﻿WEBVTT

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Joslin, Best and diabetes. 1963, Length: 00:27:03, Color, Sound. 16 mm to Beta SP

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[...]

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[ Music ]

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[Narrator:] It's rare indeed that these two world-famous men can be brought together in a film. Dr. Joslin died in 1962 at the age of 93.

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But, fortunately, Dr. Best, who with Dr. Banting discovered insulin, is still with us. When one realizes that there are some 1 and 1/2 million

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diabetics in United States, and another like amount yet undiscovered, or when at any time you or a member of your family can be afflicted with

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this disease, then and then only can one comprehend the full value of the contributions of Dr. Joslin, who devoted a lifetime to perfecting the

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treatment of diabetes, and of Dr. Best the co-discoverer of life-giving insulin.

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[Dr. Root:] Whether you boys know Dr. Best--Dr. Charles Best, who's coming here today, is the famous doctor who was the co-discoverer

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with Sir Frederick Banting of insulin 40 years ago. He's coming here to take part and to speak at the Elliott P. Joslin Memorial in Oxford.

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He was a friend of Dr. Joslin's for many years.

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[Howey:] Dr. Joslin was my doctor. He was great.

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I don't know? I know he was an old man and yet, somehow, he wasn't like a lot of other old people.

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[Dr. Root:] Well, he was 93 when he died.[Scott:] Yes, but he was always asking questions

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about our diabetes. Why, he even visited us here at camp just the summer before.

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[ Car horn ]

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[ Music ]

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[Dr. Best:] Dr. Garmin, I know that you and I agree on the tremendous importance of teaching these boys good control of their diabetes.

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As a matter of fact, you should set them a pretty good example; I think. You had diabetes yourself.

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[Dr. Garmin] Well, there are three things Dr. Best. First, the very close care that my mother gave me when I was a child.

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And second, the almost imperceptible transfer of responsibility during my adolescence.

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And finally, the factor common at all times was the close association and friendship with my physician.

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[Dr. Root:] Dr. Best, I would like to have you meet one of Dr. Joslin's former patients; Scott Currier.

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[Dr. Best:] Scott. How did you happen to come to this camp?

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[Scott:] Dr. White. She's at the clinic too.She suggested it to my folks. Dr. Joslin always

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used to tell me how important it was to take care of my own diabetes.

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[Howey:] He told everyone that. That's one reason he started the camp: to teach diabetics how to take care of themselves.

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[Dr. Joslin:] We have had a wonderful group of patients. To all of those who had lived longer with

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their diabetes and they were expected to live if they didn't have it, Ms. Amelia Peabody made a life expectancy medal.

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This was given and now we even took two or three thousand patients. And they have cherished it because it showed how faithfully they had lived.

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But so many of them obtained it that later we had another medal for patients. And this was given to those who after 25 years of the disease;

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had perfect blood vessels, perfect eyesight, and perfect kidneys, and were generally sound in health.

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Of these, we have had now some 98 patients. Not one who has obtained this medal of perfection, ever was able to obtain it unless he

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had followed treatment meticulously just as [inaudible] and Alan prescribed.

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[Dr. Best:] Scott, what do you mean when you say take care of yourself?

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[Howey:] Well, I think I can show you better. Come on over to the clinic, we'll show you.

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Hey, tell Stevie to come here a minute. Steve is the youngest boy in camp who takes his own insulin injection, Dr. Best.

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He's only seven and already he's learned to take care of himself this way.

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[Camp staffer:] Okay, boys.[Steve:] What you want? I got to take my shot!

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[Howey:] Hey, Steve, how about giving Dr. Best a performance?

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[Steve:] Well, that's that. Me and Art have to go and eat.

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[Howey:] He's a cute kid but, boy, he can be a pill. Now we'll never hear the end of it: "I shot myself for Dr. Best."

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[Scott:] Years ago when doctors didn't know what they know now, the kids just didn't get very tall.

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[Howey:] Sure, I know that. They used to call them diabetic dwarfs.

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[Scott:] It was because they didn't get enough protein in their diet. Now we know we must take care of our height, our weight, as well as our diet.

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[Dr. Best:] You mean that you weigh and measure your food and know how to prepare it?

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[Scott:] Here, let me show you in the diet kitchen. I have a diet of so much fat, protein, and carbohydrate and I use one of these scales

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to measure it. I check myself about once a week now but I've been doing it for so long,

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I think my estimates are perfectly all right; at least the doctor and the dietitian think so.

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[Dr. Best:] Do you find, Scott, that it takes a lot of time to weigh your food and take your insulin shots? Do you find it hard to do?

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[Scott:] Well, at first it was sort of a hard thing and then I became used to it. And now it's nothing at all.

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[Howey:] It's really not even as hard as seventh-grade math.

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[Scott:] Hi, Betty. I was just showing Dr. Best how we weigh and measure our food; the kind of thing that Dr. Joslin used to teach us.

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[Betty:] He was always interested in the children knowing how to do these things. Howey, where's Beetle.

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[Howey:] I think he's down by the lake.[Betty:] Well, when you see him, would you give

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this to him? [Howey:] Wow! Sure! This is for Beetle Daws.

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He's bugs about bugs.[Scott:] You know, the camp is for fun too.

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We do everything they do at any camp. You don't have to feel you're sitting on a bench if you're diabetic.

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[ Music and clapping ]

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[Dr. Best:] You know boys with all this activity around the camp, makes me think of another one of Dr. Joslin's great interests.

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He was always trying to find out the influence of exercise on diabetes.

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[Dr. Joslin:] Now, [inaudible] found this. And this puzzled him and embarrassed him.

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He found that the patients to whom he gave a diet--the same diet that he had in the hospital--and sent them home, that they did better when they

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were away from him at home on their farms than when he had them in a hospital. And it finally dawned upon him

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that exercise was the reason for it.[Dr. Best:] Thank you, Scott.

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Thank you, too, for acting as the host at the camp for us today.

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[Howey:] There's a girls' camp, the Clara Barton camp, that has a program just like ours. Boy, won't they flip when they find out that you've been here and not there.

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[Dr. Best:] Well, as matter of fact, I'm going over to the Clara Barton camp tomorrow after the dedication.

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Are you boys going to be at the dedication?[Scott:] You bet! I wouldn't miss that for anything. [Howey:] Me too.

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[ Music ]

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[Dr. Root:] We are meant today to celebrate the 250th anniversary of the founding of Oxford, Massachusetts.

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In this city were born two persons who achieved distinction by their service to humanity.

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Clara Barton. Born in Oxford in 1821. She brought about the formation of the United States branch of the International Red Cross.

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Dr. Elliott P. Joslin, born here in 1869, became a professor of medicine, a distinguished physician and known the world over for his teachings

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in diabetes. But my real privilege today is the introduction of Dr. Charles H. Best.

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[Dr. Best:] Thank you Dr. Root. I enjoyed every time I ever met Dr. Elliott P. Joslin.

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And I'm delighted to have this opportunity to pay a tribute to his memory.

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[ Music ]

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[Susie:] Dr. Best, many of us knew Dr. Joslin rather well too. And your speech at Oxford really meant a lot to us. Some of the things you said

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were just the way we felt about him. [Dr. Best:] Thank you, Susie. Dr. Joslin knew

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how to say things wonderfully well.I've enjoyed having the tour of the Clara Barton

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camp with you three girls. And I'm amazed at how many things you've learned to do well.

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[Cathy:] We've been wondering just what did happen to the children in the days before insulin? What was it like?

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[Dr. Best:] Well, Cathy, there were thousands of years after diabetes was discovered when there wasn't much you could do for children.

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You fed them as little as possible and they lived for a time. Then in 1921 and 22, when we had insulin,

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the first children did very well. But we didn't have much insulin.

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And with one or two of the children, we ran out of insulin and we lost a little girl. One little girl and one boy.

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[Susie:] You know, Dr. Best, that Dr. Joslin took care of my mother?

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[Dr. Best:] Yeah.[Susie:] In fact he warned her that I had a good

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chance of becoming a diabetic.[Dr. Best:] Yes, we know Susie that diabetes does run in families

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and it's passed down from the mother or the father to some of the children. Linda, someone told me that you've been in the

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camp here for seven summers. You'd come for seven summers.

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[Linda:] Yes, I've been coming to Clara Barton for seven summers now.

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[Dr. Best:] And what are your parents think about your coming? Do you think that they're very pleased?

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Have you learned something that gives them satisfaction?

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[Linda:] Yes. They're pleased that I've come to camp.

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Because by coming to camp, I've learned to take care of myself by adjusting my diet and my insulin. Taking the right amount of exercise so I

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can control my diabetes by myself.[Dr. Best:] Yeah.

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[Linda:] Which puts them at ease. Because when I go away from home, they won't have to worry about me.

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[Dr. Best:] Well, I think you're right, Linda. This is a wonderful camp.

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I've been to a lot of other camps. And after thinking about them, I feel that they do a great deal not only for the children but for the parents.

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Well, girls, Dr. Joslin was very much interested in these diabetic camps too. He used to talk about them when I saw him in Boston.

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And I remember he mentioned them when came to Toronto to see the opening of our research institute.

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Dr. Joslin was interested in investigation, you know, research. And he was interested in the camps. And he told us at that time

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that he hoped someday he'd have a wonderful clinic where he could do all or many things that he had in his mind to do for diabetics.

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Well, as you know, that clinic really has come into being and I hope to go there again tomorrow.

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[Dr. Joslin:] To predict the future diabetic: we hope to erect in Boston a hospital teaching clinic in which ambulatory diabetics can return at much

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less than regular hospital costs--fully a third less--receive instruction, encouragement, and such development of character that life and health

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hither to unrecorded for diabetics will be obtained.

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[ Music ]

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[Dr. Best:] It's nearly 10 years ago now since Dr. Joslin came to Toronto to take part in the opening of the institute which they named after me.

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Two years later, the cornerstone of this Joslin clinic was laid.

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and here we are now in the completed clinic which Dr. Joslin had so much desired.

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[Dr. Root:] Yes, Dr. Best. This clinic has fulfilled not only the ideals which he expressed there in founding your institute, but also the hopes which

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you know he had as long ago as 1922 when you first came to Boston.

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And here are the opportunities for training patients an adequate and proper diet is more important today in the treatment of diabetes than

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ever before. And here we emphasize the doctors teaching patients how to measure and evaluate food.

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When a child develops diabetes, it helps tremendously if the child and her mother can together in the same room be treated and the

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mother learn firsthand the best methods for the care of that child. Perhaps the most important single thing for a diabetic patient to learn is how to

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test the urine for sugar and when to do it. One important aspect of our program is the

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doctors' teaching of patients. Mrs. Cohan. You have known the teaching and training in diabetes over many years which Dr. Joslin inculcated.

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May I ask you how you feel about it?[Mrs. Cohan:] When I first came here 25 years

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ago with my daughter, who was then a child diabetic and myself; I was worried, alarmed, tortured how I was going to care for both herself

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and myself. After being a week at the clinic in the teaching unit, I learned how to take care of us.

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I learned all about diet and food, exercise, the care of the infant to such a great degree that I was completely in confidence. I had the absolute

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confidence that I can go home and take care of all my problems.

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My fears were gone, and I felt that I could do all that was necessary for the best for both of us.

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[Woman speaker 1:] Can you have diabetes without having any apparent symptoms?

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[Dr. Krall:] Why, yes, of course. Very early in diabetes sometimes there are no symptoms and you have to find elevated blood sugars or urine

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sugars.[Male speaker 1:] Is necessary to keep insulin in

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the refrigerator?[Dr. Krall:] The insulin you are storing should be

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kept in the refrigerator. But the insulin that you're using can be kept at room temperature.

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[Woman speaker 2:] If one member of the family has diabetes, should the other members of the same family be checked?

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[Dr. Krall:] Why, certainly. Diabetes has hereditary tendencies and other members of family should be checked particularly those who

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are overweight; if any.[Male speaker 2:] These pills sound exciting.

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Can all diabetics use these pills?[Dr. Krall:] No, I'm afraid not. While many of the

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diabetics who are milder get by with pills perfectly well, most diabetics and certainly more severe ones still require insulin.

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[Dr. Best:] We all agree that one of the most important things in looking after diabetics is to teach them. I know that this has done

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extremely well in the clinic here. I've seen Dr. Joslin, Hugh Howard and many others

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giving a great deal of their time to patient education. Dr. Root, I know that Dr. Joslin has been interested for many, many years in training

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physicians in the various aspects of diabetes.And that they've come to him from all over the world.

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[Dr. Root:] Yes. And today we have a group of doctors from many countries

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in various types of training. In fact, they have a number of questions to ask you, Dr. Best.

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[Doctor 1:] I've always wondered, Dr. Best, how you happen to find insulin and many other researchers have failed?

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[Dr. Best:] I suppose there's an element of good fortune and all successful research. We had several assets really.

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We had good surgery. Fred Banting was an excellent surgeon.

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And then we had the micro methods for doing blood sugar which all our predecessors had lacked. And then we had youth.

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We weren't too much concerned about what happened before we started.

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[Doctor 2:] Dr. Best, you have a long-range picture of the diabetes mellitus problem. Could you tell us what advances you hope will be made

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for the diabetic patient in the next 10 years?[Dr. Best:] Well, of course, no one can be

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completely certain about any research problem--about the solution of any research problem until it's actually accomplish. But I think the indications

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are that we will have synthetic insulin.It won't be any different perhaps in potency than

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the natural insulin. But we're going to need some day more insulin than you can make from natural sources.

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[Doctor 3] I think we all like to be interested, Dr. Best, to know how you went about getting the first insulin and also getting enough of it?

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[Dr. Best:] Well, our first insulin was made from dog pancreas. It was very good material, but of course you can't collect a lot of pancreas from

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dogs. Then we went to beef pancreas. And this proved to be an excellent source.

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We had to change the technique of extraction a bit, use different strengths of alcohol and acid,

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and so on. But the main problem at that time was to get into large-scale production.

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We did some of the preliminary work in the University of Toronto, but we were fortunate to have the cooperation of one of the great family

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companies in the United States the Eli Lily company. And their engineers were expert in doing the sort of thing that needed to be done.

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I remember that I went there nine times in the first year to try to tell them what I knew. And they taught us a very great deal.

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And I think the insulin committee of the University of Toronto was very happy that we selected the Eli Lily company to work with us for the first

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preliminary difficult year in the large-scale production of insulin.

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[Doctor 4:] Dr. Best, in your travel around the world, do you find the society of free people developing programs in the field of diabetes?

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[Dr. Best:] Well, Dr. Joslin and I had the honor of being the first honorary presidents of the International Diabetes Federation.

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And over the years, I've been in a great many countries where societies devoted to the interest of diabetics have been formed.

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In some countries, these societies are doing a wonderful work. And in others, of course, it's slow.

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But the idea of the International Diabetes Federation is to use the knowledge gained in the more active countries and to apply this in the

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effort to help those countries which are not so fortunate. Dr. Lozano, you're finishing your two years here in the clinic and you're going back to

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Mexico. Do you feel that you will be able to apply a lot of

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the new information which you gained while you were here?

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[Dr. Lozano:] Yes, I do. I will work in the Hospital of Nutrition Disease where, like many other places in Mexico, we have a high standard of medicine.

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Of course, there are areas in Latin America as in other parts of the world where getting enough food for the children is a special problem.

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[Dr. Root:] And finally, now, his best hope: his deepest hope:

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a new laboratory for research. One of Dr. Joslin's most absorbing interest in the last 20 years has been the study and prevention

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of blood vessel disease. Dr. Reese, you are conducting research in this field.

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Tell us about it.[Dr. Reese:] Our research has been directed at

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the relationship between the control of diabetes and the progression of small blood vessel disease.

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Studies today clearly indicate that good control retards the progression of small blood vessel disease in diabetes.

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Another aspect of our research focuses upon the blood vessels of children who have a high index or chance of developing diabetes.

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With this camera, we can pick up abnormalities a blood vessel before there's any evidence of diabetes by the usual clinical criteria.

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[Dr. Best:] I suppose, Dr. Root, that this clinic has a very special meaning for you personally. You are Dr. Joslin's first associate,

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and I believe that you gave the first dose of insulin that was administered in New England.

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[Dr. Root:] Yes, Charlie. But let me say this...eEven before the discovery of insulin,

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Dr. Joslin had demonstrated that devotion to the care of the patient. That keen interest in learning and in teaching.

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When we learned that you and Dr. Banting had each given yourselves a dose of insulin, although neither of you had diabetes

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[Dr. Best:] Right.[Dr. Root:] I should not have been so terrified as I

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was on that day on August 7, 1922 when there stood before me this frail nurse. The diabetes which had reduced her weight from 135 pounds

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to 65 pounds. How much insulin should I give her?

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[Dr. Best:] How much did you actually give her?[Dr. Root:] I have to admit, Charlie, I gave her one unit and my heart beat.

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[Dr. Best:] Yeah.

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[Dr. Root:] And there, there she is. The nurse who learned to give insulin.

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She was then the lovely Ms. Peterson. And now Mrs. Simons.

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Mrs. Simons, what do you remember of that period in 1922?

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[Mrs. Simons:] I remember particularly the children because they started to grow and thrive and live happily.

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[Dr. Root:] And in those next months, she was the nurse first instructed to teach the administration of insulin among the nurses

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[Dr. Best:] Yes.[Dr. Root:] of the Deacons Hospital.

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[Dr. Best:] Dr. Elliott Proctor Joslin was one of the greatest men whom I've ever known. I heard his name when I was seven years old.

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I met him in Toronto in 1922 and I was in very close touch with him throughout the rest of his life. I'm sure that I speak for everyone who's

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taken a part in making this record. We all feel highly honored.

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[Narrator:] And so, since 1922, with the discovery of insulin by doctors Banting and Best and the leadership of Dr. Elliott P Joslin

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in development of a program of patient care, there has evolved a new life; a normal life for millions of diabetics and their families.

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[ All singing ]