A Breath of Life in the Archives

Laboratory (? at Sudbury), Credit: Wellcome Collection

 

A young man, an assistant in the laboratory, poses for the camera. The surroundings and his attire flag a bygone era. What stories might he tell us of that time?

The photograph is undated, and the location not precisely specified [1]. The time and place can, however, be established with some certainty. The lab is part of the Serum Department of the Lister Institute of Preventive Medicine at Elstree, Hertfordshire. The year is 1903, or as near as matters, when this new establishment was unveiled to the press [2]. Another version of this image, artistically faded at the corners, appeared in a promotional pamphlet soon after [3].

In the archives of the Lister Institute, tucked away under ‘historical items’, sits a remarkable memoir [4]. Albert Riggs was 17 years old, and had been out of work for 4 weeks, when a neighbour working as a builder on the Elstree site suggested he apply for a vacancy. Riggs passed the interview and started as a lab assistant on 3 September 1903 on a weekly wage of 12 shillings. He was appointed Head Assistant at the beginning of World War I and remained an employee of the Institute for 48 years. He put down his memories in a 100-page annotated typescript illustrated with hand-drawn diagrams. Riggs’ first impressions of the Elstree Laboratories were drawn upon by the best-known history of the Lister Institute:

 

At six o’clock on a lovely August morning in 1903, I first saw the Lister Institute, or as it was then known locally “Queensberry Lodge”, and now whenever it comes to my mind, I see it as I saw it then, the lovely tree lined drive, the green fields, the trim hedges, the old house with its rustic porch in front, the stables with their eighteen horses and whistling stablemen, and the calm peace which reigned over everything. [5]

 

In considerable detail, Riggs describes the labs, animal houses and stables. He covers the routines involved in making a variety of serum products and the role of lab assistants immediately prior to 1914, and he offers a first-hand insight to the work of the Institute during the war when it supplied tetanus antitoxin and other antisera to the Army [6]. Most engagingly, Albert touches on aspects of his life, candidly recalls many of his colleagues, and describes – warts and all – some of the ‘characters’ under whom he worked.

With its authentic voice – a rare counterweight to the large volume of ‘official’ documents typical of institutional archives – this lab assistant’s memoir breathes life into history.

 

 

References

[1] Image of laboratory at Sudbury (?), Lister Institute, Wellcome Library Archives, SA/LIS/R.163.

[2] British Medical Journal1 [2217], 1513-15 (1903); The Lancet, 2 [4167], 120-1 (1903).

[3] A Laboratory at Queensberry Lodge, The Lister Institute of Preventive Medicine – with notes on serum therapeutics by members of the staff of the Institute, 1904, SA/LIS/P.13, facing p. 10.

[4] Albert Riggs’ Memoirs of the Lister Institute of Preventive Medicine, Elstree, Hertfordshire, c. 1951, SA/LIS/M.6.

[5] Chick, H, Hume, M. & Macfarlane, M. (1971) War on Disease: A History of the Lister Institute, London: Andre Deutsch, p. 80.

[6] Wawrzynczak, E.J. (2018) Making serum, saving soldiers: the Lister Institute during World War I, VesaliusJournal of the International Society for the History of Medicine,Vol. XXIV, No. 2, 40-48.

 

 

Edward Wawrzynczak

The Story of the Stethoscope

One might not automatically recognise the image below as that of an early version of the medical stethoscope. It certainly looks very different today. This blog focuses on the invention of this instrument, synonymous with the medical profession, over 200 years ago.

 

Laennec-type monaural stethoscope, France, 1851-1900. Credit: Science Museum, London. CC BY.

 

Where did it all begin?

The story of the invention of the stethoscope begins with a young French physician in Paris, René Laennec. It was in 1816 that Laennec was called to see a rather fat and buxom young woman with a ‘diseased heart’. Feeling awkward, embarrassed and improper at putting his ear so close to this woman’s chest in an attempt to listen to her heart, Laennec sought to find an alternative method. He described his predicament and later actions in the medical text De l’Auscultation Médiate, published in August 1819:

I happened to recollect a simple and well-known fact in acoustics, … the great distinctness with which we hear the scratch of a pin at one end of a piece of wood on applying our ear to the other… I rolled a quire of paper into a kind of cylinder and applied one end of it to the region of the heart and the other to my ear, and was not a little surprised and pleased to find that I could thereby perceive the action of the heart in a manner much more clear and distinct than I had ever been able to do by the immediate application of my ear.’

Laennec modified this method of a rolled up piece of paper to make a wooden cylinder, measuring 25cm by 2.5cm. He called this piece of equipment a ‘stethoscope’, the name derived from the ancient Greek stethos meaning ‘chest’, and skopein meaning ‘look at’. The stethoscope became an essential item in Laennec’s medical bag and he utilised it to listen to both the heart and lungs of his patients.

 

Reception

Although a few physicians resisted the introduction of the stethoscope, maintaining that it was best to listen only with one’s ear, the vast majority of the medical profession embraced its use. The invention quickly spread over Europe in the early 1820s and the design was further developed and improved upon. By the end of the nineteenth century, this wooden instrument had morphed into something more akin to the modern-day stethoscope. Flexible tubing, first made out of rubber, and then plastic, made the stethoscope both easier to use and transport; whilst binaural earpieces improved the quality of the sound for the listener. The stethoscope works by transmitting acoustic pressure waves from the chest-piece through the hollow tubes to the listener’s ears. Today, there are even more advanced electronic stethoscopes which amplify body sounds improving further the sound transmitted.

 

A 19thcentury stethoscope with a bell-shaped end. Credit: Wellcome Collection. CC BY.

 

The meaning of the stethoscope

The significance of a stethoscope in the twenty-first century cannot be under-estimated. It confers identity and, to a certain degree, status. Its wearer is automatically assured to be a member of the medical profession. It implies trust, understanding and knowledge. In this way, Laennec’s stethoscope is incredibly valuable, both from a diagnostic and symbolic perspective.

 

 

 

Further Reading

‘The story of Renee Laennec and the first stethoscope,’ Past Medical History. Available at: https://www.pastmedicalhistory.co.uk/the-story-of-rene-laennec-and-the-first-stethoscope/, accessed 9/3/19.

‘Stethoscope,’ Brought to Life – Exploring the History of Medicine. Available at: http://broughttolife.sciencemuseum.org.uk/broughttolife/techniques/stethoscope, accessed 9/3/19.

 

 

Lucy Havard