WEBVTT 00:00:06.982 --> 00:00:08.912 In the middle of the 16th century, 00:00:08.912 --> 00:00:14.582 a talented young anatomist named Andreas Vesalius made a shocking discovery: 00:00:14.582 --> 00:00:19.002 the most famous human anatomy texts in the world were wrong. 00:00:19.002 --> 00:00:22.652 They not only failed to account for many details of the human body, 00:00:22.652 --> 00:00:26.662 they also described the organs of apes and other mammals. 00:00:26.662 --> 00:00:28.792 While Vesalius knew he was right, 00:00:28.792 --> 00:00:33.492 announcing these errors would mean challenging Galen of Pergamon– 00:00:33.492 --> 00:00:37.329 the most renowned physician in medical history. 00:00:37.329 --> 00:00:39.429 But who was this towering figure? 00:00:39.429 --> 00:00:46.259 And why did doctors working more than 1,300 years later so revere and fear him? NOTE Paragraph 00:00:46.259 --> 00:00:48.697 Born in 129 CE, 00:00:48.697 --> 00:00:53.667 Galen left home as a teen to scour the Mediterranean for medical wisdom. 00:00:53.667 --> 00:00:57.467 He returned home a gifted surgeon with a passion for anatomy 00:00:57.467 --> 00:00:59.617 and a penchant for showmanship. 00:00:59.617 --> 00:01:02.997 He gleefully entered public anatomy contests, 00:01:02.997 --> 00:01:05.897 eager to show up his fellow physicians. 00:01:05.897 --> 00:01:07.327 In one demonstration, 00:01:07.327 --> 00:01:12.157 he caused a pig to lose its voice by tying off one of its nerves. 00:01:12.157 --> 00:01:17.558 In another, he disemboweled a monkey and challenged his colleagues to repair it. 00:01:17.558 --> 00:01:19.678 When they couldn’t, he did. 00:01:19.678 --> 00:01:24.998 These grizzly feats won him a position as surgeon to the city’s gladiators. 00:01:24.998 --> 00:01:29.073 Eventually, he would leave the arena to become the personal physician 00:01:29.073 --> 00:01:31.564 to four Roman Emperors. NOTE Paragraph 00:01:31.564 --> 00:01:34.814 While his peers debated symptoms and their origins, 00:01:34.814 --> 00:01:37.824 Galen obsessively studied anatomy. 00:01:37.824 --> 00:01:41.514 He was convinced that each organ had a specific function. 00:01:41.514 --> 00:01:45.554 Since the Roman government largely prohibited working with human cadavers, 00:01:45.554 --> 00:01:49.814 Galen conducted countless dissections of animals instead. 00:01:49.814 --> 00:01:51.382 Even with this constraint, 00:01:51.382 --> 00:01:56.822 his exhaustive investigations yielded some remarkably accurate conclusions. NOTE Paragraph 00:01:56.822 --> 00:01:59.533 One of Galen’s most important contributions 00:01:59.533 --> 00:02:03.923 was the insight that the brain, not the heart, controlled the body. 00:02:03.923 --> 00:02:08.163 He confirmed this theory by opening the cranium of a living cow. 00:02:08.163 --> 00:02:11.043 By applying pressure to different parts of the brain, 00:02:11.043 --> 00:02:14.563 he could link various regions to specific functions. 00:02:14.563 --> 00:02:18.963 Other experiments allowed him to distinguish sensory from motor nerves, 00:02:18.965 --> 00:02:21.505 establish that urine was made in the kidneys, 00:02:21.505 --> 00:02:25.935 and deduce that respiration was controlled by muscles and nerves. NOTE Paragraph 00:02:25.935 --> 00:02:30.655 But these wild experiments also produced extraordinary misconceptions. 00:02:30.655 --> 00:02:35.664 Galen never realized that blood cycles continuously throughout the body. 00:02:35.664 --> 00:02:40.722 Instead, he believed the liver constantly produces an endless supply of blood, 00:02:40.722 --> 00:02:45.525 which gets entirely depleted on its one-way trip to the organs. 00:02:45.525 --> 00:02:51.555 Galen is also credited with solidifying the popular theory of the Four Humours. 00:02:51.555 --> 00:02:54.635 Introduced by Hippocrates centuries earlier, 00:02:54.635 --> 00:02:58.825 this misguided hypothesis attributed most medical problems 00:02:58.825 --> 00:03:02.975 to an imbalance in four bodily fluids called humours. 00:03:02.975 --> 00:03:07.374 To correct the balance of these fluids, doctors employed dangerous treatments 00:03:07.374 --> 00:03:09.825 like bloodletting and purging. 00:03:09.825 --> 00:03:13.405 Informed by his poor understanding of the circulatory system, 00:03:13.405 --> 00:03:16.115 Galen was a strong proponent of these treatments, 00:03:16.115 --> 00:03:19.355 despite their sometimes lethal consequences. NOTE Paragraph 00:03:19.355 --> 00:03:22.515 Unfortunately, Galen’s ego drove him to believe that 00:03:22.515 --> 00:03:25.945 all his discoveries were of the utmost importance. 00:03:25.945 --> 00:03:30.785 He penned treatises on everything from anatomy to nutrition to bedside manner, 00:03:30.785 --> 00:03:35.515 meticulously cataloguing his writings to ensure their preservation. 00:03:35.515 --> 00:03:37.424 Over the next 13 centuries, 00:03:37.424 --> 00:03:42.254 Galen’s prolific collection dominated all other schools of medical thought. 00:03:42.254 --> 00:03:47.006 His texts became the standard works taught to new generations of doctors, 00:03:47.006 --> 00:03:51.820 who in turn, wrote new essays extolling Galen’s ideas. 00:03:51.820 --> 00:03:55.456 Even doctors who actually dissected human cadavers 00:03:55.456 --> 00:03:58.726 would bafflingly repeat Galen’s mistakes, 00:03:58.726 --> 00:04:01.866 despite seeing clear evidence to the contrary. 00:04:01.866 --> 00:04:06.466 Meanwhile, the few practitioners bold enough to offer conflicting opinions 00:04:06.466 --> 00:04:09.290 were either ignored or ridiculed. NOTE Paragraph 00:04:09.290 --> 00:04:13.500 For 1,300 years, Galen’s legacy remained untouchable– 00:04:13.500 --> 00:04:18.316 until renaissance anatomist Vesalius spoke out against him. 00:04:18.316 --> 00:04:20.503 As a prominent scientist and lecturer, 00:04:20.503 --> 00:04:24.313 his authority influenced many young doctors of his time. 00:04:24.313 --> 00:04:27.033 But even then, it took another hundred years 00:04:27.033 --> 00:04:30.753 for an accurate description of blood flow to emerge, 00:04:30.753 --> 00:04:35.583 and two hundred more for the theory of the Four Humours to fade. 00:04:35.583 --> 00:04:39.462 Hopefully, today we can reap the benefits of Galen’s experiments 00:04:39.462 --> 00:04:44.162 without attributing equal credence to his less accurate ideas. 00:04:44.162 --> 00:04:46.056 But perhaps just as valuable 00:04:46.056 --> 00:04:50.326 is the reminder that science is an ever-evolving process, 00:04:50.326 --> 00:04:53.944 which should always place evidence above ego.