![]() |
Health and Medical History of President John AdamsPresident #2: 1797-1801
↓
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
---|---|---|
"I have lived in this old and frail tenement a great many years; it is very much dilapidated; and, from all I that I can learn, my landlord doesn't intend to repair it." 1a |
||
This style... | ... means the event occurred while President. |
---|---|
![]() small, but muscular |
Adams, as a teenager, was described by his father:
"He was almost a man grown. He wasn't tall, not above five feet tall, but his shoulders
were heavy. He was well knit, muscular, and quick and sure in his movements. His color was
unusually high; just now his face was red from exertion, his blue eyes blazed."
2a
|
![]() breakfast beer |
At age 15 Adams was admitted to Harvard, where the food was described as "very poor."
His breakfasts consisted of beer and bread
2a.
Comment:
It is possible the word "beer" in the mid-1700s did not always refer to an alcohol-containing
beverage.
|
![]() ![]() respiratory infection |
He developed a severe cold during the winter of his first year at Harvard. Home on winter vacation
in February, his mother remarked: "He was positively puny, and where were his fine red
cheeks?"
2a
|
![]() smallpox inoculation |
As Adams finished his first winter vacation at home, there was an outbreak of smallpox in Boston.
He had not yet been inoculated against the disease. Instead of undergoing inoculation and missing
four weeks of classes (see below), Adams braved the epidemic and returned to campus
2a.
During the smallpox epidemic of 1764 in Massachusetts, Adams, pressured by his mother
2b,
decided to be inoculated. This was no small matter, as vaccination eventually became in the
20th century. Patients prepared themselves days ahead of time, and were often sick for weeks
afterwards
3.
Comment:
Inoculation is different from vaccination. Inoculation introduces smallpox virus into the recipient.
Vaccination introduces vaccinia virus into the recipient. Vaccinia confers protection against
smallpox infection, but with far fewer side effects, since it is a much less virulent virus.
Edward Jenner, the inventor of vaccination, should be high on everyone's list of greatest-ever
human beings.
Ultimately, Adams was inoculated and spent three weeks in the hospital, suffering headaches,
backaches, kneeaches, gagging fever, and eruption of pock marks
MORE.
|
![]() healthy youth |
Adams had good health in youth and early adulthood. From 1755 (age 20) until 1770, he mentions
only three illnesses, two of which were one-day episodes of nausea. The third was a bout of
upset stomach and headaches lasting a few days, consistent with food poisoning or a virus
4a.
Adams kept a diary, wrote many letters, and wrote an autobiography. "On or near his
birthday in most years, Adams reflected in his diary on the previous twelve months. During
his twenties and early thirties, he never mentioned ill-health; 'feel well,' he sometimes observed
in these annual inventories"
4a.
Comment:
Ferling and Braverman
4
appear to have missed the 1756 episode of illness, related below.
|
![]() ![]() baldness |
Adams' chrome-dome baldness ran in the family
OMIM 109200.
Comment:
This can be a sign of carrying a variant of the polyscystic ovary gene
5
6.
Dr. Zebra has not seen evidence that Adams was "abnormally hairy," which is
another sign of males carrying the variant gene
OMIM 184700.
There may have been some hair loss during his Presidency
3a.
|
![]() depression |
Adams' health broke down several times during his life. The first was from recurring attacks
of depression in 1756, while studying law. At one point he reported that a ride from Worcester
to Shrewsbury left him "weak and aching"
2b.
Dr. Nahum Willard
(with whom he lodged and boarded) attributed this illness to Adams' long and close hours of
study which had "corrupted his whole mass of blood and juices"
2b.
|
![]() diet, heartburn, purging |
Dr. Willard (see above) started Adams on a then-trendy treatment: a milk diet. Adams was told
to avoid meats, spices, and spirits in favor of bread, milk, vegetables, and water. Adams improved,
but developed severe heartburn which he treated with large portions of tea
2b.
Fourteen years later, Adams was still on this "milk and toast" diet
2c,
leading to one description of him as a "food faddist"
3b.
"Sometimes Adams would purge himself by taking a vomit of tartar emetic and turpeth mineral,
a cathartic prepared from East Indian jalap"
3c.
This preparation, Adams lamented, "worked seven times and wrecked me"
3c.
A descendant noted that during the time Adams lived in Philadelphia, he "throve well
on turtle, jellies, varied sweetmeats, whipped syllabubs, floating islands, fruits, raisins,
almonds, peaches, wines, especially Madeira"
3d.
|
![]() seasickness |
Adams sailed from Massachusetts to France in 1778. The entry in his diary for Feb. 18
7,
his first full day at sea, says: "The constant Rolling and Rocking of the Ship, last night
made Us all sick -- half the Sailors were so.... I was seized with it myself this Forenoon."
The next day Adams felt well enough to theorize: "The Ship rolls less than Yesterday,
and I have neither felt, nor heard any Thing of Sea Sickness, last night nor this Morning....
The Mal de Mer seems to be merely the Effect of Agitation. The Smoke and Smell of Seacoal,
the Smell of stagnant, putrid Water, the Smell of the Ship where the Sailors lay, or any other
offensive Smell, will increase the Qualminess, but do not occasion it.
|
![]() smoked and chewed |
Adams started smoking intermittently at age 8, continued until at least age 70, and probably
beyond. When Adams was 70 years old, his physician,
Dr. Benjamin Waterhouse,
tried to get Adams to quit, sending him a copy of a lecture entitled "Caution to a Young
Person Concerning Health ... showing the Evil Tendency of the Use of Tobacco." Adams read
it, apparently enjoyed it, and confessed that he regretted his practice. There is no evidence
he quit
3e.
Adams also chewed tobacco, at one point betting a pair of gloves with his landlady (Mrs.
Willard, 1856) that "she would not see me chew tobacco this month." The result: "Adams
loved tobacco too much to give up the weed"
3e.
|
![]() somatization |
John Adams had a bewildering and vast array of physical symptoms
MORE
which would manifest during times of stress.
Given the times in which he lived, and the work he did, they had cause to manifest often. The
earliest episode was in 1756. He had major "collapses" in 1771, 1775 (while serving
in the Continental Congress in Philadelphia), and 1781 (while minister plenipotentiary to Europe).
As President in 1797, impending war with France elicited his usual constellation of symptoms,
but the crisis abated before they became severe.
The symptoms would cluster in time. The
shortest of these clusters lasted weeks. The longest lasted years. The 1781 episode supposedly
had him comatose for 5 days.
Dr. Zebra spent a huge amount of time trying to convince himself
that hyperthyroidism was responsible for these illnesses, as per the theory of Ferling and
Braverman
4,
but remains unconvinced. Blinderman
3
labels many of these episodes merely as "colds" and accepts that Adams was susceptible
to catching cold. Bumgarner
2d
suggests that allergies may have been involved.
Comment:
There is no obvious way to make sense of it all on the basis of organic illness. Read
the tabulation of Adams's ailments
and judge for yourself, remembering that the man lived to age 90 -- clearly the [non-]hypochondriac's
epitaph ("I told you so") did not apply to Adams. Still, "hard findings,"
such as Adams' 5-day coma in 1781, cause Dr. Zebra to keep an open mind. For example,
Adams had several features of variegate porphyria, a protean disease that can be triggered
by psychological stress. The "hard" features that Adams had include coma, weakness,
a chronic skin disorder, and a relapsing-remitting course over decades
8.
MORE
Far more common than variegate porphyria, however, is somatization -- a disorder in
which psychological ailments are translated into physical ailments. It is not an intentional
process. No doubt Adams did have episodes of organic disease between 1756 and 1800, but the
signal-to-noise ratio is too low to tease them out 200 years later.
|
![]() somatization #2 |
Adams knew his health deteriorated under stessful circumstances. As a lawyer he could retreat
from stressful situations. But in the Continental Congress and as a diplomat, there was no
escape, and he had become dreadfully ill
4b.
As President, Adams was once again able to step back from work and politics. He left the
capital when Congress was not in session, spending as much as two-thirds of each year at Peacefield,
his home in Massachusetts
4b.
This conduct was criticized, including accusations of "a kind of abdication." In
1799 a loyal supporter from Baltimore told Adams outright that the public was outraged by his
continued absence: "The people elected you to administer the government. They did not
elect your officers ... to govern, without your presence or control"
4c.
|
![]() erratic |
"Historians have long believed that John Adams was given at times to irrational behavior
that could only be attributed to emotional instability"
4.
Labels such as "manic-depressive," "slightly paranoid," and "a man
consumed by an irrepressible urge to master the world" have been applied to Adams
MORE
4d.
Both he and his mother had quick tempers and labile moods, able to move from the highest spirits
to the deepest despondency. Adams could be meek or rash, cautious or explosive
2c.
Further musings on this topic will be left to psychiatrists.
|
![]() maybe hyperthyroid |
Ferling and Braverman suggest the underlying cause of Adams' erratic behavior and multiple
maladies over a period of decades was unrecognized hyperthyroidism. (The function of the thyroid
glad was unknown in Adams' time.)
Adams had several classic signs and symptoms of hyperthyroidism,
including: weakness, heat intolerance, sweating, tremor, protruberant eyes, weight loss despite
eating well, and a growth in his neck (perhaps a goiter).
Comment:
Their hypothesis is tenable because hyperthyroidism is one of the few disorders that can produce
enough different symptoms to rival the symptoms Adams displayed. It is weakened, however, by
the clear association of mental stress with the waxing and waning of Adams' illnesses. There
are some reports that Graves disease (a common cause of hyperthyroidism, as
George H.W. Bush
discovered), can flare during stress, but the stress correlation in Adams is too profound to
be explained by Graves disease. There is also the question of Adams' apparently complete remission
from his unusual symptoms once he began the transition out of political life in 1800. Ferling
and Braverman mention that little is known about the natural history of untreated Graves disease,
so their hypothesis is not clearly able to explain this striking feature of Adams' history.
|
![]() liked alcohol |
In May 1777 sea lanes were constrained, and Adams was deprived of his favorite alcoholic beverages
2e,
with Madeira wine possibly near the top of the list
3d.
From Philadelphia, Adams wrote to his wife in Massachusetts: I would give three guineas for a barrel of your cyder. Not one drop of it to be had here for gold, and wine is not to be had under sixty-eight dollars per gallon, and that very bad. I would give a guinea for a barrel of your beer. A small beer here is wretchedly bad. In short, I am getting nothing that I can drink, and I believe I shall be sick from this cause alone. Rum is forty shillings a gallon, and bad water will never do in this hot climate in summer where acid liquors are necessary against infection 2e.This note reminds us that bad water was a major threat to life in the 18th century, and that alcohol might then have been the healthier alternative. |
![]() boils |
While in Holland in April 1782, Adams developed numerous boils.
2f.
|
![]() snored |
Reliability of this information is uncertain.
9
|
![]() ![]() tremor |
Adams had a tremor, which he called "quiverations," in his hands for many years
2f.
Tremor appeared as early as 1775
4e
and got worse as he got older
2f.
As the newly inaugurated Vice President in May 1789, Adams addressed the Senate, but his hands
shook so much (despite pushing on his hat to steady them) that he could read the speech only
with difficulty. Ultimately he gained more control and was able to finish
2f.
|
![]() poor vision |
|
![]() no teeth, lisped |
|
![]() rheumatism |
|
![]() old age |
Aged 90, Adams's death was ascribed by a descendant to "merely the cessation of the functions
of a body worn out by age"
3a.
Bumgarner, admitting the paucity of evidence, hypothesizes congestive heart failure as the
cause of death
2.
It is often related that Adams' last words were: "Thomas Jefferson survives."
In fact, "the last word was indistinct and imperfectly uttered"
3a.
|
Before Presidency | After Presidency | Uncertain |
---|---|---|
Ampres Series
![]() ![]() 22 reviews
|
![]() ![]() 36 reviews
|
![]() ![]() 1595 reviews
|
Kansas Series
![]() ![]() 0 reviews
|
Signature Series
![]() ![]() 37 reviews
|
![]() |
a p.36
|
![]() |
a p.9 b p.10 c p.11 d pp.9-15 e p.12 f p.13
Comment: Devotes one chapter to each President, through Clinton. Written for the layperson, well-referenced, with areas of speculation clearly identified, Dr. Zebra depends heavily on this book. Dr. Bumgarner survived the Bataan Death March and has written an unforgettable book casting a physician's eye on that experience.
|
![]() |
a p.274 b p.268 c p.273 d p.269 e p.270 f p.273-274 g p.273 (Blinderman says 1788, but Adams' diary dates the amputation as March 14, 1778) h p.272
Comment: Covers all aspects of Adams and medicine. Sections include Adams' relation to the medical profession, his thoughts on health, his health history, and his encounters with smallpox.
|
![]() |
a p.85 b p.98 c p.104 d p.84 e p.88
Comment: Thanks to Shawn Pirelli for this reference.
|
![]() | Comment: Sea sickness page was viewed 11 March 2007 at: http://www.masshist.org/DIGITALADAMS/AEA/cfm/doc.cfm?id=D47&numrecs=3&archive=all&hi=on&rec=3&start=1&tag=text |
![]() | Comment: The Massachusetts Historical Society has searchable transcriptions of Adams' letters and autobiography available online. Letters written by his wife are also included. One of variegate porphyria's hallmarks is urine that turns red after a time. On Dec. 15, 2003 Dr. Zebra searched for the following terms in the documents above, without finding any references to Adams' urine: "urin*", "make water", "piss*", "color" (which also included colour), and "discharg*". |
![]() | Comment: Credibility is dubious. Just before a list of Presidents, the article states: "Twenty of the 32 Presidents ... are proved or believed on a thick web of circumstance to have been nocturnal nuisances in the White House." |
![]() |
a pp.57, 69
Comment: Maps -- in great detail -- the ancestors and descendants of American presidents through Ronald Reagan. They would have had an exhausting time with President Obama's family tree! MORE
|