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The Joe Rogan ExperienceThe Joe Rogan Experience

Joe Rogan Experience #1272 - Lindsey Fitzharris

Dr. Lindsey Fitzharris is an author and medical historian. She is the creator of the popular blog, The Chirurgeon's Apprentice and the host of the YouTube video series Under the Knife. Her book "The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine" is available now via Amazon. https://www.youtube.com/user/UnderTheKnifeShow

Joe RoganhostLindsey FitzharrisguestJamie Vernonguest
Mar 27, 20191h 48mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 2:06

    Victorian amputation saws, medical failure, and surviving surgery before antisepsis

    Joe and Lindsey kick off with a Victorian "clockwork" amputation saw and why failed inventions matter in science. They immediately pivot to the brutal realities of surgery before antiseptics and antibiotics, where surviving the cut was only the first hurdle.

    • Victorian "clockwork" amputation saw design and why it failed
    • How experimental tools could maim assistants during trials
    • Difference between surviving an operation vs. dying from postoperative infection
    • Why studying medical failure is as important as celebrating breakthroughs
  2. 2:06 – 3:31

    Joseph Lister, germ theory in practice, and why Listerine was named after him

    Lindsey introduces Joseph Lister and the core idea of antisepsis—applying germ theory to surgery. The conversation detours into the surprising origin story of Listerine and how medical products evolve in purpose over time.

    • Lister’s role in developing antiseptic surgical techniques
    • How Listerine got its name and its early non-mouthwash use
    • Public misunderstanding of medical innovators vs. brand recognition
    • Early skepticism about whether antiseptic products are "good" for you
  3. 3:31 – 7:32

    Operating theaters as entertainment: speed-surgeons, showmanship, and horror stories

    They explore the culture of 19th-century operating theaters packed with paying spectators. Lindsey profiles famed speed-surgeon Robert Liston and shares gruesome anecdotes that reveal how chaotic and dangerous surgery could be.

    • Ticketed spectators and surgery as public spectacle
    • Robert Liston as the "fastest knife" and why speed mattered pre-anesthesia
    • Infamous story of the "300% mortality" operation
    • Instrument handling, cross-contamination, and theater crowding
  4. 7:32 – 12:45

    Desperation medicine: bladder stones, lithotomy, and lethal incompetence

    The discussion turns to extreme patient desperation—like attempts to break bladder stones with a nail—and the excruciating lithotomy procedure. Lindsey contrasts competent vs. inept surgeons and how prolonged procedures often ended in infection and death.

    • Bladder stones and the notorious nail-in-urethra story
    • Lithotomy basics and why it was so painful
    • Myths about punching patients out or heavy drinking as anesthesia
    • Case study of an inept surgeon blaming "abnormal anatomy"
  5. 12:45 – 19:05

    Hospitals as infection factories: home surgery, lice, and amputations after fractures

    Lindsey explains why hospitals were often worse than home care, especially for the poor, due to rampant infection and vermin. They cover home mastectomies without anesthesia and why compound fractures frequently led to amputation before germ theory.

    • Hospitals historically associated with poverty and contagion
    • Home operations (including mastectomy) as a safer option than hospitals
    • Bug catchers, lice, and the ecosystem of infection in wards
    • Compound fractures, gangrene risk, and why amputation was common
  6. 19:05 – 24:23

    From barber-surgeons to bloodletting: the origin of the barber pole and medical folklore

    Joe asks how surgery and "doctors" began, leading to barber-surgeons, bloodletting, and the symbolism behind the barber pole. Lindsey also draws parallels between past medical certainty and the things modern society may later find absurd.

    • Early practitioners: barber-surgeons, "wise women," and folk healing
    • Barber pole colors traced to bloodletting practices
    • Bloodletting logic and the humoral theory worldview
    • Modern echoes: cupping and other revived premodern practices
  7. 24:23 – 31:55

    Corpse medicine and cannibal cures: blood at the scaffold, mummy powder, and organ donation parallels

    They dive into early modern "corpse medicine," where people consumed human remains and bodily substances as treatments. Lindsey connects this unsettling past to modern organ donation as a sanitized form of using the dead to heal the living.

    • Drinking executed criminals’ blood as a supposed epilepsy cure
    • Grinding mummies into pills and the commercial market for "mummy"
    • Why desperation and misunderstanding drove these practices
    • Organ donation and grafts as ethical, modern analogs
  8. 31:55 – 41:12

    Anesthesia and the drug age: ether, cocaine, heroin—and unintended consequences

    Lindsey recounts the first operation under ether and why anesthesia initially made surgery more dangerous by enabling deeper procedures without antisepsis. They trace the explosion of medical and recreational drug experimentation and the slow march toward regulation.

    • 1846 ether anesthesia in London and Liston’s skepticism ("Yankee dodge")
    • Why anesthesia increased postoperative infections before antisepsis
    • Ether cocktails, operating-theater smoking, and accident risk
    • Cocaine/heroin marketed as cures for other addictions and physician misuse
  9. 41:12 – 45:52

    Plague doctor masks, miasma theory, and how people understood contagion before germs

    Lindsey introduces the plague doctor mask and the miasma theory that linked disease to foul air and smells. They discuss quarantine practices, the social role of plague doctors, and how protective gear can work even when the theory behind it is wrong.

    • Plague doctor mask design and herbs in the beak for "bad air"
    • Miasma vs. germ theory and why the former felt intuitive
    • Quarantine practices: crosses on doors, isolation until death or recovery
    • Modern parallels: hazmat suits and fear of the unknown
  10. 45:52 – 52:50

    Childbirth myths and medicalization: midwives, early C-sections, and shifting authority

    Joe pivots into a speculative discussion about early memories and then into the history of childbirth. Lindsey explains how birth shifted from women-led spaces to male medical involvement, including forceps interventions and early Cesarean attempts.

    • Traditional birth as a women-only domain; origins of the term "gossip"
    • Men entering the birthing room mainly during crisis situations
    • Historical misconceptions about Caesarean origins and early records
    • Extreme interventions and high mortality before antisepsis/anesthesia
  11. 52:50 – 59:41

    From academic historian to public storyteller: shrunken heads, media work, and popular-history backlash

    Lindsey shares her path into medical history, her fascination with the macabre, and work on topics like shrunken heads. She also discusses the friction between academic history and popular storytelling, especially on social media.

    • Childhood fascination with horror and curiosities leading to medical history
    • Shrunken heads: removing the skull, spiritual purpose, and later tourist demand
    • Oxford training vs. the constraints of academia
    • Criticism of "popular history" and why accessibility matters
  12. 59:41 – 1:19:53

    Bodies on display, consent, and grave-robbing: resurrection men, cemetery guns, and dissection risks

    The conversation moves to the ethics of displaying bodies (e.g., plastination exhibits) and the historical demand for cadavers. Lindsey describes body snatchers, grave protections like mortsafes and cemetery guns, and the very real dangers of dissection before gloves and germ awareness.

    • Ethical tension: science vs. art in body exhibitions and the centrality of consent
    • Resurrection men tactics and the legal gray area of stealing bodies vs. possessions
    • Anti-body-snatching defenses: mortsafes, coffin collars, and cemetery guns
    • Dissection rooms as hazardous workplaces with infection and accidental cuts
  13. 1:19:53 – 1:29:54

    Vaccines, smallpox, and why handwashing was a hard sell: Lister’s slow revolution

    They discuss smallpox severity, early vaccination history, and the recurring patterns of anti-vaccine fear. Lindsey returns to Lister, explaining why invisible germs were difficult to accept and how cultural pride and professional ego slowed adoption of antiseptic practice.

    • Smallpox as disfiguring, deadly, and uniquely eradicated
    • 18th-century smallpox vaccination and 19th-century anti-vax protests
    • Why surgeons resisted germ theory: invisibility, habits, and blame
    • Lister’s strategy of persuading younger doctors and changing practice over time
  14. 1:29:54 – 1:48:35

    Victorian sexual anxieties and medical absurdities: anti-masturbation devices, syphilis, and urine diagnosis

    In the closing stretch, Lindsey showcases bizarre medical artifacts and beliefs: anti-masturbation devices, syphilis-related disfigurement and treatments, and medieval urine-based diagnosis (including tasting). They end by reflecting on why people romanticize the past despite its harsh realities.

    • Jugum penis and the Victorian obsession with masturbation; Kellogg and graham crackers
    • Syphilis destroying soft tissue (including noses) and mercury as a harmful treatment
    • Early rhinoplasty techniques and extreme grafting methods
    • Urine wheels, "piss prophets," and diagnosing diabetes by taste

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