SciFri Extra: ‘Behind The Sheet’ Of Gynecology’s Darker History
The 19th-century physician J. Marion Sims may have gone down in history as the “father of modern gynecology,” but Sims’ fistula cure was the result of experimental surgeries, pre-Emancipation, on at least 11 enslaved black women. Only three of whose names have been remembered— Anarcha, Betsey, and Lucy. A new play, Behind The Sheet, imagines their life—not just the pain, but the friendships they might have formed to support each other through surgery after surgery.
In this extended conversation, Science Friday producer Christie Taylor talks to playwright Charly Evon Simpson about the process of inventing a story for these women despite the limited documentation of their lives, the controversy around a J. Marion Sims statue in New York City, and Sims’ legacy in black women’s maternal health outcomes today.
Behind The Sheet was funded in part by The Sloan Foundation, which is also a funder of Science Friday.
Read by Rich Kelley about the scientific an historical context of Behind The Sheet .
Listen to covering Sims' research and how people of color are still underrepresented in medical research.
Read reported by Vox on the removal of a statue of Sims in New York in April 2018.
Gynecology’s Dark History, Antarctic Ice, Moon Craters. Jan 18, 2019, Part 2
Nineteenth-century physician J. Marion Sims has gone down in history as the “father of modern gynecology.” He invented the speculum, devised body positions to make gynecological exams easier, and discovered a method for closing vaginal fistulas, a painful, embarrassing and often isolating complication that can result from childbirth. But Sims’ fistula cure was the result of experimental surgeries, pre-Emancipation, on at least 11 enslaved black women, only three of whose names have been remembered—Anarcha, Betsey, and Lucy. Over a period of about five years, the women underwent dozens of surgeries as Sims attempted, and failed, to fix their fistulas. He rarely used anesthesia. A new play, Behind The Sheet, tackles this story from their perspective, imagining not just their pain, but the friendships they might have formed to support each other through surgery after surgery. In this story, the women tend each other’s ailments, make perfume to hide the smell from their fistula condition, and pledge to remember each other even if history forgets them.
Researchers monitoring the condition of the Antarctic ice sheet report that not only is the ice melting, but that the rate of ice loss is increasing rapidly. According to their estimates, around 40 gigatons of ice were lost per year in the 1980s. By the 2010s, that rate of loss had increased to more than 250 gigatons of ice per year. That melting ice has caused sea levels around the world to rise by more than half an inch, the researchers say. Eric Rignot, climate scientist at the University of California-Irvine and one of the authors of the report, joins Ira to discuss the trends in the ice sheet and .
Our moon formed about 4.51 billion years ago and it’s been pummeled by meteorites ever since, leaving behind the lunar craters you can see on the surface today. Recently, scientists curious to know how often those impacts occurred came up with a clever way of determining the age of the craters. They discovered that many of them are —that is, the moon got hit by space rocks a lot more recently and a lot more frequently than scientists once thought. Sara Mazrouei, planetary scientist at the University of Toronto joins Ira to discuss the new research, out in the journal Science this week, and what it could tell us about Earth’s crater history.
Book Club, Green New Deal, Louisiana Shrimpers. Jan 18, 2019, Part 1
In a world roiled continuously by earthquakes, volcanoes, and other tectonic disasters large and small, a cataclysmic earthquake is about to change the course of human history… again. On the same day, a woman comes home to find her son dead, killed by his father for being an “orogene,” one of the few people in the world with strange powers to manipulate geophysics to start—and stop—these disasters. Thus begins The Fifth Season , the first book of N.K. Jemisin’s triple Hugo-winning Broken Earth trilogy, and . Join Ira and the team as we ponder seismology, volcanology, and how societies respond to disaster. We’ll read the book and discuss until mid-February.
A Green New Deal is the idea of an economy based on renewable energy, green jobs, and other policies that combat climate change. The idea was recently proposed by newly elected Representative Alexandria Ocasio-Cortez; former President Obama put out a stimulus plan (in year) that included elements of a Green New Deal. But the term was first coined over a decade ago by the journalist Thomas Friedman. Friedman talks about .
Louisiana shrimpers are facing low prices. They say the business is tougher than it’s ever been, and recently considered striking. . Charles Robin IV, a shrimper, says the shrimp are great—the problem is selling them. Like most shrimpers, after a fishing trip he’ll pull up to the local dock, refuel his boat, stock up on ice, and sell his catch to the dock. The dock owner then turns around and sells it to bigger buyers. But that’s not paying much these days. Shrimp prices have been low. “It’s been really bad,” Robin says. “And you need to catch a lotta lotta shrimp to make up for the difference.” That’s why he goes to the seafood market—to cut out the middleman, make a little more money by selling directly to customers. Julie Falgout, Seafood Industry Liaison for Louisiana Sea Grant, says more and more shrimpers are doing this. She says selling direct makes a lot of sense for some people, but it’s not easy. Cutting out the middleman means becoming the middleman. “And so it becomes a business where you have more things that you have to do and it’s less time fishing.”
Heart and Exercise, Consumer Electronics Show, Black Holes. Jan 11, 2019, Part 2
You’ve heard the news that smoking is bad for your health. But it turns out not exercising could be even worse for your chances of survival, according to a recent study in the journal JAMA Network Open. But is it possible to overdo it? While you’re trying to boost your overall health, could you instead be doing damage to your heart? In this segment, Wael Jaber of the Cleveland Clinic and Maia P. Smith of St. George’s University talk about how sports like weightlifting stack up to running and cycling in terms of health effects, and .
Discovered only decades ago, black holes remain one of the universe’s most mysterious objects, with such a strong gravitational pull that that light—and even data—can’t escape. Oftentimes researchers can only observe black holes indirectly, like from blasts of energy that come from when the massive bodies “feed” on nearby objects. Erin Kara, a postdoctoral fellow at the University of Maryland and NASA Goddard Space Flight Center, describes new research published in Nature into how echoes of X-rays in small, stellar-mass black holes can point the way. At the other end of the spectrum, supermassive black holes billions of times the mass of our Sun are believed to dwell at the hearts of galaxies. Many are active, drawing in nearby gas and dust and emitting energy in response, but others are dormant, with nothing close to feed on. MIT postdoctoral fellow Dheeraj Pasham talks about what happens when these dormant black holes suddenly encounter and tear apart a star—and how the fallout can shed light on how these black holes spin. His research appeared in Science this week. The researchers also discuss how black holes could lead the way to understanding how galaxies evolve, and other black hole mysteries.
Every year, the Consumer Electronics Show, or CES, meets in Las Vegas to showcase the latest in consumer tech trends. This year was no different— ? WIRED news editor Brian Barrett was on the floor of the Las Vegas Convention Center all week and joins Ira to talk about what he saw, including a flying taxi and other concept cars, delivery drones, robot companions, and ‘5G’ products mean without a 5G network.
Shutdown and Science, Smartphone and Overdoses. Jan 11, 2019, Part 1
The partial shutdown of the U.S. government is approaching its third week, and it has caused a backlog for scientists employed or funded by the government. Scientists have had to leaving data collection and experiments in limbo. The Food and Drug Administration has had to suspend domestic food inspections of vegetables, seafood, and other foods that are at high risk for contamination. Journalist Lauren Morello, Americas bureau chief for Nature, puts the current shutdown in context to previous government stoppages. Morello also tells us and what we might see if the shutdown continues. And Science Friday producer Katie Feather reports back from the American Astronomical Society conference about how the shutdown has affected the meeting and the work of scientists.
Last year, about 47,000 people in the United States died from an opioid overdose, including prescription and synthetic drugs like fentanyl, according to the CDC. And as the epidemic of opioid abuse continues, those looking to reduce death rates are searching for ways to keep drug users safer. But what if your smartphone could monitor your breathing, detect early signs of an overdose, and call for help in time to save your life? Researchers writing in Science Translational Medicine this week think : smartphone software that can ‘hear’ the depressed breathing rates, apnea, and changes in body movement that might indicate a potential overdose. University of Washington PhD candidate Rajalakshmi Nandakumar explains how the software, which uses smartphone speakers and microphones to mimic a bat’s sonar, can ‘hear’ the rise and fall of someone’s chest—and could someday even coordinate with emergency services to send help.
Starting January 1, 2019, hospitals have been required to post online a machine-readable list of detailed prices for materials and procedures—from the cost of an overnight stay in a hospital bed, to a single tablet of Tylenol, to the short set of stitches you get in the emergency room. The new requirement is a Trump administration expansion of Obama-era rules growing out of the Affordable Care Act, which required that this list of prices be made available upon request. But while the increased availability of this pricing information might seem like a win for consumers, it’s not actually all that useful in many cases. First, the price lists don’t give a simple number for common procedures, but break down each part of every procedure item by item, in no particular order, and labeled with acronyms and abbreviations. Second, the price lists, called ‘Chargemasters,’ are the hospital equivalent of the car sticker price—they represent what the hospital would like to be paid for a service, not the price that most consumers actually do pay, or the prices that may have been negotiated by your insurance company. Julie Appleby, senior correspondent at Kaiser Health News, joins Ira to explain .