Mere mortals : $b Medico-historical essaysMacLaurin, C. (Charles)
History
Mere mortals : $b Medico-historical essays
MacLaurin, C. (Charles)
Biography; Pathology
said; he was just dying. It is quite a common incident with the dying,
and is supposed to account for the known phenomenon that rationalists,
when they feel their brain is beginning to betray them, have embraced
Christianity. Then he commended the Duchess to the care of his brother,
the Duke of York, afterwards James II, “and,” he said, “let not poor
Nelly starve.” Again he was thinking of the past, this time the recent
past, for “pretty witty Nell” (as Pepys calls her), “the most indiscreet
and the wildest creature that ever was in a court” (as Burnet calls her),
had been his mistress for many years—since about 1670—and was the most
popular of all, “a true child of the London streets.” She, it is said,
was the only woman who was really faithful to him at heart except his
wife. At half-past ten on the Friday, Charles again became speechless;
before twelve he was dead, probably of a uræmic coma due to chronic
Bright’s disease.
Then came the inevitable accusations of poisoning which attended every
sudden death in that suspicious age. We can, I believe, even explain some
of the symptoms that were considered so suspicious. It was quite natural
that Louise de Querouaille, Duchess of Portsmouth, should be accused of
poisoning him, for it was well known at that time that Frenchwomen and
Roman Catholics invariably worked by poison, and unhappily for Louise
she was both. But what kind of poison could cause blue spots to form
upon a man’s chest? And what kind of poison could make his tongue swell
up? I must try to explain in popular language what chronic Bright’s
disease really is. It is not merely a disease of the kidneys. The kidneys
indeed become sclerosed, or hardened, and in time become shrivelled;
but with this the arteries and heart also become diseased; the heart
becomes enlarged, and the blood-vessels thickened and hardened; rather
than a disease of the kidneys alone it is almost a thickening of the
arteries all over the body, including those in the kidneys. And with this
thickening goes a loss of elasticity, so that blood-vessels are apt to
rupture at the slightest provocation. So that in the struggles of his
uræmic convulsions it is quite possible that tiny capillaries of the
king’s chest may have ruptured and caused blue spots on the neighbouring
skin. If he had not died it is quite probable that the whites of his eyes
might have become bloodshot, from the rupture of some tiny arteriole. It
often happens to-day in Bright’s disease.
And the tongue? Quite frequently the tongue and larynx suddenly swell up
in chronic Bright’s disease, and the patient suffocates before he can
obtain relief. King Charles was indeed poisoned, though not by human
agency. He was poisoned by the toxins which should have been excreted by
his own kidneys, but could not be got rid of by any human aid; that is to
say, he probably died of uræmia from chronic Bright’s disease.
Public-domain text, read in full here on John Shaqi.
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