Fanny Burney and Her Mastectomy

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Fanny Burney

In 1811, before anesthesia was invented, Frances Burney d’Arblay had a mastectomy aided by nothing more than a wine cordial. She wrote such a gripping narrative about her illness and operation afterwards readers today still find it riveting and informative.

Fanny came from a large family and was the third child of six. From an early age, she began composing letters and stories, and she became a phenomenal diarist, novelist, and playwright in adulthood. Certainly, her skillful writing was a primary reason her mastectomy narrative had such appeal.

In her narrative, Fanny provides “psychological and anatomical consequences of cancer … [and] while its wealth of detail makes it a significant document in the history of surgical techniques, its intimate confessions and elaborately fictive staging, persona-building, and framing make it likewise a powerful and courageous work of literature in which the imagination confronts and translates the body.” Prior to her surgery, she had written similar works about “physical and mental pain to satirize the cruelty of social behavioral strictures, especially for women.”

Samuel_Johnson_by_Joshua_Reynolds-wikipedia

Dr. Samuel Johnson

Fanny grew up in England and had been embraced by the best of London society. She had served in George III and Queen Charlotte’s court as Second Keeper of the Royal Robes. Moreover, she was admired by such literary figures as Hester Thrale, David Garrick, and Edmund Burke. Fanny also befriended Dr. Samuel Johnson, the English writer who made significant contributions to English literature as a poet, essayist, moralist, literary critic, biographer, editor and lexicographer. In fact, some of Fanny’s best revelations are about Johnson, how he teased her, and the fondness that he held for her.

In 1793, Fanny married Louis XVI Alexandre-Jean-Baptiste Piochard d’Arblay and became Madame d’Arblay. D’Arblay was an artillery officer who served as adjutant-general to the famous hero of the American Revolution, Gilbert du Motier, Marquis de Lafayette. D’Arblay had fled France for England during the Revolution just as had many other Frenchmen. However, in 1801, d’Arblay was offered a position in Napoleon Bonaparte’s government. He and Fanny relocated to France in 1802 and moved to Passy (the same spot where Benjamin Franklin and the princesse de Lamballe had lived), and they remained in France for about ten years.

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Baron Dominique-Jean Larrey (left) and Antoine Dubois (right)

While living in France, Fanny suffered breast inflammation in her right breast in 1804 and 1806. She initially dismissed the problem but then in 1811 the pain became severe enough that it affected her ability to use her right arm. Her husband became concerned and arranged for her to visit Baron Dominique-Jean Larrey, First Surgeon to the Imperial Guard, as well as the leading French obstetrician, surgeon, and anatomist, Antoine Dubois.

The French doctors treated Fanny palliatively but as there was no response to the treatment, it was determined surgery was necessary. Fanny’s surgery occurred on 11 September 1811. At the time, surgery was still in its infancy and anesthesia unavailable. Cocaine was later isolated, determined to be an effective local anesthetic, and used for the first time in 1859 by Karl Koller. So, it must have been horrific for Fanny to experience the pain of a mastectomy with nothing more than a wine cordial that may have contained some laudanum. Fanny was traumatized by the surgery and it took months before she wrote about the surgery details to her sister Esther exclaiming:

“I knew not, positively, then, the immediate danger, but every thing convinced me danger was hovering about me, & that this experiment could alone save from its jaws. I mounted, therefore, unbidden, the Bed stead – & M. Dubois placed upon the Mattress, & spread a cambric handkerchief upon my face. It was transparent, however, & I saw through it, that the Bed stead was instantly surrounded by the 7 men & my nurse. I refused to be held; but when, Bright through the cambric, I saw the glitter of polished Steel – I closed my Eyes. I would not trust to convulsive fear the sight of the terrible incision. A silence the most profound ensued, which lasted for some minutes, during which, I imagine, they took their orders by signs, & made their examination – Oh what a horrible suspension! … The pause, at length, was broken by Dr. Larry [sic], who in a voice of solemn melancholy, said ‘Qui me tiendra ce sein?”

Fanny went on to describe “torturing pain” and her inability to restrain her cries as the doctors cut “though veins – arteries – flesh – nerves.” Moreover, she noted:

“I began a scream that lasted unintermittingly during the whole time of the incision – & I almost marvel that it rings not in my Ears still! so excruciating was the agony. When the wound was made, & the instrument was withdrawn, the pain seemed undiminished, for the air that suddenly rushed into those delicate parts felt like a mass of minute but sharp & forked poniards, that were tearing the edges of the wound. … I attempted no more to open my Eyes, – they felt as if hermetically shut, and so firmly closed, that the Eyelids seemed indented into my Cheeks. The instrument this second time withdrawn, I concluded the operation over – Oh no! presently the terrible cutting was renewed – and worse than ever … I then felt the Knife rackling against the breast bone – scraping it! – This performed, while I yet remained in utterly speechless torture. “

Despite the excruciating pain, Fanny lived through the operation, and her surgery was deemed a success. Larrey produced a medical report about his brave patient stating that he removed her right breast at 3:45pm and that Fanny showed “un Grand courage.” Courageous as she was, there was no way for doctors to determine if Fanny’s tumor was malignant or if she suffered from mastopathy.

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Fanny’s Commemorate Plaque. Courtesy of Bath-heritage.co.uk

Fanny’s healing took a long time, and while still recuperating, she and husband returned to England in 1812. Six years later, in 1818, her husband died from cancer, and she died twenty-two years later, at the age of eighty-seven, on 6 January 1840 in Lower Grosvenor-street in London. As Fanny had requested, a private funeral was held in Bath, England, and attended by a few relatives and some close friends. She was laid to rest in Walcot Cemetery, next to her beloved husband and her only son Alexander, who had died three years earlier. Their bodies were then moved during redevelopment of the Walcot Cemetery to the Haycombe Cemetery in Bath and are buried beneath the Rockery Garden.

References

DeMaria, Jr., Robert, British Literature 1640-1789, 2016
“Died,” in Northampton Mercury, 18 January 1840
Epstein, Julia L., “Writing the Unspeakable: Fanny Burney’s Mastectomy and the Fictive Body,” in Representations, No. 16 (Autumn, 1986), pp. 131-166
Madame D’Arblay, in Evening Mail, 20 January 1840
Madame D’Arblay’s Diary, in Evening Mail, 18 May 1842
“The Journals and Letters of Fanny Burney (Madame D’Arblay), Volume VI, France 1803-1812,” in Cambridge Journals 

61yLoQ9ugKL._SX345_BO1204203200_-347x381Geri Walton has long been interested in history and fascinated by the stories of people from the 1700 and 1800s. This led her to get a degree in History and resulted in her website, geriwalton.com which offers unique history stories from the 1700 and 1800s. Her first book, Marie Antoinette’s Confidante: The Rise and Fall of the Princesse de Lamballe, discusses the French Revolution and looks at the relationship between Marie Antoinette and the Princesse de Lamballe.
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Beggar’s Benison: Masturbation and Free Love in 18th Century Scotland

testing platter

The Test Platter of The Beggar’s Benison. (Photo courtesy of the Museum of the University of St. Andrews).

Men are gross. I should know – I am one.

But don’t take it from me. Take, for example, the eighteenth-century Scottish men’s club, “The Most Ancient and Puissant Order of Beggar’s Benison and Merryland,” or Beggar’s Benison for short. Formed in 1732 in the small town of Anstruther in Fife, this club comprised men of all ages, and of ranks ranging from tradesmen and merchants to government officials, eventually even including royalty. Its members came together – yes, in that sense of the term – to celebrate male sexuality and the idea of free love. The effluvia of their activity was collected on a “test plate” bearing an engraving of vulva and penis and the motto “The Way of a Man with a Maid.”

This pastime resulted in some interesting meeting minutes: “18 assembled, and Frigged upon the Test Platter. The origin and performance were discussed. The Platter was filled with Semen, each Knight at an average did not ‘benevolent’ [donate] quite a horn spoonful.”(1)

Masturbation was also key to initiating new members, who had to prove their manhood. In the initiation ritual, the novice would lay his erect penis on the test platter, then “The Members and Knights two and two came round in a state of erection and touched the novice Penis to Penis.”(2)

As homo-erotic as this undoubtedly is, the Benison wasn’t a proto-gay club. Those already existed and were known derogatorily as “molly houses.” In these establishments, men seeking sex with men could meet each other with somewhat less fear of discovery than in other venues, at a time when the punishment for sodomy was transportation or execution. The Beggar’s Benison wanted to distance itself from any such suspicions, either out of homophobia or fear of prosecution (probably both). While its Code promoted “fair trade and legal entry” in sexual matters, it also sought to prevent “a preposterous and Contraband Trade too frequently practiced.”

prick glass

The Wig Club’s prick glass (often misattributed to the Beggar’s Benison). Anyone attempting to drink from it was likely to get a good dowsing, so it was probably used only to initiate new members to the Wig Club.

But the grossness doesn’t stop with semen-filled platters. Other relics of the club included a wig supposedly made of the pubic hair of King Charles II’s mistresses (and have you ever noticed the size of Restoration-era wigs?). Eighteenth-century dandies sometimes adorned their hats with tufts of pubic hair as trophies of their conquests, and this wig was just a much larger version. It would later be transferred to the elite Edinburgh Wig Club (an offshoot of the Benison), and became that club’s icon. Allegedly, the loss of the wig to the Benison’s rival inspired King George IV to donate his own mistresses’ pubic hairs to the club, of which he was already an honorary member. (Unfortunately, the wig disappeared in the early 1900s, but we still have the Wig Cub’s prick glass, right)

The childish jokes almost write themselves. But does the Beggar’s Benison only merit either a derisive laugh or a disgusted “ewww!”?

In his 2001 book on the club, David Stevenson argues that behind what seems a particularly gross frat-boy bawdiness lay an Enlightenment sex-positivity. In contrast to the Puritan view that allowed sex, even within marriage, only for procreation, the Benison aligned itself with other Enlightenment thinkers in viewing sex as pleasurable in itself. This was also a time of rabid anti-masturbation sentiment, which began in 1715 with the publication of Onania, a pamphlet warning that self-pleasure led to “stunted growth, disorders of the penis and testes, gonorrhea, epilepsy, hysteria, consumption, and barrenness.”(3)Stevenson cover

The club can be seen as a reaction to such hysteria: a bold statement of the rights of man to fap when he pleases.

But what of women? As usual with Enlightenment thinking, liberty and equality only went so far. Like the other libertines of the time (and some today), the club viewed women both with veneration and as little more than objects. The Merryland in the club’s name refers to the body of Woman, to be explored and possessed (see the above-mentioned pubic hairs). At best, the club promoted “fair trade” or “free trade” between the sexes, but the emphasis was always on male freedom to pursue “commerce” with “Merryland.” Sexual freedom for the wives and daughters of these worthy family men? Lol.

And I doubt these men wanted their own daughters to participate in a service some village girls performed for the club. The Benison employed “posture girls” (eighteenth-century strippers), although, oddly, it kept its masturbatorial and viewing activities separate. Speaking to or touching the girls was forbidden, and the girls (literally girls, as they ranged in age from 15 to 17) were allowed to wear masks while posing nude. Then every Knight “passed in turn and surveyed the Secrets of Nature.”(4) Ironically, “free love” becomes sex (or titillation) for cash.

The sex-for-cash theme goes back to the club’s founding myth, in which the Stuart King James V, traveling in commoner’s disguise, comes to Dreel Burn, a stream dividing the two neighborhoods of Anstruther. Not wanting to get his feet wet (how noble!), he employs the services of a “beggar lass” to carry him on her back across the water. He gives her a gold coin for the service, and she gives him a blessing or “benison” in return: “May your purse naer be toom [empty], and your horn aye in bloom.” From this verse of double entendres sprang the club’s salutation: “May prick nor purse never fail you.”(5)

Edinburgh Beggar's seal

The Seal of the Edinburgh branch of the Beggar’s Benison, bearing the image of the prick and purse. The anchor has nothing to do with the navy, but is a sexual metaphor (a man “dropping anchor” in a woman’s “harbor”).

So the Beggar’s Benison wasn’t just a sex club, but wove Jacobite and free-trade themes into its codes and mythology. The trade metaphors may be even more important than the sexual aspect. The merchants of the club, like most dutiful Scots, engaged in smuggling to circumvent onerous English taxes. Think of them as early Libertarians. Stevenson even suggests that the bawdy activities of the club might have been a mere cover to allow smugglers and corrupt customs officials to meet. And who would want to check up on the club, considering the type of activities one might find at its meetings?

In the end, the Beggar’s Benison may have been little more nor less than the equivalent of a bunch of guys visiting a strip club, with all the sexism that implies. Stevenson makes the case that they kept to themselves and harmed no one, apart from some of the posture girls’ reputations. They also hosted lectures on what amounted to sex education, encouraging the use of condoms: “the sexual embrace should be independent of the dread of a conception which blasts the prospects of the female.”(6)

As Stevenson points out, far worse can be said of other, better-remembered Scots, such as Robert Burns, whose affairs led to illegitimate children and untimely ends for the mothers, or James Boswell, whose seventeen bouts of gonorrhea no doubt contributed to the spread of venereal disease among the many, many prostitutes he frequented. Compared to these and other eighteenth-century rakes (the denizens of the far more notorious Hellfire Clubs, for instance), the men of the Beggar’s Benison merely seem like spunky schoolboys.

Sources

(1) Stevenson, David. The Beggar’s Benison: Sex Clubs of Enlightenment Scotland and their Rituals. Tuckwell Press, 2001. p. 38

(2) Stevenson, p. 39

(3) Allen, Peter L. The Wages of Sin: Sex and Disease, Past and Present. University of Chicago Press, 2000. p. 87

(4) Stevenson, p. 38

(5) Stevenson, p. 12

(6) Stevenson, p. 36

Further Reading

Black, Annetta. Objects of Intrigue: Beggar’s Benison Prick Glass. Atlas Obscura. (Unfortunately, this article misattributes the intriguing prick glass as belonging to the Beggar’s Benison. According to Stevenson, it belonged to the later Wig Club.)

Perrottet, Tony. Hellfire Holidays. Slate.

Roderick, Danielle. Masturbation Clubs of the 1700s. The Hairpin.
http://www.slate.com/

HogueFinal A_macLarry Hogue’s writing is all over the place and all over time. He started out in nonfiction/nature writing with a personal narrative/environmental history of the Anza-Borrego Desert called All the Wild and Lonely Places: Journeys in a Desert Landscape. After moving to Michigan, he switched to writing fiction. He’s a fan of folk music, and got the idea for Daring and Decorum while listening to Loreena McKennitt’s outstanding adaptation of Alfred Noyes’ poem, The Highwayman. When not speaking a word for nature or for forgotten LGBT people of history, he spends his white-knighting, gender-betraying energies on Twitter and Facebook, and sometimes on the streets of Lansing, MI, and Washington DC. His new historical romance, Daring and Decorum, is due out August 1 from Supposed Crimes. As might be expected from this article, the novel can be described as “Regency Romance, minus the hunky, shirtless lords.”
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The Power of a Pen in the Hand of an Angry Woman: The Trials of Caroline Norton

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Daniel Maclise, The Spirit of Justice (1847-9). Fresco. Caroline Norton was the model for Justice (center)

In an age in which English marriage law considered women not just less than equal, but absolutely nonexistent, Caroline Norton emerged as an unlikely hero. She is sometimes called an early feminist, but that is inaccurate. Pressured into marriage to a virtual stranger by her family’s financial problems, abused both physically and emotionally by her husband, object of general pity, falsely accused of adultery, separated from her children, and crippled financially by her manipulative husband, she fought back.

Caroline didn’t believe in woman’s equality with man, as did Wollstonecraft for example, and certainly never argued for it. What she did believe in was rule by law, laws that could be changed, and the obligation of the law to protect those dependent on others. She may have been without protection, money, or power, but she had two formidable weapons: she had influential friends and she could write.

Caroline’s early life is generally described one of poverty, and that is somewhat true. Her grandfather, the playwright Richard Sheridan, died in poverty, but in an age that knew true poverty, Caroline didn’t go hungry or lack shelter. However, her mother, who had been left with seven children to raise on a modest pension when her husband died suddenly, endured enormous financial insecurity and worried particularly for her three dowerless daughters throughout Caroline’s childhood. Still, her childhood cannot be called bleak. The Sheridans were an intellectually vibrant family with radical political leanings and a wide circle of friends. Her mother wrote novels, and Caroline was particularly fond of her uncle, Charles Sheridan, a noted if not particularly brilliant poet. She began writing and expressing herself at a very young age.

Once Caroline’s older sister made a successful marriage, Caroline didn’t question that it was her turn to do so, particularly because their youngest sister had begun to attract a number of suitors, and giving the family hope she might make a brilliant match. (So she did. Georgiana Sheridan became the Duchess of Somerset.) Caroline may not have wanted to stand in the way, may have desired to please her mother, or might simply have believed she would get no other offers. There had been none during her only London season. Whatever the reason, she agreed to marry Edward Norton, a man she had met only once three years before when she was sixteen. He had approached her mother at that time and been put off, apparently in hopes Caroline could do better. This time both mother and daughter agreed.

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Portrait by Sir George Hayter, 1832

No one knows why Edward wanted Caroline, but his dissatisfaction with her surfaced early. The Sheridans were Whigs, if not outright radical, in their politics. Norton, a Member of Parliament and a staunch Tory, loathed much of what Caroline believed. Raised to argue her position, she must have been devastated when he kicked her for expressing views with which he disagreed. That kick early in the marriage was the first of extensive physical abuse. Various accounts describe Norton as “dull-witted” and indolent, the sort to be threatened by her wit, verbal dexterity, and vivaciousness. He wasn’t above using her social skills for political gain, however. He even encouraged her friendship with Lord Melbourne.

Money also caused trouble. Norton probably presented his financial status to Caroline’s mother otherwise, but he was in fact living on a barrister’s salary when he married. Though Lord Grantly’s heir, he received no allowance from the estate. He lost his seat in Parliament three years after they married. Extremely conscious of status, he refused work he considered beneath him, did little to help their situation, and pressured Caroline to convince her influential friends to get him an appointment, one he thought worthy of his rank. Eventually Melbourne gave him an appointment as a magistrate. Caroline, for her part, began to publish her writings, and he happily took the income from that.

The birth of three children and her writing gave Caroline some joy. She was a devoted mother. The violence, however, never let up. When she was pregnant with her fourth child, he beat her so badly she miscarried. After such episodes Caroline would go to her family for refuge but always went back. Arguing and violence escalated until one day, when Caroline was out, Edward sent their three children to a cousin and ordered the servants to lock her out of the house. He had, in essence, thrown her out.

Norton then brought suit against Melbourne for “Criminal Conversation,” or adultery, a first step in obtaining a divorce. He also hoped to milk money out of Melbourne. He lost. The jury didn’t even have to leave the courtroom; he was laughed out of court. The case had several results. Melbourne’s reputation and political position were upheld. Caroline was labeled a “scandalous woman” for the rest of her life. There could and would be no divorce. Only a man could sue for divorce, and she was a faithful wife. They were stuck with each other.

Worst of all he kept the children from her. Her only recourse was to attack the law that let him do it. Caroline rallied her friends and contacts. She finally convinced a member of parliament to introduce a bill to give mothers the right to appeal to the Court of Chancery for custody of children less than seven years of age. She continued to write, but now she wrote pamphlets brilliantly arguing for the rights of women to their children. It took two years, but in 1839 parliament passed The Infant Custody Act enabling women sue for custody of children under seven as long as they were not adulteresses. The act made married women visible in the law for the first time. Edward countered by moving her children to Scotland where the law didn’t apply. Three years later one of her sons died there before she was able to get to him.

Edward also denied her a home and refused to support her. Another woman might have been crushed under all that, but Caroline Norton was made of sterner stuff. She continued to write. She could support herself with her published works. Edward quickly claimed her income as his right.

Yes, he could do that.

She proceeded to send her bills to him, bills he was obligated to pay. Years of conflict followed eventually culminating in another court case in 1853. This time Edward won on a technicality because the particular creditor in question had presented his bill before Norton withdrew support.

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Detail from a painting by Frank Stone, 1845

Again Caroline fought back with her pen. Since her husband was entitled to all her income from writing, she dedicated that writing to one topic, marriage and property laws that enabled him to profit from her labor. She never argued for the equality of women. She focused entirely on the non-existence of women in marriage law.

A movement to change the laws was already underway and a number of women including Barbara Leigh Smith, Emily Davies, Elizabeth Garrett and Dorothea Beale, were lobbying for change. Caroline threw herself—and her pen—into the fray. NON-EXISTENT became a kind of rallying cry for her. Among other things, she wrote an open letter to Queen Victoria about the position of women in regard to divorce. When the Matrimonial Causes Act passed in 1857 it had 68 clauses, four of which came from Caroline’s pamphlets. It wasn’t perfect, but it was a step forward. It created a Court of Divorce and Matrimonial Causes removing divorce from both civil and ecclesiastical courts, and provided women recognition in law.

In later years Caroline continued to write. Her poetry and novels enjoyed some success, but today they are far less well known than her political writing. Edward Norton died in 1875. Two years later Caroline married a long time friend and supporter, Sir William Stirling-Maxwell. They died within months of each other later that year and are buried next to each other. Sadly, her oldest son predeceased her, and her only remaining son died within weeks of Stirling-Maxwell.

Caroline Norton never joined the earliest feminist circle, The Ladies of Langham Place, who had lobbied for the Matrimonial Causes Act, nor devoted herself to such women’s issues as education, the vote, or equality in employment. Still, her influential writing helped put the first cracks in the wall separating women from recognition under the law. She used her pen to stand up for herself and in doing so stood up for others who had no voice.*

Further Reading:

There are many pieces about Caroline Norton in print and on the Web. These three are particularly rich and well documented:

“Caroline Norton,” on Spartacus Educational.

Diniejko, Andreij, Contributing editor, “Caroline Norton: A Biographical Sketch,” on The Victorian Web.

Ockerbloom, Mary Mark, editor, “Caroline Norton (1808-1877)” on A Celebration of Women Authors, University of Pennsylvania Digital Library, 1994-2017.

Untitled design (15)Caroline Warfield has been many things (even a nun), but above all she is a romantic. Having retired to the urban wilds of eastern Pennsylvania, she lets her characters lead her to adventures while she nudges them to explore the riskiest territory of all, the human heart. She is a regular contributor to History Imagined and to The Teatime Tattler, a blog in the shape of a fictional nineteenth century scandal sheet.

Her current series, Children of Empire, is set in the late Georgian/early Victorian era and focuses on three cousins, driven apart by lies and deceit, who must find their way back from the distant reaches of the empire—and the women who help make them whole. The second book in the series, The Reluctant Wife, set in India and England, was just released.

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*Editor’s Note: Caroline Norton’s influence on modern matrimonial and custody laws cannot be understated. As a lovely (and telling) tribute, Daniel Maclise used her as the model for Justice in his fresco The Spirit of Justice in the House of Lords (top). See The Transfigurations of Caroline Norton for more on her influence on art and literature. -JC

Bones, Blood, Barbers, and Butchers: Surgeons in the 18th Century

In the eighteenth century, the record for the fastest amputation at the thigh was nine seconds, start to finish, including sawing through the bone. Are you impressed yet? Even the average, thirty seconds, was pretty damned fast.

And speed was of the essence. Let’s face it. If you needed surgery in the eighteenth century or the first half of the nineteenth, you’d better be strong and brave, because it wasn’t a doddle. Not for the surgeon, and not at all for the patient.

Patients faced three major killers

They’d solved one of the major issues that killed people who needed surgery, reinventing ligatures to tie off blood vessels so the patient didn’t bleed out on the table. Before the sixteenth century, they’d used cautery—burning—to seal any gushers, vastly adding to the pain. And, of course, closing up the wound as fast as possible helped.

And pain was the second issue. No effective anesthetics. Not until the mid-nineteenth century. The patient was awake for the entire operation, which was the main reason why speed (and some strong helpers to hold the patient down) mattered.

The biggest killer was factor number three. Germs.

Not that they knew that, of course. The prevailing opinion was that wound infections were caused by air, though how nobody quite knew. They had no way of knowing that the surgeon’s hands and clothes, the bed sheets, the surgical instruments, the dressings, and a myriad of other surfaces that would come into contact with the patient were covered with organisms too tiny to see, but that would infect the wound. Most people sickened. More than half died.

Keep out the air to keep out the contagion

Some hospitals did pretty well. Their theory was that the infective element was carried in noxious fumes; that is, if it smelled like bad air, it would be bad for their patient. Alexander Monro (Primus and Secundus), a father and son team who headed the Royal Infirmary in Edinburgh, must have run a clean operation. They managed to get the death rate for amputations down to eight percent. Given that other hospitals of the time managed rates of 45 to 65 percent, that’s truly impressive.

Most surgeons relied on speed to limit the amount of time the wound was exposed to the air, thus—they hoped—cutting down on the damage the air did to the tissues.

More butchery than medicine

So a fast surgeon was far more likely to be a successful surgeon for three reasons: less blood flow, a shorter time of acute agony, and (they thought) less contagion. No wonder that, to the rest of the human race, surgery seemed more a matter of butchery than medicine.

Naturally, as they thought at the time, physicians did not perform surgery. Physicians had, since medieval times, been university trained. They were gentlemen’s sons with a medical doctorate, highly educated and knowledgeable about the humours of the body and the appropriate ways to balance them. In theory, their superior knowledge made them the only proper people to practice medicine and oversee surgery. They did not involve themselves in physical labour, but expected rather to command those who distilled the medicines they prescribed (apothecaries) or who carried out operations they deemed necessary.

Surgeons, barber surgeons and apothecary surgeons

Specialist surgeons learned their craft on the job, working as a surgeon’s mate in the navy or the army, or as the apprentice to a barber surgeon or an apothecary surgeon.

Barbers were good men with a blade, so an obvious choice for removing some part that shouldn’t be there or performing a beneficial bloodletting. The familiar red and white barber’s pole dates from the time of the barber surgeon, representing the rod the patient held tightly during the operation and the bloodied and clean bandages used. When washed and hung to dry, they would twist together in the wind, forming the spiral we see today.

Apothecary surgeons had won a landmark case in the first decade of the eighteenth century, when an apothecary was taken to court by the Guild of Physicians for compounding and administering medicines without the benefit of a physician’s advice. The Physicians won, but the Society of Apothecaries appealed to the House of Lords, who were unimpressed with the argument that allowing apothecaries to care for the sick would:

“Deprive the gentry of one of the processions by which their younger sons might honourably subsist and be a great detriment to the Universities.”

The Lords reversed the judgement.

The rise of a profession

By the eighteenth century, surgeons were giving physicians a run for their money, some attending university as well as learning their craft by apprenticeship. However, they seldom had any formal qualifications before the Royal College of Surgeons was founded in London in 1800. They were ‘Mister’ compared to the physician’s more prestigious ‘Doctor’, though the brilliant work of a plethora of eighteenth century surgeons raised their status and the work of medical teaching hospitals such as the Royal Infirmary mentioned above raised their knowledge.

By the time Victoria ascended the throne, the confidence of surgeons, and the income they could command, had risen to the point that the cheeky surgeons made the former insulting honorific into a badge of honour. In the UK, Eire and New Zealand to this day, surgeons are called ‘Mister’ rather than ‘Doctor’.

Jude Knight’s writing goal is to transport readers to another time, another place, where they can enjoy adventure and romance, thrill to trials and challenges, uncover secrets and solve mysteries, delight in a happy ending, and return from their virtual holiday refreshed and ready for anything.

She writes historical novels, novellas, and short stories, mostly set in the early 19th Century. She writes strong determined heroines, heroes who can appreciate a clever capable woman, villains you’ll love to loathe, and all with a leavening of humour.

A Raging Madness is out May 9th. Stop by our sister blog today to see surgery in action in a new excerpt and enter two giveaways!

Smallpox vs Edward Jenner: How One Doctor Invented Vaccination and Cured the World

1808_cruikshank-vaccinia

The deadly disease smallpox had been feared by man for thousands of years by the 1800s, and rightly so. It was highly contagious, incurable, and killed a third of those unlucky enough to catch it.

Those who survived it were rarely left unscathed. Aside from the inevitable permanent scarring, it could leave victims blind and doomed to spend the rest of their days battling lung or joint problems. The disease also did not discriminate between the rich or poor.

Several royals and world leaders contracted it. Queen Elizabeth I, George Washington and Joseph Stalin all had pock-marked faces which they took great pains to disguise. The 18th century fashion for wearing patches stemmed from the desire to hide the damage smallpox had done to aristocratic skin. Smallpox killed both King Louis XV of France and Queen Mary II of England, monarchs who could well afford the best physicians to try to save them, so the merest threat of it was enough to send the population into a panic.

Of course, it didn’t help matters that medical scientists had no idea how the disease was spread and had no way of treating it. The concept of bacteria and viruses would not begin to enter into medicine until 1861, so physicians were clueless. Theories abounded over time, blaming God, the alignment of the planets, and eventually evil miasmas (bad air) as the root cause of an epidemic. Treatments were equally as primitive. Prayer, smelling sweet nosegays, and bonfires were the only weapons the Western World had for centuries. As a result, outbreaks could kill thousands in a very short space of time with terrifying speed, especially children or the old. The only thing they did know, was once you had caught it, you couldn’t catch it again.

In the East where medicine was traditionally more advanced and largely unencumbered by religious interference, physicians expanded upon this idea. Using the healing scabs of a recovering smallpox victim, which they scratched into the skin of healthy people, they protected them. Although they did not realise it at the time, what they were doing was building up the body’s antibodies using a weakened dose of smallpox and thereby rendering the body resistant to any stronger. It’s still a common practice nowadays with certain diseases. Polio is a classic example. Variolation (or inoculation as we now know it) was brought to Britain in 1715 by Lady Wortley Montague, an ambassador’s wife who had suffered smallpox as a child and lost a brother to it.

Whilst inoculation did work in a great majority of cases, it was not without serious risk. By exposing people directly to smallpox, albeit a significantly weaker version of the disease, at least ten percent of those inoculated contracted full-blown smallpox in the process, often with fatal consequences. King George III lost his son Prince Frederick after he had the boy inoculated. When even the king could not guarantee its safety, a great many preferred not to take the risk. Inoculation was also very expensive, which put even more off it, so smallpox remained a devastating killer throughout the eighteenth century.

In 1784, after extensive study of smallpox victims during an epidemic in his hometown of Chester, Dr John Haygarth became convinced smallpox was transferred by human contact. He recommended quarantining anyone with smallpox and gave sound advice as to how anyone coming into contact with a victim should stop the infection spreading:

“During and after the distemper, no person, clothes, food, furniture, cat, dog, money, medicines or any other thing that is known or suspected to be bedaubed with matter, spittle, or other infectious discharges of the patient should go out of the house until they have been washed…When a patient dies of smallpox, particular care should be taken that nothing infectious be taken out of the house so as to do mischief.”

Haygarth’s methods were soon widely adopted. Wherever possible, smallpox victims were isolated away from the rest of the community. Every item of clothing and bedding used was burned to avoid contaminating others. Sometimes, this occurred using quarantine ships. These were hardly floating hospitals as there was little doctors could do other than let the disease run its course, however, moving sufferers offshore was fairly successful in containing the disease if they caught it quickly enough.

cowpoxThe big breakthrough came thanks to a country doctor called Edward Jenner. He decided to test the validity of an old wives’ tale which claimed all those who worked with cows were immune to smallpox. Over the course of many years, he discovered that those new to working with cattle–such as milk maids–often caught a relatively harmless disease from them. Cowpox caused a mild fever and an irritating skin rash in humans which quickly cleared up of its own accord. Jenner began to suspect cowpox was the key to the immunity from smallpox. However, to test his theory he would need to infect a human with cowpox who had never come into any contact with cows before.

In 1796 he paid the parents of James Phipps, and then injected the pus from a cowpox pustule into the boy. A few weeks later, he exposed the boy to smallpox and when nothing happened declared it a resounding success. He called his new treatment vaccination as the word vacca is Latin for cow and was convinced it was the only thing capable of defeating the ‘speckled monster’. However, the Royal Society did not welcome his research with open arms. They declared it too revolutionary and asked for more proof. It took until 1798, and several more experiments with cowpox including one on his own baby son, before they published his findings.

Although conclusive, the people were less enthusiastic to this new miracle prevention. There was an enormous backlash against Jenner’s vaccination accompanied by an extensive propaganda campaign. Aside from the fact the new prevention was more expensive than the old-fashioned inoculation, the widespread resistance came because of two things:

Firstly, and perhaps most importantly, vaccination was seen as ungodly. The very religious masses listened to the anti-vaccination sermons preached from pulpits the length and breadth of the British Isles. After all, in Corinthians is stated quite clearly: “All flesh is not the same flesh: but there is one kind of flesh of men, another flesh of beasts”. Mixing the two things was grossly unacceptable according to the scriptures.

800px-The_cow_pock

James Gillray, The Cow Pock. An anti-vaccination cartoon from 1802.

Secondly, although Jenner was able to prove vaccination did work with none of the risks caused by inoculation, he had no earthly idea why. Even the educated struggled to justify agreeing to vaccination without knowing the science behind it. Perhaps it was possible they would begin to sprout horns and udders in the future? Nobody could say for certain this wouldn’t happen.

Others were less resistant. Napoleon honoured Jenner with a medal after the Frenchman vaccinated his troops. Before that, more of his army were killed by smallpox than by battle. Another fan was President Thomas Jefferson who, in 1806, wrote a gushing letter of thanks to Edward Jenner:

“I avail myself of this occasion of rendering you a portion of the tribute of gratitude due to you from the whole human family. Medicine has never before produced any single improvement of such utility… Future nations will know by history only that the loathsome small-pox has existed and by you has been extirpated.”

While history proved Jefferson’s prediction correct, such accolades from Britain’s then enemies did not really do Edward Jenner any favours at home. Vaccination remained hugely unpopular with the masses and some dyed-in-the-wool physicians despite overwhelming evidence of its success and continued to be during Edward’s lifetime and beyond. He died in 1823 with his vaccination still as controversial then as it had been in 1796.

Things came to a bit of a head in the UK when the government stepped in. In 1840 they declared the old inoculation illegal, thus eliminating the choice. Then, the 1853 Vaccination Act made it compulsory in law for all babies to be vaccinated before they were three months old. Failure to do so resulted in a one pound fine and potentially the risk of prison. People argued they were now denied the right to decide what they could put into their own bodies and many took to the streets to protest. Compulsory vaccination was so unpopular, the government had to back down and stopped prosecuting those who refused.

It was only once the brilliant French scientist Louis Pasteur began to do more experiments on vaccination in the late 19th century, and was finally able to explain why it worked, that public objection lessened. Smallpox vaccination became widespread and the catastrophic and destructive epidemics died out. The last known recorded case of smallpox was in Somalia in 1977 and in 1980 the World Health Organization declared the disease eradicated save the few samples kept secure in laboratories. And all thanks an old wives’ tale and a tenacious, mild-mannered country doctor from Gloucestershire who never wanted to be famous.
virginia heath cover
Virginia Heath writes witty Regency romantic comedies for Harlequin Mills & Boon. The first book in her ‘Wild Warriners’ series, A Warriner to Protect Her, will be released in April 2017.

Mediomania: Spiritualism, Crisis, and Mediumistic Hysteria of the 19th Century

A depiction of table-turning in Le Magazine L’Illustration, 1853

Who doesn’t love a good ghost story?

The residents of Hydesville, New York were sure intrigued when rumors erupted of the Fox sisters and their ability to communicate with the dead through taps and rappings in their home. Kate and Margaret Fox invited the public to demonstrations of their abilities, asking the spirits to respond to questions with the correct number of knocks. And from these few taps, a religious movement grew.

But it wasn’t the need or the determination to speak with the dead that drove the development of Spiritualism. The religion came along at the right time when it was needed most by those wishing to enact social change. In the 1850s, Quakers were looking for an escape. Abolitionist Quakers in particular were in a fix. Their religion forbade them from taking a stance on measures such as abolition and women’s rights. But when the Fox sisters started knocking, those looking for an answer saw a way out.

Taking spiritualism by the horns, Quakers began to convert, picking up the torch of spiritualism in the name of women’s leadership, abolition, and a host of other social crusades. Spiritualists traveled the country to speak at assemblies and conventions, some on the subject of spiritualism, but most often at the conventions of social endeavors such as women’s right to vote and abolition. Spiritualism simply served as a means for working toward such change.

With such a surge in social improvement, women were put in a position of opportunity. Suddenly communicating with the dead meant women could assume leadership roles in the community. They became trance speakers, touring the country to speak to large assemblies. Trance mediums wrote books, counseled the distressed, and even ran for president. That would have been Victoria Woodhull in 1872. Women harnessed a power that seemed to favor the female body and used it to propel themselves up in terms of equality with men.

But with such upward movement came backlash, and such backlash took the shape of an accusation of insanity. Dr. R. Frederic Marvin finally gave a name to the disease of which spiritualism was considered to be a result. Mediomania was suddenly a diagnosis spread far and wide, labeling mediums with a type of female insanity. The female reproductive system was to blame, a system so much more “complex” than a man’s and thus in danger of such insanity. While it was not used in place of utromania, the two diseases were often linked. It was determined the angle of the uterus was the cause of the disease. If it were tilted too far forward, women would develop this mediomania and begin to exhibit its horrible symptoms.

Symptoms of this “mediumistic hysteria” often were a woman’s determination to leave traditional roles and her propensity to overuse her mind. Historian Ann Braude argues, “Doctors asserted that, if women used their brains to attempt the mental exertion required for higher education, they would overtax their systems and suffer gynecological disease.” As Marvin asserted, “She becomes possessed with the idea that she has some startling mission in the world.” Such an idea was horrifying by late 19th century standards, and mediums were deemed insane for such behavior.

Treatment was often forced upon the afflicted. I say forced because most often the cure of mediumship was the “Rest Cure.” It entailed the female subjecting to the will of the male doctor. It was believed she must no longer assert her own will in order to be healed. Such a cure inherently suggests a level of force upon the afflicted.

So while women enjoyed a blitz of equality through their abilities as mediums, it quickly came crashing down in the 1870s and into the 1880s as “science” proved these women to be simply insane. Spiritualism lost favor as it failed to organize successfully, and heretics took advantage. Doctors proclaiming the “rest cure” pronounced mediums fit for asylums, and hoax mediums caught in charades gave the movement a bad reputation. More, the movement had already accomplished a major goal in the abolition of slavery, and because of this, lost momentum in their endeavors. The Spiritualism movement would fade away by the 1880s, and with it the persecution of female mediums for their mediomania.

Jessie Clever

Source:

Braude, Ann. Radical Spirits: Spiritualism and Women’s Rights in Nineteenth-Century America. Bloomington: Indiana University Press, 2001.

Jessie Clever decided to be a writer because the job of Indiana Jones was already filled. Taking her history degree dangerously, Jessie tells the stories of courageous heroines, the men who dared to love them, and the world that tried to defeat them. Jessie makes her home in the great state of New Hampshire where she lives with her husband and two very opinionated Basset hounds.
Don’t miss To Save a Viscount. Find out more at jessieclever.com.

The Flapper and the Virgin Birth: The Curious Case of Christabel Hart and John Russell

I enjoy writing about real people. For kiddos, I’m working on nonfiction books about Bethany Hamilton and Malala Yousafzai. For adults, I’ve got a fictional origin story about Bonnie and Clyde. What makes that story especially fun, besides digging into the lives of two of the most infamous outlaws, is that I’ve set it during the 1920s. The Roaring Twenties. The Jazz Age. The Age of Intolerance. The Age of Wonderful Nonsense.

During my research, I stumbled upon a dirty, sexy story that illustrates the age of intolerance and wonderful nonsense so well, and I’d love to share it with all you scandalous readers.

Meet Christabel Hart and John Russell.

christabel-hart-russellChristabel was a looker. She worked in a factory by day and, by night, danced the tango at high-society parties. She even shaved her armpits, something reserved for free-spirited flappers in sleeveless dresses. Here, she’s donning the large fur collar trend.

John was a 6’ 6’’ submarine officer, who often went by the nickname Stilts, due to his height.

Their “love” blossomed after Stilts put an advert in The Times looking for “young ladies” to correspond with him. Christabel answered. When Stilts was on leave, they met up in London.

Soon, Stilts proposed, and Christabel likely shrugged as she accepted, claiming, “I thought it would be nice and peaceful not to be pestered by men asking me to marry them.”
However, Christabel had a change of heart. She called it off. She then flippantly tried to elope with one of Stilts’ friends. The marriage never happened, due to legal formalities, and Christabel must’ve shrugged again as she telegraphed Stilts and agreed to marry him after all.

He telegraphed back an overjoyed, “Yes.” A week later, in 1918, they were married.

john-russell-in-dragBut Christabel wasn’t ready for children and didn’t want to consummate their marriage. In fact, the girl must’ve paid attention during PE class, and she insisted on abstinence. Zero hanky panky. Hell, Christabel insisted on different bedrooms.

Stilts agreed, to make her happy.

Some say Stilts’ pent up (and maybe backed up) frustration led to him attending dress balls in drag. That’s him on the left.

And during the few times he did sneak into her bed, Christabel declared that Stilts’ methods of birth control made pregnancy impossible. How? I’ll let your imagination do the work. But through it all, Christabel’s so-called virginity remained intact. So did her hymen.

Lo and behind, in 1921, Christabel realized she was five months pregnant. For me, this is a classic case of playing “just the tip”, but Stilts disagreed—even though it is possible for semen to pass through an unbroken hymen and also for sperm to be in the pre-cum. Nevertheless, Stilts was adamant Christabel was unfaithful and sued her for divorce, thus beginning a nasty trial.

Gynecologists confirmed her unbroken hymen. Christabel was cleared of any adulterous acts, though she did have “twenty to thirty [male] dancing friends.” Stilts was named the father. And, the trial even reached the likes of King George, who said the language used in court was worse than “the pages of the most extravagant French novel.”

So, there you have it. I call this the mother of 1920s scandal, lasting through 1937 when Christabel finally gave Stilts a divorce.becoming-bonnie-cover

Jenni L. Walsh is the author of Becoming Bonnie, a historical novel forthcoming from Tor/Forge (Macmillan) on May 9, 2017 that tells the untold story of how wholesome Bonnelyn Parker becomes half of the infamous Bonnie and Clyde duo during the 1920s. Learn more about Jenni and her books at jennilwalsh.com.

Sources

“John and Christabel.” Jazz Babies

Chicago Tribune Press Services. “‘Dream Baby’s’ Mother Given Final Decree” Chicago Tribune [Chicago] 22 January 1937 Published: Page 4. Print.

Venning, Annabel. “The Aristocrat in Frocks and His Man-mad Wife Who Gave Birth While Still a Virgin: Couple’s Grandson Sheds New Light on Britain’s Most Sensational Divorce Case.” Daily Mail Online. 01 Nov. 2013.