TRUE SCIENCE STORIES · B2 · 50 min

The Surgeon Who Went Through His Own Arm

Germany, 1929: everyone knew the human heart was too dangerous to touch — so a young doctor tried it on himself.

Today: you'll follow a famous medical risk — and learn to report what people believed, said and knew with is said to, was believed to, is known to.
Before we start. Talk these through out loud.
Discuss:
  • What is the most dangerous thing a scientist has ever done for an experiment, as far as you know?
  • Is it braver, or just foolish, to test a risky idea on yourself instead of other people?
  • Why do people laugh at new ideas before they accept them?

The vocabulary of this story

Ten items. Work through the four activities — say your answer out loud before you reveal it.

A · What do they mean here? Work it out from the context

1. The doctor pushed a long, thin plastic catheter into the vein, like a very fine drinking straw, and slowly fed it forward.
a catheter (n) — a thin flexible tube put into the body to take out liquid, put in liquid, or take measurements. Today millions are used every year.
2. Blood travels back towards the heart in a vein; it leaves the heart in an artery. You can see the veins on the inside of your wrist.
a vein (n) — a tube that carries blood towards the heart. The pair: vein / artery. Adjective: venous.
3. The patient felt nothing while the cut was made, because the skin had been numbed with a local anaesthetic.
an anaesthetic (n) — a drug that stops you feeling pain. Local = one small area, you stay awake; general = you are asleep. US spelling: anesthetic.

B · Which word means…?

Three words: reckless · ridicule · pioneer. Say the right one, then reveal.

1. Which word means to laugh at someone in a cruel way, to make them look stupid?
to ridicule (v / n) — to be ridiculed; to hold someone up to ridicule. The adjective is ridiculous.
2. Which word means the first person to do something new, opening the way for others?
a pioneer (n) — also a verb: to pioneer a technique. A pioneer of heart surgery.
3. Which word means doing something dangerous without thinking about the possible results?
reckless (adj) — reckless driving; a reckless decision; noun: recklessness. Not the same as brave: bravery understands the risk.

C · Choose the meaning — a / b / c

1. A young nurse offered to volunteer for the test. To volunteer means…
  (a) to be forced to do something   (b) to be paid to do something   (c) to offer to do something because you choose to
(c) — to volunteer (v) / a volunteer (n). Volunteer for / to do something.
2. After the experiment the hospital dismissed the young doctor from his job. To dismiss someone from a job means…
  (a) to make them leave   (b) to give them a better position   (c) to ask them for advice
(a) — to dismiss (v) — noun: dismissal. Also: dismiss an idea = refuse to take it seriously. Two meanings, one story.

D · Word building & collocation

1. Build the nouns: to dismiss → a ___ · reckless (adj) → ___ (the quality of being reckless).
a dismissal · recklessness. Both end in a suffix that turns an idea into a thing: -al and -ness.
2. One verb completes all three: to ___ a procedure · to ___ an experiment · to ___ a test.
to carry out (or to perform) — carry out a procedure. A procedure (n) = a planned set of actions, especially medical.

Now use them — out loud

Before we read:
  • Using catheter, vein, reckless and pioneer, predict what a young doctor might try — and how his bosses will react.
  • Sort the items into the body, the act and the reaction. Which column is the hardest to predict?

The story, in three parts

Read each part. After it, there's a quick check (answer from memory first), then one question to discuss.

Part 1 — The untouchable heart

In the 1920s, doctors knew a great deal about the heart from the outside. They could listen to it, feel its pulse and see its shape in a dead body. But nobody had looked at a living heart from the inside. The heart was believed to be too delicate to touch. Pushing anything into it was thought to be certain death, and most senior doctors would not even discuss the idea.

Werner Forssmann was a twenty-five-year-old trainee surgeon at a small hospital near Berlin. He was not famous and he was not important. But he had read about an old experiment: in the 1860s, two French scientists had pushed a tube through a vein of a living horse, all the way into its heart, and the horse had survived. Forssmann asked himself a simple question. If a horse could do it, why not a human being?

He took the idea to his head of department, who refused at once. The risk was too great and the reason was not clear. Forssmann was told to forget it.

Quick check — from memory, then reveal:

1. What did doctors believe about the heart, and why did this matter?

2. What gave Forssmann his idea, and how did his boss react?

1. That it was too delicate to touch from the inside — pushing anything into it meant death. So nobody had ever seen a living heart's inside.

2. An old experiment in which a tube was pushed through a horse's vein into its heart without killing it. His head of department refused immediately and told him to forget it.

Discuss:
  • The rule "never touch the heart" was never tested — it was just repeated. What rules in your own field are followed without anyone checking the reason?

Part 2 — Walking to the X-ray room

In 1929, Forssmann decided to do it anyway. According to some accounts, a surgical nurse called Gerda Ditzen offered to be his first volunteer. Forssmann pretended to agree, then fixed her to the table — and carried out the procedure on himself instead. Historians disagree about the details of this story, but nobody disputes the main fact.

Using a local anaesthetic, he made a small cut in the vein at his left elbow. He pushed a thin catheter, about sixty-five centimetres long, into the vein and fed it slowly forward. When it was about half-way in, he stood up with the tube still in his arm and walked down the stairs to the X-ray department. There, with the nurse holding a mirror so that he could see the screen, he pushed the catheter further. The X-ray picture showed the tip clearly. It was inside the right side of his heart.

He was alive, and he felt almost nothing. For the first time in history, a human heart had been entered from the inside by a tube — and the person doing it was walking around, unharmed. He later repeated the experiment several times, and in 1929 he published a short paper describing it.

Quick check — from memory, then reveal:

1. What did Forssmann actually do, step by step?

2. What did the X-ray show, and why was it historic?

1. Local anaesthetic, a cut in a vein at his elbow, a long catheter fed forward, a walk down the stairs to the X-ray department with the tube still in place, then the final push with the nurse holding a mirror.

2. The catheter's tip was inside his heart. It proved that a living human heart could be entered safely — the first time it had ever been shown.

Discuss:
  • Some accounts of the nurse are disputed. How should a storyteller handle a famous story where the details cannot be checked?

Part 3 — Ridiculed, then honoured

Forssmann expected praise. Instead, he was ridiculed. Senior doctors called the experiment a circus trick and a reckless stunt. His hospital dismissed him, and he found it hard to get work in heart research again. He left the field, retrained in another branch of medicine, and worked for years as a doctor in a small German town. His discovery was almost forgotten.

But a few scientists had read his paper. In New York in the 1940s, André Cournand and Dickinson Richards began to use a catheter in the heart, not as a stunt, but as a tool: to measure pressure and oxygen, and to diagnose heart disease in living patients. In 1956 the three men shared the Nobel Prize in Medicine. Forssmann was working in a small German hospital when he heard.

Today the technique is among the most common in medicine. Cardiac catheters are used every day, all over the world, to find blockages, to measure what is going wrong and to repair it from the inside — without opening the chest. It began with a trainee, a long tube and a walk down a flight of stairs.

Quick check — from memory, then reveal:

1. How did the hospital and senior doctors react?

2. How did the catheter finally become a medical tool, and what happened to Forssmann in the end?

1. They ridiculed it as a circus stunt and reckless. The hospital dismissed him and his heart-research career was effectively over.

2. Cournand and Richards, in New York in the 1940s, used the catheter to measure and diagnose in living patients. In 1956 the three shared the Nobel Prize in Medicine.

Discuss:
  • The idea was only valued when other people turned it into a tool. Does the person who has the idea deserve the credit, or the person who makes it useful?

Grammar — reporting what people believed and said

This story is full of things people believed, said and knew — some true, some false. English has a neat passive pattern for it.

Two ways to say the same thing:
• It is said that + clause: "It is said that the explorer crossed the desert alone."
• Subject + is said to + infinitive: "The explorer is said to have crossed the desert alone."
The second is shorter and more natural in news and science writing.
Choose the infinitive by TIME:
• to + base verb — the same time as the belief: "The old bridge was believed to be safe." (they believed it was safe then)
• to have + past participle — earlier than the belief: "The old bridge is believed to have been built in 1850." (built before now)
• Verbs that follow this pattern: say · believe · think · know · consider · report · claim · expect · understand.

1. Complete the sentence

Put the verb in brackets into the correct infinitive form.

1. At the time, the human heart was believed (be) too fragile to enter.

2. Forssmann is said (insert) the catheter into his own arm in 1929.

3. Today, cardiac catheters are known (save) thousands of lives every year.

1. to be   2. to have inserted   3. to save

Ask one question each time: is the action before the belief (to have + participle) or at the same time (to + base)?

2. Rewrite it

Rewrite each sentence with the passive pattern. Say it, then reveal a model.

1. People say that he walked to the X-ray room with the tube still in his arm. → He is said…
He is said to have walked to the X-ray room with the tube still in his arm. (walking happened before the saying)
2. Doctors thought that the heart was too fragile. → The heart was thought…
The heart was thought to be too fragile. (same time as the thinking)
3. Some accounts claim that the nurse offered to be the first volunteer. → The nurse is claimed…
The nurse is claimed to have offered to be the first volunteer. Or: It is claimed that the nurse offered…
4. Everyone knows that the experiment changed medicine. → The experiment…
The experiment is known to have changed medicine. Notice the pattern again: change → earlier than knowing → to have changed.

Take the pattern into the Speak tab — a famous story is exactly where "is said to" belongs.

Going deeper

A note on the record: the broad facts are well documented — the 1929 catheter, the X-ray, the dismissal and the 1956 Nobel Prize. Some of the colourful details, such as the nurse's part, rest on later accounts and are still debated.

What the story actually teaches. First, forbidden is not the same as impossible. The "rule" that the heart must not be touched was a belief, repeated by experts for so long that nobody asked who had ever tested it. Forssmann tested it — on the one person he had a right to risk.

Second, an idea needs two people. Forssmann showed that it could be done. Cournand and Richards showed what it was for. Many great discoveries are split like this, and the credit rarely goes where the risk was taken.

Third, the ethics have not gone away. Self-experiment has a long, proud and uneasy history: it avoids putting a stranger at risk, but it can also be reckless, and modern medicine has strict rules about consent and review. Forssmann's courage is admired. His method would not pass a modern ethics committee, and that is exactly why the rules exist.
Talk it through:
  • Is testing a risky idea on yourself more ethical than testing it on someone else? Where does it become unacceptable?
  • Compare Forssmann with the doctor who drank the experiment (Story 1). What do they have in common — and what separates a pioneer from a reckless person?
  • What would a modern ethics committee have said to him — and what could he have said back?
  • Which belief in your own field today might one day look as strange as "the heart must not be touched"?

Speak

All of it out loud, against the clock. Reporting verbs belong to stories like this one — use them to separate what people believed from what was true.

Useful language: is said to have… · was believed to be… · is known to… · was thought to be too… · it is claimed that… · according to some accounts · nobody disputes that… · the details are still debated
Time remaining: 4:00
Task A · Tell the story (4 minutes)

Tell it as a story of belief against evidence: the untouchable heart → the horse and the question → the refusal → the walk to the X-ray room → the ridicule and the dismissal → New York and the Nobel Prize → today.

Use at least four reporting structures (is said to have, was believed to be…) and five key words (catheter, vein, anaesthetic, volunteer, reckless, ridicule, dismiss, pioneer, procedure).

Task B · The meeting, 1929 (4 minutes)

Two rounds. Round one: you are the young doctor, asking the hospital board to let you try the procedure. Round two: you are the board — explain why you are refusing. The test is how well each side explains risk and responsibility.

Task C · Self-experiment: yes or no? (4 minutes)

A researcher wants to test a risky new idea on herself before testing anyone else. Argue for and against. Then decide: under what conditions should it be allowed?

Prefer a ready-made scenario? Take one of these:

  • A test pilot wants to try a new plane before the safety checks are finished.
  • A chef wants to taste a wild mushroom nobody has eaten for years.
  • A climber wants to try a route that experts say is impossible.
  • A programmer wants to run unfinished code on the live company system.

To finish — the harder questions

  1. The person who took the risk got ridiculed; others got the credit. Is that fair — and can a system be designed to reward the first step?
  2. The "impossible" idea was believed by nearly everyone. How do you tell a good rule from a belief nobody has tested?
  3. Series thread: Marshall drank the bacteria; Forssmann threaded the tube. What do the two stories say about the link between belief, evidence and courage?
  4. Before you go — from memory: three sentences about the story, one with is said to have, one with was believed to be and one with is known to.