Mere mortals : $b Medico-historical essays — John Shaqi
Mere mortals : $b Medico-historical essaysMacLaurin, C. (Charles)
History
Mere mortals : $b Medico-historical essays
MacLaurin, C. (Charles)
Biography; Pathology
He was evidently very fond of eating; himself, he boasted of his delicate
tastes in food; and when he ate “the veins of his forehead stood out and
a strong perspiration was visible.” This appears to have much disgusted
Macaulay, but most of us have seen similar prowess in perfectly worthy
men. Presumably when Boswell said “the veins of his forehead” he meant
the superficial temporal arteries, for if they had really been the
soft and thin-walled veins, Johnson, bestrewn with bladders, would
have looked indeed noteworthy. But there came a time when they stood
out once too often, and probably they never shrank back again to the
normal size, but became thickened. Thus his blood-pressure rose under
the strain of arteriosclerosis and in the course of years the inevitable
results of gluttony overtook him. Drink, guzzle, and syphilis are the
three deadly sins, and they are deadly in proportion to the effect that
they cause upon the arteries. And in the term “arteries” one includes
heart and kidneys. The heart is simply a large expansion of an artery,
and the kidneys are merely a network of arterioles and capillaries;
if one part goes all the rest follow, and thus it is that the term
“cardiovascular disease” is generally used to describe the results of
high blood-pressure. It is of course possible that Johnson’s glooms may
have been due to intestinal auto-intoxication; but melancholia is a
constant companion of an unduly sensitive nervous system.
Warnings came in 1782 with breathlessness and pain in the chest; the
heart was evidently beginning to rebel, but the first real alarming
warning came on the night of June 17th, 1783, when he awoke in the middle
of the night and found that he could not speak. Trying to write, he
found that “my hand made wrong letters,” that is to say he had not only
aphasia, but “agraphia” or loss of power to write. Possibly if anybody
had happened to think of it he might have been able to communicate with
the outer world by means of children’s block letters. But nobody did; and
when his servant came in the morning he could not comprehend why the old
gentleman expected him to read something that he had written instead of
speaking in answer to his own chatter.
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