WEBVTT

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When I look at you,
I don't see prisoners.

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I don't see criminals
           or slaves.

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I don't even see gladiators.

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I see legionaries,

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Dedicated to protecting
       this great empire.

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Help me.

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Help me to protect
      the citizens of rome,

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And you will win your freedom!

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caesar! Caesar! Caesar!

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The colosseum
is the roman empire

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Distilled
    to its most basic essence.

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It is a symbol of conquest.

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It's a symbol of dominance.

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It's a symbol
        of imperial power

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Radiating throughout
         the roman world.

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Now!

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Any emperor had
the colosseum at his disposal

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To use as a tool to reassert
    his power and authority.

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The message
to the roman people

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Is that life is a combat.

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It was also
a judicial warning.

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Do not test the power of rome.

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It was a death penalty
             offense.

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If you live by the sword...

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You die by the sword.

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It demonstrates the power
of the colosseum.

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It made slaves into heroes,

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It's all there--

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The blood, the glory,
        the magnificence,

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And the flaws that made
    rome the greatest empire

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That europe has ever seen.

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Narrator: 162 a.D.

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Rome's golden age.

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The empire
of the mid-second century,

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It's at its pinnacle,
           in terms of

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Its territorial expanse
         and its wealth.

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It's an empire
    that is leading the world

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In science, in culture,
 in philosophy, and in medicine.

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Rome is really the cultural
center of the universe

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In this moment.

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Authors, doctors,

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Architects, philosophers
        flock to the city

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Because they are enticed
         by rome itself.

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Narrator:
  Among those entranced by rome

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Is galen of pergamon,

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A brilliant medical scientist

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Whose works
     are still studied today.

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Galen is probably the single
most influential figure

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In the history of medicine.

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He was an author,
 a philosopher,

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A scientist, a doctor,

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And an incredibly
          ambitious man.

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His writings survive,
 which is true

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For very, very few doctors
        from this period.

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And we know that he's
     exceptionally skilled,

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And he has an ego to match.

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Narrator:
   Galen comes to the colosseum

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To catch the eye
   of emperor marcus aurelius,

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One of the empire's
           great minds.

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Marcus aurelius
comes at the tail end

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Of the five good emperors.

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These were the emperors
            who ruled

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During what's known
       as the pax romana,

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During the very height
       of the roman empire

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In the second century a.D.

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Marcus aurelius
was an intellectual

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And was very much engaged
  in philosophical reflection.

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And in fact, his nickname

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Is sometimes
      the philosopher king.

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He was an extraordinary
  character.

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He'd been chosen
       as a very young man

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And trained to be emperor.

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And for once,
  they got it absolutely right.

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Narrator: But marcus aurelius
       does not rule alone.

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For the first time
        in roman history,

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Two emperors govern
          side by side.

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Marcus aurelius's
adopted brother, lucius verus,

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They were almost opposites.

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They reigned together perfectly

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Because they were two sides
            of a coin.

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There's no greater example
    of how absolute opposite

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These men were
      as to their attitude

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To the colosseum
        and to the games.

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Someone like marcus,
     who was so intellectual,

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So philosophical, for him,

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The endless and pointless
     bloodshed made no sense.

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Lucius, on the other hand,
     absolutely lives for it.

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Yes, it's a vulgar sport,

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It's a vulgar vice to have,

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But he adores it.

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Narrator: A surgeon like galen
       plays a crucial role

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In keeping gladiators alive.

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But he wants more.

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Galen was such an ambitious
and driven individual

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That he wanted to become
  the world's greatest doctor.

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He already thought
       of himself as such.

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He just wanted people
        to acknowledge it.

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Narrator:
      These two men in rome

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At the height
      of the empire's powers

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Will also be present
   at the start of its decline.

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Galen's journey
      to this moment begins

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Almost two decades earlier
        and 800 miles away

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From the city of rome.

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Galen's hometown

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Is the ancient city
           of pergamon,

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A greek hub near the coast
        of the aegean sea,

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Now in western turkey.

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Pergamon is one
of the crown jewels

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Of the eastern part
       of the roman empire.

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It's a sophisticated city
  with lots of fine buildings,

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Including a temple
          to asclepius,

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The god of healing.

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If you wanted
to become a doctor,

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Pergamon was a pretty good
         place to start.

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Galen was extremely
         well-educated.

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He had tutors,

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First in philosophy
      and then in medicine.

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He came from a family
  that was wealthy and cultured.

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He was set up for success.

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Narrator: In 157 a.D.,

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Galen lands his first
      official medical role.

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Galen gets
an incredible opportunity,

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Which is to become the doctor
           at a ludus,

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At a gladiator school.

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Gladiators,
contrary to popular opinion,

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Were not
     expendable commodities.

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They were extremely valuable.

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The amount of money

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That went into these athletes,

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Preserving them,
       making them famous,

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Training them,
  was a huge cost to the school,

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And they had to get a return
          on that cost.

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Any way they could
   to preserve that gladiator,

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They would have done,
        and that included

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Getting fantastic medical care.

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Narrator: Galen's appointment
           at the ludus

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Follows years
        of unusual study.

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There's a real turning point
in galen's life.

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His father passed away
        at the age of 19.

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What he gained
   was a massive inheritance,

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And he uses that inheritance

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To go on sort of
     a learning pilgrimage.

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He spends the next 10 years
            traveling,

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And then eventually,
      he ends up in the city

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That really makes him,

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Which is the city
     of alexandria in egypt.

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Alexandria was the one place
in the ancient world

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That had a tradition
      of human dissection.

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Now, there was
       a very narrow window

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Where that was practiced
    back in the ptolemaic era,

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In the third century b.C.E.

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However, the tradition
   and the knowledge continued.

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Galen's knowledge,
the ability to learn

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From the works of
   physicians who had actually

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Participated in dissection,
     gave him an opportunity

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To understand the body
   unlike any other physician

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At the time.

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Narrator: Now galen applies

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His unique knowledge
            of anatomy

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To treat the gladiators
    in the school at pergamon.

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Gladiators would give
a young physician

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A lot of opportunities
          to practice.

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You're talking about
      a lot of lacerations,

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A lot of broken bones,
       high-speed impacts.

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Every single injury was
  a window onto the human body.

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It was an opportunity
      to work on his craft.

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Get him ready.

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He has a fracture

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To the frontal plate
          of the skull.

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Internal swelling causes
      pressure on the bone,

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And that bone needs
       to be chiseled away

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To release that pressure.

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Still with us?

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All right.

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In terms of the tool kit
at galen's disposal,

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There actually isn't
       that much difference

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Between what he had access to

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And something that a doctor
      would have been using

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150 or 200 years ago.

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He has some anesthetics
            available.

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He has opiates,
  mandrake root mixed with wine.

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He has scalpels.

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He has forceps.

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He's able to set broken bones.

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When you get someone
like galen, who understands

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That you have to disinfect
           your tools,

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That you have to disinfect
             wounds,

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How to stitch, how to close,

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His understanding
          of the body--

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There was nobody like him
         at that period.

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Galen revolutionizes
ancient medicine.

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We're talking about a guy
      who, 2,000 years ago,

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Was able to identify
      seven cranial nerves,

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And he knew the difference
   between arteries and veins.

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Good as new.

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Now, we only have
his own account,

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But he tells us
      that his predecessors

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Had 60 gladiators die
  in the course of five years,

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And he only saw the deaths
         of two of them.

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This was an astounding
          track record.

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You did well today, helius.

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Thank you.

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I wonder, think their skulls
are the same in rome?

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I expect so.

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Why?

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There's only one way
 to find out.

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Narrator: For galen,

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The next steps are clear.

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His road leads to rome.

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Narrator: In 162 a.D.,
      galen arrives in rome

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Seeking both knowledge
          and influence.

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Rome was, at the time,
the largest city in the world.

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It had a population
   of about a million or more.

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If you wanted to be
        connected to power

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And prestige and wealth
            and fame,

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That was really
        the place to be.

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For galen, who had already
spent four years

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Working as a doctor
        with gladiators,

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There was no greater stage
    in the whole roman empire

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Than the colosseum.

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Narrator: Galen had one goal,
   to become personal physician

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To the empire's
       most important man.

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By 162 a.D., marcus aurelius
   has been co-emperor of rome

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For less than a year.

00:12:19.400 --> 00:12:22.080
The empire that he
  and his brother lucius inherit

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Is vast and powerful,
   stretching from the deserts

00:12:26.120 --> 00:12:29.040
Of syria and the nile river
           to scotland

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And the forests of germania.

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Marcus aurelius governs it
   unlike any previous emperor,

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According to the rules
       of stoic philosophy.

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Marcus aurelius
is probably best known

00:12:43.280 --> 00:12:45.280
As the author
       of "the meditations"

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And meditations
    specifically on stoicism.

00:12:48.880 --> 00:12:51.920
He was a believer
   in that ancient philosophy

00:12:52.040 --> 00:12:57.360
Of sacrifice and duty
         and obligation.

00:12:57.440 --> 00:13:00.080
A lot of the philosophy
is based on the idea

00:13:00.160 --> 00:13:02.480
That one should live
   in accordance with nature.

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Nature was governed by reason
     and divine providence.

00:13:06.320 --> 00:13:08.800
And so that meant
   observing virtuous conduct.

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Virtue was very much the idea
   of what one should aim for.

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Narrator: Galen's records
      confirm that he shares

00:13:19.200 --> 00:13:21.120
The same views
        as marcus aurelius

00:13:21.360 --> 00:13:23.040
On the preservation
          of human life.

00:13:30.480 --> 00:13:31.760
Galen was a doctor.

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He was a healer.

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And marcus aurelius
        had no great love

00:13:35.600 --> 00:13:38.240
For the games and the blood
     sport of the colosseum.

00:13:41.440 --> 00:13:43.760
death! Death! Death!

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When a mortally wounded
gladiator was at the end,

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A figure dressed as dis pater,
 who's a god of the underworld,

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Comes out.

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I can save him!

00:13:56.400 --> 00:13:57.560
I can save him!

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I can save him!

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He delivers a coup de grace,

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A hammer blow to the head

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Of the defeated gladiator.

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We know this
  because it's depicted in art,

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Because roman writers talk
            about it,

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And because we have found
    the skulls of gladiators

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With this distinctive pattern
          of fracturing

00:14:22.760 --> 00:14:24.640
That could only have come
        from this hammer.

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Marcus aurelius was someone
     who prized human life,

00:14:33.360 --> 00:14:35.760
Understood suffering,

00:14:35.840 --> 00:14:40.640
Didn't take pleasure
 in slaughter for its own sake.

00:14:40.720 --> 00:14:43.120
I've had enough.

00:14:43.240 --> 00:14:45.600
He doesn't really like
the colosseum or the games.

00:14:45.840 --> 00:14:49.520
He sees them as being violent
           and vulgar.

00:14:49.640 --> 00:14:51.280
This is a problem for galen.

00:14:51.400 --> 00:14:53.840
If the emperor does not like
       gladiatorial games,

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Well, that's a bar to galen
        being able to make

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His name any further.

00:14:57.840 --> 00:14:59.920
If galen wants to make
       a name for himself,

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Then he's gonna have to look
 beyond the colosseum for work.

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Narrator: By the time galen
         arrives in rome,

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He's more than just
         a great surgeon.

00:15:12.520 --> 00:15:14.240
Galen, in addition
to everything else,

00:15:14.480 --> 00:15:18.320
Was an expert pharmacologist
          and interested

00:15:18.400 --> 00:15:21.680
In hunting out the most
     efficacious ingredients

00:15:21.760 --> 00:15:23.440
Anywhere
   in the mediterranean area.

00:15:26.160 --> 00:15:28.640
One of the things
that galen was most proud of

00:15:28.760 --> 00:15:31.080
Was a medicine
      that he created called

00:15:31.120 --> 00:15:34.800
Theriac or theriaca
  from the greek word therian,

00:15:34.920 --> 00:15:36.640
Meaning wild beast.

00:15:36.720 --> 00:15:39.040
And this is because
           it contained

00:15:39.280 --> 00:15:43.040
64 ingredients,
     some of which contained

00:15:43.120 --> 00:15:45.520
Parts of wild animals.

00:15:45.640 --> 00:15:49.600
And one magic ingredient,
              opium.

00:15:49.840 --> 00:15:52.560
Theriac was seen
in the ancient world

00:15:52.640 --> 00:15:54.120
As a wonder drug.

00:15:54.160 --> 00:15:58.320
It would cure everything
      from a sprained ankle

00:15:58.440 --> 00:16:03.440
To a heart attack to hair loss.

00:16:03.520 --> 00:16:07.120
It was also most importantly

00:16:07.200 --> 00:16:10.400
An antidote to poison.

00:16:10.640 --> 00:16:11.760
- You're the emperor.
            - Mm-hmm.

00:16:11.880 --> 00:16:13.440
What do you fear most?

00:16:15.360 --> 00:16:16.720
Barbarians.

00:16:16.800 --> 00:16:17.920
Poison.

00:16:18.160 --> 00:16:19.520
You see, every emperor
          has enemies.

00:16:19.760 --> 00:16:21.320
Now, the emperor
    might not care to see me

00:16:21.360 --> 00:16:23.560
Save some gladiators,

00:16:23.600 --> 00:16:25.280
But he must want
        to save himself.

00:16:25.360 --> 00:16:27.240
I'm making the antidote.

00:16:28.480 --> 00:16:30.880
Poison
and the fear of poison

00:16:31.120 --> 00:16:34.320
Is always on
      every emperor's mind.

00:16:34.400 --> 00:16:36.960
I mean, this was
     the quickest and easiest

00:16:37.200 --> 00:16:40.400
Way to kill someone.

00:16:40.480 --> 00:16:44.400
Claudius, nero's predecessor,
       was allegedly killed

00:16:44.520 --> 00:16:47.200
With poison mushrooms,
      so you can understand

00:16:47.440 --> 00:16:50.080
How marcus aurelius
        was always afraid

00:16:50.320 --> 00:16:53.840
Of history repeating itself.

00:16:53.920 --> 00:16:56.320
Narrator: Galen believes his
  knowledge of poison antidotes

00:16:56.400 --> 00:16:58.320
Could make him indispensable.

00:16:58.400 --> 00:17:00.320
And he knows someone
          on the inside

00:17:00.400 --> 00:17:03.120
Who can make an introduction
         to the emperor.

00:17:10.640 --> 00:17:13.760
When galen arrives in rome,
one of the best contacts

00:17:14.000 --> 00:17:17.120
He's got already in the city
 is his old philosophy teacher,

00:17:17.360 --> 00:17:19.360
Eudemus,
    who is a personal friend

00:17:19.600 --> 00:17:21.480
Of the emperor marcus aurelius.

00:17:24.400 --> 00:17:26.800
Eudemus was really
 galen's ticket

00:17:26.920 --> 00:17:29.600
To upper class roman society
     and the cultural elite.

00:17:34.920 --> 00:17:36.560
Eudemus.

00:17:36.640 --> 00:17:38.000
It is good to see you.

00:17:38.080 --> 00:17:39.360
Oh, mighty caesar.

00:17:39.600 --> 00:17:41.360
I want to introduce you
            to one of

00:17:41.440 --> 00:17:43.400
The brightest students
         I ever taught.

00:17:43.440 --> 00:17:46.720
I'm honored to meet you
and wish to offer my services.

00:17:46.800 --> 00:17:49.040
I didn't realize
I was in need of them.

00:17:50.760 --> 00:17:52.400
I've invented a theriac.

00:17:52.480 --> 00:17:54.400
It's the most effective
   preventative against poison

00:17:54.480 --> 00:17:56.160
And illness ever known.

00:17:56.400 --> 00:17:58.000
Galen, is it?

00:17:59.880 --> 00:18:03.600
I'll let you know if I'm ever
    in need of your services.

00:18:03.720 --> 00:18:07.760
He wanted to practice
medicine in that elite circle.

00:18:07.840 --> 00:18:10.640
He wanted to treat rome's
      most powerful people.

00:18:10.720 --> 00:18:13.200
But in fact, marcus aurelius
           doesn't try

00:18:13.280 --> 00:18:16.880
To contact galen at this point.

00:18:17.000 --> 00:18:19.360
Narrator: Galen's quest
       to join rome's elite

00:18:19.440 --> 00:18:22.800
Seems over for now.

00:18:28.640 --> 00:18:30.320
Narrator: Galen's attempts
      to advance his status

00:18:30.440 --> 00:18:32.720
In rome appear stalled.

00:18:32.800 --> 00:18:35.520
Then, a year after
     his arrival in the city,

00:18:35.600 --> 00:18:39.120
His friend eudemus contracts
      a mysterious illness.

00:18:42.920 --> 00:18:45.040
Eudemus was very
  well-connected

00:18:45.120 --> 00:18:46.640
With the roman aristocracy,

00:18:46.760 --> 00:18:49.200
So galen knew that
    if he could cure eudemus,

00:18:49.320 --> 00:18:52.640
Then these very powerful people
           would think

00:18:52.880 --> 00:18:54.800
He was a great doctor,
       and his reputation

00:18:54.880 --> 00:18:58.000
Might come to the ear
         of the emperor.

00:18:58.120 --> 00:18:59.360
Old friend.

00:18:59.600 --> 00:19:01.240
Old friend. Let me see.

00:19:01.320 --> 00:19:03.280
On the other hand, there
was a lot of other doctors

00:19:03.600 --> 00:19:04.560
Who had their own opinions

00:19:04.600 --> 00:19:06.440
About the course
      of eudemus' illness,

00:19:06.480 --> 00:19:08.400
And galen had
     to compete against them

00:19:08.480 --> 00:19:10.160
In order to land this patient.

00:19:10.280 --> 00:19:12.800
I'll have to take a sample
of your urine, I'm afraid.

00:19:13.960 --> 00:19:17.920
Whatever it is they're offering
   you, please don't take it.

00:19:20.200 --> 00:19:21.960
Galen had
a simpler approach.

00:19:22.080 --> 00:19:25.320
Taking the pulse,
  asking the patient questions,

00:19:25.440 --> 00:19:27.800
Observing very carefully
      the course of disease,

00:19:28.040 --> 00:19:29.440
Comparing this against data

00:19:29.480 --> 00:19:31.720
That he had observed
            elsewhere.

00:19:31.840 --> 00:19:35.160
Galen is unique in that he
really has science behind him,

00:19:35.240 --> 00:19:37.160
Or what we would consider
             science.

00:19:37.280 --> 00:19:38.840
And he manages to work out
          that eudemus

00:19:38.920 --> 00:19:40.600
Is suffering
       from quartan fever,

00:19:40.680 --> 00:19:42.360
Which is a type of malaria.

00:19:42.440 --> 00:19:43.520
There are a lot
 of difficulties

00:19:43.560 --> 00:19:44.600
About living in urban rome,

00:19:44.720 --> 00:19:46.280
And one of them
          is that rome,

00:19:46.360 --> 00:19:48.280
Throughout antiquity,
        remains malarial.

00:19:48.360 --> 00:19:51.400
There are always
     large breeding grounds

00:19:51.480 --> 00:19:55.000
In the riverbanks
    of the tiber for insects.

00:19:55.240 --> 00:19:57.960
And those insects
         carried malaria.

00:19:58.080 --> 00:20:00.760
We both know...

00:20:00.840 --> 00:20:02.520
I may not make it.

00:20:02.600 --> 00:20:06.200
Eudemus, you will live.

00:20:06.280 --> 00:20:07.640
Galen really knew
there was no cure

00:20:07.880 --> 00:20:10.040
For what eudemus was facing.

00:20:10.120 --> 00:20:13.320
However, though, he was able,
      because of prognosis,

00:20:13.440 --> 00:20:17.000
By carefully observing
 the course of eudemus's fevers,

00:20:17.080 --> 00:20:20.840
That eudemus
   was gonna pull out of this.

00:20:20.960 --> 00:20:24.200
Like apollo,
he was able to prophesy

00:20:24.320 --> 00:20:26.280
What was going to happen
  in the course of an illness.

00:20:28.840 --> 00:20:32.360
Eudemus' powerful friends
       now thought of galen

00:20:32.440 --> 00:20:35.880
As this
  phenomenally effective doctor

00:20:36.000 --> 00:20:39.560
And really prognostication.

00:20:39.640 --> 00:20:42.920
This was a very big step
      in his career in rome.

00:20:45.000 --> 00:20:47.400
Narrator: To harness
     his growing reputation,

00:20:47.520 --> 00:20:51.000
Galen treats anyone in need.

00:20:51.080 --> 00:20:53.960
Rather than holding out
a fancy medical degree,

00:20:54.080 --> 00:20:56.920
The way you search
         your preeminence

00:20:57.000 --> 00:20:58.600
Is on the public stage.

00:21:01.760 --> 00:21:03.920
You do not become
an ancient doctor

00:21:03.960 --> 00:21:06.840
Unless you want to become
     a public orator as well

00:21:07.040 --> 00:21:08.680
Because you have
        to be constantly

00:21:08.760 --> 00:21:12.680
Explaining your methods
   and defending your methods.

00:21:12.800 --> 00:21:15.080
Galen is doing
      public demonstrations.

00:21:15.160 --> 00:21:17.640
He is arguing
       against his rivals.

00:21:17.720 --> 00:21:19.080
He's writing.
         He's studying.

00:21:19.160 --> 00:21:21.400
But most important,
       he's treating folks

00:21:21.640 --> 00:21:23.480
From every social stratum,

00:21:23.560 --> 00:21:26.600
From rome senatorial class

00:21:26.720 --> 00:21:28.520
Down to the humblest
            of slaves.

00:21:32.360 --> 00:21:35.080
And galen's reputation
     is growing as a result.

00:21:36.360 --> 00:21:39.000
Narrator: Then from
  the far reaches of the empire

00:21:39.240 --> 00:21:41.000
Comes a shocking development.

00:21:41.080 --> 00:21:43.880
News comes
from the northern frontier,

00:21:44.000 --> 00:21:46.200
The danube,
 that there's been an invasion.

00:21:47.880 --> 00:21:50.120
Barbarian tribes
launched their attack

00:21:50.240 --> 00:21:52.440
From germania, and for once,

00:21:52.520 --> 00:21:54.920
Rome's army
      can't push them back.

00:21:56.760 --> 00:21:58.520
The northern frontier
  was crumbling.

00:21:58.600 --> 00:22:01.240
There were very serious
     incursions threatening

00:22:01.320 --> 00:22:03.480
Roman interests, especially
    by a very dangerous tribe

00:22:03.720 --> 00:22:05.880
Called the marcomanni.

00:22:05.960 --> 00:22:09.880
What starts as what might
seem a fairly small invasion

00:22:10.120 --> 00:22:12.840
Turns into what are known
    as the marcomannic wars,

00:22:12.920 --> 00:22:15.800
And they occupy marcus
   for the rest of his reign.

00:22:18.240 --> 00:22:21.080
The marcomannic wars
on the northern frontier

00:22:21.320 --> 00:22:24.280
May be seen as the first
    of the barbarian invasions

00:22:24.360 --> 00:22:26.440
From the north
       that will chip away

00:22:26.560 --> 00:22:29.480
At the very foundations
      of the roman empire.

00:22:29.600 --> 00:22:31.880
Narrator: In response,
       rome's two emperors

00:22:31.960 --> 00:22:34.200
Travel 350 miles north

00:22:34.280 --> 00:22:35.960
To reach their
      military headquarters

00:22:36.200 --> 00:22:38.680
At aquileia
      on the border of Italy

00:22:38.760 --> 00:22:41.640
And modern day slovenia.

00:22:41.760 --> 00:22:44.760
Marcus aurelius had
a very strong sense of duty,

00:22:44.840 --> 00:22:47.400
And also, he was
      a political realist.

00:22:47.520 --> 00:22:49.400
And as much as he
      would have preferred

00:22:49.640 --> 00:22:52.040
To leave the fighting
       to his subordinates

00:22:52.160 --> 00:22:54.200
Or even to his co-emperor,
              verus,

00:22:54.280 --> 00:22:57.880
He realized that this required
    his personal intervention.

00:23:00.000 --> 00:23:01.560
This was a threat
that was serious enough

00:23:01.800 --> 00:23:04.200
That both marcus aurelius
        and lucius verus

00:23:04.280 --> 00:23:06.280
Went to the frontier
          to deal with.

00:23:08.200 --> 00:23:10.000
Narrator: When the emperors
         reach the camp,

00:23:10.080 --> 00:23:13.640
They confront
       a new kind of enemy.

00:23:13.760 --> 00:23:15.640
A deadly
      and mysterious disease

00:23:15.880 --> 00:23:19.720
Is running rampant
   through the cramped legions.

00:23:19.800 --> 00:23:22.120
The men in aquileia
         have experienced

00:23:22.200 --> 00:23:25.000
Nothing like this before.

00:23:26.600 --> 00:23:28.760
By all accounts, the plague

00:23:29.000 --> 00:23:30.920
Was a horrible,
        horrible disease.

00:23:31.000 --> 00:23:33.560
I mean, in addition
    to the expected diarrhea

00:23:33.800 --> 00:23:36.080
And vomiting and fevers,
    what happened to the skin

00:23:36.160 --> 00:23:37.200
Was really disconcerting.

00:23:37.280 --> 00:23:39.760
Scabs would form
        and then fall off,

00:23:39.880 --> 00:23:42.680
Leaving horrible lesions.

00:23:42.760 --> 00:23:45.080
It was devastating
in its effects.

00:23:45.320 --> 00:23:48.000
People didn't seem to have
      any previous immunity,

00:23:48.080 --> 00:23:50.520
And it killed a large
    percentage of the people

00:23:50.600 --> 00:23:52.680
That it infected.

00:23:52.800 --> 00:23:57.160
Narrator: No one is spared,
       including emperors.

00:23:57.280 --> 00:23:59.240
Not you too.

00:23:59.320 --> 00:24:00.360
It's nothing.

00:24:03.840 --> 00:24:06.120
There's a doctor I met once.

00:24:06.200 --> 00:24:09.240
He cured eudemus
     when no one else could.

00:24:09.320 --> 00:24:12.680
He claims to have an antidote
         to any poison.

00:24:12.800 --> 00:24:16.680
You want to bring him here,
 to this?

00:24:16.760 --> 00:24:21.560
I cannot simply
 watch you die.

00:24:21.640 --> 00:24:24.120
The roman empire has
never been free of diseases.

00:24:24.360 --> 00:24:27.160
But epidemics like the one
      that marcus aurelius

00:24:27.240 --> 00:24:30.760
Is experiencing,
      that's something new.

00:24:30.880 --> 00:24:33.560
It rapidly became apparent
to the high command

00:24:33.800 --> 00:24:36.120
And to the emperor himself
    that they were wrestling

00:24:36.360 --> 00:24:39.960
With a health crisis
      of the highest order.

00:24:40.040 --> 00:24:45.560
Marcus aurelius reacted
  by summoning galen from rome.

00:24:53.240 --> 00:24:55.320
Imagine that kind of emotion

00:24:55.400 --> 00:24:57.840
That would have been in galen
          at that time.

00:25:00.040 --> 00:25:03.800
Here's my chance to actually
   serve the emperor directly.

00:25:03.880 --> 00:25:05.320
And on the other hand,
           it's like,

00:25:05.440 --> 00:25:07.560
This is a really bad situation
         I'm going into.

00:25:09.320 --> 00:25:11.720
Narrator: Galen sets out to
        serve the emperor,

00:25:11.840 --> 00:25:14.600
Not knowing
      if he'll ever return.

00:25:29.000 --> 00:25:30.840
Narrator:
      Two years into the war

00:25:30.920 --> 00:25:33.080
With the marcomanni tribe,
          galen arrives

00:25:33.160 --> 00:25:35.160
At rome's
      military headquarters

00:25:35.240 --> 00:25:38.280
To find an army in crisis.

00:25:41.880 --> 00:25:43.480
The situation
that galen found

00:25:43.720 --> 00:25:45.320
When he reached aquileia

00:25:45.400 --> 00:25:48.200
Was more severe than anything
     he could have imagined.

00:25:54.200 --> 00:25:56.600
Galen gives us some
pretty detailed description

00:25:56.680 --> 00:25:58.920
Of symptoms,
  and based on those symptoms,

00:25:59.000 --> 00:26:01.880
We think it was likely
            smallpox.

00:26:02.120 --> 00:26:04.920
It might have been
       the first appearance

00:26:05.160 --> 00:26:08.840
Of smallpox
   in the mediterranean world.

00:26:08.920 --> 00:26:10.760
There's some argument
        that he's seeing

00:26:10.800 --> 00:26:12.160
A lot of hemorrhagic smallpox,

00:26:12.240 --> 00:26:14.440
Which is a really lethal form
          of smallpox,

00:26:14.520 --> 00:26:16.480
Where you get a lot
   of bleeding under the skin.

00:26:20.680 --> 00:26:23.720
This crisis comes in
many ways for the empire,

00:26:23.800 --> 00:26:25.400
But in a very different
        and essential way

00:26:25.480 --> 00:26:29.480
For galen, the defining
      challenge of his life.

00:26:29.600 --> 00:26:34.360
More than perhaps
  at any point in human memory,

00:26:34.440 --> 00:26:38.200
Disease had become
      an existential threat

00:26:38.440 --> 00:26:40.440
To rome itself.

00:26:43.680 --> 00:26:45.720
Narrator:
     As the plague continues

00:26:45.800 --> 00:26:47.320
To wipe out their troops,

00:26:47.560 --> 00:26:49.480
The two emperors return
             to rome

00:26:49.560 --> 00:26:52.840
To replenish
    their diminished legions.

00:26:52.920 --> 00:26:55.800
They leave the army
       under galen's care.

00:26:58.040 --> 00:26:59.640
The winter
that he spent at aquileia

00:26:59.880 --> 00:27:02.040
Was very difficult for him.

00:27:02.280 --> 00:27:04.840
It's rare for him
        to express despair

00:27:04.920 --> 00:27:07.520
Or feeling
      of being overwhelmed,

00:27:07.600 --> 00:27:09.960
But that is exactly
          what he does.

00:27:10.040 --> 00:27:12.200
He treated hundreds
        of plague victims,

00:27:12.280 --> 00:27:14.920
And he says that
      the whole population

00:27:15.040 --> 00:27:18.600
Struggled to survive
  that winter of plague in 168.

00:27:26.600 --> 00:27:27.960
Narrator:
     On the journey to rome,

00:27:28.040 --> 00:27:30.280
Lucius verus dies,

00:27:30.400 --> 00:27:33.080
Leaving marcus aurelius
         solely in charge

00:27:33.160 --> 00:27:36.920
Of an empire in peril.

00:27:37.000 --> 00:27:38.680
Verus didn't make it
  very far,

00:27:38.760 --> 00:27:41.800
Only 50 miles from aquileia.

00:27:41.880 --> 00:27:44.600
For marcus aurelius,
      he is left on his own

00:27:44.680 --> 00:27:47.000
To rule an empire
   that's stricken by plague,

00:27:47.080 --> 00:27:48.600
Has enemies at the borders,

00:27:48.680 --> 00:27:51.400
An army that's been devastated
        by this disease.

00:27:51.520 --> 00:27:54.120
He knows that
    the responsibility is his

00:27:54.200 --> 00:27:56.680
To rule the roman empire
           by himself.

00:28:05.560 --> 00:28:07.320
Narrator: After a year
        on the front line,

00:28:07.400 --> 00:28:10.920
Galen is summoned back
   to rome by marcus aurelius.

00:28:16.040 --> 00:28:18.840
It doesn't take very long
  for the plague

00:28:18.920 --> 00:28:21.720
To ravage all of Italy
          and to spread

00:28:21.960 --> 00:28:25.080
From the legions to
 the civilian population itself.

00:28:28.040 --> 00:28:29.640
Under these circumstances,
rome would have been

00:28:29.760 --> 00:28:31.720
A horrible place to be.

00:28:31.800 --> 00:28:33.160
There was nowhere in the world

00:28:33.280 --> 00:28:35.040
That was more conducive
          to the spread

00:28:35.160 --> 00:28:37.120
Of a highly transmissible
       and lethal disease

00:28:37.160 --> 00:28:38.440
Than the city of rome.

00:28:43.560 --> 00:28:45.080
Galen returns to rome,

00:28:45.320 --> 00:28:47.560
And he finds
       a transformed city.

00:28:47.640 --> 00:28:51.320
And in fact, galen's family
      itself is not spared.

00:28:53.440 --> 00:28:58.120
Almost everyone
    in his own household dies.

00:28:58.200 --> 00:29:01.160
One can really empathize
    with galen at this point.

00:29:01.280 --> 00:29:03.560
This is a physician
  who's devoted his entire life

00:29:03.640 --> 00:29:06.600
To helping folks from every
    imaginable walk of life.

00:29:06.680 --> 00:29:08.840
But it's the scale
         of this plague,

00:29:08.920 --> 00:29:11.320
Of this disease,
    that's just overwhelming.

00:29:11.560 --> 00:29:14.600
And of course, no one knew
  for how long it would go on.

00:29:20.480 --> 00:29:22.920
His observations
of an understanding

00:29:23.000 --> 00:29:25.960
Of what was happening were
  ahead of many other doctors.

00:29:26.040 --> 00:29:29.000
And of course, that brings him
    close to marcus aurelius,

00:29:29.040 --> 00:29:31.040
Who, first of all,
      doesn't want to become

00:29:31.080 --> 00:29:32.760
A victim
      of the plague himself,

00:29:32.840 --> 00:29:36.040
But is also desperate
  to understand how to stop it.

00:29:42.920 --> 00:29:44.360
The doctor galen

00:29:44.440 --> 00:29:46.040
And the emperor marcus aurelius

00:29:46.120 --> 00:29:49.560
Were more than nearly exact
         contemporaries.

00:29:49.640 --> 00:29:52.520
They also had deep affinities.

00:29:52.640 --> 00:29:55.160
They both seem
      to have had an impulse

00:29:55.240 --> 00:29:59.560
Towards kind of something
  like seriousness of purpose.

00:29:59.640 --> 00:30:01.240
Narrator: Now galen's mission
            is to keep

00:30:01.480 --> 00:30:03.960
Emperor marcus aurelius alive.

00:30:04.200 --> 00:30:07.160
He probably reserves his
   special treatment, theriac,

00:30:07.400 --> 00:30:10.440
For the emperor alone.

00:30:10.520 --> 00:30:13.480
I added cinnamon this time.

00:30:24.040 --> 00:30:27.160
It didn't help.

00:30:27.240 --> 00:30:31.720
Now I need to record
exactly how you're feeling.

00:30:31.800 --> 00:30:33.240
Science.

00:30:33.320 --> 00:30:35.720
Of course.

00:30:35.840 --> 00:30:38.440
To what end?

00:30:38.520 --> 00:30:41.760
Who will be left
   to read about your science?

00:30:43.040 --> 00:30:45.960
Perhaps I will be saved.

00:30:46.040 --> 00:30:47.960
But rome?

00:30:51.400 --> 00:30:53.640
While on one hand,
the reign of marcus aurelius

00:30:53.760 --> 00:30:56.520
Marks something of a high
    point in the roman empire,

00:30:56.640 --> 00:30:59.480
It also marks the point
   when the seeds were planted

00:30:59.720 --> 00:31:02.040
That were going to define
  the next couple of centuries

00:31:02.280 --> 00:31:04.360
Of rome's existence.

00:31:04.480 --> 00:31:06.760
Narrator: Though neither
  the emperor nor his physician

00:31:06.840 --> 00:31:08.120
Know it, the plague,

00:31:08.360 --> 00:31:10.440
Coupled with
     the barbarian invasion,

00:31:10.520 --> 00:31:13.720
Marks a turning point
            for rome.

00:31:20.320 --> 00:31:21.960
Narrator:
    Despite the ongoing crisis

00:31:22.040 --> 00:31:23.800
And amidst
     the devastating plague,

00:31:24.040 --> 00:31:26.680
Marcus aurelius holds games
         in the colosseum

00:31:26.920 --> 00:31:29.080
To honor his brother lucius.

00:31:29.320 --> 00:31:32.360
He's joined by his son
       and heir, commodus.

00:31:35.200 --> 00:31:37.840
The colosseum actually
  remained open

00:31:37.920 --> 00:31:39.000
While all of this
          was going on.

00:31:39.080 --> 00:31:40.520
After all, the romans
        didn't understand

00:31:40.600 --> 00:31:42.800
Person-to-person transmission
           of disease,

00:31:42.880 --> 00:31:44.000
So there was no thought
            that this

00:31:44.120 --> 00:31:47.080
Might be a disease vector.

00:31:47.160 --> 00:31:49.160
There is death
in the streets.

00:31:49.240 --> 00:31:51.160
The economy is failing.

00:31:51.240 --> 00:31:53.880
So this is the point
      where marcus realizes

00:31:53.960 --> 00:31:55.400
The importance of the colosseum

00:31:55.520 --> 00:31:58.680
And uses it to great effect.

00:31:58.920 --> 00:32:02.520
You do what you do
to appreciate the gods.

00:32:02.760 --> 00:32:03.880
You have your sacrifices.

00:32:04.000 --> 00:32:05.600
You have
      your religious events.

00:32:05.720 --> 00:32:07.000
You have your games.

00:32:07.080 --> 00:32:11.160
It's all part of a normal life
       in the roman city.

00:32:11.400 --> 00:32:13.640
And in a time of crisis,

00:32:13.760 --> 00:32:16.360
You've got to keep people
             unified.

00:32:20.200 --> 00:32:23.760
Marcus aurelius
was a very popular emperor,

00:32:23.880 --> 00:32:29.880
But he made one
      very unpopular move.

00:32:39.840 --> 00:32:45.760
And that is,
  he made the contestants fight

00:32:45.840 --> 00:32:47.680
With wooden swords.

00:32:51.240 --> 00:32:53.200
The romans
were used to 400 years

00:32:53.280 --> 00:32:55.560
Of gladiatorial fighting
         with live steel.

00:32:55.600 --> 00:32:58.560
And the notion that gladiators
         would now fight

00:32:58.800 --> 00:33:01.840
With wood swords
 went down like a lead balloon.

00:33:10.720 --> 00:33:13.680
Narrator: Marcus aurelius
   intends something shocking,

00:33:13.800 --> 00:33:18.480
Enlisting gladiators
      to replenish his army.

00:33:18.560 --> 00:33:20.480
Thanks to galen,
      he's learned they are

00:33:20.720 --> 00:33:24.480
One of the few groups in rome
     untouched by the plague.

00:33:29.160 --> 00:33:30.400
They're healthy.

00:33:30.440 --> 00:33:32.440
I want to know everything
           about them.

00:33:32.520 --> 00:33:34.440
Their training,
    their food, their sleep,

00:33:34.480 --> 00:33:36.880
Their bowel movements.

00:33:36.960 --> 00:33:39.280
The gladiators live
in a sheltered community.

00:33:39.360 --> 00:33:41.840
They don't have any connection
      to the outside world.

00:33:41.960 --> 00:33:43.360
They're exceptionally healthy.

00:33:43.440 --> 00:33:44.960
They're getting three
       square meals a day.

00:33:45.040 --> 00:33:46.960
They've got great
          medical care.

00:33:47.040 --> 00:33:48.560
So they're probably
       the fittest people

00:33:48.640 --> 00:33:50.640
In rome at that moment.

00:33:50.720 --> 00:33:52.000
We have to remember,
 of course,

00:33:52.080 --> 00:33:53.760
That what the gladiators
       were trained to do

00:33:53.840 --> 00:33:55.200
Was fight.

00:33:55.280 --> 00:33:58.720
That is what
     marcus aurelius needed.

00:33:58.960 --> 00:34:01.280
Narrator: That marcus
   aurelius makes this decision

00:34:01.360 --> 00:34:04.560
Suggests unprecedented strain.

00:34:04.680 --> 00:34:06.960
How could these
degenerates and criminals

00:34:07.040 --> 00:34:08.800
Defend the honor of rome?

00:34:09.040 --> 00:34:10.880
Could they be trusted
       on the battlefield?

00:34:13.320 --> 00:34:16.960
The gladiators were slaves,
often drawn from,

00:34:17.200 --> 00:34:21.120
In the roman view, the lowest
    born peoples of the empire

00:34:21.360 --> 00:34:25.920
And engaged
     in a sordid occupation.

00:34:26.000 --> 00:34:30.160
To have them vaulted
  into a kind of prestige role

00:34:30.280 --> 00:34:32.720
Of soldiers
  on behalf of the empire itself

00:34:32.840 --> 00:34:36.880
Was a startling transformation.

00:34:37.000 --> 00:34:39.040
Line up for the emperor.

00:34:46.000 --> 00:34:48.400
Take up these arms.

00:34:48.520 --> 00:34:52.400
You are now roman soldiers.

00:35:01.600 --> 00:35:05.760
When I look at you,
     I don't see prisoners.

00:35:05.840 --> 00:35:09.200
I don't see criminals
           or slaves.

00:35:09.320 --> 00:35:12.480
I don't even see gladiators.

00:35:12.560 --> 00:35:15.840
I see legionaries,

00:35:15.920 --> 00:35:20.960
Dedicated to protecting
       this great empire.

00:35:21.200 --> 00:35:24.000
Help me to protect
      the citizens of rome,

00:35:24.080 --> 00:35:26.800
And you will win your freedom.

00:35:28.720 --> 00:35:30.080
caesar! Caesar! Caesar!

00:35:30.160 --> 00:35:33.040
That is my solemn promise.

00:35:35.120 --> 00:35:37.280
In some sense,
it speaks to the desperation

00:35:37.520 --> 00:35:40.400
That marcus aurelius is facing
          in that moment

00:35:40.480 --> 00:35:42.640
And the tremendous risk
      he's willing to take

00:35:42.720 --> 00:35:45.920
In order to make sure
  that the empire will endure.

00:35:55.520 --> 00:35:57.840
Narrator:
     In the fall of 169 a.D.,

00:35:57.960 --> 00:36:00.240
Marcus aurelius assembles
           his legions

00:36:00.320 --> 00:36:03.360
From across the empire.

00:36:03.440 --> 00:36:06.480
Galen expects to be called
     back to the battlefield.

00:36:10.320 --> 00:36:12.480
Ready the horses.

00:36:15.600 --> 00:36:17.040
And as for you, galen--

00:36:17.160 --> 00:36:18.960
Marcus, I'm sorry.

00:36:19.040 --> 00:36:20.800
I can't go.

00:36:21.040 --> 00:36:22.960
Not again.

00:36:23.040 --> 00:36:24.320
I'm a scientist.

00:36:24.560 --> 00:36:25.680
I'm not a warrior.

00:36:25.800 --> 00:36:27.280
Is that so?

00:36:27.400 --> 00:36:30.640
Well, the empire needs both.

00:36:33.320 --> 00:36:34.240
Commodus.

00:36:37.320 --> 00:36:42.160
I was going to ask you to look
   after my son in my absence.

00:36:42.280 --> 00:36:44.560
Caesar.

00:36:46.640 --> 00:36:49.120
Galen is still traumatized

00:36:49.200 --> 00:36:52.080
By the last time
    he was on the front lines.

00:36:52.160 --> 00:36:56.800
And when the emperor asks him
        why he cannot go,

00:36:56.880 --> 00:37:01.440
He said, "well, I had a vision
      from a god who said,

00:37:01.680 --> 00:37:04.640
'do not go. Do not go.'"

00:37:04.720 --> 00:37:06.960
And one thing
        about the romans,

00:37:07.040 --> 00:37:10.000
They believed in omens.

00:37:10.120 --> 00:37:11.680
Depending on
what you believe,

00:37:11.800 --> 00:37:13.240
You can either think
     that galen was clearly

00:37:13.280 --> 00:37:15.920
Blessed by the gods,
       or you might think

00:37:15.960 --> 00:37:17.760
That it just happened
       to conveniently be

00:37:17.840 --> 00:37:20.320
That the gods spoke to him
    at that particular moment

00:37:20.560 --> 00:37:22.640
And saved him from going
      to a miserable place

00:37:22.760 --> 00:37:24.560
To do a miserable job.

00:37:26.720 --> 00:37:28.160
Narrator:
     Now as personal surgeon

00:37:28.240 --> 00:37:30.000
To rome's heir apparent,

00:37:30.080 --> 00:37:33.040
Galen's task is to ensure
        the eight-year-old

00:37:33.120 --> 00:37:37.120
Lucius commodus does not
  succumb to the deadly plague.

00:37:42.320 --> 00:37:44.480
At the same time,
         marcus aurelius

00:37:44.520 --> 00:37:47.680
Heads north to aquileia.

00:37:47.720 --> 00:37:50.520
With gladiator battalions
         at their heart,

00:37:50.600 --> 00:37:52.800
His legions confront
      the barbarian armies.

00:37:55.560 --> 00:37:57.520
After months
       of fierce fighting,

00:37:57.600 --> 00:38:00.000
They turn back this invasion.

00:38:04.880 --> 00:38:07.520
The marcomannic wars
along the danube frontiers

00:38:07.600 --> 00:38:11.520
With the germanic peoples
  are a wake up call for rome,

00:38:11.600 --> 00:38:15.120
And a wake up call into,
   we might say, a nightmare.

00:38:15.200 --> 00:38:17.800
Narrator: A decisive victory
      remains out of reach,

00:38:17.840 --> 00:38:19.520
And marcus spends
         most of the rest

00:38:19.760 --> 00:38:22.320
Of his reign on a battlefield.

00:38:22.440 --> 00:38:26.320
This marks a turning point
in roman imperial history.

00:38:26.440 --> 00:38:28.320
What marcus aurelius
            was seeing

00:38:28.400 --> 00:38:31.040
Was really the future
      of the roman empire.

00:38:31.280 --> 00:38:33.840
There's going to be waves
    of incursions from goths

00:38:33.920 --> 00:38:36.400
And vandals and many
         northern tribes,

00:38:36.480 --> 00:38:39.280
All out to vanquish Italy.

00:38:44.800 --> 00:38:47.040
Narrator:
     350 miles away in rome,

00:38:47.280 --> 00:38:48.720
Galen devotes himself

00:38:48.840 --> 00:38:51.360
To the pursuits
       of medical science.

00:38:51.600 --> 00:38:54.160
Galen must have
been very relieved

00:38:54.240 --> 00:38:56.880
Not to be on the front lines.

00:38:57.000 --> 00:38:58.880
And now he can
       turn his attention

00:38:58.960 --> 00:39:00.960
To his favorite activities:

00:39:01.200 --> 00:39:05.920
Reading, writing,
   composing scientific works,

00:39:06.160 --> 00:39:09.680
Journals, and the like.

00:39:09.800 --> 00:39:13.280
Galen is probably the single
most influential figure

00:39:13.360 --> 00:39:15.680
In the history of medicine.

00:39:15.760 --> 00:39:20.240
He left us a massive
   collection of medical texts.

00:39:20.360 --> 00:39:26.160
In fact, he's probably the most
  prolific author in antiquity.

00:39:26.280 --> 00:39:30.640
His greek works comprise
         about one-eighth

00:39:30.760 --> 00:39:37.280
Of all ancient greek
    manuscripts that we have.

00:39:37.520 --> 00:39:41.360
The knowledge that galen's
      medical texts contain

00:39:41.480 --> 00:39:47.360
Defined islamic and european
   medicine for 15 centuries.

00:39:52.640 --> 00:39:54.320
Narrator:
  Despite the best medical care

00:39:54.400 --> 00:39:57.120
The empire can offer,
     marcus aurelius will die

00:39:57.200 --> 00:40:01.440
At his military headquarters
      on March 17, 180 a.D.,

00:40:01.680 --> 00:40:04.400
Most likely from smallpox.

00:40:07.440 --> 00:40:11.280
Under galen's care,
        his heir survives.

00:40:11.360 --> 00:40:12.880
Galen's babysitting duties

00:40:12.960 --> 00:40:15.680
Turn out to have
     unintended consequences.

00:40:15.760 --> 00:40:18.160
Thanks to him,
     the heir to the throne

00:40:18.280 --> 00:40:21.280
Grows up
   to be a healthy young man.

00:40:21.360 --> 00:40:24.560
The irony is that commodus
    turns out to be something

00:40:24.680 --> 00:40:27.040
That rome will come to regret.

00:40:31.400 --> 00:40:34.240
In fact,
commodus turns out to be

00:40:34.320 --> 00:40:36.560
One of the most
       disastrous emperors

00:40:36.640 --> 00:40:37.920
In the history of rome.

00:40:40.560 --> 00:40:42.560
Ultimately, he'll grind it

00:40:42.640 --> 00:40:47.160
Into a long, slow,
      and painful decline.