Post mortem: Essays, historical and medicalMacLaurin, C. (Charles)
History
Post mortem: Essays, historical and medical
MacLaurin, C. (Charles)
Biography; Pathology
The stone re-formed, but not in the bladder. Once you have a uric
acid calculus you can never be quite sure you have done with it until
you are dead, and in the case of Mr. Pepys recurrence took place
in the kidney. When he died, an old man, in 1703, they performed a
post-mortem examination on his body, suspecting that his kidneys
were at fault, and in the left kidney found a nest of no less than
seven stones, which must have been silently growing in the calyces
for unnumbered years. Nor does it seem to me impossible that his
extraordinary incontinence--he never seems to have been able to resist
any feminine allurement, however coarse--may really have been due to
the continued irritation of the old scar in his perineum. There is
often a physical condition as the basis for this type of character, and
some trifling irritation may make all the difference between virtue and
concupiscence. This reasoning is probably more likely to be true than
much of the psycho-analysis which is at present so fashionable among
young ladies. Possibly also the sterility of Mrs. Pepys may have been
partly due to the effects of the operation upon her husband.
One unpleasant result to Mr. Pepys was the fact that whenever
he crossed his legs carelessly he became afflicted with a mild
epididymitis--he describes it much less politely himself, doubtless in
wrath. His little failing in this respect must have been a source of
innocent merriment to the many friends who were in the secret. He was
also troubled with attacks of severe pain whenever the weather turned
suddenly cold. At first he used to be in terror lest his old enemy had
returned, but he learned to regard the attacks philosophically as part
of the common heritage of mankind, for man is born to trouble as the
sparks fly upward. Probably they were due to reflex irritation from the
stones growing in the kidney. He does not seem to have passed any small
stones per urethram, or he would assuredly have told us. He took great
interest in his own emunctories--probably other people’s, too, from
certain dark sayings.
Considering the by no means holy living of Mr. Pepys, it is rather
remarkable that he never seems to have suffered from venereal disease,
and this leads me to suspect that possibly these ailments were not
so common in the England of the Restoration as they are to-day. It
seems impossible that any man could live in Sydney so promiscuously
as Mr. Pepys without paying the penalty; and the experience of our
army in London seems to show that things there must be much the same
as here (Sydney). I often wonder whether Charles II and his courtiers
were really representative of the great mass of people in England
at that time; probably the prevalence of venereal disease in modern
times is due to the enormous increase in city life; probably men
and women have always been very much the same from generation to
generation--inflammable as straw, given the opportunities which occur
mainly in cities and crowded houses.
Public-domain text, read in full here on John Shaqi.
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