp in the movie of Libertine. Um. 840 00:49:05,280 --> 00:49:08,200 Speaker 1: You see individuals like this who basically say, yeah, I 841 00:49:08,280 --> 00:49:12,840 Speaker 1: have syphilis, I have had a wildlife and the wages 842 00:49:12,880 --> 00:49:15,240 Speaker 1: of having that wildlife are syphilis. So it's it's almost 843 00:49:15,280 --> 00:49:17,800 Speaker 1: like a badge of honor. Yeah, it's like when you 844 00:49:17,920 --> 00:49:21,320 Speaker 1: hear I've heard people say point at rock stars aging 845 00:49:21,440 --> 00:49:23,520 Speaker 1: rock stars, and you know, say, oh, they look rough, 846 00:49:24,080 --> 00:49:26,680 Speaker 1: but they partied hard to get there, you know, to 847 00:49:26,760 --> 00:49:29,520 Speaker 1: say that, you know, what has happened to them is 848 00:49:30,200 --> 00:49:32,120 Speaker 1: like a badge of honor because it says they have 849 00:49:32,360 --> 00:49:35,719 Speaker 1: enjoyed their younger life and that is why, uh, their 850 00:49:35,880 --> 00:49:39,080 Speaker 1: their older form is so decrepit. And that's what you're 851 00:49:39,120 --> 00:49:41,000 Speaker 1: seeing in some of these individuals. Now, granted, these are 852 00:49:41,040 --> 00:49:43,680 Speaker 1: individuals that we're living at the in the upper echelon 853 00:49:43,800 --> 00:49:47,040 Speaker 1: of society, so they had a little more room too, 854 00:49:48,160 --> 00:49:49,960 Speaker 1: you know, to grab onto that pride. They weren't dying 855 00:49:50,000 --> 00:49:53,640 Speaker 1: of syphilis, uh, you know, in the slums. And likewise, 856 00:49:53,680 --> 00:49:57,600 Speaker 1: some of these individuals too also had taken to various 857 00:49:57,960 --> 00:50:00,320 Speaker 1: um ideas about how syphilis could beach read it. So 858 00:50:00,360 --> 00:50:03,160 Speaker 1: they thought that perhaps their their syphilis was being treated 859 00:50:03,600 --> 00:50:06,759 Speaker 1: and managed by regular mercury treatments in one of those 860 00:50:06,840 --> 00:50:10,600 Speaker 1: mercury steam baths, which, as we mentioned in the previous episode, 861 00:50:10,680 --> 00:50:14,560 Speaker 1: may you know, was was likely making their symptoms worse. 862 00:50:14,840 --> 00:50:17,719 Speaker 1: In some cases, so they thought that a they were 863 00:50:17,960 --> 00:50:21,640 Speaker 1: above sort of some of the social rules in place 864 00:50:21,840 --> 00:50:25,120 Speaker 1: because of their position and society, and be that they 865 00:50:25,239 --> 00:50:30,000 Speaker 1: might have been vanquishing it. So they were uh, not 866 00:50:30,239 --> 00:50:33,160 Speaker 1: quite as concerned about how they looked. Perhaps, Yeah, and 867 00:50:33,239 --> 00:50:34,880 Speaker 1: if you're take and if you're looking at the body 868 00:50:35,000 --> 00:50:37,640 Speaker 1: from a less religious standpoint, and you're looking at more 869 00:50:37,719 --> 00:50:41,520 Speaker 1: from a hedonistic or even mechanical standpoint, you then you're saying, hey, 870 00:50:42,040 --> 00:50:45,560 Speaker 1: I live in a world in which syphilis exists, and 871 00:50:45,680 --> 00:50:48,120 Speaker 1: if I behave a certain way, syphilis is what happens 872 00:50:48,160 --> 00:50:51,200 Speaker 1: to my body. You know. Um, some of these cases too, 873 00:50:51,200 --> 00:50:54,480 Speaker 1: you see individuals where they they're they're they're almost happy 874 00:50:54,640 --> 00:50:58,399 Speaker 1: when they finally catch syphilis because it means, if nothing else, 875 00:50:58,480 --> 00:51:01,000 Speaker 1: it means they don't have to worry about syphilis anymore. 876 00:51:01,200 --> 00:51:04,480 Speaker 1: You know. They're they're they're no longer living in the 877 00:51:04,560 --> 00:51:07,960 Speaker 1: shadow of syphilis, but within the dark of syphilis. And 878 00:51:09,200 --> 00:51:10,960 Speaker 1: you can see where there might be a certain amount 879 00:51:10,960 --> 00:51:13,279 Speaker 1: of empowerment there. Certainly, if you have to latch onto something, 880 00:51:13,360 --> 00:51:15,239 Speaker 1: you might as well latch onto that, although again you'd 881 00:51:15,239 --> 00:51:18,719 Speaker 1: have to be in a really specific social position to 882 00:51:18,840 --> 00:51:22,160 Speaker 1: do that, and you'd have to be a male for certain. No. Yes, indeed, now, 883 00:51:22,560 --> 00:51:25,440 Speaker 1: if you had the money, the wherewithal, and you did 884 00:51:25,560 --> 00:51:29,040 Speaker 1: not want to wear a fake nose, or you weren't 885 00:51:29,040 --> 00:51:31,080 Speaker 1: ready to come out to the world that you had syphilis, 886 00:51:31,200 --> 00:51:35,120 Speaker 1: then you would try a kind of nasal reconstruction, which 887 00:51:35,280 --> 00:51:39,320 Speaker 1: in the sixteenth century was called the Indian method, and 888 00:51:39,480 --> 00:51:43,239 Speaker 1: this involved cutting a nose sized section of skin from 889 00:51:43,320 --> 00:51:48,080 Speaker 1: the forehead. So there's again another calling card or hallmark 890 00:51:48,200 --> 00:51:50,520 Speaker 1: that you have the disease, because your nose looks great, 891 00:51:50,600 --> 00:51:52,560 Speaker 1: but you've got a big patch of skins, but you 892 00:51:52,640 --> 00:51:56,520 Speaker 1: have a really big wig. That that's true. That's true, 893 00:51:56,760 --> 00:51:59,359 Speaker 1: you have a nice wig. But they take that skin 894 00:51:59,480 --> 00:52:01,040 Speaker 1: from the foe and they would attach it to the 895 00:52:01,080 --> 00:52:04,040 Speaker 1: bridge of the nose to maintain a steady blood supply. 896 00:52:04,360 --> 00:52:08,160 Speaker 1: And then that flap was twisted into place and sewn 897 00:52:08,320 --> 00:52:12,200 Speaker 1: over the damaged area, which kind of created a replacement nose. 898 00:52:13,280 --> 00:52:17,400 Speaker 1: But again it wasn't perfect, and you know, really cold weather, 899 00:52:17,560 --> 00:52:19,879 Speaker 1: it would not turn the same color as the rest 900 00:52:19,880 --> 00:52:22,680 Speaker 1: of your nose. So there were certain telltale signs that 901 00:52:23,160 --> 00:52:25,960 Speaker 1: it may look like an intech nose, but it is not. 902 00:52:26,840 --> 00:52:30,200 Speaker 1: Your perhaps knows that you are born with. But it 903 00:52:30,239 --> 00:52:33,719 Speaker 1: turns out that there's a better and perhaps more horrific 904 00:52:33,880 --> 00:52:37,839 Speaker 1: way to take a stab at plastic surgery or early 905 00:52:37,880 --> 00:52:40,399 Speaker 1: plastic surgery. You know what. It is tempting to say 906 00:52:40,480 --> 00:52:43,480 Speaker 1: it's horrific, but it but in another way, it's kind 907 00:52:43,480 --> 00:52:45,960 Speaker 1: of beautiful and it gets it how malleable our flesh 908 00:52:46,000 --> 00:52:50,239 Speaker 1: really is because again modern plastic surgery, the plastic is 909 00:52:50,280 --> 00:52:52,640 Speaker 1: referring to the plasticity of the flesh, that you can 910 00:52:52,719 --> 00:52:56,000 Speaker 1: craft flesh into a form. Yeah. And actually this method 911 00:52:56,600 --> 00:53:01,120 Speaker 1: did and does inform plastic surgeons of out how skin 912 00:53:01,239 --> 00:53:04,000 Speaker 1: grows and how you can mold it and and sculpt it. 913 00:53:04,120 --> 00:53:07,480 Speaker 1: So yeah, in this we see uh, the sixteenth century 914 00:53:07,560 --> 00:53:11,000 Speaker 1: advent of the Italian method. Now to to picture this, um, 915 00:53:11,640 --> 00:53:13,319 Speaker 1: if you don't have an image of it in front 916 00:53:13,360 --> 00:53:15,480 Speaker 1: of you, um. And and if you're not driving a 917 00:53:15,560 --> 00:53:18,160 Speaker 1: car doing anything where you need your hands place, place 918 00:53:18,239 --> 00:53:20,520 Speaker 1: your your palm of your hand, uh kind of on 919 00:53:20,600 --> 00:53:24,320 Speaker 1: your forehead, okay, and then allow your nose to to 920 00:53:24,440 --> 00:53:28,640 Speaker 1: touch your arm. That is basically the position where the 921 00:53:28,680 --> 00:53:31,319 Speaker 1: surgeon would would lock your arm into place. There would 922 00:53:31,320 --> 00:53:34,040 Speaker 1: be like a head vice type of scenario going on, 923 00:53:34,160 --> 00:53:36,400 Speaker 1: so that you could not move your arm away. You 924 00:53:36,440 --> 00:53:39,239 Speaker 1: cannot move your the flesh of your arm away from 925 00:53:39,280 --> 00:53:41,440 Speaker 1: the flesh of your face. And then that's where you 926 00:53:41,560 --> 00:53:45,640 Speaker 1: perform the the the skin graft. You walk a pedicle 927 00:53:45,719 --> 00:53:48,360 Speaker 1: of flesh, you sort of cut it away from the forearm, 928 00:53:48,640 --> 00:53:51,640 Speaker 1: and you stitch it into place where the nose should be, 929 00:53:51,840 --> 00:53:54,440 Speaker 1: in place of the nose that you've lost to syphilis 930 00:53:54,560 --> 00:53:56,839 Speaker 1: or duels or what have you, and then that's held 931 00:53:56,920 --> 00:54:00,520 Speaker 1: in place while the the the grafted skin grows onto 932 00:54:00,560 --> 00:54:03,840 Speaker 1: the face. So for a brief period of time, you 933 00:54:04,000 --> 00:54:07,400 Speaker 1: have effectively sown your arm, or a surgeon has effectively 934 00:54:07,440 --> 00:54:10,160 Speaker 1: sown your arm to your face. And then once the 935 00:54:10,239 --> 00:54:13,480 Speaker 1: graft has taken then you cut the arm away from 936 00:54:13,560 --> 00:54:17,000 Speaker 1: it and you've you've essentially walked as a piece of 937 00:54:17,160 --> 00:54:19,799 Speaker 1: flesh off of your arm onto your face and then 938 00:54:19,960 --> 00:54:23,120 Speaker 1: use that to form a new nose, which is kind 939 00:54:23,160 --> 00:54:26,960 Speaker 1: of brilliant. Honestly. You ask a plastic surgeon about this 940 00:54:27,040 --> 00:54:28,960 Speaker 1: and they'll be like, this is a great way to 941 00:54:29,160 --> 00:54:32,520 Speaker 1: try to get the skin to graft onto other skin 942 00:54:32,960 --> 00:54:35,839 Speaker 1: and then be able to shape it um. The only 943 00:54:35,960 --> 00:54:38,640 Speaker 1: problem here is that for about two weeks you're walking 944 00:54:38,760 --> 00:54:42,320 Speaker 1: around with your your hand stuff to your head and 945 00:54:42,400 --> 00:54:45,319 Speaker 1: you can't really move your nose right because that's now 946 00:54:45,440 --> 00:54:48,480 Speaker 1: stuck to you your arm. Yeah, I'm guessing you're probably 947 00:54:48,480 --> 00:54:50,440 Speaker 1: not doing a whole lot of walking around town like that, 948 00:54:50,719 --> 00:54:53,719 Speaker 1: but but yeah, there's gonna be a weird period there. 949 00:54:53,880 --> 00:54:56,600 Speaker 1: But you know, the Italian method, it's a remarkable what 950 00:54:56,719 --> 00:54:59,840 Speaker 1: it can do. Like it may be summoning images of 951 00:55:00,040 --> 00:55:04,360 Speaker 1: like a really bad plastic surgery job or something, but 952 00:55:04,600 --> 00:55:08,160 Speaker 1: I've I've seen some images, particularly like particularly late eighteen 953 00:55:08,200 --> 00:55:11,880 Speaker 1: hundred's early nineteen hundreds, in which you see multiple pedicles 954 00:55:11,920 --> 00:55:15,160 Speaker 1: of flesh that are essentially walked up the body to 955 00:55:15,360 --> 00:55:18,120 Speaker 1: the face to repair individuals who say lost their lower 956 00:55:18,280 --> 00:55:22,399 Speaker 1: jaw uh to to two gunshot wound. Uh And then 957 00:55:22,440 --> 00:55:24,200 Speaker 1: you're able to walk all these pedicles up to the 958 00:55:24,280 --> 00:55:26,320 Speaker 1: face and it looks kind of ghastly at first, but 959 00:55:26,360 --> 00:55:28,759 Speaker 1: then you start putting them in their place, and at 960 00:55:28,800 --> 00:55:32,440 Speaker 1: the end of the of this series of procedures, you 961 00:55:33,000 --> 00:55:38,120 Speaker 1: have a much more uh normal looking visage uh there 962 00:55:38,200 --> 00:55:40,840 Speaker 1: in place of the damage tissue. So in in in 963 00:55:40,960 --> 00:55:45,000 Speaker 1: this scenario, we see the impact of syphilis on early 964 00:55:45,280 --> 00:55:50,000 Speaker 1: rhino pass plastic in Europe, but we also see other 965 00:55:50,080 --> 00:55:52,800 Speaker 1: ways in which syphilis ends up changing the way that 966 00:55:52,960 --> 00:55:57,040 Speaker 1: that that medicine is practiced uh through throughout the the 967 00:55:57,120 --> 00:56:01,120 Speaker 1: old world. For instance, immediately it allunge humorism and the 968 00:56:01,239 --> 00:56:04,840 Speaker 1: doctrine of contagion. That was probably another day. Um. We 969 00:56:04,960 --> 00:56:09,200 Speaker 1: also see syphilis as a catalyst for modern doctor patient confidentiality, 970 00:56:09,680 --> 00:56:12,359 Speaker 1: because suddenly it becomes a kind of a calling card 971 00:56:12,400 --> 00:56:14,719 Speaker 1: for some doctors. Hey, let me treat you for your 972 00:56:14,760 --> 00:56:16,880 Speaker 1: syphilist because I'll keep it on the download. Now, we 973 00:56:16,960 --> 00:56:18,800 Speaker 1: just kind of take that for granted that we go 974 00:56:18,880 --> 00:56:21,200 Speaker 1: into a doctor, they're not going to blab about syphilis 975 00:56:21,239 --> 00:56:28,960 Speaker 1: to everyone in the neighborhood. This is another key fact 976 00:56:29,000 --> 00:56:31,840 Speaker 1: that was brought up in the book Cleaned by Virginia 977 00:56:31,920 --> 00:56:35,239 Speaker 1: Smith that have referenced before in podcast, and that is 978 00:56:35,360 --> 00:56:39,240 Speaker 1: that previously you had you'd go into your your local 979 00:56:39,520 --> 00:56:42,960 Speaker 1: barber shop and you'd have the barber tonsors in the 980 00:56:43,000 --> 00:56:45,160 Speaker 1: front of barber surgeons in the back. You can have 981 00:56:45,280 --> 00:56:47,520 Speaker 1: your haircut, your face shaved, all of that that take 982 00:56:47,560 --> 00:56:49,000 Speaker 1: place in the front of the building and go into 983 00:56:49,040 --> 00:56:51,439 Speaker 1: the back, into the yard or what have you. That's 984 00:56:51,480 --> 00:56:54,160 Speaker 1: where you would receive minor surgeries. That's where you would 985 00:56:54,480 --> 00:56:58,239 Speaker 1: uh take a bath, uh and stand later as the 986 00:56:58,360 --> 00:57:00,479 Speaker 1: as syphilis begins to spread, that's where you start getting 987 00:57:00,520 --> 00:57:02,799 Speaker 1: treated for civilis that's where you might take your mercury bath. 988 00:57:03,280 --> 00:57:07,520 Speaker 1: And so the prevalence of the disease and fear regarding 989 00:57:07,560 --> 00:57:10,320 Speaker 1: the disease, this really leads to regulation. This really this 990 00:57:10,480 --> 00:57:12,680 Speaker 1: leads to of course, you know, paranoia. And so you 991 00:57:12,760 --> 00:57:15,160 Speaker 1: see the two separates. So you see the separation of 992 00:57:15,239 --> 00:57:19,000 Speaker 1: the barber tonsor and the barber surgeon. It's right because 993 00:57:19,080 --> 00:57:24,160 Speaker 1: that red and white striped barber pole used to indicate 994 00:57:24,240 --> 00:57:26,800 Speaker 1: that there are surgeries done there. Right in case anybody's 995 00:57:27,280 --> 00:57:30,480 Speaker 1: ever wondered why, um, that pole is outside of a 996 00:57:30,600 --> 00:57:34,840 Speaker 1: hair cuttery, all right, So that's this impact on on 997 00:57:35,760 --> 00:57:39,920 Speaker 1: on medicine, in medical surgeries, um, as well as cottage 998 00:57:39,960 --> 00:57:43,440 Speaker 1: industries like wig makers, right, and people who are are 999 00:57:43,560 --> 00:57:46,480 Speaker 1: selling you know, snake oils. But there are certain things 1000 00:57:46,520 --> 00:57:49,400 Speaker 1: that you cannot cover up here when it comes to syphilis. 1001 00:57:49,600 --> 00:57:52,520 Speaker 1: And one of the things would be your teeth. Now, 1002 00:57:52,560 --> 00:57:54,360 Speaker 1: you could pull all your teeth, you could put denters in, 1003 00:57:54,480 --> 00:57:55,880 Speaker 1: but if you didn't want to do that, you're kind 1004 00:57:55,880 --> 00:58:00,720 Speaker 1: of saddled with the ravages of your teeth bicyphilis. Yeah, 1005 00:58:00,840 --> 00:58:03,840 Speaker 1: and one of the more one of the more particular 1006 00:58:03,920 --> 00:58:05,680 Speaker 1: things we see here with the teeth is something that 1007 00:58:05,720 --> 00:58:09,120 Speaker 1: pops up in cases of congenital syphilis, and that's something 1008 00:58:09,200 --> 00:58:13,880 Speaker 1: known as Hutchinson teeth. These are, you know, as with 1009 00:58:13,960 --> 00:58:17,440 Speaker 1: all things syphilis, the exact symptoms vary, but this is 1010 00:58:17,480 --> 00:58:21,000 Speaker 1: often typified by sharpened looking teeth or peg shaped teeth 1011 00:58:21,040 --> 00:58:24,320 Speaker 1: that kind of have sharpened points on the edges. Um. 1012 00:58:25,640 --> 00:58:27,960 Speaker 1: You can look for for image of this online. I 1013 00:58:28,000 --> 00:58:29,840 Speaker 1: think I had, and actually I did a blog post 1014 00:58:30,400 --> 00:58:32,600 Speaker 1: um that I'll link to on the landing page for 1015 00:58:32,640 --> 00:58:36,040 Speaker 1: this podcast episode that includes, uh, the image that Julian 1016 00:58:36,040 --> 00:58:37,960 Speaker 1: and I are both looking at now. But they do 1017 00:58:38,160 --> 00:58:40,920 Speaker 1: have a kind of monstrous appearance. These are like sharpened 1018 00:58:40,960 --> 00:58:44,680 Speaker 1: teeth inside of a human mouth, particularly canine teeth. Yes, 1019 00:58:44,840 --> 00:58:46,840 Speaker 1: And so we start to look at this for a 1020 00:58:46,920 --> 00:58:50,959 Speaker 1: little bit, and uh, naturally you your mind would turn 1021 00:58:51,080 --> 00:58:53,880 Speaker 1: to vampire teeth because that's kind of what this looks like. 1022 00:58:53,960 --> 00:58:58,280 Speaker 1: It looks like a sort of non sperato version of 1023 00:58:58,400 --> 00:59:01,720 Speaker 1: vampire teeth. Yeah, And it's led us some commentators to 1024 00:59:01,840 --> 00:59:05,480 Speaker 1: argue that the the evolution of the vampire myth in 1025 00:59:05,960 --> 00:59:10,440 Speaker 1: in Western civilization may have connections to cases of congenital 1026 00:59:10,680 --> 00:59:14,040 Speaker 1: or hereditary syphilis. The children are born like this, they 1027 00:59:14,080 --> 00:59:16,800 Speaker 1: have this kind they could have in addition to these teeth, 1028 00:59:16,800 --> 00:59:21,280 Speaker 1: they may also have elongated fingers, they may have elongated skull. 1029 00:59:21,360 --> 00:59:25,960 Speaker 1: There various other deformities that might be interpreted as monstrous 1030 00:59:26,080 --> 00:59:30,480 Speaker 1: by by somebody taking in the scenario um and another 1031 00:59:31,000 --> 00:59:37,400 Speaker 1: connection between vampires and syphilis arguably takes us to brom 1032 00:59:37,480 --> 00:59:41,360 Speaker 1: Stoker himself, the author of the book A Dracula. And 1033 00:59:41,440 --> 00:59:44,520 Speaker 1: another area where vampires and syphilis seem to converge uh 1034 00:59:44,840 --> 00:59:48,760 Speaker 1: is in the case of the eight novel Dracula by 1035 00:59:48,840 --> 00:59:54,360 Speaker 1: Bram Stoker. Now brom Stoker's exact cause of death and 1036 00:59:54,440 --> 00:59:57,640 Speaker 1: he died in nineteen twelve, it remains, you know, somewhat 1037 00:59:57,720 --> 01:00:00,480 Speaker 1: something of a mystery. But some biographers a tribute as 1038 01:00:00,560 --> 01:00:05,040 Speaker 1: death to tertiary syphilis and make the further argument that 1039 01:00:05,960 --> 01:00:10,600 Speaker 1: Dracula itself, as a literary work is is kind of 1040 01:00:10,680 --> 01:00:16,280 Speaker 1: reflecting not only the paranoia regarding syphilis that's present in 1041 01:00:16,360 --> 01:00:21,360 Speaker 1: the culture, but also Stoker's own uh experience with the 1042 01:00:21,440 --> 01:00:24,320 Speaker 1: illness itself. Because you look at vampires, you look at 1043 01:00:24,360 --> 01:00:27,000 Speaker 1: tracula and you see uh, something that is at once 1044 01:00:27,040 --> 01:00:30,800 Speaker 1: sexual and monstrous. You see this this uh, this outsider 1045 01:00:30,880 --> 01:00:34,120 Speaker 1: that has come to in this case to England and 1046 01:00:34,480 --> 01:00:38,760 Speaker 1: is spreading this uh, this illness of vamporism. This uh, 1047 01:00:38,880 --> 01:00:42,960 Speaker 1: this this alien pathogen to to to to two women 1048 01:00:43,400 --> 01:00:46,760 Speaker 1: in the in the in the area. Yes, they are 1049 01:00:47,040 --> 01:00:49,920 Speaker 1: puncturing the women. Right. So again you have to use 1050 01:00:50,040 --> 01:00:54,280 Speaker 1: that metaphor which always comes up sex and vampires, right. Um, 1051 01:00:54,760 --> 01:00:57,120 Speaker 1: In fact, there is You send me this link to 1052 01:00:57,720 --> 01:01:01,600 Speaker 1: a class that's offered the says the Vampire in Literature 1053 01:01:01,640 --> 01:01:05,320 Speaker 1: and Cinema, taught by Tommys slav Lojnovich, who is a 1054 01:01:05,960 --> 01:01:09,920 Speaker 1: professor of Slavic and comparative literature, and he uses that 1055 01:01:10,000 --> 01:01:15,960 Speaker 1: vampire lore to explore folklore explanations of disease epidemics, Which 1056 01:01:16,040 --> 01:01:19,240 Speaker 1: makes sense, right, especially if you're you're caught up in this. 1057 01:01:19,920 --> 01:01:22,480 Speaker 1: You'll say, it's the sixteenth century, is the seventeenth century, 1058 01:01:22,880 --> 01:01:27,600 Speaker 1: and this is this pervasive disease and you have all 1059 01:01:27,640 --> 01:01:30,800 Speaker 1: of these sort of myths surrounding it. It's possible that 1060 01:01:31,120 --> 01:01:34,480 Speaker 1: that people could sort of extrapolate like maybe there are vampires, 1061 01:01:34,600 --> 01:01:36,760 Speaker 1: maybe this is how it's being spread. Yeah, because again 1062 01:01:36,880 --> 01:01:38,640 Speaker 1: four and a half centuries in which we could not 1063 01:01:38,800 --> 01:01:41,240 Speaker 1: cure it. So you're throwing what you can at. You're throwing, 1064 01:01:41,920 --> 01:01:46,280 Speaker 1: you're throwing actual research, you're throwing snake oil, you're throwing mercury, 1065 01:01:46,360 --> 01:01:48,840 Speaker 1: steam baths, you're throwing religion. And again, you know, because 1066 01:01:48,880 --> 01:01:51,920 Speaker 1: again it just can't be It can't be overstated, the 1067 01:01:52,280 --> 01:01:57,040 Speaker 1: the connection between between morality and en syphilis here and 1068 01:01:57,240 --> 01:01:58,880 Speaker 1: at least in the way that that people tried to 1069 01:01:58,960 --> 01:02:01,600 Speaker 1: understand it, or at least ended up viewing it in society. 1070 01:02:01,960 --> 01:02:03,760 Speaker 1: And so yeah, you're throw in a little myth in there, 1071 01:02:03,760 --> 01:02:06,920 Speaker 1: you throw a little magical thinking and and and there 1072 01:02:06,960 --> 01:02:09,440 Speaker 1: you go. You can easily see the vampire emerged. Nothing 1073 01:02:09,800 --> 01:02:13,200 Speaker 1: concrete there, but some food for thought. Yeah, which maybe 1074 01:02:13,480 --> 01:02:17,360 Speaker 1: why a vampire in the form of Count spiro Keet 1075 01:02:17,720 --> 01:02:22,000 Speaker 1: shows up in a Navy video in the seventies talking 1076 01:02:22,040 --> 01:02:25,120 Speaker 1: about STDs. Right, Yes, and you can watch this. I 1077 01:02:25,200 --> 01:02:28,360 Speaker 1: linked to the video on a blog post I did 1078 01:02:28,400 --> 01:02:31,560 Speaker 1: for Stuff to Blow your Mind. It's actually a fabulous documentary. 1079 01:02:31,600 --> 01:02:36,160 Speaker 1: It's kind of the style of of Schoolhouse Rocks and uh, 1080 01:02:36,240 --> 01:02:39,000 Speaker 1: and it has a Scooby Doo element to it as well. Yeah, 1081 01:02:39,040 --> 01:02:41,600 Speaker 1: it's it's very silly. Look. Even when they get into 1082 01:02:41,640 --> 01:02:44,600 Speaker 1: some of the rougher stuff, such as congenital syphilis or 1083 01:02:44,840 --> 01:02:49,800 Speaker 1: or actually showing illustrations of genitals, it's like the setup 1084 01:02:49,880 --> 01:02:53,200 Speaker 1: is very cartoon. It's Death himself is having an awards 1085 01:02:53,200 --> 01:02:56,840 Speaker 1: ceremony handing out the coveted fourth Horseman Award for a 1086 01:02:56,920 --> 01:03:00,320 Speaker 1: disease that's that's done the best work in causing misery 1087 01:03:00,400 --> 01:03:02,440 Speaker 1: and death around the world. And who should win it 1088 01:03:02,760 --> 01:03:07,480 Speaker 1: but count spirow Keet, who represents syphilis. Uh, the the 1089 01:03:07,880 --> 01:03:10,160 Speaker 1: embodiment of gnaia takes some issue with it. Some of 1090 01:03:10,160 --> 01:03:12,560 Speaker 1: the other illnesses are like, what's so great about sparrow keyt, 1091 01:03:12,640 --> 01:03:14,919 Speaker 1: what's he doing? There's a cure for it, blah blah blah, 1092 01:03:15,160 --> 01:03:18,120 Speaker 1: and so Death and spirow Keet, mainly Death goes on 1093 01:03:18,280 --> 01:03:22,560 Speaker 1: to explain to us why how selphialist works and why 1094 01:03:22,640 --> 01:03:25,600 Speaker 1: it is a problem, and why enlisted navy men, why 1095 01:03:25,680 --> 01:03:29,240 Speaker 1: why sailors should be on guard and should go seek 1096 01:03:29,280 --> 01:03:30,960 Speaker 1: treatment for any time they have any kind of a 1097 01:03:31,040 --> 01:03:33,720 Speaker 1: flare out, which kind of gets into this whole rich 1098 01:03:33,920 --> 01:03:37,560 Speaker 1: tradition of the military trying to bring a level of 1099 01:03:37,640 --> 01:03:43,400 Speaker 1: awareness of STDs to UH to everyone. In fact, if 1100 01:03:43,480 --> 01:03:46,800 Speaker 1: you go back to War one in wor World two, UH, 1101 01:03:47,000 --> 01:03:51,320 Speaker 1: you will see all sorts of pamphlets and posters warning 1102 01:03:52,000 --> 01:03:56,040 Speaker 1: military members to be very careful to watch out for SIFF, 1103 01:03:56,160 --> 01:04:00,520 Speaker 1: watch out for ganaia. And it even remind me of 1104 01:04:00,640 --> 01:04:03,520 Speaker 1: our quarantine episode in which we talked about the U. S. 1105 01:04:03,600 --> 01:04:08,640 Speaker 1: Military quarantining prostitutes in an attempt to try to separate 1106 01:04:09,160 --> 01:04:13,240 Speaker 1: what they thought is disease carrying prostitutes with STDs from 1107 01:04:13,520 --> 01:04:18,040 Speaker 1: military members. Yeah, so you have you have these campaigns 1108 01:04:18,080 --> 01:04:20,920 Speaker 1: that are basically in essence saying, hey, sailors, when you 1109 01:04:20,960 --> 01:04:24,040 Speaker 1: go into the next port town, please stay away from 1110 01:04:24,040 --> 01:04:26,520 Speaker 1: the prostitutes because you could catch syphilis and it's bad news. 1111 01:04:26,800 --> 01:04:29,160 Speaker 1: And you have to bear in mind too that even 1112 01:04:29,280 --> 01:04:33,800 Speaker 1: after the advent of penicillin, you'll have situations, particularly in wartime, 1113 01:04:34,080 --> 01:04:36,680 Speaker 1: where there's there's not an unlimited amount of penicillan to 1114 01:04:36,800 --> 01:04:41,400 Speaker 1: throw at at your your navy men's venereal diseases. You have, 1115 01:04:41,680 --> 01:04:43,640 Speaker 1: you have that a lot of that penicilla is earmarked 1116 01:04:43,680 --> 01:04:47,800 Speaker 1: for the battlefield for for use in helping with soldiers 1117 01:04:47,840 --> 01:04:50,640 Speaker 1: have been injured in combat. You don't want to spend 1118 01:04:50,680 --> 01:04:53,640 Speaker 1: it all just on a bunch of horny sailors who 1119 01:04:53,640 --> 01:04:55,880 Speaker 1: can't control themselves when they go into a farm port 1120 01:04:55,920 --> 01:04:58,520 Speaker 1: of call. So they're throwing education at the problem as well. 1121 01:04:59,000 --> 01:05:03,120 Speaker 1: But there's speaking to a male audience, and and so 1122 01:05:03,360 --> 01:05:08,200 Speaker 1: the messaging tends to take on a very sexist feel. Yeah. 1123 01:05:08,440 --> 01:05:11,920 Speaker 1: In fact, one of the posters which I'm looking at 1124 01:05:12,080 --> 01:05:15,240 Speaker 1: right now is a really good example. It's this, Um 1125 01:05:16,200 --> 01:05:18,960 Speaker 1: it's a photograph of a girl that looks, you know, 1126 01:05:19,440 --> 01:05:23,640 Speaker 1: kind of innocent and pure and you know, very Norman Rockwell, 1127 01:05:23,800 --> 01:05:26,120 Speaker 1: like this is the Norman Rockwell cow. I'm looking at 1128 01:05:26,320 --> 01:05:28,520 Speaker 1: very Norman Rockwell. In fact, she has this sort of 1129 01:05:28,640 --> 01:05:32,160 Speaker 1: beatific smile on as if you know she's doing godly work. 1130 01:05:32,600 --> 01:05:35,240 Speaker 1: And then there are you know, some servicemen who are 1131 01:05:35,360 --> 01:05:39,400 Speaker 1: looking at her at a distance. And across this poster 1132 01:05:39,560 --> 01:05:43,960 Speaker 1: it says she may look clean, but and the butt 1133 01:05:44,080 --> 01:05:46,320 Speaker 1: isn't an all red and all caps, and it says 1134 01:05:46,360 --> 01:05:51,040 Speaker 1: pick ups good time girls. Prostitutes spread syphilis and gonorrhea. 1135 01:05:51,360 --> 01:05:54,200 Speaker 1: You can't beat the axis is if you get v D. 1136 01:05:55,400 --> 01:05:57,880 Speaker 1: And at what I think is so interesting about this 1137 01:05:58,080 --> 01:06:01,439 Speaker 1: is that there are many other posters that have more 1138 01:06:03,520 --> 01:06:07,680 Speaker 1: I don't know what you say, tawdry looking women that 1139 01:06:08,000 --> 01:06:12,000 Speaker 1: there are basically saying their prostitutes. But then you have 1140 01:06:12,120 --> 01:06:14,280 Speaker 1: this other sort of like I said, be to fix smiled, 1141 01:06:14,760 --> 01:06:18,240 Speaker 1: innocent looking girl. And the point is, as you say, 1142 01:06:18,440 --> 01:06:22,880 Speaker 1: is that they're speaking to men, and um, they're really 1143 01:06:22,960 --> 01:06:27,080 Speaker 1: underscoring this idea that STDs veneral, that Jesus all begin 1144 01:06:27,240 --> 01:06:31,680 Speaker 1: with women, and that they are the font of evil. Yeah. 1145 01:06:31,720 --> 01:06:34,600 Speaker 1: I mean there's this darkness in the woman. It's almost 1146 01:06:34,640 --> 01:06:38,080 Speaker 1: like the like the feminine form as monster is the 1147 01:06:38,200 --> 01:06:40,680 Speaker 1: message here and and you see again you do see 1148 01:06:40,720 --> 01:06:44,600 Speaker 1: some more fantastic, horrific visions of this. There's one where 1149 01:06:45,120 --> 01:06:47,840 Speaker 1: the woman is like moving a handheld mask away from 1150 01:06:47,880 --> 01:06:50,480 Speaker 1: her face and behind it there's a death skull. Um. 1151 01:06:50,680 --> 01:06:54,400 Speaker 1: The Salvador Dollis illustration that he did for an anti 1152 01:06:54,480 --> 01:06:59,880 Speaker 1: syphilis poster in which you see the two buxom women. Yeah, 1153 01:07:00,000 --> 01:07:01,840 Speaker 1: I guess it kind of melting kind of, but they 1154 01:07:02,240 --> 01:07:03,760 Speaker 1: look like a death skull. You know. It's one of 1155 01:07:03,840 --> 01:07:06,680 Speaker 1: those one of his classic style images where you see 1156 01:07:07,040 --> 01:07:10,000 Speaker 1: the death's head uh in the form of the women. 1157 01:07:10,440 --> 01:07:11,960 Speaker 1: I'll be sure to throw that on stuff to your 1158 01:07:11,960 --> 01:07:13,760 Speaker 1: mind dot com as well. So everyone can see it. 1159 01:07:13,840 --> 01:07:15,920 Speaker 1: And yeah, weren't you telling me about the sixteenth century 1160 01:07:16,000 --> 01:07:21,560 Speaker 1: hypothesis of the woman as really the germanator of syphilis. Yeah, yeah, 1161 01:07:21,600 --> 01:07:25,000 Speaker 1: there was this notion that to syphilis emerged because you 1162 01:07:25,080 --> 01:07:28,320 Speaker 1: had you had women, you had prostitutes who were having 1163 01:07:28,360 --> 01:07:32,480 Speaker 1: sex with multiple men. Uh, and then those semens would 1164 01:07:32,520 --> 01:07:35,040 Speaker 1: those different seeds would be inside her and they would 1165 01:07:35,120 --> 01:07:39,160 Speaker 1: mingle together and corrupt into the form of syphilis. So 1166 01:07:39,440 --> 01:07:41,320 Speaker 1: with and you know, they had no one there was 1167 01:07:41,400 --> 01:07:44,800 Speaker 1: no proof to back up this ridiculous theory, but it 1168 01:07:44,880 --> 01:07:48,080 Speaker 1: did place the blame firmly on on women and very 1169 01:07:48,160 --> 01:07:52,120 Speaker 1: moralistically as well. These women are are sinning and therefore 1170 01:07:52,320 --> 01:07:56,560 Speaker 1: you have sickness arising from them. They are the source 1171 01:07:57,080 --> 01:08:00,640 Speaker 1: of of the ailment itself. Yeah, and uh, not not 1172 01:08:00,800 --> 01:08:02,680 Speaker 1: to get too crazy here, but it just kind of 1173 01:08:02,760 --> 01:08:05,160 Speaker 1: brings me back to this idea of witches. And we 1174 01:08:05,280 --> 01:08:07,520 Speaker 1: talked about which is and we talked about, you know, 1175 01:08:07,760 --> 01:08:12,320 Speaker 1: the power of women and sexuality. And again here we 1176 01:08:12,400 --> 01:08:16,479 Speaker 1: are subscribing this sort of power, this death to women 1177 01:08:16,920 --> 01:08:20,160 Speaker 1: in the form of syphilis. And uh, you know, I 1178 01:08:20,200 --> 01:08:23,080 Speaker 1: don't know that that's what all the poster artists intended, 1179 01:08:23,120 --> 01:08:26,479 Speaker 1: but it certainly captured the spirit of the times. Yeah, 1180 01:08:26,600 --> 01:08:29,240 Speaker 1: and and again they were talking to a predominantly male audience. 1181 01:08:29,520 --> 01:08:31,720 Speaker 1: As we mentioned before, even in UH, you know, over 1182 01:08:31,760 --> 01:08:36,160 Speaker 1: the centuries that syphilis was really ravaging Europe, you saw 1183 01:08:36,240 --> 01:08:39,439 Speaker 1: the highest percentages of infection uh in the in the 1184 01:08:39,520 --> 01:08:41,800 Speaker 1: in the soldiers are certainly a higher percentage than in 1185 01:08:42,000 --> 01:08:45,800 Speaker 1: the rest of the population. So soldiers and prostitutes were 1186 01:08:46,000 --> 01:08:49,960 Speaker 1: a key area of transference. Indeed. All right, so there 1187 01:08:50,040 --> 01:08:52,880 Speaker 1: you have it again. There's just there's not enough time 1188 01:08:52,960 --> 01:08:55,320 Speaker 1: and even in a series of podcasts to really get 1189 01:08:55,360 --> 01:09:00,439 Speaker 1: into all the ways that's syphilis informed UH Western culture 1190 01:09:00,760 --> 01:09:04,800 Speaker 1: during its UH four and a half centuries of unchecked life. 1191 01:09:05,520 --> 01:09:07,479 Speaker 1: But but hopefully we hit some of the high points. 1192 01:09:07,520 --> 01:09:09,920 Speaker 1: We hit some of the ideas who were play here 1193 01:09:10,040 --> 01:09:13,960 Speaker 1: about about us versus the other, about men and women, 1194 01:09:14,120 --> 01:09:18,200 Speaker 1: about the morality, about the cosmetics of dealing with syphilis, 1195 01:09:18,520 --> 01:09:20,479 Speaker 1: and if nothing else, that should serve as an interesting 1196 01:09:20,560 --> 01:09:24,000 Speaker 1: starting point for your own exploration of the topic. And 1197 01:09:24,080 --> 01:09:26,840 Speaker 1: also touching um the origin of it as well, and 1198 01:09:27,320 --> 01:09:30,559 Speaker 1: knowing that we don't have the end all be all 1199 01:09:30,800 --> 01:09:33,200 Speaker 1: theory in place yet, but we do have an idea 1200 01:09:33,360 --> 01:09:36,639 Speaker 1: of where it came from all right, Um, you guys 1201 01:09:36,680 --> 01:09:39,840 Speaker 1: can find us a multitude of places. Yeah, that's right. 1202 01:09:39,880 --> 01:09:41,560 Speaker 1: Go to Stuff to Blow your Mind dot com. That 1203 01:09:41,680 --> 01:09:43,599 Speaker 1: is the mothership. You will find all the blog posts, 1204 01:09:43,600 --> 01:09:46,400 Speaker 1: the podcast, the videos, etcetera, including a number of different 1205 01:09:46,400 --> 01:09:49,280 Speaker 1: items related to this Symphilist series that we've put out 1206 01:09:53,280 --> 01:09:55,760 Speaker 1: for more on this and thousands of other topics. Does it, 1207 01:09:55,880 --> 01:10:01,280 Speaker 1: How stuff works dot Com three year