Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
From the inevitable exposure to infection and worry the medical
fraternity is generally considered to rank low in the professions as
regards longevity, but it is easy to point to exceptions especially
among those whose mental vigour made them prominent in their own and
in one instance for all time. Hippocrates is variously stated to have
died at the ages of 85, 90, 104, or 106 years with the words “I leave
behind me two great physicians, temperance and frugality.”[71] I have
references to 43 medical centenarians for 18 of which, including the
record of W. G. Meade, physician at Tunbridge Wells and buried at Ware,
Herts, in November 1652, aged 148¾ years, I am indebted to my friend
Mr. R. R. James. The only one that I knew personally was Sir Henry
Pitman, for 31 years (1858–89) and until his 82nd year Registrar of the
Royal College of Physicians of London. Among the others Dr. de Bossy
of Paris may be mentioned as the son of a centenarian. From analysis
of 2113 eminent medical men Drinkwater[72] found that the average
age was 67 years, or considerably above the average age of the male
population over 21 years, which was estimated at 59 years, and that 627
or nearly a third of them all were between 71 and 80 years of age.
But the examples given of mental activity late in life, and they could
easily be multiplied,[73] are exceptions to the rule that the majority
of men begin to fail in their work between 60 and 70. This no doubt
is because most septuagenarians suffer in greater or less degree from
pathological old age. In the case of the healthy vigorous man enforced
retirement at the age of 65 or 70 is not to the advantage of either the
retiring victim or the community, for it restricts his opportunities
for production and useful activities guided by ripe experience. To
quote examples of epoch-making work done by men long past the age when
the majority have lost originality, initiative, and elasticity of mind:
Galileo, Newton, Charles Darwin, Sophocles, Voltaire, Molière, Goethe,
Michael Angelo, and Titian, made original and lasting contributions
to science, literature, and art long after fifty. Morgagni’s famous
_De Sedibus et Causis Morborum_, brought out when he was 80, and
the Commentaries of W. Heberden (aged 91), published posthumously,
represent the accumulation of many years and so cannot be fairly quoted
as examples of ability persisting into late life. Rules and regulations
must, however, be based on what is best for the majority and hence,
though the exceptions are prominent and regrettable, the age limit
of 65 to 70 must at present be accepted as generally advisable for
otherwise permanent appointments.
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