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SNL Classic, on Bloodletting and Barbarism

A student clued me in on an old take on ther­a­peutic phle­botomy: the classic 1978 SNL skit, Theodoric of York (Season 3, episode 18), stars Steve Martin (as the barber, Theodoric of York.). It also fea­tures Dan Aykroyd (as William), Gilda Radner (as Broom Gilda), Jane Curtin (as Joan), John Belushi (as a hunchback) and a youthful Bill Murray (as a drunkard).

Theodoric of York

It’s a very funny skit when it’s not too gory, with some insight into the history of medicine.

But it’s also a sad reminder about the early deaths of Belushi, a promising actor who died at 33 years from heroin and cocaine tox­icity, and of Radner, a won­derful comedian who died at 42 years from ovarian cancer.

As for modern, ther­a­peutic phlebotomy -

In the U.S. and most other places, trained physi­cians, nurses and other providers perform this pro­cedure rou­tinely using sterile tech­niques and other pre­cau­tions. (Checklist, anyone?) Typ­i­cally a pint or so of blood is care­fully drawn from the body so as to reduce iron overload in people with hemochro­matosis, or to lessen the number of cir­cu­lating red blood cells in patients with other, rarer blood conditions.

For the record, we don’t use leeches any more, although a New Yorker piece from several years ago delves nicely into those slimy crea­tures’ comeback in research and other pos­sible applications.

One thing I learned today is there’s sur­pris­ingly little open-​​access infor­mation on modern ther­a­peutic phle­botomy, which might serve as a useful coun­ter­point to the SNL skit. The NIH (including National Heart, Lung and Blood Institute) and Med­linePlus offer little spe­cific infor­mation on this pro­cedure, and in a multi-​​hour search I can’t find any non-​​commercial sites that do.

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