WHEN THE PRESIDENT IS THE PATIENT

 

EMERGING INFECTIOUS DISEASES

 


Early Presidents and Their Illnesses

Of our first ten presidents, George Washington, Andrew Jackson, William Henry Harrison, and Zachary Taylor were all war heroes. For each of these men, valor on the field of battle virtually assured their election. Washington commanded the American army that won the American Revolution; Jackson defeated the British at the Battle of New Orleans in the War of 1812; Harrison in 1811 defeated the Shawnee Indians at the Battle of Tippecanoe; and Taylor won key victories in the War with Mexico.

Each of these early presidents also brought a history of illness to the White House. Like many American soldiers of the time, Washington, Jackson, Harrison, and Taylor were exposed to various diseases, including dysentery, malaria and yellow fever. All of these presidents suffered health problems during their administrations. Harrison and Taylor died in office, Washington almost did, and Jackson was in pain almost every day. Few Americans at the time, however, knew just how sick their presidents were.

George Washington
1789 - 1797

Our first president almost died of pneumonia in 1790, his second year in office. He was so ill that secretary of State Thomas Jefferson wrote to a friend, "We have been very near losing the President". Though his doctors thought he would die, Washington did recover and completed two terms in office.

In March 1789, a few months after taking office, Washington was seized by a high fever and violent pains as a result of a "malignant carbuncle", or a large abscess on his left thigh. Dr. Samuel Bard, a prominent New York City physician, saved the President's life by draining the carbuncle by incision.

John Jones, M.D.

In 1790, Dr. John Jones of Philadelphia was called by Dr. Bard to help in treating President Washington's pneumonia. The first professor of surgery at King's college and a co-founder of the New York Hospital and the college of Physicians of Philadelphia, Dr. Jones wrote the first American textbook on surgery in 1775.

In December 1799, former President Washington came down with a severe cold and sore throat. As Washington's condition declined, Doctor James Craik called on fellow physicians Dick and Gustavus Brown for help. Washington's doctors bled, blistered, and purged him. He did not respond to the treatment and died on 14 December. Although the treatment of Washington was later condemned as hastening his death, it was in keeping with the accepted medical practices of the time.

Andrew Jackson
1829 - 1837

When he was inaugurated as our seventh president, the 62 year-old, rail-thin Andrew Jackson was described by one observer as "a tottering scarecrow in deadly agony." The new president was in pain emotionally as well as physically. Not only had he just lost his wife to a heart attack, but he was also suffering from rotting teeth, chronic headaches, failing eyesight, and constant pain and internal bleeding from two bullets lodged in his body.

Known for his hot temper and thin skin, Jackson was shot in two separate duels, in 1806 and 1813. The bullet Jackson received in the earlier duel lodged near his lung, causing repeated attacks of internal infection and bleeding. In the 1813 duel, Jackson took a bullet in the left shoulder, causing him much pain for the rest of his life. It is considered remarkable that he lived through his two terms in office.

As the result of the two bullet wounds, Jackon's health problems became progressively worse during his second term in office. In pain almost every day, the President in June 1833 consulted the eminent Philadelphia surgeon, Dr. Philip Physick, for the bleeding in his lungs. Dr. Physick, who recommended bloodletting, provided no relief to the ailing President.

William Henry Harrison
4 March - 4 April 1841

One of only two Whig party candidates elected to the presidency, William Henry Harrison was, at age 68 the oldest person to reach that office until Ronald Reagan was elected almost a century and a half later.

Due to his age, Harrison faced election rumors that he was unwell. To discredit these rumors, Harrison waged a very active campaign that left him exhausted. Although the day of his inauguration was bitterly cold, the new president wore neither an overcoat nor a hat. His inaugural address lasted almost two hours. He developed a severe chest cold, from which he never fully recovered.

Two weeks after his inauguration, Harrison, weakened from a lingering chest cold, took an early morning walk and got caught in a rainstorm. The new president developed pneumonia. Harrison's physician bled and purged him, but to no avail. Harrison died on 4 April, one month after taking office.

Memorial Armband

Harrison was the first president of the United States to die in office. Many Americans mourned his death by wearing armbands like this one.

Zachary Taylor
1849 - 1850

General Zachary Taylor was 64 years old when he became the 12th President of the United States. He was given the nickname "Old Rough and Ready" by his fellow soldiers.

In August 1849, during a trip through the northeastern United States, Taylor was bedridden with a violent attack of diarrhea and high fever. His personal physician feared that the President would not recover. "Old Rough and Ready" did and returned to Washington. A year later, Taylor faced a similar attack, but this time it proved fatal.

President Zachary Taylor

The Fourth of July 1850 was a blistering hot day in Washington, DC. President Taylor spent several hours in the sun bareheaded while viewing the celebrations. Afterwards, he took a long walk along the Potomac River. Upon returning to the White House, the President drank large amounts of cold water and chilled milk, and ate fruit. That evening Taylor became sick. He was diagnosed as having "cholera morbus", a term for intestinal ailments. His condition declined over the next two days and a regimen of calomel (mercury) and opium did little to relieve him. Blisters, bleeding, and purging were also used, but were also no help. On July 8, after suffering through four days of sharp abdominal pains, diarrhea, and vomiting, President Taylor died. He was the second president to die in office. Vice President Millard Fillmore served out his term.