Listening to the Body: Stethoscopes in 1900

Cinemax’s The Knick transports viewers to at a New York hospital at the turn of the twentieth century to listen in on the drama between colleagues and patients. Each episode shows the variety of early instruments, ranging from x-rays to thermometers, used by doctors in 1900 to diagnose disease and trauma. While these objects were able to speak to the body’s condition — the shape of a broken bone or the magnitude of a fever, it was the stethoscope that brought the actual sounds of the heart or lungs to the diagnostic listener. What stories did these devices hear and do they have their own tales to tell?

From the Sharp & Sharp Catalog of Instruments, 1905, displaying the variety of Cammann Stethoscopes available.

The stethoscopes most widely used at the time of the fictional Knickerbocker Hospital were the Cammann Stethoscope, originally devised in the 1850s and the Bowles Stethoscope, which was developed in 1897 [1]. Dr. Cammann of New York was the first to successfully design a binaural stethoscope, which was soon became popularized in the United States and England. Previous stethoscopes had been tubular in their design, allowing the body’s sounds to be heard in only one ear [2]. Note that the length of the stethoscope would have placed the physician using is in close proximity of the patient. Although this model bears Cammann’s name, he never patented the device because of it’s huge value to the medical field. In the early 1900’s these models were still commonly used with few adjustments to Cammann’s original design [3].

Bowles Stethoscope Bowles Stethoscope from the Sharp & Sharp Catalog of Instruments, 1905.
Bowles Stethoscope
Bowles Stethoscope from the Sharp & Sharp Catalog of Instruments, 1905.
From Richard C. Cabot's Physical Diagnosis, 1905
From Richard C. Cabot’s Physical Diagnosis, 1905

 

 

 

 

 

 

 

 

 

 

 

The Bowles Stethoscope used a shallow cup-like chest piece covered by a stretched pig skin diaphragm which was unlike the bell-shaped design of Cammann’s original model [4]. Bowles, who worked as an engineer, created this diaphragm so that the sounds of the body could be heard more distinctly. The clarity of listening made this model ideal for both practitioners and teachers by the turn of the twentieth century. Some models were comprised of up to a dozen ear pieces which would allow multiple students to diagnose conditions, but the typical model was still relatively short by today’s standards.

From The Knick, episode 2, 2014
From The Knick, episode 2, “Mr. Paris Shoes”, 2014

So which of these does medical innovator, Dr. Thackery, use in The Knick? Unfortunately neither. The model used here, if authentic, is likely much later, as indicated by its length. While “early adopters” in medicine switched to the Bowles stethoscope in the early 1900s, “Thack” uses an extremely long instrument with a bell-shaped chest piece. His stethoscope allows him to stand apart from his lower-class patient, and the chest-piece muffles what he can hear. Whether metaphorical for the distance Dr. Thackery puts between himself and the lives of his patients, or a mere oversight in production, the mummers of the heart vary not only by person, but by the instruments used to listen in.

 

References

[1] Buck, Albert, ed. 1904. A Reference Handbook of the Medical Sciences Embracing the Entire Range of Scientific and Practical Medicine and Allied Science. Vol. VII. New York, NY: William Wood and Company.

[2] Hudson, Erasmus Darwin, Jr.  1887. A Manual of the Physical Diagnosis of Thoracic Diseases. New York, NY: William Wood and Company.

[3] Catalogue of Sharp & Sharp, Manufacturers and Importers of High Grade Surgical and Veterinary Instruments and Hospital Supplies, 20th Edition. 1905. Chicago, IL.

[4] Cabot, Richard C. 1905. Physical Diagnosis. 3rd Edition. New York, NY: William Wood and Company.

Published by

Catherine C. Osborn

I am a PhD student in Medical Anthropology at Case Western Reserve University, the Editorial Associate at Culture, Medicine and Psychiatry, as well as a Research Assistant at the Dittrick Medical History Center. My research focuses on interpretations of illness and use of medical technologies both cross-culturally and historically. I believe that it is only through multidisciplinary study that health and the human approaches to managing it can be truly understood.

One thought on “Listening to the Body: Stethoscopes in 1900”

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s