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Did you know there was a
time when an electric jolt
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was the way to cure impotence?
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00:00:20,146 --> 00:00:22,814
The current is
supposed to send energy
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00:00:22,815 --> 00:00:26,485
to the seminal glands, fire
'em up, and get 'em going.
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00:00:27,737 --> 00:00:31,823
Or when doctors would replace
your skin with an animal's?
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00:00:31,824 --> 00:00:35,201
Sheep, dogs,
rabbits, chickens,
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00:00:35,202 --> 00:00:36,870
as long as it's got skin,
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it's fair game for
doctors to use.
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00:00:39,665 --> 00:00:44,043
Or that coffee used
to go up the other end?
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00:00:44,044 --> 00:00:46,880
He has a thriving
practice on Park Avenue.
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People are lining up
for his coffee enemas.
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00:00:49,842 --> 00:00:52,260
Why coffee?
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00:00:52,261 --> 00:00:54,888
These are the
things we used to do,
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00:00:54,889 --> 00:00:59,184
for fun, for money, or
maybe out of boredom,
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that we'll never see again.
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Were they dangerous? Certainly.
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Deadly? Occasionally.
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But, boy, wasn't it exciting?
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They say that necessity is
the mother of invention.
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Well, the need to find a
safe, effective painkiller
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was a big motivator for
19th century doctors.
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And what they came up with
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is a name you're
sure to recognize.
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After the Civil War, a
lot of injured soldiers
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{\an8}are given a painkiller
called morphine.
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{\an8}And not surprisingly, many of
them become addicted to it.
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{\an8}At the end of the 1800s,
chemists around the world
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{\an8}are trying to make a
synthetic version of morphine
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{\an8}that isn't as addictive.
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00:01:53,906 --> 00:01:57,033
{\an8}There are two chemists in
Europe who find a way to do it,
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C.R. Wright in England
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and, later, Felix
Hoffmann in Germany.
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00:02:01,121 --> 00:02:03,581
Because Wright
discovers the formula first,
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00:02:03,582 --> 00:02:05,875
Hoffman can't get a patent.
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00:02:05,876 --> 00:02:08,253
For most chemists, this
would be a deal breaker,
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00:02:08,254 --> 00:02:10,088
but not for Felix Hoffmann.
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Hoffman works for a large
pharmaceutical company
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00:02:12,716 --> 00:02:14,634
that's willing to take a risk.
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00:02:14,635 --> 00:02:17,095
In 1897, instead of
applying for a patent,
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00:02:17,096 --> 00:02:19,931
{\an8}they trademark their
synthetic morphine.
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00:02:19,932 --> 00:02:22,809
A trademark doesn't
protect the invention.
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It protects the name
so no one can copy it.
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They call it heroin.
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Now I know what
you're thinking.
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You're thinking, they don't
mean like heroin heroin.
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{\an8}It's just, like, called heroin.
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{\an8}No, no, it's called heroin
because it is heroin heroin.
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They're selling it as
Heroin with a capital H,
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like a brand name,
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00:02:43,998 --> 00:02:46,624
{\an8}to make the appeal of
the product greater.
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00:02:46,625 --> 00:02:49,544
This new wonder drug
goes into mass production
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and is exported
around the world,
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including, of course,
to the United States.
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It's advertised as safe
and not habit-forming.
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You could walk into
a pharmacy and say,
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00:03:00,139 --> 00:03:02,725
{\an8}"Give me a bottle of Heroin,"
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00:03:03,559 --> 00:03:04,852
and the pharmacist
would be like,
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00:03:05,102 --> 00:03:10,440
"Yes, I just got a new shipment
of heroin in yesterday."
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00:03:10,441 --> 00:03:13,568
And then they would
just sell it to you.
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00:03:13,569 --> 00:03:16,529
Heroin comes
out at a perfect time.
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00:03:16,530 --> 00:03:19,657
Not only is it an
effective painkiller,
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00:03:19,658 --> 00:03:23,495
it is also great
for something else.
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00:03:24,538 --> 00:03:25,955
At the turn of the century,
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there's a massive global
outbreak of tuberculosis,
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00:03:29,668 --> 00:03:32,170
a bacterial infection
that affects the lungs
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00:03:32,171 --> 00:03:34,172
and causes a nasty cough.
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00:03:34,173 --> 00:03:36,424
And it's particularly
rough in the US.
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And what does
capital H Heroin do?
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00:03:39,720 --> 00:03:41,721
It soothes a cough.
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00:03:41,722 --> 00:03:43,640
So in the early 1900s,
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00:03:43,641 --> 00:03:46,726
they're selling heroin
as a cough syrup.
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00:03:46,727 --> 00:03:49,562
Presumably, your
cough would go away
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or you would still have it
and just not notice or care.
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00:03:54,443 --> 00:03:57,445
So heroin, like the codeine
in our cough suppressants,
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00:03:57,446 --> 00:03:59,364
{\an8}is an opiate and it
makes you sleepy,
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00:03:59,365 --> 00:04:00,865
{\an8}so it could work for a cough.
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00:04:00,866 --> 00:04:03,242
But it would not
be my first choice.
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00:04:03,243 --> 00:04:05,078
Look at the
charming little label.
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00:04:05,079 --> 00:04:07,914
Compressed tablets
containing 24 grains each
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00:04:07,915 --> 00:04:11,084
of heroin hydrochloride.
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00:04:11,085 --> 00:04:13,544
Directions, take two
or three tablets.
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I mean that is,
it's totally legit.
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What could go wrong?
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00:04:18,133 --> 00:04:20,134
Heroin is touted as
this great solution
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00:04:20,135 --> 00:04:21,928
to the morphine
addiction problem.
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00:04:21,929 --> 00:04:24,222
And there's an
organization in Boston
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00:04:24,223 --> 00:04:27,058
that gives free heroin
to morphine addicts,
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00:04:27,059 --> 00:04:29,436
hoping that it will help
them break the habit.
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00:04:30,437 --> 00:04:32,981
The solution to help people
with a morphine addiction
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00:04:32,982 --> 00:04:34,440
is heroin.
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00:04:34,441 --> 00:04:37,193
The results
are disastrous.
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What they end up doing is
just creating deeper addiction.
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Unintended, but that's
the consequence.
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00:04:46,578 --> 00:04:50,415
Patients end up needing
higher and higher doses
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00:04:50,416 --> 00:04:52,834
to get the same fix.
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00:04:52,835 --> 00:04:55,712
And it's basically
completely backfiring.
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00:04:55,713 --> 00:04:58,798
Within about a decade
of heroin entering the US,
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00:04:58,799 --> 00:05:01,009
it's being used as
a recreational drug.
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00:05:01,010 --> 00:05:05,013
And by 1914, addicts are
knocking on hospital doors
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00:05:05,014 --> 00:05:07,181
desperately searching
for treatment.
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00:05:07,182 --> 00:05:08,725
Things get so bad
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00:05:08,726 --> 00:05:10,560
that the original
company that makes heroin
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voluntarily takes
it off the market.
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00:05:13,022 --> 00:05:17,025
But that doesn't stop other
illicit and generic versions
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00:05:17,026 --> 00:05:19,569
from being available
in the marketplace.
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00:05:19,570 --> 00:05:21,487
The gang
dilutes the heroin,
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00:05:21,488 --> 00:05:25,158
packages it for sale to drug
addicts all over the country.
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00:05:25,159 --> 00:05:28,327
Doctors and chemists
are realizing
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00:05:28,328 --> 00:05:31,998
that heroin is not
a great solution,
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00:05:31,999 --> 00:05:37,086
that maybe even heroin is
more addictive than morphine.
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00:05:37,087 --> 00:05:41,049
In an effort to curb both
its legal and illegal use,
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Congress passes the
Heroin Act of 1924.
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This makes the
manufacturer, importation,
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and possession of heroin
illegal in the United States,
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even for medical use.
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The brand name Heroin
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00:05:54,980 --> 00:05:58,066
was derived from a German
word which means heroic.
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00:05:58,067 --> 00:06:01,110
And though heroin turned
out to be less than heroic,
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00:06:01,111 --> 00:06:05,281
in the late 1800s, there
was a new hero on the scene,
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00:06:05,282 --> 00:06:07,116
electricity.
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00:06:07,117 --> 00:06:10,036
And at the time, it was
innovative, exciting,
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00:06:10,037 --> 00:06:13,664
and people were figuring out
all sorts of interesting things
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00:06:13,665 --> 00:06:14,999
they could do with it.
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00:06:18,712 --> 00:06:21,506
{\an8}It's the 19th century
and all things electricity
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00:06:21,507 --> 00:06:23,925
{\an8}are fascinating the public.
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00:06:23,926 --> 00:06:29,305
Edison is going full steam with
wiring cities like New York
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00:06:29,306 --> 00:06:32,850
and creating power plants
and the light bulb.
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00:06:32,851 --> 00:06:36,938
And electricity becomes
a panacea, a cure-all.
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00:06:36,939 --> 00:06:39,690
{\an8}There's this fascination
between electricity
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00:06:39,691 --> 00:06:42,693
{\an8}and its possible
health benefits.
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If it can power our
fledgling industrial world,
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00:06:46,990 --> 00:06:49,325
what if it could power the body?
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00:06:49,326 --> 00:06:52,537
Soon, people are creating
electrical devices
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00:06:52,538 --> 00:06:55,164
for all sorts of ailments,
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00:06:55,165 --> 00:06:59,544
up to and including
erectile dysfunction.
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At the turn of the century,
impotence was a big mystery.
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00:07:04,675 --> 00:07:06,926
They didn't know what caused it.
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00:07:06,927 --> 00:07:09,303
They thought maybe
if we could stimulate
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00:07:09,304 --> 00:07:12,598
more sperm in your
system some way,
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00:07:12,599 --> 00:07:15,143
we could get you
revitalized again.
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00:07:15,144 --> 00:07:18,062
There's no doubt in
my mind that impotence
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is probably one of
the worst things
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00:07:20,274 --> 00:07:21,732
that could happen to a dude.
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00:07:21,733 --> 00:07:24,193
If I found myself in a situation
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where I was literally impotent,
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I would go to any
lengths to cure that.
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00:07:31,118 --> 00:07:35,955
In the 1890s, one
solution is an electric belt.
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Advertisements for
these electrical belts
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claim that they can cure
all sorts of ailments,
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00:07:41,962 --> 00:07:44,088
back aches, kidney pain.
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00:07:44,089 --> 00:07:47,884
And they also coyly
allude to the fact
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that the electrical belt might
be able to help weak men.
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And we all know what
that's code for.
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The way it's supposed to work
is the battery-powered belt
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has electrodes that are
connected directly to the organ.
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00:08:02,691 --> 00:08:04,734
And these electrodes
are to deliver
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{\an8}a, quote, "soothing current
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00:08:07,696 --> 00:08:11,157
{\an8}to the delicate
nerves and fibers."
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00:08:11,158 --> 00:08:14,619
And they claim that the current
is supposed to send energy
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00:08:14,620 --> 00:08:16,246
to the seminal glands,
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00:08:17,414 --> 00:08:20,375
fire 'em up, and get 'em going.
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These electrical belts
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are the height of
sophistication of the time.
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00:08:27,299 --> 00:08:30,009
Pretty soon, there's plenty
of options to choose from.
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00:08:30,010 --> 00:08:33,846
So fierce is the competition
that there emerges
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00:08:33,847 --> 00:08:36,016
a so-called battle of the belts.
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00:08:37,226 --> 00:08:41,979
Manufacturers run ad campaigns
starring leading actors,
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00:08:41,980 --> 00:08:44,899
well-known doctors,
and they all claim
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00:08:44,900 --> 00:08:49,820
that this belt generates,
quote, "a health-giving current
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00:08:49,821 --> 00:08:51,365
to the whole system."
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The thing basically looks
and is a torture device,
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00:08:56,662 --> 00:08:58,496
but clearly, the
testimonials work
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because between
the 1890s and 1920,
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00:09:01,667 --> 00:09:04,419
they sell thousands
of these things.
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00:09:05,796 --> 00:09:07,880
And they're usually
bought through catalogs
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00:09:07,881 --> 00:09:09,632
like the ones from Sears.
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00:09:09,633 --> 00:09:11,008
But these belts
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00:09:11,009 --> 00:09:13,552
aren't all they're
cracked up to be.
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00:09:13,553 --> 00:09:16,931
Metals that these
electrodes are composed of
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00:09:16,932 --> 00:09:22,520
leave behind a corrosive salt
that tends to burn the skin.
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00:09:22,521 --> 00:09:25,773
So now, not only are
these men impotent,
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00:09:25,774 --> 00:09:28,110
they're covered in
sores and are in pain.
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00:09:29,569 --> 00:09:32,488
The electric belts remain in
vogue for a very short time.
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00:09:32,489 --> 00:09:36,158
By 1910, the American
Medical Association
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00:09:36,159 --> 00:09:38,244
deems it a quackery
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00:09:38,245 --> 00:09:42,039
and they are pretty much
removed from the market.
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00:09:42,040 --> 00:09:46,168
Electrification turned out
not to be the ideal solution,
188
00:09:46,169 --> 00:09:48,921
but it was far from
the only extreme remedy
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{\an8}to hit the market.
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00:09:52,592 --> 00:09:54,677
For many, being a
red-blooded American male
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00:09:54,678 --> 00:09:57,305
has always meant displaying
confidence, vigor,
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00:09:57,306 --> 00:10:01,058
and a certain
ability to perform.
193
00:10:01,059 --> 00:10:03,519
Well, if you're having
trouble in that area,
194
00:10:03,520 --> 00:10:07,440
in 1918, all that stood
between these problems
195
00:10:07,441 --> 00:10:11,902
and a whole new you was a
highly promising new surgery.
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00:10:14,323 --> 00:10:17,950
{\an8}In the 1800s, when
people think of impotence,
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00:10:17,951 --> 00:10:22,330
{\an8}they think of it as
a depletion of sperm.
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00:10:22,331 --> 00:10:26,125
Therefore, doctors will
prescribe to not masturbate
199
00:10:26,126 --> 00:10:28,794
as that is a waste of your sperm
200
00:10:28,795 --> 00:10:31,422
and could yield more impotence.
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00:10:31,423 --> 00:10:33,716
Furthermore, doctors
will prescribe
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00:10:33,717 --> 00:10:37,887
so-called cures like opium,
or bleeding, or quinine.
203
00:10:37,888 --> 00:10:39,889
A doctor
named John Brinkley
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00:10:39,890 --> 00:10:43,184
comes up with a more
permanent solution.
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00:10:43,185 --> 00:10:46,103
Imagine you have a problem,
and you go to the doctor,
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00:10:46,104 --> 00:10:48,856
{\an8}and the doctor says,
"I can help you,
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00:10:48,857 --> 00:10:50,316
{\an8}and the way I am gonna do that
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00:10:50,317 --> 00:10:53,486
{\an8}is by slicing open your
scrotum and putting,
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00:10:53,487 --> 00:10:59,075
like, little nut-sized goat
testicles inside of you.
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00:10:59,076 --> 00:11:00,910
John Brinkley,
211
00:11:00,911 --> 00:11:03,245
who's supposed to be this
super sophisticated doctor
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00:11:03,246 --> 00:11:06,290
with this super star degree,
213
00:11:06,291 --> 00:11:10,461
{\an8}he has this procedure
to sew a goat's testicle
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00:11:10,462 --> 00:11:12,297
into a man's scrotum.
215
00:11:13,382 --> 00:11:16,008
Brinkley assures
his willing patient
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00:11:16,009 --> 00:11:19,678
that the goat's sex gland
will naturally bond
217
00:11:19,679 --> 00:11:22,306
with his organs and
his blood vessels
218
00:11:22,307 --> 00:11:26,060
and become a functioning
part of his body.
219
00:11:26,061 --> 00:11:28,145
{\an8}And so he gains a
big, big following.
220
00:11:28,146 --> 00:11:31,357
{\an8}People beat a path to his
door for this procedure.
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00:11:31,358 --> 00:11:34,276
There is such a demand
for Dr. Brinkley's services
222
00:11:34,277 --> 00:11:35,570
that he branches out.
223
00:11:37,280 --> 00:11:39,824
He thinks what's
good for the goose
224
00:11:39,825 --> 00:11:41,492
must be good for the gander,
225
00:11:41,493 --> 00:11:43,369
so he comes up with
the brilliant idea
226
00:11:43,370 --> 00:11:47,581
of transplanting goat
ovaries into female patients
227
00:11:47,582 --> 00:11:50,919
to help them deal with
their pregnancy issues.
228
00:11:52,170 --> 00:11:54,422
People were so desperate
to fix these problems,
229
00:11:54,423 --> 00:11:58,426
Brinkley was charging
people $750 a procedure,
230
00:11:58,427 --> 00:12:01,011
which is $12,000
in today's money.
231
00:12:01,012 --> 00:12:02,555
Despite the price,
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00:12:02,556 --> 00:12:05,266
thousands are flocking
to his clinic for a cure,
233
00:12:05,267 --> 00:12:09,645
and it raises suspicion at the
American Medical Association.
234
00:12:09,646 --> 00:12:11,147
Morris Fishbein, the editor
235
00:12:11,148 --> 00:12:13,858
of the Journal of the
American Medical Association,
236
00:12:13,859 --> 00:12:16,861
soon wages a personal
and medical crusade
237
00:12:16,862 --> 00:12:20,072
against Dr. Brinkley as a fraud.
238
00:12:20,073 --> 00:12:23,242
{\an8}It turns out that,
quote, "Dr. John Brinkley"
239
00:12:23,243 --> 00:12:24,702
{\an8}isn't even a real doctor.
240
00:12:24,703 --> 00:12:27,455
{\an8}His degree is from
a sham university.
241
00:12:27,456 --> 00:12:29,540
Goat transplants are bad enough,
242
00:12:29,541 --> 00:12:32,460
but dude isn't even
a trained surgeon.
243
00:12:32,461 --> 00:12:34,378
He's just out here wilding,
244
00:12:34,379 --> 00:12:38,132
slicing through scrotums,
ruining people's lives.
245
00:12:38,133 --> 00:12:41,135
Any success stories reported
by Dr. Brinkley's patients
246
00:12:41,136 --> 00:12:43,304
is likely due to
the placebo effect.
247
00:12:43,305 --> 00:12:44,930
It's basically a mind trick.
248
00:12:44,931 --> 00:12:46,098
They were not really cured,
249
00:12:46,099 --> 00:12:47,975
but they led
themselves to believe
250
00:12:47,976 --> 00:12:49,727
that they had been cured.
251
00:12:49,728 --> 00:12:51,520
Think about it.
252
00:12:51,521 --> 00:12:55,608
Who's gonna come forward in
the 1920s, or even today,
253
00:12:55,609 --> 00:12:58,277
and say that their
goat testicle implants
254
00:12:58,278 --> 00:13:00,654
designed to treat
impotency didn't work
255
00:13:00,655 --> 00:13:02,282
and so now they want a refund?
256
00:13:03,283 --> 00:13:04,742
No one.
257
00:13:04,743 --> 00:13:08,204
By 1930, Brinkley's
medical license was revoked
258
00:13:08,205 --> 00:13:11,207
and he was forced to
reimburse millions of dollars
259
00:13:11,208 --> 00:13:13,334
to patients he defrauded.
260
00:13:13,335 --> 00:13:15,961
Most people trusted
their doctor's advice
261
00:13:15,962 --> 00:13:18,088
when they were told
they needed surgery
262
00:13:18,089 --> 00:13:19,798
or to take a prescription.
263
00:13:19,799 --> 00:13:21,884
So who would
question their doctor
264
00:13:21,885 --> 00:13:25,095
when they recommended the
newest medical remedy,
265
00:13:25,096 --> 00:13:27,682
a nice, smooth cigarette?
266
00:13:30,477 --> 00:13:32,311
{\an8}You just have to
remember that the past
267
00:13:32,312 --> 00:13:34,647
{\an8}can sometimes be a foreign land.
268
00:13:34,648 --> 00:13:38,692
And in the 1950s, half
of all Americans smoked.
269
00:13:38,693 --> 00:13:41,529
Cigarettes were everywhere.
270
00:13:41,530 --> 00:13:44,698
You get on a plane, there
was a smoking section.
271
00:13:44,699 --> 00:13:47,076
In class, in college,
you could smoke.
272
00:13:47,077 --> 00:13:48,619
You would walk into a hospital
273
00:13:48,620 --> 00:13:51,539
and there'd be ashtrays
in the waiting room.
274
00:13:51,540 --> 00:13:52,831
In the hospital rooms,
275
00:13:52,832 --> 00:13:54,542
there'd be an ashtray
next to the bed.
276
00:13:54,543 --> 00:13:58,088
Like, there was cigarette
smoking literally everywhere.
277
00:13:59,047 --> 00:14:01,048
There were even vending
machines for cigarettes.
278
00:14:01,049 --> 00:14:03,384
Kids today, they
can't even imagine.
279
00:14:03,385 --> 00:14:05,761
{\an8}These days, the message
on smoking is clear.
280
00:14:05,762 --> 00:14:07,013
{\an8}It's bad for you.
281
00:14:07,222 --> 00:14:09,891
{\an8}But back in the day, the
message was very different.
282
00:14:10,976 --> 00:14:14,144
Tobacco ads start
ramping up in the 1800s,
283
00:14:14,145 --> 00:14:17,983
but their content is unlike
anything we'd see today.
284
00:14:18,984 --> 00:14:20,818
Do you suffer from asthma?
285
00:14:20,819 --> 00:14:23,029
Have you tried Cigares de Joy?
286
00:14:24,281 --> 00:14:25,739
Have a head cold, hay fever,
287
00:14:25,740 --> 00:14:27,825
or all diseases of the throat?
288
00:14:27,826 --> 00:14:31,328
Give a try to
Marshall's Cigarettes.
289
00:14:31,329 --> 00:14:33,330
In the 1800s, it's
believed that asthma
290
00:14:33,331 --> 00:14:36,959
and respiratory problems stem
from a buildup of phlegm.
291
00:14:36,960 --> 00:14:39,169
So what better way to cure
it than to smoke tobacco
292
00:14:39,170 --> 00:14:40,462
mixed with herbs?
293
00:14:40,463 --> 00:14:42,506
I mean, think about it,
you're inhaling the cure
294
00:14:42,507 --> 00:14:43,966
right into your lungs.
295
00:14:43,967 --> 00:14:46,885
Early cigarette
ads lean into these ideas.
296
00:14:46,886 --> 00:14:48,887
Tobacco is a remedy.
297
00:14:48,888 --> 00:14:51,849
{\an8}To show just how
harmless tobacco is,
298
00:14:51,850 --> 00:14:54,184
{\an8}the promotions around
Joy's Cigarettes
299
00:14:54,185 --> 00:14:56,729
{\an8}say that they're suitable
for women and children.
300
00:14:56,730 --> 00:14:59,690
Imagine giving a
10-year-old a cigarette
301
00:14:59,691 --> 00:15:01,609
for an asthma attack.
302
00:15:01,610 --> 00:15:04,194
It's so deeply
counterintuitive
303
00:15:04,195 --> 00:15:07,865
to today's sensibilities,
it's just bonkers.
304
00:15:07,866 --> 00:15:10,534
But tobacco companies
have done some homework
305
00:15:10,535 --> 00:15:14,455
when it comes to health claims,
in their own unique way.
306
00:15:14,456 --> 00:15:17,458
In the late 1920s, the
American Tobacco Company,
307
00:15:17,459 --> 00:15:20,461
the manufacturer of the famed
Lucky Strike cigarettes,
308
00:15:20,462 --> 00:15:23,839
hire an ad agency who
mails cartons of cigarettes
309
00:15:23,840 --> 00:15:26,008
to thousands and
thousands of doctors,
310
00:15:26,009 --> 00:15:27,843
with an attached survey
311
00:15:27,844 --> 00:15:30,387
asking whether Lucky
Strike cigarettes
312
00:15:30,388 --> 00:15:34,141
are less irritating to
sensitive and tender throats
313
00:15:34,142 --> 00:15:37,061
than other brands of cigarettes.
314
00:15:37,062 --> 00:15:39,355
You're getting a
free carton of smokes,
315
00:15:39,356 --> 00:15:41,106
you know, you're
more inclined to say,
316
00:15:41,107 --> 00:15:42,441
"Sure, I'd recommend them."
317
00:15:42,442 --> 00:15:45,653
They get back about
21,000 of these surveys
318
00:15:45,654 --> 00:15:49,114
{\an8}where doctors say, "Yes, we
recommend Lucky Strikes."
319
00:15:49,115 --> 00:15:53,118
{\an8}And they use that as a marketing
and advertising campaign.
320
00:15:53,119 --> 00:15:55,162
{\an8}Absolutely ingenious.
321
00:15:55,163 --> 00:15:57,832
Incredibly unethical,
but absolutely genius.
322
00:15:59,459 --> 00:16:02,711
American tobacco's
campaign is so successful
323
00:16:02,712 --> 00:16:05,089
it spurs an advertising war.
324
00:16:05,090 --> 00:16:07,049
Camel decides to take a page
325
00:16:07,050 --> 00:16:08,634
out of their
competitors' playbook
326
00:16:08,635 --> 00:16:11,261
and starts sending
cartons of cigarettes
327
00:16:11,262 --> 00:16:14,181
to loads upon loads of doctors,
328
00:16:14,182 --> 00:16:18,895
and then they release a
bold ad campaign that says,
329
00:16:20,271 --> 00:16:24,192
{\an8}"More doctors smoke Camel
than any other cigarette."
330
00:16:26,069 --> 00:16:27,820
True or not, it didn't matter.
331
00:16:27,821 --> 00:16:29,613
At this time, the
advertising industry
332
00:16:29,614 --> 00:16:31,240
is completely unregulated,
333
00:16:31,241 --> 00:16:35,786
so companies were free to
make any claim they wanted.
334
00:16:35,787 --> 00:16:38,539
Did you say I'll feel
better smoking Philip Morris?
335
00:16:38,540 --> 00:16:40,624
Yes,
you'll feel better.
336
00:16:40,625 --> 00:16:42,292
In major cities
across the country,
337
00:16:42,293 --> 00:16:45,379
tobacco execs are setting
up hospitality booths
338
00:16:45,380 --> 00:16:47,131
at medical conventions.
339
00:16:47,132 --> 00:16:50,217
And they are passing out
free cartons of cigarettes
340
00:16:50,218 --> 00:16:51,593
to the doctors there.
341
00:16:51,594 --> 00:16:54,805
And these doctors, they're
lining up to get them.
342
00:16:54,806 --> 00:16:56,056
The R. J. Reynolds Company
343
00:16:56,057 --> 00:16:58,809
sets up a medical
relations division.
344
00:16:58,810 --> 00:17:01,729
This is a tobacco company
345
00:17:01,730 --> 00:17:05,733
with a medical
relations division.
346
00:17:05,734 --> 00:17:07,443
Their aim is pretty simple.
347
00:17:07,444 --> 00:17:08,652
They wanna get doctors
348
00:17:08,653 --> 00:17:10,571
to recommend smoking
to their patients.
349
00:17:10,572 --> 00:17:14,032
And the craziest thing
is that it works.
350
00:17:14,033 --> 00:17:16,326
By 1953, more than
half of America's
351
00:17:16,327 --> 00:17:18,746
physicians are smokers.
352
00:17:18,747 --> 00:17:20,581
And they are encouraging
their patients
353
00:17:20,582 --> 00:17:22,583
to become smokers too.
354
00:17:22,584 --> 00:17:24,710
Just imagine you
go to your doctor,
355
00:17:24,711 --> 00:17:26,795
and he's taking a
pull of a cigarette,
356
00:17:26,796 --> 00:17:30,340
and he's advising you that
you should smoke yourself
357
00:17:30,341 --> 00:17:31,800
to calm your nerves.
358
00:17:31,801 --> 00:17:33,427
And not only are they
just recommending this
359
00:17:33,428 --> 00:17:34,887
to regular people,
360
00:17:34,888 --> 00:17:38,640
they're also recommending
this to pregnant women.
361
00:17:38,641 --> 00:17:41,185
Obviously now we know that
smoking during pregnancy
362
00:17:41,186 --> 00:17:43,312
is an absolute no-no.
363
00:17:43,313 --> 00:17:45,230
But in the 1940s and the 1950s,
364
00:17:45,231 --> 00:17:47,733
doctors are actually
encouraging women to smoke
365
00:17:47,734 --> 00:17:50,486
as a means of
calming their nerves
366
00:17:50,487 --> 00:17:53,071
and keeping the weight off.
367
00:17:53,072 --> 00:17:55,991
The recommendation
is relatively short-lived.
368
00:17:55,992 --> 00:17:59,328
In 1964, the surgeon
general issues a warning
369
00:17:59,329 --> 00:18:01,538
laying out all the
dangers of smoking.
370
00:18:01,539 --> 00:18:03,707
The medical profession at large
371
00:18:03,708 --> 00:18:05,626
really takes a measure
of how dangerous
372
00:18:05,627 --> 00:18:07,712
and how unhealthy
smoking can be.
373
00:18:08,922 --> 00:18:11,006
The government didn't
just go after cigarettes.
374
00:18:11,007 --> 00:18:15,385
In 1971, they also came for
the advertising industry,
375
00:18:15,386 --> 00:18:17,054
banning cigarette commercials
376
00:18:17,055 --> 00:18:19,474
on television and
radio to this day.
377
00:18:22,310 --> 00:18:23,478
According to Mary Poppins,
378
00:18:23,686 --> 00:18:25,979
a spoonful of sugar helps
the medicine go down.
379
00:18:25,980 --> 00:18:28,816
But back in the day,
some doctors believed
380
00:18:28,817 --> 00:18:32,986
that for medicine to be
effective, it needed to go up.
381
00:18:35,490 --> 00:18:37,574
People have a very
different understanding
382
00:18:37,575 --> 00:18:40,285
of gastric health
in the 21st century
383
00:18:40,286 --> 00:18:43,413
{\an8}than they have in
centuries gone by,
384
00:18:43,414 --> 00:18:45,958
especially the way people viewed
385
00:18:45,959 --> 00:18:47,876
the excretory parts of the body.
386
00:18:47,877 --> 00:18:51,421
In the 1920s, the colon
has a really bad rap.
387
00:18:51,422 --> 00:18:54,174
{\an8}It's considered dirty,
it's never cleaned,
388
00:18:54,175 --> 00:18:56,635
{\an8}it's like the sewer
of the human body.
389
00:18:56,636 --> 00:18:59,346
The common belief of
doctors at this time
390
00:18:59,347 --> 00:19:03,016
was essentially that all of
the contaminants in the colon
391
00:19:03,017 --> 00:19:05,936
could eventually pass
into the bloodstream
392
00:19:05,937 --> 00:19:09,148
and cause catastrophic
illness throughout the body.
393
00:19:10,108 --> 00:19:11,942
Physicians are
administering enemas
394
00:19:11,943 --> 00:19:14,152
for all sorts of ailments,
395
00:19:14,153 --> 00:19:17,489
{\an8}headaches, indigestion,
heart palpitations.
396
00:19:17,490 --> 00:19:19,992
And Americans are buying it.
397
00:19:19,993 --> 00:19:24,079
The 1920s and '30s are known
as the golden age of purgation.
398
00:19:24,080 --> 00:19:26,081
To get the
maximum purging effect,
399
00:19:26,082 --> 00:19:30,752
doctors start adding ingredients
to their enema treatments.
400
00:19:30,753 --> 00:19:33,088
Max Gerson is a German doctor
401
00:19:33,089 --> 00:19:36,925
who experiments with all kinds
of nutritional interventions
402
00:19:36,926 --> 00:19:38,218
to treat his own headache.
403
00:19:38,219 --> 00:19:40,512
And he starts to
think about the fact
404
00:19:40,513 --> 00:19:43,307
that caffeine constricts
blood vessels.
405
00:19:43,308 --> 00:19:44,683
So what does he do?
406
00:19:44,684 --> 00:19:47,186
He adds coffee to an enema.
407
00:19:48,438 --> 00:19:51,982
{\an8}If I was gonna pick
something to use as an enema,
408
00:19:51,983 --> 00:19:53,442
{\an8}why coffee?
409
00:19:53,443 --> 00:19:55,986
Gerson's belief
is that the coffee
410
00:19:55,987 --> 00:20:00,449
triggers sort of a domino
theory of detoxification.
411
00:20:00,450 --> 00:20:03,201
The coffee enema
stimulates the liver,
412
00:20:03,202 --> 00:20:05,412
which then produces more bile.
413
00:20:05,413 --> 00:20:07,581
The bile then helps
flush more toxins
414
00:20:07,582 --> 00:20:10,042
through the gallbladder,
through the small intestine,
415
00:20:10,043 --> 00:20:14,338
through the large intestine,
and then out the body.
416
00:20:14,339 --> 00:20:17,341
Gerson not only says
that this coffee enema
417
00:20:17,342 --> 00:20:20,177
could cure migraines
and indigestion,
418
00:20:20,178 --> 00:20:24,097
he also claims that it could
cure tuberculosis and cancer.
419
00:20:24,098 --> 00:20:25,724
Strangely enough,
coffee enemas
420
00:20:25,725 --> 00:20:29,311
seem to be a magic cure-all
that people can't get enough of.
421
00:20:29,312 --> 00:20:31,688
He has a thriving
practice on Park Avenue.
422
00:20:31,689 --> 00:20:34,107
He's on the staff at Gotham
Hospital in New York City.
423
00:20:34,108 --> 00:20:36,318
{\an8}He's even backed by
the Robinson Foundation
424
00:20:36,319 --> 00:20:37,861
{\an8}for cancer research.
425
00:20:37,862 --> 00:20:40,614
People are practically lining
up for his coffee enemas.
426
00:20:40,615 --> 00:20:42,532
The only catch is
that there's no evidence
427
00:20:42,533 --> 00:20:43,993
that this actually works.
428
00:20:44,994 --> 00:20:46,620
The National Cancer Institute
429
00:20:46,621 --> 00:20:50,832
decides to investigate
10 of Dr. Gerson's cases,
430
00:20:50,833 --> 00:20:53,001
and they find no evidence
431
00:20:53,002 --> 00:20:56,129
of any efficacy of
his cures for cancer.
432
00:20:56,130 --> 00:20:57,547
It's basically determined
433
00:20:57,548 --> 00:21:00,008
that Gerson is
completely full of it.
434
00:21:00,009 --> 00:21:03,136
Not only are coffee enemas
particularly ineffective,
435
00:21:03,137 --> 00:21:04,846
they're unbelievably dangerous.
436
00:21:04,847 --> 00:21:07,683
They can cause damage to
the rectum, the colon,
437
00:21:07,684 --> 00:21:09,434
they can cause nerve damage,
438
00:21:09,435 --> 00:21:12,522
and they can cause terrible
burns if the coffee is hot,
439
00:21:14,148 --> 00:21:16,359
which is kind of, like, obvious.
440
00:21:17,986 --> 00:21:20,112
Despite Dr. Gerson's claims,
441
00:21:20,113 --> 00:21:24,491
people determined they'd rather
have their coffee in a cup.
442
00:21:24,492 --> 00:21:26,952
That doesn't mean that
beverages were off the table
443
00:21:26,953 --> 00:21:28,578
for medical purposes.
444
00:21:28,579 --> 00:21:30,414
Take a pair of Canadian doctors
445
00:21:30,415 --> 00:21:35,210
who were desperate to
fight cholera in the 1850s.
446
00:21:35,211 --> 00:21:36,962
Cholera is a
really destructive,
447
00:21:36,963 --> 00:21:39,089
incredibly debilitating
intestinal sickness.
448
00:21:39,090 --> 00:21:43,260
It causes agonizing cramping,
massive dehydration,
449
00:21:43,261 --> 00:21:45,095
and terrible diarrhea.
450
00:21:45,096 --> 00:21:46,763
{\an8}And it's so severe
451
00:21:46,764 --> 00:21:49,808
{\an8}a person can die within
hours of contracting it.
452
00:21:49,809 --> 00:21:51,643
In 1854,
453
00:21:51,644 --> 00:21:55,480
Toronto doctors James
Bovell and Edward Hodder
454
00:21:55,481 --> 00:21:57,941
are desperately
searching for a cure.
455
00:21:57,942 --> 00:21:59,609
White blood cells
had been discovered
456
00:21:59,610 --> 00:22:01,528
about a decade
earlier in Europe,
457
00:22:01,529 --> 00:22:05,323
and Dr. Bovell was investigating
their effects on disease.
458
00:22:05,324 --> 00:22:07,451
Dr. Hodder comes
up with the idea
459
00:22:07,452 --> 00:22:09,786
that maybe he could
cure cholera patients
460
00:22:09,787 --> 00:22:11,497
with blood transfusions.
461
00:22:12,832 --> 00:22:16,626
{\an8}But Bovell was sort of
like, "Dude, it's a pandemic.
462
00:22:16,627 --> 00:22:19,004
What if the people
are actually sick
463
00:22:19,005 --> 00:22:21,048
and this blood is no good?"
464
00:22:21,049 --> 00:22:23,008
Dr. Hodder starts wondering
465
00:22:23,009 --> 00:22:26,053
if there's some sort of
substitute they can use.
466
00:22:26,054 --> 00:22:30,974
And because Dr. Hodder was
only as advanced as the 1850s,
467
00:22:30,975 --> 00:22:35,687
he decides that the liquid
to use for blood transfusions
468
00:22:35,688 --> 00:22:37,023
is milk.
469
00:22:39,984 --> 00:22:42,235
They have a
very specific reason
470
00:22:42,236 --> 00:22:44,529
why they think their
idea will work.
471
00:22:44,530 --> 00:22:47,949
It sounds crazy right
now, but it's the 1850s,
472
00:22:47,950 --> 00:22:50,660
and they're sort of
like, "Milk is white,
473
00:22:50,661 --> 00:22:54,873
white blood cells are
white, it's the same."
474
00:22:54,874 --> 00:22:56,875
The doctors
need a human subject.
475
00:22:56,876 --> 00:22:59,044
And in the middle of
a cholera outbreak,
476
00:22:59,045 --> 00:23:01,963
desperate patients are
eager for any solution.
477
00:23:01,964 --> 00:23:04,091
A farmer turns
up at the hospital
478
00:23:04,092 --> 00:23:06,718
extremely sick with cholera
479
00:23:06,719 --> 00:23:10,807
and willing to let them do
the first milk transfusion.
480
00:23:11,766 --> 00:23:12,934
They take this guy
481
00:23:13,142 --> 00:23:15,727
into this shack that they
were using for smallpox
482
00:23:15,728 --> 00:23:21,233
and then they get a
cow, like, in the room.
483
00:23:21,234 --> 00:23:24,528
These doctors collect the milk
484
00:23:24,529 --> 00:23:28,073
and they inject it
into the man's veins.
485
00:23:28,074 --> 00:23:31,368
Now, at first, nothing happens.
486
00:23:31,369 --> 00:23:36,373
So they give him more
milk, and more milk.
487
00:23:36,374 --> 00:23:41,546
Ultimately, they give him 12
ounces of milk intravenously.
488
00:23:42,547 --> 00:23:46,049
And miraculously, his
symptoms start reversing.
489
00:23:46,050 --> 00:23:48,385
His color comes
back to his face,
490
00:23:48,386 --> 00:23:50,220
his pulse returns to normal.
491
00:23:50,221 --> 00:23:51,847
This is working.
492
00:23:51,848 --> 00:23:54,224
{\an8}They repeat this procedure
the following day with a woman
493
00:23:54,225 --> 00:23:56,476
{\an8}and see the same
sort of recovery.
494
00:23:56,477 --> 00:23:58,895
Milk transfusions
seem like the safe
495
00:23:58,896 --> 00:24:02,274
and effective treatment
people have been hoping for.
496
00:24:02,275 --> 00:24:05,026
There's so much excitement
about this process.
497
00:24:05,027 --> 00:24:06,736
And they try it on
five more patients
498
00:24:06,737 --> 00:24:10,323
who all end up totally dying.
499
00:24:10,324 --> 00:24:11,409
It didn't work.
500
00:24:13,119 --> 00:24:15,287
But because there have
been some successes,
501
00:24:15,288 --> 00:24:18,331
milk transfusions
become fairly popular
502
00:24:18,332 --> 00:24:20,333
in terms of treating cholera.
503
00:24:20,334 --> 00:24:24,504
They also become a popular
way to treat tuberculosis
504
00:24:24,505 --> 00:24:26,506
and other infections.
505
00:24:26,507 --> 00:24:29,551
The lucky ones complain
about new ailments,
506
00:24:29,552 --> 00:24:31,928
like chest pain and headaches.
507
00:24:31,929 --> 00:24:34,181
The other ones not so lucky,
508
00:24:34,182 --> 00:24:37,601
they enter into a
coma and not wake up.
509
00:24:37,602 --> 00:24:39,936
But to be fair,
back in the day,
510
00:24:39,937 --> 00:24:42,939
transfusions are still a
little bit of high science
511
00:24:42,940 --> 00:24:45,401
and there's still a lot
more to learn about them.
512
00:24:47,612 --> 00:24:48,945
Half a century later,
513
00:24:48,946 --> 00:24:51,531
when doctors finally
understood blood types,
514
00:24:51,532 --> 00:24:55,368
a doctor from Ohio created
the transfusion methods
515
00:24:55,369 --> 00:24:57,705
that surgeons rely on today.
516
00:25:00,583 --> 00:25:02,292
The late 20th
century was notorious
517
00:25:02,293 --> 00:25:06,129
for bizarre weight loss
fads, peaking in the 1980s.
518
00:25:06,130 --> 00:25:08,131
But for one weight loss product,
519
00:25:08,132 --> 00:25:10,968
the story started a
few decades earlier.
520
00:25:12,595 --> 00:25:15,305
{\an8}In the 1920s, there
was a whole diet culture
521
00:25:15,306 --> 00:25:18,099
{\an8}that existed then, and
it was almost exclusively
522
00:25:18,100 --> 00:25:22,062
about diet restriction, and
they called it reducing.
523
00:25:22,063 --> 00:25:23,980
Doctors are
advising their patients
524
00:25:23,981 --> 00:25:28,526
to reduce their size
through diet and exercise.
525
00:25:28,527 --> 00:25:31,196
But it's kind of a crappy time
to have to be counting calories
526
00:25:31,197 --> 00:25:33,573
because this is when the
American food landscape
527
00:25:33,574 --> 00:25:38,328
{\an8}has just unleashed PEZ candies,
and the Charleston Chew,
528
00:25:38,329 --> 00:25:42,040
{\an8}the Baby Ruth, the
Reese's Peanut Butter Cup.
529
00:25:42,041 --> 00:25:44,334
So there's a real desire
for a silver bullet.
530
00:25:44,335 --> 00:25:48,255
Can I just take a pill or a shot
that'll make me lose weight?
531
00:25:48,256 --> 00:25:50,799
{\an8}So in 1941, the Carlay Company
532
00:25:50,800 --> 00:25:53,426
{\an8}comes out with the most
amazing product ever,
533
00:25:53,427 --> 00:25:56,554
Carlay's reducing candy.
534
00:25:56,555 --> 00:25:58,181
It's called reducing candy
535
00:25:58,182 --> 00:26:00,267
because it helps you
reduce your size, right?
536
00:26:00,268 --> 00:26:01,851
It helps you lose weight.
537
00:26:01,852 --> 00:26:03,561
It comes in multiple flavors.
538
00:26:03,562 --> 00:26:06,314
There's peanut butter,
butterscotch, chocolate,
539
00:26:06,315 --> 00:26:08,400
chocolate mint, and caramel.
540
00:26:08,401 --> 00:26:10,485
And it's like a
fudge consistency.
541
00:26:10,486 --> 00:26:13,321
So the idea is it's not
so much a magic pill
542
00:26:13,322 --> 00:26:15,865
but a yummy treat
that you can enjoy.
543
00:26:15,866 --> 00:26:19,786
So how does
this reducing candy work?
544
00:26:19,787 --> 00:26:22,831
{\an8}Carlay's secret ingredient
is called benzocaine.
545
00:26:22,832 --> 00:26:24,249
{\an8}And if that sounds familiar,
546
00:26:24,250 --> 00:26:26,376
{\an8}it's because it's
the active ingredient
547
00:26:26,377 --> 00:26:28,003
{\an8}in products like Orajel.
548
00:26:28,004 --> 00:26:30,297
{\an8}Benzocaine causes numbing.
549
00:26:30,298 --> 00:26:32,048
{\an8}And if you were to put
this stuff in your mouth
550
00:26:32,049 --> 00:26:34,926
{\an8}and on your lips, it
would cause numbness.
551
00:26:34,927 --> 00:26:39,139
The thinking is if you eat
a reducing candy before meals,
552
00:26:39,140 --> 00:26:40,765
it will numb your taste buds.
553
00:26:40,766 --> 00:26:43,143
And because you can't
taste much of anything,
554
00:26:43,144 --> 00:26:45,687
you're gonna eat less.
555
00:26:45,688 --> 00:26:48,064
So as they start to
market this product,
556
00:26:48,065 --> 00:26:50,817
they do what a lot of companies
do, they go to celebrities.
557
00:26:50,818 --> 00:26:53,570
So it's Hedy Lamarr
and Zsa Zsa Gabor.
558
00:26:53,571 --> 00:26:55,905
And they just seem to be
leading the perfect life.
559
00:26:55,906 --> 00:26:58,742
They can have this yummy
candy and look fabulous.
560
00:26:58,743 --> 00:27:01,953
Sales of Carlay's
reducing candy keep growing.
561
00:27:01,954 --> 00:27:05,874
And by the early 1980s, Carlay
is one of the top sellers
562
00:27:05,875 --> 00:27:09,252
in the $10 billion a
year diet industry.
563
00:27:09,253 --> 00:27:12,088
But they're about
to hit a major snag.
564
00:27:12,089 --> 00:27:14,799
Shakespeare once said,
"What's in a name?"
565
00:27:14,800 --> 00:27:16,885
The truth is that
a name means a lot.
566
00:27:16,886 --> 00:27:18,553
Carlay's product had a name
567
00:27:18,554 --> 00:27:21,389
that had worked
amazingly for 40 years,
568
00:27:21,390 --> 00:27:22,932
until it didn't anymore.
569
00:27:22,933 --> 00:27:24,476
Why not try Ayds?
570
00:27:24,477 --> 00:27:26,561
Delicious tasting Ayds candy.
571
00:27:26,562 --> 00:27:29,647
{\an8}Ayds helps you
stay the way you wanna be.
572
00:27:29,648 --> 00:27:34,861
{\an8}Fate throws them a
pretty big curve ball.
573
00:27:34,862 --> 00:27:37,405
Carlay's reducing
candy has been sold
574
00:27:37,406 --> 00:27:40,742
under the same brand
name since the 1940s.
575
00:27:40,743 --> 00:27:42,452
Before
reducing, see your doctor,
576
00:27:42,453 --> 00:27:43,995
then get Ayds.
577
00:27:43,996 --> 00:27:47,165
Ayds, A-Y-D-S.
578
00:27:47,166 --> 00:27:48,833
I kid you not.
579
00:27:48,834 --> 00:27:52,670
Can you imagine an arthritis
cream called cancer?
580
00:27:52,671 --> 00:27:55,924
Oh, it's my new chocolate
bar. I call it Covid.
581
00:27:55,925 --> 00:27:57,842
No one's gonna buy it.
582
00:27:57,843 --> 00:27:59,844
Now here we are in the 1980s.
583
00:27:59,845 --> 00:28:01,806
Ayds means something
really different.
584
00:28:03,057 --> 00:28:07,352
As the AIDS epidemic grows,
people's fears increase,
585
00:28:07,353 --> 00:28:12,565
and sales of Ayds, the diet
candy, start to plummet.
586
00:28:12,566 --> 00:28:14,359
The company's CEO
587
00:28:14,360 --> 00:28:16,861
lobbies to have the name
of the disease changed.
588
00:28:16,862 --> 00:28:18,113
When that doesn't work,
589
00:28:18,114 --> 00:28:19,739
he spends a quarter
of a million dollars
590
00:28:19,740 --> 00:28:22,159
to rebrand as Diet Ayds.
591
00:28:23,160 --> 00:28:25,036
It doesn't work either.
592
00:28:25,037 --> 00:28:29,332
Ayds Reducing Candy finally
stopped production in 1985,
593
00:28:29,333 --> 00:28:31,418
probably for the best.
594
00:28:31,419 --> 00:28:34,712
If only candy could
numb you during surgery
595
00:28:34,713 --> 00:28:36,881
in the early 1900s.
596
00:28:36,882 --> 00:28:40,093
To finally stop the pain
on the operating table,
597
00:28:40,094 --> 00:28:42,929
they had to turn to
something far different.
598
00:28:42,930 --> 00:28:45,807
For centuries,
the very idea of an operation
599
00:28:45,808 --> 00:28:49,394
is enough to strike fear
into the hearts of patients.
600
00:28:49,395 --> 00:28:51,688
I watch Civil War movies,
601
00:28:51,689 --> 00:28:54,107
and there's always some guy
with a belt in his mouth
602
00:28:54,108 --> 00:28:55,358
or biting on a bullet,
603
00:28:55,359 --> 00:28:57,861
{\an8}while some sawbones is
just going to town,
604
00:28:57,862 --> 00:29:02,073
{\an8}cutting off that leg and
tossing it onto a pile of legs.
605
00:29:02,074 --> 00:29:04,534
It isn't until
the late 19th century
606
00:29:04,535 --> 00:29:09,289
that doctors find ways to
relieve pain during operations.
607
00:29:09,290 --> 00:29:12,083
{\an8}The first successful
surgery with anesthesia
608
00:29:12,084 --> 00:29:15,378
{\an8}is performed in 1846
when a Bostonian dentist
609
00:29:15,379 --> 00:29:18,923
uses a gas called ether
to sedate a patient.
610
00:29:18,924 --> 00:29:22,302
The following year, an
obstetrician in Scotland
611
00:29:22,303 --> 00:29:24,304
ended up using chloroform
612
00:29:24,305 --> 00:29:27,307
{\an8}on a patient
experiencing labor pains.
613
00:29:27,308 --> 00:29:32,396
In 1863, a New York professor
popularizes nitrous oxide.
614
00:29:33,397 --> 00:29:34,731
The problem with
all of these though
615
00:29:34,732 --> 00:29:35,815
is they're all
general anesthesia.
616
00:29:35,816 --> 00:29:38,234
You're completely knocked out,
617
00:29:38,235 --> 00:29:40,195
and you're walking
a really fine line
618
00:29:40,196 --> 00:29:44,491
between life and death if you
administer the wrong dosage.
619
00:29:44,492 --> 00:29:46,117
Doctors
are on the lookout
620
00:29:46,118 --> 00:29:48,411
for something a
little more localized
621
00:29:48,412 --> 00:29:50,121
and a little less fatal.
622
00:29:50,122 --> 00:29:54,168
And Dr. Karl Koller from
Austria has just the thing,
623
00:29:55,878 --> 00:29:57,253
cocaine.
624
00:29:57,254 --> 00:29:59,881
Koller understands the
numbing effects of cocaine
625
00:29:59,882 --> 00:30:02,342
and decides to
use it in surgery.
626
00:30:02,343 --> 00:30:04,552
The particular
thing about Dr. Koller
627
00:30:04,553 --> 00:30:07,014
is that he's an ophthalmologist.
628
00:30:08,933 --> 00:30:12,393
He's injecting cocaine
into people's eyeballs.
629
00:30:12,394 --> 00:30:14,395
Today that kind
of sounds insane,
630
00:30:14,396 --> 00:30:16,565
but at the time
it's revolutionary.
631
00:30:17,691 --> 00:30:20,568
By injecting cocaine
directly in the eye,
632
00:30:20,569 --> 00:30:24,989
he can stabilize a patient
enough to operate in a place
633
00:30:24,990 --> 00:30:27,076
where no one could
ever operate before.
634
00:30:28,160 --> 00:30:29,410
So William Halsted,
635
00:30:29,411 --> 00:30:31,371
an American doctor,
hears about this
636
00:30:31,372 --> 00:30:34,707
{\an8}and says, "Oh, well, if
it works with the eye,
637
00:30:34,708 --> 00:30:37,919
{\an8}maybe it works with
other parts of the body."
638
00:30:37,920 --> 00:30:40,672
Halsted starts
experimenting on himself
639
00:30:40,673 --> 00:30:43,299
and then invites
colleagues to join him.
640
00:30:43,300 --> 00:30:44,968
Pretty soon, they're
all injecting
641
00:30:44,969 --> 00:30:46,302
their peripheral nerves
642
00:30:46,303 --> 00:30:49,305
to see if other parts of
the body will go numb,
643
00:30:49,306 --> 00:30:50,848
not just their eye.
644
00:30:50,849 --> 00:30:52,517
And they realize,
wow, this works, right?
645
00:30:52,518 --> 00:30:53,644
This solves a major problem.
646
00:30:53,852 --> 00:30:56,897
So they start using
cocaine as an anesthesia.
647
00:30:57,815 --> 00:30:59,232
Dr. Holsted
648
00:30:59,233 --> 00:31:02,569
thinks he found the holy
grail of anesthesiology,
649
00:31:02,570 --> 00:31:05,822
except for one little detail.
650
00:31:05,823 --> 00:31:07,115
Halsted and his colleagues
651
00:31:07,116 --> 00:31:09,200
become completely
addicted to cocaine.
652
00:31:09,201 --> 00:31:12,328
Two of his colleagues
die within months.
653
00:31:12,329 --> 00:31:14,622
Halsted himself spends
the rest of his life
654
00:31:14,623 --> 00:31:16,207
in and out of recovery.
655
00:31:16,208 --> 00:31:18,876
Despite the wealth
of information
656
00:31:18,877 --> 00:31:21,713
that he garners from
his investigations,
657
00:31:21,714 --> 00:31:23,715
he only publishes one paper,
658
00:31:23,716 --> 00:31:27,969
who's rambling incoherence
probably suggests
659
00:31:27,970 --> 00:31:30,931
that Halsted was high
at the time of writing.
660
00:31:31,974 --> 00:31:35,184
In 1914, the
government makes cocaine
661
00:31:35,185 --> 00:31:36,936
an illegal substance.
662
00:31:36,937 --> 00:31:39,314
But you still have to
credit Dr. Halsted.
663
00:31:39,315 --> 00:31:42,150
The modern medical field
would not be where it is
664
00:31:42,151 --> 00:31:44,694
and what it is without him.
665
00:31:44,695 --> 00:31:46,613
The good doctor's risk-taking
666
00:31:46,614 --> 00:31:49,491
led to huge advancements
in local anesthesia.
667
00:31:52,161 --> 00:31:54,078
Who doesn't love the
sound of a cooing baby
668
00:31:54,079 --> 00:31:56,372
or a giggling one when
you tickle their feet?
669
00:31:56,373 --> 00:31:58,458
Well, back in the 19th century,
670
00:31:58,459 --> 00:32:01,210
when those cute sounds
turned to cries,
671
00:32:01,211 --> 00:32:03,004
where did exhausted parents
672
00:32:03,005 --> 00:32:05,673
turn to soothe their
unhappy children?
673
00:32:05,674 --> 00:32:08,009
In the 1800s,
traditional medicine
674
00:32:08,010 --> 00:32:10,303
in the way we have
it now, didn't exist.
675
00:32:10,304 --> 00:32:12,972
{\an8}There weren't these big
pharmaceutical companies.
676
00:32:12,973 --> 00:32:15,350
{\an8}So they had a thing
called patent medicine.
677
00:32:15,351 --> 00:32:17,894
{\an8}Patent medicine is
basically the precursor
678
00:32:17,895 --> 00:32:19,729
{\an8}to over the counter drugs,
679
00:32:19,730 --> 00:32:22,190
{\an8}and they promise
to cure everything.
680
00:32:22,191 --> 00:32:26,361
{\an8}And I do mean everything,
colds, headaches, heartburn,
681
00:32:26,362 --> 00:32:30,573
{\an8}warts, baldness, even
tuberculosis and cancer.
682
00:32:30,574 --> 00:32:32,950
{\an8}If patent medicine
is on the label,
683
00:32:32,951 --> 00:32:35,662
{\an8}people have a sense of security
about what they're buying.
684
00:32:35,663 --> 00:32:37,664
The problem is
there's no guarantee
685
00:32:37,665 --> 00:32:39,666
that the maker has any idea
686
00:32:39,667 --> 00:32:41,250
about the ingredients
they're using.
687
00:32:41,251 --> 00:32:44,045
It's basically like the
Wild West of pharmaceuticals.
688
00:32:44,046 --> 00:32:46,714
Anyone can concoct
sort of anything
689
00:32:46,715 --> 00:32:48,716
and claim that it's medicine.
690
00:32:48,717 --> 00:32:50,968
Enter
Charlotte Winslow
691
00:32:50,969 --> 00:32:53,471
and her son-in-law
Jeremiah Curtis.
692
00:32:53,472 --> 00:32:57,392
In 1845, they patent
a miracle cure
693
00:32:57,393 --> 00:33:00,770
specifically designed
for teething babies.
694
00:33:00,771 --> 00:33:04,941
They call it Mrs.
Winslow's Soothing Syrup.
695
00:33:04,942 --> 00:33:07,026
So Jeremiah Curtis
runs a pharmacy.
696
00:33:07,027 --> 00:33:09,529
And he takes Mrs.
Winslow's Soothing Syrup
697
00:33:09,530 --> 00:33:11,864
and starts selling
it out to the public.
698
00:33:11,865 --> 00:33:15,451
Part of what makes patent
medicine work is testimonials,
699
00:33:15,452 --> 00:33:17,912
both word of mouth
and in advertising.
700
00:33:17,913 --> 00:33:20,249
And Jeremiah Curtis
really leans into this.
701
00:33:22,209 --> 00:33:24,377
Jeremiah Curtis places ads
702
00:33:24,378 --> 00:33:27,004
{\an8}in thousands of newspapers
across the country.
703
00:33:27,005 --> 00:33:29,590
{\an8}The ads are testimonials,
704
00:33:29,591 --> 00:33:34,638
{\an8}mothers telling Mrs. Winslow
her cure is a miracle.
705
00:33:35,639 --> 00:33:37,181
Not only does he get
testimonials from mothers,
706
00:33:37,182 --> 00:33:40,143
he even gets testimonials
from reverends.
707
00:33:40,144 --> 00:33:42,353
Who's gonna go against
the word of a reverend?
708
00:33:42,354 --> 00:33:43,896
Sales of
Mrs. Winslow's
709
00:33:43,897 --> 00:33:45,606
Soothing Syrup take off,
710
00:33:45,607 --> 00:33:48,568
and not just because Curtis
is a marketing genius.
711
00:33:48,569 --> 00:33:52,488
Unlike most patent medicines,
this one actually works.
712
00:33:52,489 --> 00:33:55,825
Mrs. Winslow's Soothing Syrup
claims to soothe children,
713
00:33:55,826 --> 00:33:58,661
soften the gums, cure colic,
714
00:33:58,662 --> 00:34:01,664
and be the best
cure for diarrhea.
715
00:34:01,665 --> 00:34:04,208
What magical ingredient
could it possibly have
716
00:34:04,209 --> 00:34:06,043
that could cure all these ails?
717
00:34:06,044 --> 00:34:09,338
Well, that ingredient
turned out to be morphine.
718
00:34:11,633 --> 00:34:13,551
And it's not a different
kind of morphine.
719
00:34:13,552 --> 00:34:15,052
It's the morphine
you know about,
720
00:34:15,053 --> 00:34:16,929
the kind they give to, like,
people on the battlefield
721
00:34:16,930 --> 00:34:19,724
who've gotten
gunshots, grown adults.
722
00:34:19,725 --> 00:34:22,101
Because it has morphine in it,
723
00:34:22,102 --> 00:34:26,397
{\an8}it really does offer
medical relief.
724
00:34:26,398 --> 00:34:28,691
What it lacks is
something different,
725
00:34:28,692 --> 00:34:33,781
which is a warning label
about its side effects.
726
00:34:35,073 --> 00:34:37,992
{\an8}Morphine is an incredibly
powerful painkiller
727
00:34:37,993 --> 00:34:39,786
{\an8}that's derived from opium.
728
00:34:39,787 --> 00:34:41,996
Morphine has several
side effects.
729
00:34:41,997 --> 00:34:44,248
Morphine causes constipation.
730
00:34:44,249 --> 00:34:48,169
There's also extreme
addiction, drowsiness,
731
00:34:48,170 --> 00:34:51,340
respiratory
depression, vomiting.
732
00:34:53,008 --> 00:34:56,762
{\an8}Mrs. Winslow makes bank
on this soothing syrup.
733
00:34:58,055 --> 00:35:02,683
She is basically selling
1.5 million bottles annually
734
00:35:02,684 --> 00:35:04,227
for decades.
735
00:35:04,228 --> 00:35:06,813
She is creating a lot
736
00:35:06,814 --> 00:35:09,899
of junkie babies.
737
00:35:09,900 --> 00:35:12,360
Mrs. Winslow's
dosage recommendations
738
00:35:12,361 --> 00:35:16,113
was around six
droplets for newborns,
739
00:35:16,114 --> 00:35:19,408
a half teaspoon for babies
up to six months old,
740
00:35:19,409 --> 00:35:22,662
and a full teaspoon for
babies over six months.
741
00:35:22,663 --> 00:35:26,874
And these are to be administered
three to four times a day.
742
00:35:26,875 --> 00:35:29,252
So let's just think
about this for a second.
743
00:35:29,253 --> 00:35:32,797
Like, today, a hospital
would give an adult patient
744
00:35:32,798 --> 00:35:37,885
two to four milligrams of
morphine to manage extreme pain.
745
00:35:37,886 --> 00:35:39,470
These babies are sleeping
through the night
746
00:35:39,471 --> 00:35:42,390
because they're getting
up to 40 milligrams
747
00:35:42,391 --> 00:35:43,808
of morphine a day.
748
00:35:43,809 --> 00:35:45,476
That's a massive quantity,
749
00:35:45,477 --> 00:35:48,563
even by illicit drug
trafficking standards.
750
00:35:48,564 --> 00:35:50,940
On the black market,
morphine might be sold
751
00:35:50,941 --> 00:35:53,569
in 30 milligram tablets.
752
00:35:55,028 --> 00:35:57,780
This is before
you have the AMA.
753
00:35:57,781 --> 00:36:01,325
This is before doctors
are a profession.
754
00:36:01,326 --> 00:36:03,369
So you don't have
this sort of pushback
755
00:36:03,370 --> 00:36:07,832
from a medical establishment,
which allows for a product
756
00:36:07,833 --> 00:36:11,085
like Mrs. Winslow's
Soothing Syrup
757
00:36:11,086 --> 00:36:13,671
to explode in the marketplace.
758
00:36:13,672 --> 00:36:15,089
Millions of people
759
00:36:15,090 --> 00:36:17,049
are buying Mrs.
Winslow's Soothing Syrup.
760
00:36:17,050 --> 00:36:20,052
They just want their kid
to sleep through the night.
761
00:36:20,053 --> 00:36:22,054
This syrup is given to infants
762
00:36:22,055 --> 00:36:23,848
that are already in a bad way.
763
00:36:23,849 --> 00:36:26,058
They may be sick,
they may be teething,
764
00:36:26,059 --> 00:36:27,768
which gives them a fever.
765
00:36:27,769 --> 00:36:31,272
So it takes decades
before doctors figure out
766
00:36:31,273 --> 00:36:34,359
that Mrs. Winslow's is
doing more harm than good.
767
00:36:37,195 --> 00:36:39,113
Mrs. Winslow's Soothing Syrup
768
00:36:39,114 --> 00:36:41,449
wasn't banned until the 1930s,
769
00:36:41,450 --> 00:36:44,827
making it one of the longest
selling teething remedies
770
00:36:44,828 --> 00:36:46,079
{\an8}in US history.
771
00:36:48,665 --> 00:36:50,166
The human body is resilient,
772
00:36:50,167 --> 00:36:52,710
but sometimes it needs
a little help to heal.
773
00:36:52,711 --> 00:36:56,339
And once upon a time, doctors
were a little more carefree
774
00:36:56,340 --> 00:36:59,927
in looking for cures
in unusual places.
775
00:37:01,136 --> 00:37:04,013
In the 19th century,
776
00:37:04,014 --> 00:37:07,642
{\an8}getting injured was an
unfortunate part of life,
777
00:37:07,643 --> 00:37:11,395
{\an8}farming accidents,
industrial accidents, fires.
778
00:37:11,396 --> 00:37:14,942
People had short, nasty,
and brutish lives.
779
00:37:17,569 --> 00:37:20,404
Today, if part of you
unfortunately goes missing
780
00:37:20,405 --> 00:37:24,533
{\an8}or is disfigured by an injury,
an accident, or a burn,
781
00:37:24,534 --> 00:37:26,702
{\an8}one of the first things
doctors will turn to
782
00:37:26,703 --> 00:37:29,163
{\an8}are skin grafts,
taking healthy skin
783
00:37:29,164 --> 00:37:30,831
{\an8}from a different
part of your body,
784
00:37:30,832 --> 00:37:33,626
attaching it, its blood
supplies, nerve endings,
785
00:37:33,627 --> 00:37:37,213
to the injured part of
the body, covering it up,
786
00:37:37,214 --> 00:37:40,675
letting it heal, and
your life can go on.
787
00:37:40,676 --> 00:37:44,512
{\an8}Unfortunately, in the 1800s,
the risk of infection is high
788
00:37:44,513 --> 00:37:47,807
{\an8}because antibiotics
don't exist yet.
789
00:37:47,808 --> 00:37:51,519
Another problem is the
lack of an anesthetic.
790
00:37:51,520 --> 00:37:54,146
The pain will often
send the body into shock
791
00:37:54,147 --> 00:37:56,607
and makes it even
that much more likely
792
00:37:56,608 --> 00:37:59,276
that the patient will
reject the skin graft.
793
00:37:59,277 --> 00:38:00,569
When grafts
794
00:38:00,570 --> 00:38:03,823
from the patient's
own removed skin fail,
795
00:38:03,824 --> 00:38:07,576
doctors start experimenting
with new procedures.
796
00:38:07,577 --> 00:38:11,288
{\an8}They come up with something
called a pedicled skin graft.
797
00:38:11,289 --> 00:38:13,666
Where essentially
the healthy skin
798
00:38:13,667 --> 00:38:15,501
from one part of the body
799
00:38:15,502 --> 00:38:19,088
was still mostly attached
to that part of the body
800
00:38:19,089 --> 00:38:23,009
and stretched to the
affected part of the body.
801
00:38:23,010 --> 00:38:24,969
Doctors believed that
just like the roots
802
00:38:24,970 --> 00:38:27,638
of a transplanted tree
will grow into the ground,
803
00:38:27,639 --> 00:38:30,558
blood vessels of the
transplanted skin
804
00:38:30,559 --> 00:38:32,768
will grow into the wound.
805
00:38:32,769 --> 00:38:37,398
There are photos of people
who had lost a nose to syphilis
806
00:38:37,399 --> 00:38:38,941
or had a facial injury
807
00:38:38,942 --> 00:38:42,486
with their nose
stitched to their arm.
808
00:38:42,487 --> 00:38:44,530
While this technique
sounds promising,
809
00:38:44,531 --> 00:38:46,782
not many people signed
up to be skinned,
810
00:38:46,783 --> 00:38:49,452
especially without some
heavy-duty anesthesia.
811
00:38:49,453 --> 00:38:53,247
So doctors figure they'll
just try the next best thing,
812
00:38:53,248 --> 00:38:55,292
and that is animal donors.
813
00:38:56,543 --> 00:39:01,130
Sheep, dogs,
rabbits, chickens.
814
00:39:01,131 --> 00:39:03,758
They don't care if it's got
fur, if it's got feathers.
815
00:39:03,759 --> 00:39:08,387
As long as it's got skin, it's
fair game for doctors to use.
816
00:39:08,388 --> 00:39:10,973
And they're thinking,
if it's a live animal,
817
00:39:10,974 --> 00:39:13,768
there's a greater chance
that this might work.
818
00:39:13,769 --> 00:39:16,353
Basically, they wanna
get a live animal,
819
00:39:16,354 --> 00:39:17,688
peel their skin off,
820
00:39:17,689 --> 00:39:20,649
and attach it to the
wound of the person.
821
00:39:20,650 --> 00:39:25,654
This atmosphere is rampant
with bacteria and hazards.
822
00:39:25,655 --> 00:39:28,199
How does the animal
go to the bathroom?
823
00:39:28,200 --> 00:39:31,285
How do you maintain
the animal's immobility
824
00:39:31,286 --> 00:39:33,746
so that the graft can take?
825
00:39:33,747 --> 00:39:35,414
It is not a surprise
826
00:39:35,415 --> 00:39:38,250
that there are no
reported successful cases
827
00:39:38,251 --> 00:39:41,046
of this type of skin
graft ever taking place.
828
00:39:42,422 --> 00:39:45,800
By the 1880s, several
surgeons are experimenting with
829
00:39:45,801 --> 00:39:50,346
a different type of procedure
called a free skin graft.
830
00:39:50,347 --> 00:39:53,933
The free skin graft does
not involve attaching oneself
831
00:39:53,934 --> 00:39:56,102
to an immobile animal.
832
00:39:56,103 --> 00:39:59,105
It involves removing
the skin from the animal
833
00:39:59,106 --> 00:40:01,649
and then attaching
it to the patient.
834
00:40:01,650 --> 00:40:04,568
Free skin grafts
are rabbit skin,
835
00:40:04,569 --> 00:40:08,697
but doctors realize very quickly
that frog skin is better.
836
00:40:08,698 --> 00:40:12,785
Not only does it seem to adapt
really well to a human host,
837
00:40:12,786 --> 00:40:15,913
they don't have
to deal with fur.
838
00:40:15,914 --> 00:40:18,707
There are reports of doctors
going to the local pond,
839
00:40:18,708 --> 00:40:21,752
capturing, decapitating,
and skinning frogs,
840
00:40:21,753 --> 00:40:24,088
throwing the skin
in their pocket,
841
00:40:24,089 --> 00:40:26,007
and reporting to the hospital.
842
00:40:27,551 --> 00:40:30,219
Honestly, you have to imagine
you were a patient back then
843
00:40:30,220 --> 00:40:32,513
and you're relying on a doctor.
844
00:40:32,514 --> 00:40:34,515
He's going out to get a frog
845
00:40:34,516 --> 00:40:36,684
and he's gonna put
it in his pocket
846
00:40:36,685 --> 00:40:38,519
and bring it back to
you to sew on to you.
847
00:40:38,520 --> 00:40:40,146
That sounds safe.
848
00:40:40,147 --> 00:40:43,065
It sounds to me like
something out of a horror movie.
849
00:40:43,066 --> 00:40:45,818
"Human Centipede".
850
00:40:45,819 --> 00:40:48,445
Doctors have to constantly
reassure their patients
851
00:40:48,446 --> 00:40:50,489
that the green pigment
852
00:40:50,490 --> 00:40:53,118
will eventually turn
the proper color.
853
00:40:54,828 --> 00:40:57,872
The reason why there
is no green pigment
854
00:40:57,873 --> 00:41:01,333
in the frog skin that is
grafted to human beings,
855
00:41:01,334 --> 00:41:03,961
it's not because the pigment
dissipates, or fades,
856
00:41:03,962 --> 00:41:06,630
or assimilates
with human pigment.
857
00:41:06,631 --> 00:41:11,635
No, there's no pigment
because the skin cells die.
858
00:41:11,636 --> 00:41:16,849
Despite performing hundreds
of grafts from animal donors,
859
00:41:16,850 --> 00:41:18,643
not one of them works.
860
00:41:20,395 --> 00:41:23,105
As it turns out, the skin
is the body's biggest organ.
861
00:41:23,106 --> 00:41:25,482
And much like in a
heart transplant,
862
00:41:25,483 --> 00:41:31,113
the recipient and the donor of
a skin graft must be a match.
863
00:41:31,114 --> 00:41:34,825
{\an8}So the thought that
a frog was gonna work
864
00:41:34,826 --> 00:41:37,453
{\an8}was a bit ridiculous
looking back.
865
00:41:37,454 --> 00:41:39,371
{\an8}In the search for remedies,
866
00:41:39,372 --> 00:41:44,168
{\an8}whether it was coffee
enemas, or milk transfusions,
867
00:41:44,169 --> 00:41:46,295
{\an8}or over the counter heroin,
868
00:41:46,296 --> 00:41:50,591
{\an8}there was a fine line between
recklessness and genius.
869
00:41:50,592 --> 00:41:53,594
{\an8}But maybe all of
that trial and error
870
00:41:53,595 --> 00:41:56,847
{\an8}is what led to
life-saving breakthroughs
871
00:41:56,848 --> 00:42:00,477
{\an8}and made our hazardous
history worth examining.
69651
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