This is the first episode of a little experiment we’re trying this year, a podcast within a podcast on history that we’re calling, simply enough, 'Plain History.' There are, I am well aware, a great number of history podcasts out there. But one thing I want to do with this show is to pay special attention to how the past worked. In this episode, for example, we're using the assassination of an American president to consider the practice of medicine in the 19th century.
Our subject today is the bestseller 'Destiny of the Republic' by the historian Candice Millard, on the incredible life and absurd and tragic death of President James Garfield.
In the summer of 1876, the United States celebrated its 100th birthday at the U.S. Centennial Exhibition in Philadelphia. Of the millions of people who walked through the grounds, one was Garfield, who attended the centennial with his wife and six children. In four years' time, he would be elected president at a shocking and chaotic Republican convention. But at the time, he was a 44-year-old congressman known in Washington for being a rags-to-riches genius.
Garfield was a perfect match for the centennial grounds, which were themselves a gaudy showcase of genius. In Machinery Hall, visitors could pay for a machine to embroider their suspenders with their initials. They could gaze at one of the world’s first internal combustion engines, a technology that would in the next 50 years remake the world by powering a million cars, tractors, and tanks. They could see the first Remington typewriter and Edison telegraph system.
In the Main Exhibition Building, a little-known teacher for the deaf caused a riot with his science experiment. In one room, the teacher held up a little metal piece to his mouth and read Hamlet’s soliloquy into a transmitter. In a separate room, the emperor of Brazil, sitting with an iron box receiver pressed against his ear, heard each word—to be or not to be—reverberating against his eardrum. The teacher’s name was Alexander Graham Bell, and the instrument in question had three months earlier received a patent as the world’s first working telephone.
A few yards away, a scientist named Joseph Lister was having much less success trying to explain his theories of antisepsis to a crowd of skeptical American doctors. He claimed that the same tiny organisms that Pasteur said turned grape juice into wine also turned our wounds into infestations. Lister encouraged doctors to sterilize wounds and to treat their surgical instruments with carbolic acid. But American doctors laughed off these suggestions. Dr. Samuel Gross, the president of the Medical Congress and the most famous surgeon in America, said, “Little if any faith is placed by any enlightened or experienced surgeon on this side of the Atlantic in the so-called carbolic acid treatment of Professor Lister.” American surgeons instead believed in “open-air treatment,” which is exactly what it sounds like.
Here are three characters of a story: James Garfield, Alexander Graham Bell, and Lister’s theory of antisepsis. They were united at the 1876 centennial. They would be reunited again in five years, under much more gruesome circumstances, brought together by a medical horror show that would end with a dead president.
If you have questions, observations, or ideas for future episodes, email us at
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Host: Derek Thompson
Guest: Candice Millard
Producer: Devon Baroldi
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