President Abraham Lincoln: Health and Medical History

Buy da shirt!	Health and Medical History of President Abraham Lincoln President #16: 1861-1865 ↓ Lived 1809-1865 2020 1776 Revolutionary War 1776-1783 War of 1812 1812-1815 Mexican-American War 1846-1848 Civil War 1861-1865 Spanish-American War 1898-1899 World War 1 1917-1918 World War 2 1941-1945 Korean War 1950-1953 Viet Nam War 1964-1975 Desert Storm 1990-1991 Bush's War 2001-Now
Buy da shirt!	"He may be President of the United States, but he has dirty fingernails." 1a

Maladies & Conditions · Introduction · MEN 2B · not color blind · near-drowning · concussion · clubbed in head · axe cut · malaria - 1830 · frostbitten feet · malaria - 1835 · syphilis · blood type A · marfanoid habitus · pectus excavatum · pseudo-depression · vertical strabismus · presbyopia · jaw fracture · penetrating voice · swollen feet · scarlet fever? · domestic violence · asymmetries · premature aging · face, neck, beard · corns · constipation · food poisoning · dentist phobia · cancer · Willie's death · pulsations · smallpox · strong · receding hairline · gas leak · upset stomach · assassination & resuscitation

Odds & Ends · Doctors · Resources · Cited Sources

Maladies and Conditions

This style...	... means the event occurred while President.
Introduction	Dr. Zebra has written two books about the medical history of President Lincoln and his family 2 3. In the process, he examined several hundred primary source documents which, surprisingly, turned out to be a highly disturbing experience, when it became clear that both historians and physicians had deeply corrupted this material in their writings over the years. Plainly stated, much of what appears in print about Lincoln -- and much of what people believe about his medical status -- is incorrect. For example: There is no evidence that Lincoln was color blind. There is no evidence that Lincoln had sore feet. There is essentially no evidence that Lincoln was depressed, and strong evidence against it. The claims that Lincoln had end-stage valvular heart disease are not tenable. There is no evidence that Lincoln or his father had type 5 spinocerebellar ataxia (SCA5), with strong evidence against it. The evidence that Lincoln had Marfan syndrome is weak. The conclusion that Lincoln had hemifacial microsomia is wrong. and, slightly off-topic, Photographs clearly show that Tad Lincoln did not have a cleft lip. Many of these errors occurred because authors failed to examine the primary literature in depth. Instead, authors would see, in a superficial examination, what they wanted to see, and go from there. This was particularly egregious in the case of SCA5. It is an especially bad practice among physicians. Worst of all is the case of Lincoln's depression, which has achieved great currency in the public's mind. Proponents of this theory have failed to distinguish between depression as a pathological condition, and completely separate states such as bereavement, simple sadness, and love-sickness that are a part of normal human life. They also downplay the fact that Lincoln passed the greatest mental stress test ever visited on an American public servant. If an organ (in this case, the brain) does not break under the heaviest imaginable stress, then, by definition, there can be no disease present. Dr. Zebra now believes that it is impossible to write accurately about any President's medical history unless the primary documentation is examined. Secondary sources are simply not trustworthy, unless the author has made extraordinary efforts to examine primary sources. On Lincoln and on Taft, Dr. Zebra has made extraordinary efforts. For VP Cheney, the effort has been 80% extraordinary, but the sources are scant.
MEN 2B	A 2008 book by Dr. Zebra proposes that Lincoln and several of his family members had a hereditary cancer syndrome called multiple endocrine neoplasia, type 2B (MEN2B) 2. The diagnosis strongly suggests that Lincoln was dying of cancer in his last months, and also explains many previously mysterious Lincolnian characteristics: Lincoln's body shape, i.e. his height, long limbs, big feet, leanness, high voice, flat feet, sunken chest. Lincoln's sagging face, that witnesses mistakenly thought was sadness or depression. Lincoln's bumpy lips and big lower lip. The large bump on Lincoln's right cheek. Lincoln's fatigue, headaches, fainting, and cold hands & feet in his last months. Lincoln's intermittently drooping eyelids. Lincoln's constipation. Lincoln's high voice. Lincoln's propensity to lie on the floor when reading, and rest his feet on a table when sitting. Lincoln's asymmetric face and homeliness. Lincoln's loose-jointedness. The death of three of Lincoln's sons before age 20, and, probably, his mother's death at 34. These topics are explored in more detail below.
not color blind	For many years Dr. Zebra reported, as have several others, that Lincoln was color blind. Recently, however, he reviewed the original evidence behind this assertion (Thomas Shastid's 1929 article in The Nation) and found it completely worthless. There is no good reason to believe Lincoln had defective color vision 3a.
near-drowning	As a child Lincoln almost drowned in Knob's Creek, Kentucky. A neighbor boy saved him. 4a Austin Gollaher ... claims to have saved Lincoln from drowning one day as they were trying to 'coon it' across Knob Creek on a log. The boys were in pursuit of birds, when young Lincoln fell into the water, and his vigilant companion ... fished him out with a sycamore branch. 5a
concussion	At age 9, Lincoln was driving an old horse in a grist mill. Impatiently, he applied the whip and was rewarded with a kick square to the forehead. He was unconscious for several hours, and there were fears for his life. The kick came at a moment when Lincoln was halfway through speaking a sentence. Remarkably, his first words upon regaining consciousness were the completion of the sentence 5 3b.
clubbed in head	Returning from New Orleans in 1828 by boat, Lincoln and a companion were attacked in their sleep by seven men, "with intent to kill and rob them." As Lincoln emerged from a hatchway, an attacker "struck him a blow with a heavy stick ... making a scar which he wore always" 3c.
axe cut	Lincoln almost took off his thumb with an axe, according to a 20-year-old memory from sculptor Leonard Volk. However, a high resolution print of a photograph shows a wide linear scar over Lincoln's left forefinger 2a.
malaria - 1830	Lincoln's father moved the family to Macon County, Illinois in 1830. All of the family members developed "ague and fever" that autumn -- probably vivax malaria. They treated it with Peruvian bark and whiskey, and resolved to leave the area 3d. (Peruvian bark contains quinine, which is an effective anti-malarial.) Lincoln, having reached the age of 21, settled in New Salem, IL.
frostbitten feet	During the famous "deep snow" winter of 1830-1831, still remembered even 100 years later, Lincoln's feet were badly frozen while crossing the Sangamon River. He was marooned for weeks in the cabin belong to the Warnick family. Mrs. Warnick treated Lincoln by putting his feet in the snow, "to take out the frost-bite" 6a 3e.
malaria - 1835	The hot summer of 1835 in New Salem, IL followed a wet spring -- perfect conditions for malaria. Lincoln had chills and fever on alternate days (i.e. malaria) for at least a month, and took "heroic doses" of quinine and cathartics, but irregularly 2b 3f. Then his near-fiancee Ann Rutledge died of "brain fever" (perhaps typhoid). Claims that this triggered an episode of major depression in Lincoln 7 rest on incomplete analysis of the historical record. A neighbor couple treated the bereaved Lincoln, who returned to work no later than three weeks after Rutledge's death 2b 3f.
syphilis	Lincoln's law partner, William Herndon, wrote that Lincoln had syphilis about 1835-1836. Herndon said Lincoln told him this. Long known to Lincoln scholars, this topic erupted into public debate in the 1980s because many historians did not believe Herndon, while the writer Gore Vidal did. Dr. Zebra's full discussion 3g finds no reason to disbelieve Herndon, and finds many reasons to believe him.
blood type A	Analysis of a bloodstain on the cuff of Dr. Woodward showed that Lincoln had type A blood 8. [I am not sure the cuffs are Woodward's. More is written about the cuffs of Dr. Edward Curtis.]
marfanoid habitus	Lincoln was 6 feet 3.75 inches tall, had long legs, long arms, long thin feet, long hands, a long thin face, a long thin neck, flat feet, and a "sunken breast" (in the words of his law partner William Herndon) 2c. All of these characteristics are typical of persons with Marfan syndrome 9. This does not mean Lincoln had Marfan syndrome, however. More than a dozen different medical conditions cause this same type of body shape; Lincoln had one of these other disorders (MEN 2B). Still, it is proper to say that Lincoln was "marfanoid," meaning he was shaped like a person with Marfan syndrome. For his time, Lincoln was about 7.5 inches taller than average 2d. His height came from his legs. Sitting, he was no taller than the average man 2e. (See photo.) It has been said that a cast of Lincoln's hands show them to be muscular and powerful, not the slender hands of Marfan syndrome 10 11. This is not correct. True, the casts show that Lincoln did not have the classic long, graceful hands and fingers of Marfan syndrome. But they also show that his hands were longer than normal and that his fingers were longer than normal. It is important to remember that Lincoln used an axe more or less all day every day from the time he was about 8 years old until he was 23. No physician practicing today knows what that level of hand exertion does to the hands of someone with Marfan syndrome 2f. Evidence for other features of Marfan syndrome (ocular, cardiovascular, familial) in Lincoln has been presented, but found weak 2g 12a. In 1959, Marfan syndrome was diagnosed in a distant relative of Lincoln's (a third cousin four times removed) on his father's side 13. Sharing 1/4096th of Lincoln's genetic material, it is difficult to ascribe much significance to this fact 12b. Although the world's greatest authority on Marfan syndrome thinks it's "50-50" that Lincoln had the condition 3h, other geneticists (and Dr. Zebra) think it unlikely 12c 14 2h.
pectus excavatum	Lincoln's chest was, according to his law partner, thin and had a "sunken breast" 12d. (None of the several physicians who saw Lincoln's naked body at autopsy remarked on a sunken chest 12e. It is difficult to attach much significance to the effusive, hyperbolic, nonspecific statements of these physicians 2i.)
pseudo-depression	Much has been written about Lincoln's "melancholy" 7, but the evidence is not convincing 15a. (Full discussion in 2j.) Advocates of the theory claim Lincoln had several periods of major depression: (1) After the death of his mother, (2) After the death of his fiancee, Ann Rutledge (see Malaria/1835, above), and (3) About the time of interpersonal difficulties with Mary Todd in early 1841. Other cited instances are: after the terrible Union loss at the battle of Chancellorsville (he mentioned suicide, but there ` is no way to know if this was serious or just Lincoln speaking in a vivid metaphor) and after the death of his son Willie (he signed no official documents for four days). 4b Much of the evidence for Lincoln's depression derives from observations of his facial expression. This is unreliable, however. Lincoln's low muscle tone (a consequence of MEN 2B) made his face sag whenever he was disengaged from his surroundings. This gave him a profoundly sad appearance, regardless of his internal mood. Dr. Zebra calls this phenomenon "pseudo-depression" 2j.
vertical strabismus	Lincoln's intermittently-upturned left eye is consistent with failure of the left superior oblique muscle 16. Proposed causes of this malfunction are: (1) the horse kick (see above) damaged the trochlear nerve, which controls the muscle, (2) a malformation of his skull in which the size of the eye's bony socket is mismatched to the length of the muscle 17. The intermittent drooping in his right eyelid may actually have resulted from hyper-elevation of his left eyelid, i.e. had he allowed his left eyelid to droop, it would have blocked his vision in that eye.
presbyopia	Lincoln did not wear eyeglasses until age 47. He then got reading glasses -- a completely normal occurrence for people at that age 2k. The spectacles that were in his pocket when he was shot have been analyzed. Their prescription is consistent with simple aging of the eye (known as presbyopia). 2k 4c.
jaw fracture	A dentist broke off part of Lincoln's jaw bone while pulling a tooth -- without anesthesia 4c. The extraction may have taken place in Louisville, KY in Sept. 1841 18a.
penetrating voice	Lincoln had a high-pitched voice that could be heard over great distances. When excited, the pitch went higher still, and sometimes became unpleasant. Still, his voice was an asset because it could be heard by all the crowds that gathered outdoors to hear him speak. (Microphones did not yet exist.) For example, at least 15,000 people heard him give the Gettysburg Address (photo) and "acres of people" heard his first inaugural address (photo) 2l 3i.
swollen feet	In 1858 Lincoln walked from the Danville, IL train depot to the home of Dr. William Fithian (116 Gilbert St.), with a crowd in tow. Lincoln went upstairs, took off his boots to relax, but the crowd insisted on a speech. Unable to easily get his boots on over his swollen feet, Lincoln, at Fithian's suggestion, spoke from the window, so the crowd could not tell he did not have his boots on. 18b
scarlet fever?	In July 1860, Lincoln developed sore throat, headache, fever, and malaise which lasted for a few days. Simultaneously, his son Willie was in bed with scarlet fever. Lincoln felt he might have had a form of the same disease. 4c
domestic violence	Lincoln was several times the victim of domestic violence at the hands of his wife, Mary. (a) About 1860: Mary struck him "on [the] head with a piece of wood while reading paper in South Parlor -- cut his nose -- lawyers saw his face in Court next day but asked no questions" (b) Before 1861: Angry at his choice in meat for a guest, Mary "abused L. outrageously and finally was so mad she struck him in the face. Rubbing the blood off his face Lincoln and [the guest] left" (c) there are also records of Mary throwing coffee at him, throwing potatoes at him, chasing him down the street with a knife (once) or a broomstick (frequently), pulling out part of his beard, and of a strike to his face in his last weeks alive. 3j
asymmetries	A detailed analysis 2m of photographs and casts of Lincoln's head & face discloses several asymmetries. Specifically, his eye-sockets, cheek bones, ears, nose, chin, forehead, and skull vault were all asymmetric. These multiple asymmetries fit the pattern seen in a mild case of left synostotic frontal plagiocephaly. (This is too complicated to explain here. See The Physical Lincoln.) This is a type of craniosynostosis caused by the early fusion of the left frontal and parietal bones during growth of the skull. Abnormal skull shapes are part of the MEN2B syndrome.
premature aging	Lincoln was called "Old Abe" as early as age 30 2n. Friends commented that his facial skin was creased and yellow from a young age. The cause of this is unknown 2o.
face, neck, beard	Lincoln began growing his beard about the time he was elected President in November 1860. On Feb. 16, 1861 his inauguration train stopped in Westfield, NY where he sought out 11 year old Grace Bedell, who had before written to advise him to grow a beard: "I have got 4 brother's [sic] and part of them will vote for you any way and if you let your whiskers grow I will try and get the rest of them to vote for you[;] you would look a great deal better for your face is so thin." 2p New York Republicans had written Lincoln about the same time also urging a beard, to disguise his long neck 2p.
corns	Biographers sometimes say things like Lincoln "suffered mightily" from corns and bunions 19. This is overblown. It derives from a letter Lincoln wrote for podiatrist Isachar Zacharie, saying "he has operated on my feet ... with considerable addition to my comfort." The nature of Lincoln's foot ailment(s) are unknown, beyond having flat feet 2q.
constipation	At least four people close to Lincoln (John Stuart, Henry Whitney, Ward Lamon, and William Herndon) testified that Lincoln was constipated. It seemed almost an idée fixe with Stuart, who urged Lincoln to take mercury-containing "blue mass" pills. Lincoln did this for several months, but stopped, saying that they made him "cross" 2r. Comment: Statements that Lincoln took blue mass pills for melancholy 20 have no documentary evidence.
food poisoning	1861: "One night every member of the family except the servants, was taken ill, physicians were hastily summoned, and for a time whisperings of `Poison' were heard, but it proved to be only an over-indulgence in Potomac Shad, a new and tempting dish to western palates" 3k. (Shad is a fish and Potomac is a river bordering Washington.)
dentist phobia	It has been said that Lincoln was afraid of dentists (see episode above for a good reason why he might have been). In 1862 Lincoln developed a severe toothache and consulted Dr. G. S. Wolf, who had an office near the White House. As Wolf prepared to pull the tooth, Lincoln asked him to wait. Lincoln "took a container of chloroform from his pocket, inhaled it deeply, and sleepily gave the signal for the dentist to proceed" 4c.
cancer	Multiple endocrine neoplasia type 2b (MEN2B) is a genetic cancer syndrome. Its most common cancers occur in two endocrine glands: the thyroid (medullary carcinoma of the thyroid) and the adrenal (pheochromocytoma). Did Lincoln have cancer? If he had MEN2B, the answer is certain: yes. The historical record also suggests he had cancer. Lincoln began losing weight in 1860. There is no quantitative data about his weight after becoming President, but many people wrote of his declining appearance and increasing thinness. Casts of his face in 1860 and 1865 show a striking loss of soft tissue. Temporal wasting is present on the 1865 cast. In his last months, Lincoln had headaches, cold feet & hands, exercise intolerance & sweating, pervasive fatigue that a work respite did not ease, fainting, and nausea. These findings are compatible with a pheochromocytoma 2s. MEN 2B is rare -- perhaps about one in a million people have it -- and there are no large studies on survival statistics. Lincoln lived to be quite old for someone with MEN2B. This topic is discussed in great detail in 2 and in 3.
Willie's death	Lincoln's son Willie died in 1862. One of Lincoln's friends described the aftermath 21a: "[It] wellnigh broke the President's heart, and certainly an affliction more crushing never fell to the lot of man. ... Strong as he was in the matter of self-control, he gave way to an overmastering grief, which became at length a serious menace to his health. ... A deep and settled despondency took possession of Mr. Lincoln; and when it is remembered that his calamity -- for such it surely was -- befell him at a critical period of the war, just when the resources of his mighty intellect were in most demand, it will be understood how his affliction became a matter of the gravest concern to the whole country." In fact, Lincoln went only four days without writing official documents 19.
pulsations	A photograph taken November 15, 1863 shows Lincoln sitting with legs crossed. The image of the left foot -- the one nearest the camera -- is blurry, however. Lincoln noticed this and wondered why. Newspaperman Noah Brooks suggested it was because throbbing of the arteries may have imparted a slight motion to the foot. To test this idea, Lincoln crossed his legs, watched his foot, ... and saw that it moved. "That's it! That's it! Now that's very curious, isn't it?" he exclaimed 2t. This incident is cited as evidence that Lincoln had aortic regurgitation 22 23. Dr. Zebra doesn't buy it. (Full discussion of Lincoln's cardiovascular health in 2u.) Comment: Aortic regurgitation is caused by a leaky heart valve. When severe, large swings in blood pressure occur with every heartbeat, causing structures in the body to pulsate. Diagnosing aortic regurgitation from photographic blurriness is a clever idea, but, in this case, wrong. First, other photographs demonstrate that Lincoln's foot was simply out of focus 2v. Second, such pulsatile foot movement is normal (even Dr. Zebra has it). Third, Lincoln was incubating smallpox when the photograph was taken, so possibly he was vasodilated for that reason and more prone to foot movement.
smallpox	After delivering the Gettysburg Address on Nov. 19, 1863, Lincoln developed a severe headache on the train ride back to Washington. He did not miss work over the next couple days, but his sense of humor vanished. He went to bed early on Nov. 25, with a headache, and was sick in bed the next day. From Nov. 26 to Dec. 1, he issued no official correspondence 3l. A scrawled note on Nov. 27 shows the shaky handwriting of a very sick man 2w. With some difficulty, smallpox was eventually diagnosed. It was reported to the public as "varioloid," which is the mildest of the four clinical syndromes of smallpox. Clearly, however, Lincoln had full-blown smallpox, not varioloid. Although the acute crisis had passed by early December, he is described as still recovering through the entire month. Only on January 1, 1864 does someone observe: "he has a hue of health to which he has long been a stranger" 3l. During the whole of his presidency, Lincoln was beset by people asking for jobs, commissions, pardons, and other favors. When informed that his disease was highly contagious, Lincoln remarked "There is one good thing about this. Now I have something I can give everybody" 24a 3m.
strong	Lincoln was physcally strong, but not that strong. He ascribed his prowess in wrestling and axe-use to his long arms, which were as long as a man 7-feet tall 2x. While visiting troops in the field, days before his death, Lincoln picked up a heavy axe, chopped wood for several minutes, then held the axe straight out, horizontally, "without its even quivering." Several strong soldiers, tried to duplicate this feat, but could not 3n. Yet, just two years before, he was described as "cadaverous and emaciated" in appearance 18c. Lincoln performed the "horizontal" feat several times, e.g. at Milwaukee, WI on Sept. 30, 1859 18d. Comment: I accept some stories of Lincoln's strength in youth, but I have been unable to find the primary reference for the 1865 wood-chopping performance.
receding hairline	Lincoln is generally not thought of as bald, but a photo showing the top of his head in November 1863 (while giving the Gettysburg address) discloses significant temporal recession of his hairline. [See photo MORE ]
gas leak	On Sept. 9, 1864 Lincoln was almost overcome by gas leaking from lighting fixtures in his White House office 25. (I'd appreciate it if anyone having another reference to this incident would let me know. Thanks.)
upset stomach	On Mar. 24-25, 1865, Lincoln had an upset stomach for at least 24 hours while sailing to City Point, VA to visit the headquarters of General Ulysses Grant. Sea-sickness and bad drinking water on-ship were suspected causes. Arriving at City Point on the 25th, Lincoln refused a drink of champagne, saying many people get "sea-sick ashore from drinking that very article" 3o.
assassination & resuscitation	The bullet from the assassin's gun entered behind the left ear and lodged behind the right eye. When Dr. Charles Leale arrived in Lincoln's box at Ford's Theater, he found the President without a radial pulse and breathing laboriously, still sitting upright in his chair. Leale, just two months out of medical school 26a, laid Lincoln onto the floor, and resuscitated him using various "physiological" techniques. Eyewitness accounts of the shooting and its immediate aftermath are available from Dr. Leale MORE and from Dr. Charles Taft MORE. An autopsy was performed in the White House (restricted to the head only), as was the embalming 3p.

Odds and Ends

In reference to discussions of Lincoln's health, one Lincoln scholar writes: "Lincoln was not a sufferer from much of anything, and students should be thinking what an edge his fabulous health gave him in the quest for success as politician and president" 19.
Comment: This is a common misconception. Lincoln illnesses were acute and self-limited until about 1860, at which time he began losing weight. From there, he went continuously downhill. In his last three months, he was sick more than he was well -- if he was ever well at all.
In declining a job offer in Chicago (about 1849) Lincoln gave as a reason
that he tended to consumption, and, if removed to a city like Chicago, he would have to sit down and study harder than ever. The close application required of him and the confinement in the office, he contended, would soon kill him. 5b
It is hard to know if Lincoln was being diplomatic or was referring to his leanness.
His eyes were gray 5c.
At his second inaugural, Lincoln shook so many hands, "the perspiration ... rolling down his face as he grasped the hands of the passing throng, as though he had been splitting rails as of yore" 27a, that he got blisters on his hand.
"Lincoln never forgot anybody" 28a.
Stephen Douglas called Lincoln "two-faced." Lincoln responded: "I leave it to my audience. If I had another face, do you think I would wear this one?" 24b.
Walking barefoot through Dixon, IL in 1832, Lincoln complained that his feet were cold. Someone told him: "No wonder, there's so much of you on the ground" 18e. The same story is told about him in the post-1839 time frame 18f.
Lincoln was "devoid of any natural ability as a singer" 5d. After being serenaded by a quartet of singers in 1860, Lincoln said he wished he could sing like that, "but he knew only two tunes; one is 'Old One Hundred' and the other isn't'" 18g. Essentially the same anecdote is told about Ulysses Grant.
In January 1862 Lincoln braved the sickroom of General George McClellan, who was ill with typhoid fever 29.
Lincoln tales:
- Lincoln once used his knowledge of medicine to get rid of someone who often encroached upon his time. The encroacher was bald. In one of their meetings, Lincoln got up, walked over to the wardrobe, picked up a bottle, and asked "Did you ever try this for your hair?" The man answered no, so Lincoln said "Well, I advise you to try it and I will give you this bottle. If at first you don't succeed, try, try, again. Keep it up. They say it will make hair grow on a pumpkin. Now take it and come back in eight or ten months and tell me how it works." The man left with the bottle, and Lincoln was still convulsed with laughter when the next visitor entered the room 24a.
- A delegation "called on Mr. Lincoln to ask the appointment of a gentleman as commissioner to the Sandwich Islands. They presented their case as earnestly as possible and besides their candidate's fitness for the place they urged that he was in bad health, and that a residence in that balmy climate would be of great benefit to him. The President closed the interview with this discouraging remark: 'Gentlemen, I am sorry to say that there are eight other applicants for that place, and they are all sicker than your man.'" 21b
During his 1860 campaign speeches, Lincoln would tell of seeing a man nearby with a sore on his neck. The man, he said was like the slavery question: it was dangerous to cut out because the man might bleed to death, but if he did not have it removed, it would shorten the man's life. 18h
Soon after the fall of Richmond, Lincoln walked through the city. He was immediately recognized. Black citizens crowded around him and knelt before him. Lincoln, famously, told them "Don't kneel to me. That is not right." Less famously, but equally telling of the status in which Lincoln was held, one black woman was later heard to tell her child that "a touch of Lincoln's garment would cure his pain" 18i.
In 1842 Lincoln admitted writing letters to the newspaper in Springfield, IL satirizing the state auditor, James Shields. (Whether Lincoln wrote one, some, or all of the letters is unclear.) To uphold his honor, Shields, a crack shot, challenged Lincoln to a duel. As the challengee, Lincoln was to make the choice of weapons. He chose cow pies. Shields would not be deterred, however, and eventually Lincoln chose to duel with cavalry broadswords. When Lincoln and Shields met at the appointed place, Lincoln picked out a sword and, with his remarkable height and long arms, began slashing at tree branches that the shorter Shields could not reach. After this, an accomodation was reached and the duel never took place. Although humorous in retrospect, the affair was deadly serious. (Shields later became a Brigadier General and a U.S. Senator from Illinois, Missouri, and Minnesota.) 18j 30
Some family history (fully discussed in 2y 3q):
- Many Lincolns died young: his mother Nancy (age 34), his son Eddie (age 3), his son Willie (age 11), and his son Tad (age 18).
- Nancy Hanks Lincoln died during an epidemic of "milk sickness," caused by drinking the milk of cows feeding on poisonous plants. It is not clear, however, that she died of milk sickness. Some of the people who told Herndon about Nancy's death had other opinions, and it can be seen that Herndon told absolutely nothing about her signs and symptoms MORE . Fear of the milk sickness' return seems to have been a factor in the surviving Lincolns' decision to move from Indiana to Illinois in 1830 5e.
- Eddie died after a 52-day illness that the 1850 census recorded as "chronic consumption." This old-fashioned term is compatible with both tuberculosis and cancer. Eddie was tall, and had the type of lips seen in MEN2B.
- Willie died in the White House from an acute infection, probably typhoid fever. He had survived scarlet fever in 1860. He had long legs, and had the type of lips seen in MEN2B.
- Tad died of progressive respiratory distress, caused by fluid around his lungs and possibly his heart. This was most likely a malignant effusion that arose from medullary thyroid cancer that had spread into his chest. Tad had the type of lips seen in MEN2B. Earlier, Tad had contracted, but survived, the illness that killed his brother Willie in 1862
- Lincoln's oldest son, Robert, lived to age 82. His lips were normal. There is a tradition in Terre Haute, IN that Lincoln brought young Robert there to be treated with a "mad stone" after a dog bite, possibly in September 1859.
- Abraham Lincoln's last direct descendent died in 1985.
In a weird twist of fate, Edwin Booth saved the life of Robert Lincoln. Edwin Booth was the older brother of Lincoln's assassin, and Robert Lincoln was the son of Abraham Lincoln. Robert had slipped onto the train track at Jersey City, NJ train station while travelling to Washington from New York City. He fell into an open space and was helpless until Booth "vigorously seized" him to safety. The incident occurred while Lincoln was President. 18k
During the time Lincoln lived in Kentucky and Indiana, the family name was pronounced "Linkhorn" 18l.
A genetic neurological disorder, spinocerebellar ataxia type 5 (SCA5) OMIM 600224 has been found in decendents of Lincoln's paternal grandparents. This disease impairs the ability to walk and coordination of various other muscles. Some researchers have tried to make a case that Lincoln could have had the disease, and they want to test his DNA. Unfortunately, their historical analysis is embarrassingly superficial. There is not a shred of evidence that either Lincoln or his father had SCA5. (If Lincoln's father did not have the disease, then Lincoln is at no greater risk for the disease than you or me. Lincoln's father lived to age 73, with no record of invalidism.) Full discussion in: 3r.

Doctors

Before Presidency	During Presidency	Assassination	After Presidency	Post-mortem
Anson G. Henry William Wallace William Augustus Newell	Robert King Stone Washington Chew Van Bibber	Robert King Stone Charles Augustus Leale Charles Sabin Taft Albert Freeman Africanus King Joseph K. Barnes Charles H. Crane Charles Mason Ford Ezra W. Abbott Charles A. Gatch James Crowdhill Hall Charles H. L. Lieberman John Frederick May ?? Neal Beecher Todd	Charles Gilman Smith	Edward Curtis William Morrow Notson Joseph Janvier Woodward Joseph K. Barnes Charles H. Crane Robert King Stone Charles Sabin Taft

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Cited Sources

Seldes, George. Witness to a Century. New York: Ballantine Books, 1987.

a p.245. In 1927 Katherine Medill McCormick recalled to a group of people that her mother used to say this -- and several other disparaging things about the President -- before sending her to play with the Lincoln children. McCormick's father, Joseph Medill, was a friend of Lincoln's. Lincoln was not alone in being an object of Mrs. Medill's scorn. Seldes makes it clear that she hated just about everyone and everything.

19 reviews

Sotos, John G. The Physical Lincoln: Finding the Genetic Cause of Abraham Lincoln's Height, Homeliness, Pseudo-Depression, and Imminent Cancer Death. Mt. Vernon, VA: Mt. Vernon Book Systems, 2008.

a p.57 (Volk's memory is known as not entirely trustworthy) b pp.223-227 c pp.44-81 d p.44 e p.45-48 f pp.52-63 g pp.84-115 h pp.117-121 i pp.77-80 j pp.206-233 k pp.87-89 l pp.80-81 m pp.194-205 n p.167 o pp.164-173 p pp.252-257 q pp.67-68 r p.138-139 s pp.158-163 t p.102 u pp.96-105 v p.102-103 w p.157 x pp.49, 122, 187 y pp.106-115, 140-145

10 reviews

Comment: More information at: http://www.physical-lincoln.com/

Sotos, John G. The Physical Lincoln Sourcebook. Mt. Vernon, VA: Mt. Vernon Book Systems, 2008.

a pp.66-67 b pp.190-191, 313 c p.191 quoting primary sources d p.118 e p.71 f pp.118, 313-315 g pp.318-326 h p.26 (¶73) i pp.195-198 j pp.191-192 quoting all sources k p.56, quoting Elizabeth Todd Grimsley l pp.335-351 m p.340 n pp.88-89 o pp.57-58, 86-87 (633, 635, 1199-1216) p p.177-179 q pp.206-310 r pp.364-370

10 reviews

Comment: More information at: http://www.physical-lincoln.com/

Bumgarner, John R. The Health of the Presidents: The 41 United States Presidents Through 1993 from a Physician's Point of View. Jefferson, NC: MacFarland & Company, 1994.

a p.89 b pp.91-94 c p.95

3 reviews

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.

Herndon, William H. and Weik, Jesse W. Herndon's Life of Lincoln. Cleveland: World Publishing, 1942 (originally published 1888).

a p.18 b p.247 c p.250 d p.48 e p.56

Shutes, Milton H. Lincoln and the Doctors: A Medical Narrative of the Life of Abraham Lincoln. New York: Pioneer Press, 1933.

a pp.7-8

Shenk, Joshua Wolf. Lincoln's Melancholy. Boston: Houghton Mifflin, 2005.

161 reviews

Davidson, Glen W. Abraham Lincoln and the DNA controversy. Journal of the Abraham Lincoln Association. 1996;17(1):1-26.

Gordon AM. Abraham Lincoln: a medical appraisal. Journal of the Kentucky Medical Association. 1962;60:249-253. Pubmed: 13900423.

Comment: A brilliant work of historical research and medical deduction. MEN2B was unknown in 1962, so Gordon got as close as he could.

Lattimer JK. Lincoln did not have Marfan syndrome; documented evidence. N Y State J Med. 1981;81:1805-1813. Pubmed: 7036022.

Comment: A failed challenge to the idea that Lincoln was marfanoid.

Pyeritz RE, McKusick VA. The Marfan syndrome: diagnosis and management. N Engl J Med. 1979;300:772-777. Pubmed: 370588.

Marion, Robert. Was George Washington Really the Father of our Country?. Reading, MA: Addison-Wesley, 1994.

a pp.88-124 b p.100 c pp.108, 110. Marion believes Lincoln had mitral valve prolapse syndrome, which shares some of the skeletal features of Marfan syndrome. d p.93 e p.104

3 reviews

Schwartz H. Abraham Lincoln and the Marfan syndrome. Journal of the American Medical Association. 1964;187:473-479. Pubmed: 14084818.

Ready T. Access to Presidential DNA denied. Nature Medicine. 1999;5:859. Pubmed: 11645164.

MacMahon, Edward B. and Curry, Leonard. Medical Cover-Ups in the White House. Washington, DC: Farragut, 1987.

a p.19

2 reviews

Goldstein JH. Lincoln's vertical strabismus. J Pediatr Ophthalmol Strabismus. 1997 Mar-Apr;34(2):118-20.

Fishman RS; Da Silveira A. Lincoln's craniofacial microsomia. Arch Ophthalmol. 2007; 125: 1126-1130.

Gary, Ralph. Following Lincoln's Footsteps. New York: Carroll & Graf, 2001.

a p.227 b p.58 c p.313 this comment was from soldiers in Fredericksburg, VA, April 1863 d p.397 e pp.66, 398 f p.177 g p.68 h p.4 i pp.322, 323-324 j pp.9-10 k pp.238, 261 l pp.209, 318

5 reviews

Neely, Mark E. Jr. Rattling Lincoln's bones. Lincoln Lore: Bulletin of the Louis A. Warren Lincoln Library and Museum. August 1990; nbr 1818:1-4.

Hirschhorn N, Feldman RG, Greaves IA. Abraham Lincoln's blue pills: did our 16th President suffer from mercury poisoning?. Perspect Biol Med. 2001;44:315-332. Pubmed: 11482002.

Lamon, Ward Hill. Recollections of Abraham Lincoln. Washington, DC: Dorothy Lamon Teillard, 1911.

a p.161 b p.136

17 reviews

Schwartz H. Abraham Lincoln and aortic insufficiency. The declining health of the President. California Medicine. 1972;166(5):82-84. Pubmed: 4565398.

Schwartz H. Abraham Lincoln and cardiac decompensation: a preliminary report. West J Med. 1978:128(2):174-177. Pubmed: 343393.

Boller, Paul F. Jr. Presidential Anecdotes. New York: Oxford University Press, 1981.

a p.133 b p.125

14 reviews

Available on the web: http://www.mrlincolnswhitehouse.org/content_inside.asp?ID=217&subjectID=3

Kunhardt, Philip B, et al. Lincoln: An Illustrated Biography. NY: Alfred A. Knopf, 1992.

a p.356

35 reviews

Pendel, Thomas F. Thirty-Six Years in the White House. Washington: Neale Publishing Company, 1902.

a pp.35-37

2 reviews

Comment: Pendel was door-keeper at the White House from the time of Lincoln to the time of Theodore Roosevelt. Full text is available on-line at loc.gov. It is a rather dry book, and reads as if it were written by an old man. http://memory.loc.gov/cgi-bin/query/D?lhbcbbib:1:./temp/~~ammem_rEou::

Tarbell, Ida. Abraham Lincoln and His Ancestors. Lincoln, NE: University of Nebraska, 1997.

a p.185

Comment: Originally published 1924 as In the Footsteps of the Lincolns.

Rafuse, Ethan S. Typhoid and turmoil: Lincoln's response to General McClellan's bout with typhoid fever during the winter of 1861-62. Journal of the Abraham Lincoln Association. 1997;18(2):1-16.

Myers, James E. The Astonishing Saber Duel of Abraham Lincoln. Lincoln-Herndon Building, 1968.

0 reviews

Comment: Cited by Gary.

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Health and Medical History of President Abraham Lincoln

Health and Medical History of President
Abraham Lincoln