DISEASE

Fashionable Medicine: Syphilis, Spas and Melancholy // Sibbald Library Productions

How should art deal with science and medicine? Should it even try? It often does, ‘science plays’ have been around for centuries, and films have covered these topics since their inception. How should those working in science and medicine explain what they do and why it’s important in a non-condescending way?

There are many different initiatives, such as the Pint of Science events that take place in pubs across the UK, which represent new ways of making science accessible. Fashionable Medicine: Syphilis, Spas and Melancholy is more of traditional approach. I listen to the lecture, watch the PowerPoint presentation and take notes. We’re in a venerable old hall that in itself might be off-putting for some, surrounded by portraits of great men (yes, men). Iain Milne and Daisy Cunynghame provide a slick double act; their presentation is funny in places and neither stuffy nor condescending. It is accessible to a far wider audience than has been tempted here. 

The lecture focuses on four aspects of fashionable medicine: theories, cures, diseases and clothes, using the college archives as illustration. They introduce the theory of disease linked to the four humours (black bile, yellow bile, blood and phlegm), which probably originated with Hippocrates nearly 2500 years ago, although it was later adapted by others, notably Galen. This nonsense wasn’t seriously challenged until the scientific and medical enlightenment that accelerated through the 18th and into the 19th century. Nevertheless, we still use concepts based on the humours, describing people as sanguine, phlegmatic and bilious. The fashionable cures involving spa waters at least did little harm, compared to other cures which were usually poisonous.

The main fashionable disease discussed was melancholy – a vague chronic disease, and thus ideal for doctors, who could prolong treatments and payment accordingly. Today’s fashionable disease is probably stress, a term that has been corrupted to cover everything from being very busy to suffering severe clinical depression. The syphilis of the title hardly gets a mention, but then concepts of contagion or infection were hazy and contentious until the mid-19th century. 

In contrast, Samantha Baines’ 1 Woman, A High-Flyer and A Flat Bottom, is a solo comedy act where she highlights 3 forgotten women of science. Its best example is Margaret E Knight, a 19th century inventor. Mattie lodged multiple patents and, amongst other inventions, came up with a machine to fold and glue the flat-bottomed paper bag that we all know. Baines' pun-laden informative comedy is a different way of making science accessible. Both ways are engaging and entertaining, but its important to engage if you are to be entertained. 

-       Alistair Lax

 

Links relevant to this diagnosis:

Fashionable Medicine: Syphilis, Spas and Melancholy

Pint of Science

Science in Theatre

Royal College of Physicians Library Blog

Samantha Baines - 1 Woman, A High-Flyer and A Flat Bottom

Women Inventors 

BEND IN THE RIVER // Deep Water Theatre Collective

Have you ever heard of Hansen’s disease? What about its more common name, leprosy? A disease that feels like it should belong in the history books, more than 200,000 people are still diagnosed with Hansen’s disease every year around the world, mainly in South America, Africa, India and south-east Asia. Given this distribution in the developing world, it’s easy to forget that it was a problem in the US until well into the 20th century.
 
US company Deep Water Theatre Collective set their play, Bend in the River, in the Carville National Leprosarium in the early 1940s. Shut away from the world, the residents are stigmatised and shunned, rejected by their families and communities. They’re forced to change their names, and are tended for by Dr Guy Henry Faget and his team of dedicated nuns who act as nurses and spiritual counsellors. The exact cause of the disease is unclear – although it’s known that certain bacteria are involved – and there are no good treatments, only isolation from the world and the hope of a clean run of twelve monthly skin scrapings.
 
As Faget’s research starts to lead to new hope for a cure, resident Stanley Stein resurrects “The Star”, a newsletter describing life at Carville and raising awareness of the disease. Other residents carry on with life in the confines of their quarantine, falling in love, falling pregnant and volunteering for endless clinical trials of the latest therapy. Finally, something works. It’s a new drug called Promin, and the effects are astounding. It makes Faget’s name as a researcher and changes the lives of many Carville residents.
 
Mandatory quarantine for people with leprosy was revoked in the US in the 1950s, once it became clear that the disease wasn’t nearly as contagious as had been feared. Today Carville is a museum dedicated to Hansen’s disease, brought back to life for just one week here in Edinburgh.

- KA

 
Bend in the River has finished its run at Greenside @ Nicholson Square - https://tickets.edfringe.com/whats-on/bend-in-the-river
 
Promin – the first breakthrough drug for leprosy: https://en.wikipedia.org/wiki/Promin

The National Hansen’s Disease Museum: http://www.hrsa.gov/hansensdisease/museum/

The Carville Star: http://www.fortyandeight.org/the-star/

Previous issues held at the Louisiana Digital Library: http://www.louisianadigitallibrary.org/cdm/landingpage/collection/p15140coll52

Leprosy in Louisiana: https://en.wikipedia.org/wiki/Leprosy_in_Louisiana

Is Hansen’s disease contagious?: http://www.medicinenet.com/is_leprosy_hansens_disease_contagious/article.htm

Information about Hansen’s disease: https://www.cdc.gov/leprosy/