Post mortem: Essays, historical and medicalMacLaurin, C. (Charles)
History
Post mortem: Essays, historical and medical
MacLaurin, C. (Charles)
Biography; Pathology
took the last sacrament with her as she lay dying, so we may reasonably
suppose that she died having forgiven him, and it is not unfair to
imagine that the trip abroad was a second honeymoon. They were two
grown-up children, playing with life as with a new toy.
Mrs. Pepys was liable to attacks of boils in asterisks; and a Dr.
Williams acquired considerable merit by supplying her with plasters
and ointments. On November 16, 1663, “Mr. Hollyard came, and he and
I about our great work to look upon my wife’s malady, which he did,
and it seems her great conflux of humours heretofore that did use to
swell there did in breaking leave a hollow which has since gone in
further and further till it is now three inches deep, but as God will
have it did not run into the body-ward, but keeps to the outside of
the skin, and so he will be forced to cut open all along, and which
my heart will not serve me to see done, and yet she will not have no
one else to see it done, no, not even her mayde, and so I must do it
poor wretch for her.” Pepys is in a panic at the thought of assisting
at the opening of this subcutaneous abscess; one can feel the courage
oozing out at the palms of his hands as one reads his agitated words.
To his joy, next morning Mr. Hollyard, on second thoughts, “believes
a fomentation will do as well, and what her mayde will be able to do
as well without knowing what it is for, but only that it is for the
piles.” Evidently the “mayde’s” opinion was of some little moment in
Mrs. Pepys’s censorious world. Mr. Pepys would have been much troubled
to see his wife cut before his face: “he could not have borne to have
seen it.” Mr. Hollyard received £3 “for his work upon my wife, but
whether it is cured or not I cannot say, but he says it will never come
to anything, but it may ooze now and again.” Mr. Hollyard was evidently
easily satisfied. Of course, there must have been a sinus running in
somewhere, but it is impossible to guess at its origin. Possibly some
pelvic sepsis; possibly an ischio-rectal abscess. A long time before
he had noted that his wife was suffering from a “soare belly,” which
may possibly have been the beginning of the trouble, but there is no
mention of any long and serious illness such as usually accompanies
para-metric sepsis. On the whole, I fancy ischio-rectal abscess to
be the most likely explanation. Later on she suffers from abscesses
in the cheek, which “by God’s mercy burst into the mouth, thus not
spoiling her face”; and she had constant trouble with her teeth. It is
thus quite probable that the origin of the whole illness may have been
pyorrhœa, and no doubt this would go hard with her in the fever from
which she died. Possibly this may have been septic pneumonia arising
from septic foci in the mouth; but, after all, it is idle to speculate.
Public-domain text, read in full here on John Shaqi.
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