This Podcast Will Kill You - Special Episode: Dr. Lindsey Fitzharris & The Sleuth-Hound
Episode Date: October 27, 2026Since his first appearance in A Study in Scarlet in 1887, Sherlock Holmes has captured hearts and imaginations around the world. Featured in countless tv shows, movies, books, plays, comic books, song...s, and other media, Holmes has been firmly cemented as one of the most recognizable characters globally. But less well known is the man whose observational prowess inspired Arthur Conan Doyle to create his famous detective in the first place: Scottish surgeon Dr. Joseph Bell. In Sleuth-Hound: The Case of the Real Sherlock Holmes, New York Times bestselling author and historian of medicine Dr. Lindsey Fitzharris brings long overdue recognition to the man behind the icon. Through her captivating storytelling, Fitzharris transports readers to 19th century Edinburgh, a revolutionary time for medicine and forensic science, and reveals how Dr. Joe Bell was at the center of it all. As pathologist at the Royal Infirmary, he impressed medical students by using his preternatural skills of observation to make a diagnosis, and as a frequent consultant of the Edinburgh police force, he applied those same skills to solve crimes. Tune in for a behind-the-Holmes peek into the man and world that gave rise to this famous detective. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAuSee omnystudio.com/listener for privacy information.
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I'm Lacey Mosley, author, actor, stand-up comedian, creator,
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Hi, I'm Erin Welsh, and this is, this podcast will kill you.
Welcome to another installment in our TPWKY Book Club series.
In this series, I invite authors of popular science and medicine books onto the show to chat about their work and the method or inspiration or story behind.
their work. If you haven't tuned in before, we've been doing this for a few years now, so we've
got a bunch of past episodes for you to check out if something catches your interest. The
rodent experiments that inspire the secret of NIM, the story behind the aerobiome, the disease-themed
movies that reveal so much about our society's fears and preoccupations, there are so many
fascinating topics to choose from, and if you'd like to see the full list of books that we've
featured so far in the series, as well as take a look at the ones that we'll be highlighting in
future episodes, head on over to our website. This podcast will kill you.com. Under the extras tab,
you'll find a link to our bookshop.org affiliate page, which will take you to a bunch of
TPWKY related book lists, including one for this book club, as well as one for the TPWKY Kids Book Club,
hosted by Aaron Updike and posted on our socials. Check in regularly because we're always adding more books
to these lists. If you've got book suggestions, topic suggestions, a first-hand account you'd like to
submit, or any other thoughts you want to share, the best way to get in touch is through the contact
us form or the first-hand account form, both you can find on our website. Two last things before we
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There are relatively few fictional characters that are near universally known.
Mickey Mouse, Superman, James Bond, Princess Leia.
Even if you've somehow managed to avoid watching the movies or reading the books that made them
famous, you know who they are, and you might not be able to remember a time when you didn't.
The beloved English detective Sherlock Holmes has firmly established himself
in this cast of well-known characters ever since first appearing in print in Arthur Conan Doyle's 1887,
A Study in Scarlet.
From that first appearance, Holmes has inspired thousands of plays, movies, TV shows, and other publications.
But what is less commonly known is the inspiration behind this famous detective.
As it turns out, Holmes was not just a figment of Conan Doyle's creativity.
He was based on a real person.
Dr. Joseph Bell, a physician that the author became acquainted with during his own medical training.
In Sleuthound, the case of the real Sherlock Holmes, New York Times best-selling author and historian
of medicine, Dr. Lindsay Fitzherris, shines a light on the man behind the icon, and in so doing,
transports readers to a thrilling time in medicine and forensic science. In his role as pathologist,
Bell had an unparalleled ability to look beyond the patient, to see the person as a whole,
allowing for feats of diagnosis that to observers looked more like magic than medicine.
But his deductive prowess was just one trait he lent to the fictional detective.
Bell was also a frequent consultant to the Edinburgh Police Force,
helping to solve the most mystifying of crimes.
Through Dr. Fitzherris's captivating writing and storytelling,
Bell and his world come to life. Readers will feel like they're seated right next to Conan Doyle,
watching Bell lecture on the importance of little distinctions at the Royal Infirmary. They'll get an
insider's perspective on how Conan Doyle's homage to Bell changed the man's life in complex ways,
and they'll be on the edge of their seats waiting to see how Bell's insight helped to carry out justice.
Erin and I have long been mega fans of Dr. Lindsay Fitzhares.
Her earlier books, The Butchering Art, and The Facemaker are some of our favorite works on the history of medicine.
And we are so very excited to share this conversation with you all.
So let's just take a quick break and get started.
Lindsay, welcome back to the show.
We're so excited to have you here.
I'm so excited as well.
Like it's, you know, coming back to my friend's podcast.
I love it.
We have so much to talk about.
Yeah, we do. We really, really do. We're thrilled.
We are, yeah, we are so thrilled to talk with you about your latest book, Sleuth Hound,
which tells the fascinating story of Dr. Joseph Bell, the doctor whose diagnostic superpowers,
really, inspired the character of Sherlock Holmes. From the opening pages, I mean, I was absolutely
hooked. I was like, I want to be there. Transport me there. And I was amazed how little I knew
about the real life Sherlock Holmes. And so just to start us off,
Could you tell us a little bit about Bell's story and when you first learned about him?
Well, you know what's interesting is that when I talk to scientists and doctors,
I always say, are you surprised that the original Sherlock Holmes was a doctor, right?
Because you are detectives.
Doctors are detectives.
They have to cut through the petty deceits of their patients who don't necessarily divulge
all of the information that they're meant to.
And certainly Bell was doing that in the 19th century.
So to start it off, if you don't know anything about Sherlock Holmes and Conan,
in Doyle, which would be hard to believe because he's one of the biggest fictional characters of all time.
Most people think he began at 221B Baker Street, you know, with the pipe and the hat and the cocaine.
But actually, he began somewhere far more obscure on a hospital ward in Edinburgh where a Scottish
surgeon named Joe Bell was teaching students how to read a human body like a crime scene.
He had this incredible knack at being able to tell everything about a patient before they ever opened their mouths,
where they came from, what they did with their hands, a callus, a stain, a limp, all of these
were clues to Bell if you only knew how to see them. And in 1878, Arthur Conan Doyle becomes
one of his students. And a lot of people don't realize that this very famous author first started
out as a doctor. Yeah. The only reason I think I knew that is because of tuberculosis. And I was
like, wait a second. Conan Doyle was involved in medicine. Why? I had no idea. I have literally,
all of this, I mean, I knew Sherlock Holmes, but literally that's the only thing I knew. And the rest of this was all brand new to me.
I love that because you know what? It was brand new to me. I, at the point, this is like sort of a dark
confession I'm going to make, and I don't know how people are going to take this, but I felt like
this is an interesting thing to share because at the point that I had sold Sleuthound, I had never
read the original Sherlock Holmes tales. And then when I sold it, I decided not to read them right
away because I knew enough about Bell to know that the comparisons at the end of his life became
very reductive and kind of irritating. And so I wanted to bring this lens of medical history to
his story so that he wasn't just the footnote to Sherlock Holmes. He wasn't just this parlor
trick in a consulting room. So I really delayed that. I mean, of course, I knew who Holmes was
and Conan Doyle, but I knew very little about that world. And so for me, this was a delight. And by the
way, if anybody's listening and they're huge fans of Conan Doyle and Sherlock Holmes, this is not
a book about Conan Doyle. He is in it as much as his story intersects with me.
Bell. And I always say that. Like, I'm not trying to, you know, be an expert in this, and, you know,
there's so many books on Conan Doyle out there. This is not what that is. This is a book about
his professor. Kind of along those lines, like you were saying, how you, you, you didn't dive too deep
into the Sherlock Holmes, you know, part of the story before you started. You are so incredible as a storyteller,
especially in this world of, like, transporting us back to a time and place that, like, I can never
imagine, but your descriptions and the way that you just like take the reader and transport us to
this time, like, we really get to know the characters between Bell and Little John and Conan Doyle
and so many others. I'm curious what the process of like constructing a story looks like for you.
Yeah, that's such a great question. Because I have a PhD in the history of science and medicine,
but I call myself a storyteller these days. I'm like a recovering academic, right?
I have huge respect for academic historians. That's not what I do. I write narrative nonfiction. And when I'm
deciding on the next book topic, I kind of live with the ghosts of several people. And I think about,
is there enough documentation? What would that be? What would that story be? And a lot of what I do
is discarding material, right? You know, when I wrote the facemaker about Harold Gillies and the birth of
plastic surgery. A lot of it, I mean, he had hundreds of patients. A lot of it was zoning in
on the, you know, handful of disfigured soldiers whose stories were really powerful to me and I thought
would connect with the reader. And, you know, the same with Bell. And one of the challenges with Bell
was that, first of all, it was no secret that he was the inspiration. Conan Doyle literally outs him
in his own life. He does an interview, which I talk about in the book. And he says,
my professor was the inspiration, there's also a single surviving clip of Conan Doyle on film.
This is incredible because he was born in 1859. You can hear his voice. And it's one of those
accents that just like doesn't exist anymore. He says something like, the root. You know,
he like trills his ours. And it's just such a delightful little interview. So there's one
clip of him speaking. And in it, he points to Bell. And I just started thinking about, you know,
here he is pointing to not Watson, not Holmes. He's pointing to Joe Bell, this unassuming surgeon who never really asked for the spotlight. And until I came along had never really been the subject of a major commercial book. Obviously, people know about Bell and he's been written on in some extent in academic and niche circles. So I felt like that was a crime that needed to be solved. But the problem with Bell is that he wasn't just the inspiration for Holmes. He was doing what Holmes was doing, which was working on officially with the police surgeon, Henry Duncan,
in Little John. And because he was working on officially, it could be difficult to kind of determine
which cases his fingerprints were on. But thankfully, Little John, he's a huge character in the book.
He's fascinating. He's a pioneer of fingerprinting and courtroom photography. So he really let me
flesh this story out. And it's kind of like a buddy story. It's about these two guys solving
some of the highest profile murders of the 19th century. And then, of course, you know,
all the Sherlock Holmes frenzy around Bell when he's outed as that character.
Let's take a quick break, and when we get back, there's still so much to discuss.
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Welcome back, everyone.
We've been chatting with Dr. Lindsay Fitzheris about her book, Sleuth Hound, the case of the
real Sherlock Holmes.
Let's get back into things.
It is such a fun story to see this kind of take shape, to see the inspiration behind
Sherlock Holmes and like how Conan Doyle kind of picked apart these bits of personality
traits.
And let's, but like, Bell himself.
Let's get to Nobel a little bit more.
So he graduated from medical school and he began practicing medicine in the Royal Infirmary in Edinburgh in 1859, which was a truly revolutionary time for science and medicine.
You know, germ theory was about to change what we understood about health and disease.
Darwin's on the origin of species had just been published.
Anesthesia and antiseptic technique would turn surgery from a death sentence to a science.
But as is often the case, these scientific developments, they hadn't yet trained.
translated into improved survival or quality of life. And so I'm wondering how you think
starting his career amidst these revolutionary ideas in this rapidly industrializing town,
but where science still hadn't quite made that full impact. How do you think that influenced
Bell and the development of his method? It's such a great question because this is the time
when everything's changing. And, you know, I spent a lot of years in the trenches of World War I. It was
really fun to go back to Adam Burr in the 19th century. My first book, The Butchering Art, is about
Joseph Lister, and he is a colleague of Joe Bell. So he's in this world as well, which is fascinating.
But as you say, you know, you have the dawn of anesthesia in 1846. It changes surgery.
You know, no longer is the patient, you know, fighting the surgeon. And so in a weird way,
surgery becomes more dangerous. And I talk about this in the butchering art because the
surgeons more willing to pick up the knife, but he doesn't understand germ theory. So enter Joseph
Lister. And I always say that, you know, Lister, he was a Quaker. He grew up around the microscope.
The microscope is his lightsaber. He brings it to medical school. He is able to solve this mystery
about germs. And so Bell is brought into this world of great change. And he's very forward-thinking.
He's younger than Lister. So that also helps. Like the younger surgeons are always more open to those
reforms. But let me give you an example. He really impacted nursing in Scotland at the time. And
this was interesting to me. He was good friends with Florence Nightingale. And he said something to the
effect of, you know, the patient could be saved by the knife and only to die on the ward. Because a lot of
times these nurses were untrained. They were not medically literate. And so he put his mind to really
professionalizing nursing at the Royal Infirmary in Edinburgh. And he made a huge impact there. And again,
this is like part of his biography that really gets overshadowed by the Sherlock links.
So I wanted to talk a bit about that. He's also a big champion of women in general in medicine.
And to compare to Lister, Lister never did believe that women, you know, belonged in the role of the
doctor or the surgeon, whereas Bell is willing to teach the female students. He teaches them
separately from the male students, but he still teaches them. It was said that he treated them
exactly the same and held them to the same high standards. So he's very progressive. So he's very
progressive. He's very forward-thinking. He's one of the early adopters of antispsis at a time when,
you know, there was a surgeon at the Royal Infirmary, he would slam the door and he would say there,
Mr. Lister's germs can't get in anymore. And so people, you know, the older guard really didn't,
take to antispsis at first. And I always say, the discovery's hard, don't get me wrong,
but changing minds and institutes is even harder, especially when that is wrapped in ego and authority.
And so to have Bell there and to be so receptive of that early on in his career, I think speaks to that kind of modern mind.
And then he would bring that logic and that cold logic and rationale to forensic science, which was also developing at this time.
Yeah, it seemed like it kind of prior to Bell or maybe even like some of his contemporaries, like the diagnosis or diagnostic techniques were much more art than science.
But Bell really used such a huge range of observations and to kind of read about some of the stories in your book of him in the amphitheater, making these incredible diagnoses without even touching the patient with such little information.
He really seems to have that kind of homesy inability to see so much further than other people likely do, not just this collection of symptoms, but like the person behind these stories.
how do you feel like this might have influenced, like the way that he saw his patients and the way that he kind of read people, how did this influence the way that he kind of pursued treatment thereafter?
Well, you know what's funny is I think he'd be a terrible dinner guest. I mean, imagine you couldn't hide anything
from this guy. Like, it would just be so, oh, God, Joe Bell's coming to dinner, you know. But he,
but he did have this Sherlockian quality. One of my favorite stories is he, there was this wealthy,
older woman in town, and she claimed that she had lost her sight very suddenly, and she was sort of prone to
these exaggerated stories. And so he went and he sat at the bottom of her bed and he listened to her
tell this sad tale that her sight had gone. And at the end of her,
of it, he put his thumb on the end of his nose and he wiggled his fingers and she said,
how dare you? And suddenly he knew she hadn't lost her sight. And so he was very good at
kind of cutting through, like I say, the petty deceits of his patience. And when you read Sleuth
Hound, you will think, at least in the first two chapters, this is Sherlock Holmes. I mean,
there's so many stories about him that abound that almost are translated directly into the
Holmes tales. And I show that sort of, you know, in comparison.
to some of the Holmes passages. So he does feel very Sherlockian, but he is a more complex
character than Holmes. I mean, he's more empathetic. He is a family man in contrast. He has a
wife who dies in her 30s in childbirth, and then he raises his three children alone. And he's,
he has a great love for children. And so there's a lot of things that are different about Bell.
I always point out, and you guys know, because you've had Adrian my husband on, he's a
caricaturist. And he always says, he can't caricature people he knows too well, because it's about
first impression. So I think Conan Doyle only really knew Bell in this capacity as a professor,
and he took the most obvious flashy showmanship bit about Bell and then transposed it onto this
character. And so I wonder, and I say this at the end of the book, whether Holmes would exist
in the form he exists if Conan Doyle had been better friends with Bell, if he had known him more
intimately. So that's always something to argue and ponder and we'll never know, of course. But yeah,
he does have this very homesian trick. And his students think it's a magic trick. They don't quite believe it.
And they think that maybe he got sight of the outpatient clerk's notes before he came into the theater.
But then it would always be proven wrong when a last minute patient would come in and he would be
able to do it just as well as the earlier patient. So he was fantastic. And it wasn't magic. It was just
cold logic, it was observation, but it was also taking visual clues and creating a narrative and a
story. And that part was really important to, you know, solving the mystery of what the patient was
suffering from. And we, and doctors still do this to some extent. Like, there's still narratives about
illness and they'll, you know, they'll go back into your childhood history and they need to know a lot of
stuff. And so he could do that and tell that very succinctly. And, you know, mysteries of the human
body were just one type of mystery that Bell explored. As you mentioned earlier, he was also a frequent
unofficial consultant of the police force in Edinburgh, especially alongside the famous police surgeon,
Henry Duncan, Little John. Tell me more about Little John, about the legacy he left behind,
and about the relationship between Bell and Little John. So I actually wondered at one point when
writing this book, whether I would call it Sleuth Hounds, plural.
because I do think that little John has a huge influence on Conan Doyle as well. He also teaches Conan Doyle. I think it could be said that Bell gives Conan Doyle the method and Little John gives him the world because Little John is really, you know, one of the original expert witnesses. This is the time, the evolution of the expert witness in the courtroom. And so he teaches forensics in Attenborough. He's a very well-loved teacher. He had a collection. I mean, he would solve all these cases. He was the police surgeon.
called the police surgeon. So he actually took care of the health of the police as well. But then
part of his job was investigating crimes and doing postmortems. And he would collect everything
from these cases, like the murder weapons and bits of the body would end up in jars in his
collection. And some of that stuff is still up in Edinburgh. In fact, one of my friends who did
some research for me, when I started this book, I had breast cancer. And so I wasn't as mobile.
And so she went up to Scotland to collect a lot of the documents for me and take photos. And
she accidentally called up some human remains.
And there was a little bit of a worry that maybe she didn't have, you know, the qualifications.
Her name's Dr. Kate Soe, and she did a fantastic job transcribing Bell's diary because it's
handwriting's terrible.
I think she's probably the only person in the world who can read the diary.
So Kate went up there and she messaged me.
It very, you know, panic like, oh, no, the stuff that you want, some of it contains human remains.
And I said, I don't need to see the human remains.
I just want photographs of the documents at this point.
So a lot of Little John kept all of this stuff,
and he almost like created his own, you know,
Madame Tussaud's museum of weird instruments and bits from the crime scenes.
And that's what he used to teach his students.
And so he was a fantastic storyteller himself.
And he taught Joe Bell, so he was a bit older than Joe Bell,
and eventually recognized that Bell had this amazing analytical mind.
And so he would unofficially,
consult with Bell on various cases when he needed a second pair of eyes or a second opinion.
And together, they were, they were, you know, this dynamic duo. They were this crime-fighting
duo who were always generally right in their conclusions. They didn't always win. I won't
say too much about that, but they were always, I think, always right in general about who they
were going after. So it was fascinating. And that was the part of the story that I really wanted to
dig into because that's the part about Bell's life that was a bit in the shadows before.
Yeah, it seems like at the same time that Bell was, you know, practicing all of this
ability to turn these observations into these stories, like you said, the world of
forensic medicine was also changing drastically with, you know, analytical chemistry, ballistics.
And I'm wondering, what are some of the most transformative developments that happened in forensic
medicine during this time when Little John and Bell were working together. And how did that affect
the way that the idea of proof or the idea of, you know, expert witnesses and things was perceived
by the general public? You know, you have this kind of birth of the expert for hire. So before
this period, at least in British law, you could only testify, if you were a doctor, you could only
testify if you had direct relationship to the case. So if you had performed a post-mortem or
whatever. But then after the mid-19th century, it becomes a thing where you can actually testify,
like you can be consulted, even if you, for instance, didn't perform the post-mortem. You can
consult the notes. You can weigh in. So it did lead to this kind of idea of experts for hire,
which we see in court cases all the time for good and for bad, right? And so this is very much the
evolution of the courtroom medicine. It's the first time that medicine enters that courtroom and
and testifies. And so there's all kinds of developments at this time. I talk, you know, I always say that
the book is a small story and it's a big story. The small story is about Bell and Little John and Doyle,
and then the big story is all of these like amazing changes happening around them. Of course,
forensics didn't always get it right, just as medicine doesn't always get it right.
There are harmful practices like phrenology that spring up. There was something called optography,
which is this idea that the eyeball acts like a lens and that you could capture.
the final image that somebody sees right before they die. And so there was real conversation
about whether you can catch a murderer this way. And whenever I talk about this on social media,
inevitably somebody says, but did it work? Because it sounds kind of like it's rooted.
It does sound like, you know, oh yeah, that kind of makes sense, right? So, and just, you know,
FYI did not work. It is now considered a debunked pseudoscience. But you had all of this happening
because there was this sort of desperate need to professionalize policing and crime fighting
and forensics and doctors were professionalizing.
So all this is happening around Bell and Little John.
And they are at the forefront of this too.
And like I said, Little John, he uses courtroom photography, which is new at the time.
And just always looking forward at how to make this better, how to make it more of a science.
Let's take a quick break here.
We'll be back before you know it.
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Welcome back, everyone.
We're here chatting with Dr. Lindsay Fitzheris about her book, Sleuthound, the case of the real Sherlock Holmes.
Let's get into some more questions.
It's kind of amazing the way you paint these scenes of Bell and Little John acting as these expert witnesses, acting as these consultants, and then to also envision Bell in his other life as this medical performer in a way.
You know, he was very modest, as you described, but he also seemed to be a little bit of a showman.
You know, he's holding these demonstrations at the Royal Infirmary.
He would have this rapt audience and he would teach them about, like, the vast importance of little distinctions is what I wrote specifically, that I love the little distinction.
Yes, yes, I love that.
And I'm wondering, first, I was like, I really want to travel back in time and be a member of that audience.
I would love to see that.
First, how much would you love that?
And second, what were some of these little distinctions? Like in one of these demonstrations,
what would be some of the things that he would point out that would be, you know, all but
concealed to the members of the audience? Well, now, to the question of time traveling,
I, see, my superpower in 2026 is I could make you feel really good about living today.
It doesn't seem like there's a lot of good reasons to be alive in 2026, but I can tell you how bad
that was 100, 200 years ago. So I always see.
say, if I traveled to the past, I'd have to be like the bubble boy. Like, I wouldn't, like,
oh my God, can you, like, I'd pick up smallpox or I mean, I would just have terrible luck,
right? And it just, it would be a disaster. And there'd be like, no antibiotics. And so, so, but yeah,
I mean, obviously, I would love to meet somebody like Bell and to kind of be a fly on the wall.
Although I have to say, you know, having had access to his diary and which was incredible.
And that gave real insight into the man behind the myth. And also, of course, you know, there's letters
and there's court documents were really helpful with narrative nonfiction because you actually have
dialogue that you can now put into the book because you have, you know, the exchanges between the
prosecution and the defense and the various witnesses. So that was very helpful. So I can't travel back
to the past, but I feel like I have had conversations with Bell. He would have been quite a character.
And I hope that his sort of sense of humor and his sense of whimsy, I think, comes through.
because to go to some of the examples on the wards, one of my favorite stories opens Sleuth Hound,
and a patient comes in and he says that, you know, this patient was in the army, and the patient
instantly denies this, and Bell is confused because he's usually correct. And so he has the
patient stripped to the waist, and lo and behold, there is a D on his chest for deserter.
And so he was lying to Bell, and Bell would be bested by no one, least of all, an army deserter.
So he just was so eagle-eyed.
I mean, you couldn't get anything past him.
I mean, imagine being one of his children, right?
Like, you would never get anything past him.
It must have been quite annoying on some level.
But although his daughter tells his story about how when they would go on train rides,
he also would do this kind of trick where he would tell them everything about the passengers.
And they wouldn't quite believe it.
And then they would ask the passengers and the passengers would confirm that he was right.
So he just, he was kind of a joy in that sense.
And I do think he was a showman.
I think, you know, a lot of doctors had to be, you know, in the Victorian period.
I always kind of joke that I'm like the P.T. Barnum of medical history.
Like, I'm not sure that Oxford is very amused at what I've become with all of my makeup and hair, my Dolly Parton, you know, way into medical history.
But I've always been kind of weird.
And when I went and did my Ph.D., I, you know, suppressed that.
And so I feel like I've sort of become more myself.
And so Sleuthhounds, it's going to be really fun when I go on book tour with it because I feel like I can really lean into that weird person I am and to share kind of my delight in Victorian science and medicine and really kind of get back to my roots.
I mean, don't get me wrong.
The facemaker, I'm so proud of it.
But it was like a really serious book.
And, you know, a lot of the patients I was talking about, they have relatives that, you know, this is within reach of living memory.
and it was just a very different kind of book.
And I'm so happy I did it.
I always say that I think at the end of my career,
The Facemaker will be my most important book,
but probably not my most popular book.
But it was great to get back to the 19th century
and to Edinburgh and to a character like Joe Bell
because he just gave me so much gold to write about.
Yeah.
He really does seem like such an interesting guy to get to hang around.
And I love, there was a story about his daughter having, like,
saved or tried to save someone else's life when her friend fell off of a horse and she like used
his tricks and things. And I just love the idea of him teaching his children as well as his,
you know, medical children as it were and all of the students that he taught. But like teaching
them to be little sleuth hounds as well as him. It's just like such a cute. And by the way,
that title, my husband actually came up. So titles are like so hard. They either come, to me,
they either come fast or they come really slow. So,
With Facemaker, it was like, I was at the end of the process. I still had no title. And then I read this
letter that was addressed to Harold Gillies that said, dear facemaker, and I was like, that's perfect.
He's the facemaker. But it took a very long time. With Sleuth Hound, I actually sold it as Slooth Hound.
My husband and I did a big brainstorm. We came up with terrible titles as well as then Sloothound.
And I want to point out because I had a marketing meeting with Penguin recently, and they didn't know this,
but I said, well, Southound also, the S&H, Sherlock Holmes. And they were like,
like, oh, yeah, like, of course. And I said, yeah, there's like all kinds of, you know, there's layers of
it. But, but I love the sleuthhound. And also, there's a, there's a poem that Conan Doyle writes that
I include at the beginning of the book where he, he says, he uses that term sluthhound. And he says,
you know, the creator is not the created because people were always sort of mixing him up with Sherlock Holmes.
And even I will catch myself, you know, saying, oh, no, I mean, Conan Doyle, you know,
so he was just so associated with it. I want to also say, if you are listening and don't know anything
about this. Conan Doyle absolutely hated the character Sherlock Holmes. He could not stand it.
Was that a surprise to you? I mean, it must have been because if you didn't know anything.
Total. And total surprise. Yeah. It was so, and I was like, I can totally see that too.
There's a point when he's just like, I'm going to kill him off. I'm so sick of this guy.
I hate it. Yeah. After such a short period of time, I was like, wait, all of this was over like 18
months or something. I was like, wait, what? Yeah, he's like, I'm, he's out of here. Like, he just
couldn't stay. And I include in the finish.
copies a caricature of Conan Doyle and he's really big in the caricature and there's this little
Sherlock Holmes that's shackled to him and he just he just hated the character and he wanted to be
seen as a more serious writer and he couldn't understand why you know this of all the things he
had written this is what took off and of course he kills off homes and but he brings homes back
eventually the public pressure is too much but interestingly he kills off homes around the time that
he outs Bell and he doesn't just
out him. He dedicates the Sherlock Holmes tales to Bell and he like dockses him. He puts like his
address right there, you know, in the book. And so now everybody knows where Joe Bell lives.
And I think at first Bell was was flattered and it became irritating. But it was very much like,
you know, Sherlock Holmes is dead. Long live Sherlock Holmes. And so all of this media attention
moves on to Bell. And at that time, this huge murder case drops into his lap. And there was a real
ballistics expert named, I kid you not, Dr. Watson, right?
Dr. Watson.
I held a letter that said, my dear Watson from Bell, and I'm like, what is this book
writes itself?
Like, I feel like I barely had to do anything here.
Like, this was, it was just such a joy to kind of bring this to life.
And then you also have Robert Lewis Stevenson, a bumping along with Conan Doyle.
So you have the real Dr. Jackal and Mr. Hyde and this, I mean, it's just, it's such a rich,
If you love literature and maybe you're not like big into history, this is still, you know, a book that you can sink your teeth into because it tells all those kinds of origin stories of those characters.
Totally.
No, it is like I, I, Aaron and I were talking about this book and how much we loved it.
And I was like, how do all these people know each other?
Were there like 15 people living, you know, in Edinburgh at the time?
Going to the same bar in Edinburgh?
They're all going to the bar and they're all, I mean, at the pub, you know.
And I mean, literally, like, Robert.
Louis Stevenson, when he read Sherlock Holmes, he wrote a letter to Conan Doyle and he says, you know,
oh, I love these stories. He said, but one thing bothers me, can this be my old friend Joe Bell?
And it's just, it's such a great quote. I end one of the chapters with it. And, you know, a lot of this
book, though, like I said, it was, you know, how do you bring this, this character who, you know,
not a lot is known about his personal life. And he, and he kind of, he was very private and he kind of kept it
that way. But the people around him and their impressions of him really helped me fill that out as well.
And then the diary and things like that, you know, were really helpful.
I want to go back to Conan Doyle for a second. So Conan Doyle hated Sherlock Holmes,
but he seemed like the only one who did. The public loved Sherlock Holmes. I mean,
something about this detective really captured the public's imagination. And I'm curious why you
think that is. And, you know, these things like, uh,
Penny Bloods, true crime.
Oh, yeah.
What was happening in the newspapers or, you know, in fiction to really get the public invested in a detective like this?
Yeah.
And, you know, we think of like, sometimes when I tell stories about, for instance, the Victorian operating theater, you could sometimes buy tickets.
And people think, oh, that's so weird.
And I'm like, but you know what?
The pit is really popular right now.
And is that any different?
You know, it's going, it's go.
I mean, obviously, it's fictionalized, but it's going.
into that kind of intimate world. We're endlessly curious, and I hope we remain endlessly curious,
you know, with the rise of AI and all the fake stuff out there, we have to like hold on to
our humanity and our curiosity. So the Victorians were no different. They were just as morbid as we are,
you know, and so to answer the long-winded answer to this question is, at this time, you have
growing literacy rates in the Victorian period. And so people are reading these penny bloods.
They're consuming it through the newspapers. There's a lot of kind of, kind of
sensational newspaper writing going on at this time. You have Jack the Ripper in 1888. And so there's a lot of
true crime and information coming out and people are consuming this. And then you have Sherlock Holmes.
And at the same time that Ripper isn't being caught and this idea of the bumbling Bobby kind of arises,
you have this character who is this mastermind at catching criminals. And there was a real
attraction, I think, to that idea because the police at this time, and I go into that,
and Sleuthound are also in the process of professionalizing. You know, the early 19th century,
you have thief takers. You don't even have a professional police force. And then, you know,
by the end of the 19th century, you have the met in London. And so this is a time of great change.
And, you know, you can't always blame the police in the 19th century. There wasn't a lot of
disposal. It wasn't like they had DNA and, you know, fingerprinting was still relatively new. And so
they had a lot of challenges, but you did get this kind of backlash from the public that the police
didn't know what they were doing, especially with Ripper. And so Sherlock Holmes, I think, was a very
attractive character in that sense to them. I mean, Little John and Bell, like their duo, Bell's mind,
his observations, the way it all worked. I mean, this was clearly, and Conan Doyle shouts out
specifically, says Joe Bell, this is the guy. This is, this is the real life Sherlock Holmes.
And Bell learns about this eventually after reading this interview with Conan Doyle that made him go,
oh, is that, is that me in there?
I had, oh, okay, interesting.
And he writes to Conan Doyle.
I'm curious to know how he felt about it, how we think Bell felt about this character, this famous character being based on him,
and then how those feelings changed over the course of his life.
Well, I'm told, I just went on to a great podcast called Doings a,
Doyle, which is a real Sherlockian podcast. And I was told that a lot of actors who play Sherlock Holmes
call it the curse because they get tight cast as Sherlock Holmes. And so I imagine that the first
curse was on Joe Bell because he certainly, that was all people really remembered him for
even when he died. His obituaries sort of always led with this. And when he testified in this huge
trial after he was outed, it was like the real Sherlock Holmes is testifying. So there was just,
there was so much of that overshadowings.
who he was. I think at first he was flattered. And he even exchanges letters. It's clear that he
suggests, you know, plots to Doyle that I, Doyle never used. But Doyle does say something to the
effect of like, oh, keep sending me ideas. And so that's kind of an interesting thing as well.
But I think he's flattered. But certainly later, I think he felt it was very reductive. There's a letter
he writes to his friend Jesse Saxby. He says, my old student must not have thought very
highly of me to put this heap of rubbish on my head. So he could have been having a bad day.
I don't think he always felt like that, but I think it probably after he was dothed and like
people were showing up to his house and stuff, it got rather annoying. The other thing is that we can
say that like Sherlock Holmes is a rather detached person and Bell really cared deeply. He was,
he was kind of known as this very compassionate doctor. And I wonder if, you know, being compared to this
very detached, you know, sociopathic character. I don't know, people might get angry with me
calling Holmes that, but there is this kind of like emotional detachment that he has. And I think
that Bell got tired of those comparisons. He probably also wondered at the end of his life, you know,
what was he going to be remembered for? And he was right. He was remembered as the inspiration for this
and not much more. Yeah. Well, kind of speaking of that, you're right. You know, we all, we all know
Sherlock Holmes. I knew Sherlock Holmes. I had never heard of Joe Bell before this book. And I think for so
many people, he has been largely forgotten or not remembered the way that he should have been given
the many contributions that he made to the fields of medicine and forensic science and just like a new
way of thinking and looking at problems. So for you, beyond Sherlock Holmes, what do you see as
Bell's legacy and what do you wish that we would remember about him? That is a great question. And one, I have not been
ask so well done guys. I love you guys are really good preparers. Let me tell all the listeners.
That's Erin Welsh. They go into it like an exam. Like they send the questions and like we have
and I said to them before we got on as like guys, I'm going to wing it. Like I'm sorry, but I just,
I'm a winger. We're going to see what comes out of my mouth. Also like the fear, by the way,
is very real when you start a media tour because I finished this book, you know, well over a year
ago. So a book spends a year in production. I've started a new book called Ether Wars, which is about
the dawn of Ether, which is going to be a really fun book. It's going to be the first American medical
history because Ether is discovered in America by a dentist named Morton. But the bigger point was,
I was like, am I going to remember, you know, all this stuff about Sleuth Hounds? So the thing that I
would like Bell to be remembered for, I think, most is that he was a real reformer. I mean, his impact
on nursing was huge. And he was a proponent of women in medicine, which I think people might find
surprising, especially with the Sherlock connection, because Sherlock has a very complicated
relationship with women himself. But here's Bell, and he's a very different character. But I also
think he should certainly be remembered as the inspiration for Sherlock Holmes. There's a postscript
to the book where Adrian Conan Doyle, who is the, who is the youngest son of Conan Doyle,
takes great offense when Irving Wallace in the 1940s writes an essay about Bell.
And it's a really strange fight that breaks out because Conan Doyle said this.
Like he said it in his autobiography.
He said it on film.
He said it in an interview.
It wasn't a secret.
But Adrian Conan Doyle completely dismissed the influence that Bell might have had on this character.
And so this big fight breaks out.
But the reason I included the postscript was because in 1993, Conan
Doyle's youngest daughter named Gene. Now, remember, he was born in 1859. His daughter is alive.
Only men can do this, guys. Only men can do this, right? I was like, oh my God, she's alive in 1993.
And she said in an interview, they asked her this. And she said, it was most certainly Joseph Bell
who gave my father the idea for Holmes. He is set it in black and white. What further proof do you need?
thought, this is the perfect way to end the book. Like, it is the final word on it. And we can argue
about how much Bell was Holmes, how much was Conan Doyle, but he certainly had some kind of
influence. And I hope people will enjoy learning about that. Totally. No, that- I did. Absolutely.
That feud, I was like, wait, what horses do you have in this? I don't understand. Why are you picking a
fight about this? I just have like one last question for you. And that is about the method. Have you found
yourself in writing this book and researching this book, have you found yourself trying to tap into
that method, trying to learn from Bell and say, I'm looking around the people on the train,
on the bus, that people I see in the grocery store, what do I know about them? Or do you find yourself
trying to kind of embrace that? I would be, I feel like I would be really terrible at this.
I'm not like, I'm not that super observant. I always worry about that. Like, if I was like a witness
to a crime, I would be really, I really wouldn't want that pressure. But I'm not. I'm not.
I do bring that kind of, hopefully people agree, I do bring that thoroughness to my research.
You know, I said this recently online.
And I pointed out that, you know, historians, we still really work with written records.
And so a lot of what I do is discarding material, like we talked at the beginning.
But I always tell people, the buck stops with me.
I have to know what exists in order to discard it.
Because if somebody comes to an audience and challenges it, I'll have to say, yes, I know that story.
and this is the reason why I chose not to incorporate it. It's not an academic book, whatever.
Or sometimes there'll be hidden things in footnotes, to cover my basis to know, like, yes, I'm aware of
these sources. And so it's one of those things. There's no shortcuts. And so I like to think that I bring
the Bell's method to that. Like I approach it with the eagle eyes. What am I seen here?
You know, I'm friends with Eric Larson and his books are brilliant. And if you don't know him,
you're crazy. Like, you're not reading enough books because he's amazing. He's always
number one New York Times bestseller. And he says he loves to like see how, you know, how the
how hard the pen was pushed into the letter, into the diary. It can tell you something sometimes
about the state of mind, you know. And so there's those kinds of clues when you're reading
diaries, when you're reading this kind of stuff. And like I've talked about the transcription,
which just makes things easier for me, but ultimately you still want to look at the document
itself. And it tells a story. And so I bring it that. But if,
witness to crime, forget it. I would be terrible. I'm so sorry if you get murdered in front of me,
I will be completely useless and in every way possible, by the way. It wouldn't even occur to me
to call the, I would just be screaming. I am not good in emergency situations. So hopefully
none of you guys are in that kind of situation when I'm around. But yeah, but anyway, we have
gotten off topic, which is I just love coming onto this podcast. And I thank you guys so much for
always amplifying my work. I just feel like I need to come to where you guys are, although you guys
are in separate places, but we need to have drinks sometime. Yes. That would be so great. Oh my God.
I would love that. That would be the best. I mean, Dr. Fitzhairs, Lindsay, you are like, we are friends.
And I am a huge fan. Huge. I love. I'm a huge fan of you guys. And everybody always mentions
the podcast. And, you know, so I love it. And, you know, thanks again for having me on the show.
Oh, of course. Thank you so much. Thank you.
A big thank you again to Dr. Lindsay Fitzherris for taking the time to chat with us.
If you enjoyed today's episode and would like to learn more, check out our website,
This Podcast Will Kill You.com, where we'll post a link to where you can find Sleuthhound,
the case of the real Sherlock Holmes, as well as a link to Dr. Fitzherris's website where
you can find her other work like The Butchering Art and The Facemaker.
And don't forget, you can check out our website for all sorts of other cool things,
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