Category: History of Science

Eighteenth-Century Pain and the Modern Problem of Measuring Pain

Posted on April 12, 2013 by - Early Modern History, Experimentation, Hans Sloane's Personal Life, History of Medicine, History of Science, Letter-writing, Patients, Remedies

The offending machine. A Saskatchewan example. Image credit: Daryl Mitchell, Wikimedia Commons.

I read the news about the recent study using fMRI to measure physical and emotional pain intensity right after a visit to the physiotherapist for help with my migraines. (I’ve been a migraineur since the age of eleven when a Tilt-a-Whirl ride gave me a case of whiplash.) Although there is not always a close relationship between life events and scholarly work, my migraines have shaped my interest in patients’ illness narratives. It is as both scholar and sufferer that I am troubled by the fMRI study’s implications.

Running through much of the pain scholarship is the assumption that it cannot be adequately represented by language or truly understood by others.[1] Chronic pain’s invisibility makes it difficult even for people close to a sufferer to sympathise. There has been a recent shift to trying to understand pain holistically, with the development of pain clinics where sufferers can receive treatment from a variety of health practitioners and the focus is on mind-body integration. But scientific studies of pain still often come down to one question: can you tell how much pain a patient is experiencing, either in relation to his own pain, or that of others? To this end, many have tried to find ways of measuring pain.[2]

The news is all abuzz, with headlines such as “Study shows pain is all in your head, and you can see it”. Like many previous studies, the latest attempts to provide, as Maggie Fox at NBC News puts it, an “objective way to measure pain”. Researchers applied heat-based pain to volunteers, then measured the changes within the brain using fMRI. They were able to identify a person’s relative pain, such as when one burn feels worse than another, as well as the influence of painkillers. The results of this study have the potential to be very useful when treating patients who are unable to talk or unconscious.

But there is an unsettling aspect to the study—or at least to the way in which it is being reported—in that it tries to distinguish between a real, objective pain and the experienced pain. According to the lead researcher Tor Dessart Wager quoted in the above article, the tests reveal that people really do feel pain differently: “Let’s say I give you a 48-degrees stimulus and you go ‘This is okay; I can handle it’ and I might say ‘Oh, this really hurts’… My brain is going to respond more strongly than yours. We are using this to track what people say they feel.” In other words, some people are wimps and some are stoic—and patients cannot be trusted to report the truth.

An unhelpful distinction at best: it misses out the psycho-social experience of pain of why one person might feel the pain more keenly. Age, ethnicity, status and sex all play an important role not just in a sufferer’s experience of pain, but in how others perceive what the experience should be and the trustworthiness of a sufferer’s account of pain.

It is also a potentially dangerous distinction, reinforcing as it does the idea that pain needs to be measured objectively and that technology provides the answers. The problem, as Daniel Goldberg tweeted yesterday, is that:

A report in Scientific American explains the study’s implications for chronic sufferers. The fMRI was also used to measure coping tactics for the heat-induced pain, such as mindfulness, meditation, imagination or religious belief, revealing that such methods reduce pain. Pssssst… about that: we’ve known this for a while. These sorts of methods were used long before we had effective painkillers and are frequently used by modern chronic illness sufferers.

Will measuring pain ‘objectively’ really benefit the sufferer? The use of technology for chronic pain provides a mere (if very expensive) bandaid and, to make matters worse, undermines one of the most important elements in a successful doctor-patient relationship: trust. Sometimes looking at a historical case can pinpoint the modern problems.

Lady Sondes just before her marriage. Miniature of Lady Katherine Tufton by Peter Cross, 1707. Image Credit: Victoria and Albert Museum, London.

Catherine Watson, Lady Sondes, wrote to Sloane several times between 1722 and 1734 about an unspecified illness.[3] Although she was in her late 30s, she had a litany of complaints that made her feel as “old and decayed” as someone aged fifty or sixty. Her pains ranged from headaches, gnawing leg pains, and “fullness” in her head to a stiff lip, constant fear, memory loss and “rising nerves”. She described the ways her daily life was affected. Besides being constantly distracted by pain, she worried about her legs giving out from under her or losing her memory so she would be unable to do the household accounts. These were problems for a woman who prided herself on running a large household successfully. Her descriptions were circular and repetitive, even boring, but reflected her ongoing experience: the physical pains, often not severe, nagged constantly at her throughout the day, and the fear and anxiety of what the pain might mean was all-encompassing.

Her symptoms did eventually pass, allowing her to once again go “about Busiynesse”, but the treatment had been difficult. Lady Sondes began to consult Sloane by letter when she disagreed with her regular physician’s diagnosis of hysteria. While Dr. Colby considered her ailment to be hysteria, Lady Sondes did not feel that she could trust her full story to him. Hysteria was associated with overly delicate women and a mixture of imagined problems alongside real ones, suggesting that such a diganosis may have predisposed Colby to disregard her accounts of pain. She wrote instead to Sloane who treated her “with great kindness and care”. It was not until Colby rediagnosed her as having a blood condition that she began to trust him again. A large part of Lady Sondes’ healing came from the ability to express her narrative. Sloane was not physically present; the greatest therapy he could have provided was reading her letters and answering her specific, stated concerns.

Chronic pain, with its messy emotional bits and day-to-day dullness, is encompassed within an entire life, not just a few moments spent inside a machine while clutching something uncomfortable. A crucial component of effective therapy is the trust between doctor and patient, allowing the patient to create a narrative, to be heard and to be understood. If a physician is primed to distrust a patient’s account, whether through a diagnosis or reliance on technology, the healing process will be thwarted. Sure we can measure pain, but when it comes to chronic pain, it’s not really the question we should be asking.

[1] This comes from Elaine Scarry’s influential book, The Body in Pain: The Making and Unmaking of the World (Oxford: Oxford University Press, 1985).

[2] For example, the famous McGill Pain Questionnaire. See R. Melzack, “The McGill Pain Questionnaire: Major Properties and Scoring Methods”, Pain 1, 3 (1975): 277-299.

[3] I discuss this case and others from Sloane’s letters in my article, “ ‘An Account of an Unaccountable Distemper’: The Experience of Pain in Early Eighteenth-Century England and France”, Eighteenth-Century Studies 41, 4 (2008): 459-480.

Domesticity and Astronomy in Eighteenth-Century England

Posted on February 17, 2013 by - Databases, Early Modern History, Environment History, Family, Gender History, History of Medicine, History of Science, Patients, Philosophical Transactions, Religion

This past week has been an exciting time for portents! What with a meteor blasting into Russia, an asteriod passing close to earth, St. Peter’s Basilica being struck by lightning, and the Pope resigning, early modern people would have been getting a bit nervous…[1] As it is, some people believe that the lightning strike was a sign that God approves the Pope’s decision. Perhaps we live in a more optimistic era.

There are several letters in the Sloane Correspondence database about early modern astronomy, although only two that mention comets.[2] By the eighteenth century, there was a growing shift away from seeing dramatic astronomical events as portents. Clergyman William Derham (1657-1735), for example, wrote to Sloane regularly about natural philosophy and his letters (dated 28 March 1706) reveal a careful attention to matters of fact rather than a concern with religious signs.[3]

“Part of a Letter from the Reverend Mr W Derham, F.R.S. Concerning a Glade of Light Observed in the Heavens”. Philosophical Transactions, vol. 25, no. 305 (1706), p. 2221.

In one of Derham’s letters, which also appeared in the Philosophical Transactions (vol. 25, 1706), he described his star-gazing just before Easter. While observing the satellites of Saturn, he spotted a “glade of light” in the constellation of Taurus. The light had a tail like a comet, but a pointy upper end instead of a rounded one. This, Derham was certain, was similar to what Joshua Childrey and Giovanni Domenico Cassini had observed. When the following nights were cloudy, Derham was unable to spot the glade again–and, although Easter Day was fair, he “forgot it unluckily then”. By the time he was next able to look at the skies, the glade of light was gone.

This was the only bit of Derham’s rather long letter that was published in the Phil. Trans. this time. In the letter, Derham also dicussed sunspots and requested advice about his wife’s eye problems. This was typical of many of Sloane’s correspondents, whose letters blurred the boundaries between scholarly, social and medical matters.

Anna Derham, aged about 31, was suffering from eye problems. Sloane had recommended that she take a variety of medicines, including a purge (and rather revoltingly, woodlice), in addition to eye drops. The eye drops, Derham reported, did not agree with his wife and had caused an inflammation. The purge, moreover, had left Mrs. Derham with violent pains spreading from above her eye to throughout her head and face. Derham believed that the eye medicine had resulted in his wife’s cornea wasting away. The outcome of the eye problem was not noted, but a letter from later that year (30 August 1706) mentioned Mrs. Derham’s increasingly severe headaches, which worried both her and her husband. Whether her health improved (or Derham simply distrusted Sloane’s advice in this case) is unclear, but Derham did not mention his wife’s health again until November 1710 when he feared that she might die from peripneumonia. (Mrs. Derham didn’t, managing to outlive her husband.)

What strikes me as particularly interesting in Derham’s account is the small detail that he forgot to look at the skies on Easter Sunday. As a clergyman, he was no doubt very busy in the week leading up to and including Easter. It would be entirely understandable that he might forget… but he did manage to look out his telescope in the nights prior to Easter.

The rather pressing matter of his wife’s health, on the other hand, is the most likely reason. It’s clear that her symptoms were alarming and disabling (as would have been the treatments, as purges kept one very close to the chamberpot). To compound the domestic disruption, the couple had four children between the ages of two and six in 1706. At the very least, Derham was monitoring his wife’s health and overseeing her medical care.[4] Even with domestic help, Mrs. Derham’s poor health would have posed a challenge for the household at the best of times, but even more so at the busiest time of year for a clergyman’s family.

Early modern scientific endeavours often took place within the early modern household, meaning that these activities were inevitably subject to the rhythms and disruptions of daily life. With his ill wife, several young children, and Easter duties, Derham simply did not have time to remember.

 

[1] For other recent blogging on historical comets, see Darin Hayton on “Meteorites and Comets in Pre-Modern Europe” and Rupert Baker on the comets in the Philosophical Transactions (“Watch the Skies“).

[2] The other letter was from Leibniz (5 May 1702), which was an account in Latin of a newly discovered comet.

[3] On Derham and his family, see Marja Smolenaars, “Derham, William (1657-1735)”, Oxford Dictionary of National Biography. Oxford University Press, 2004. [http://www.oxforddnb.com/view/article/7528, accessed 7 June 2011.]

[4] For more on men’s medical caregiving roles within the family, see my article “The Relative Duties of a Man: Domestic Medicine in England and France, ca. 1685-1740”, Journal of Family History 31, 3 (2006): 237-256.

Preparing for an Epidemic in the Eighteenth Century

Posted on January 28, 2013 by - Early Modern History, Hans Sloane, History of Medicine, History of Science

Tonight BBC2 will be airing a show called Winter Viruses and How to Beat Them. The news was recently filled, of course, with reports on rapidly spreading epidemics of influenza and norovirus; medical historian Alun Withey even blogged about the contemporary and seventeenth-century fascination with the spread of disease. What intrigues me, however, is the actions people took to deal with their fear of disease.

In late May 1720, the plague entered Marseilles, the major trading port in South France, on ships coming in from Levant. The plague rapidly spready throughout the city in the next few months, disrupting commerce and daily life. The French government intervened with strict quarantine measures for both sick people and incoming ships.

Contemporary engraving of the Marseilles plague in 1720, the Quartier Belsunce. Source: Wikimedia Commons.

Meanwhile: back in England… South Sea stocks had been rising in an unrealistic way over the summer months, only to crash in September, resulting in bankrupt investors and panic spreading like an epidemic. Health suddenly became of national interest: protecting the teetering economy became of paramount importance. The fear? That the Marseilles plague might infect Britain via the trade routes.

The Lords Justices called in physician Richard Mead to consider how the plague might be prevented “for the Publick Safety” in 1720. That autumn, the Board of Trade and Plantations investigated methods of quarantine used elsewhere and recommended that Parliament bring in more border control and wider quarantine powers. But it was not until October 1721 that more decisive action was taken.

This time, Sir Hans Sloane, John Arbuthnot and Mead were summoned. In Sloane’s papers (British Library Sloane MS 4034), there are rough drafts of their advice for the Council on how to collect better information about contagious diseases from Bills of Mortality and how to set up barracks near London for quarantines. By December 1721, a Bill was passed that allowed the King to stop trade with infected countries, order fire on any potentially infected ship, establish a domestic military presence, quarantine towns, and remove the sick to lazarettos. The bill was widely criticised for being un-British and something that would only cause more fear. The French, critics argued, were more used to a standing army and harsh measures that limited people’s rights.

Even after the Bill was passed, complaints continued. Some of Sloane’s correspondents scolded him for allowing these “somewhat severe” recommendations.  ‘Belinda’ dramatically claimed that the country was “almost ruined by south sea” by a corrupt government, while “to complet the misery by the advice of Mead that scotch quack [Arbuthnot] wee are to be shutt up in pest houses garded by soldeirs and hired watchmen”. She begged that Sloane intervene: “it is commonly said that you Sr. was not for this barbarous act and I am very willing to… belive you were not haveing alwayes approved your self a person of great charity to thee poor”. The name ‘Belinda’ probably did not refer to a real woman, but was a pseudonym referencing Alexander Pope’s poem, “The Rape of the Lock”, in which Belinda appears as a satiric personification of Britain. Belinda’s letter, nonetheless, captures the fear that many people had about the Bill. The message was clear: the proposed cure for the nation was worse than the disease.

Little did Belinda know just how harsh the initial report by Mead, Arbuthnot and Sloane had been! In their rough draft, the doctors had actually recommended that searchers report any cases immediately to the Council of Health “on pain of death”, that medical practitioners and household heads face severe financial penalties for not alerting authorities, and that any Officers dealing with the plague wear special markings. These, at least, had not appeared in the Bill…

By February 1721/2, Parliament was forced to reconsider the Act and repealed the clauses about domestic measures. When the plague ended in 1722, the British government had not needed to invoke its new act. Sloane may have appeared to the concerned citizens as a possible ally because of his reputation of being charitable, but he also acted to represent and enforce state power.

Giants’ Shoulders #55: Curiosities, Utility and Authority

Posted on January 16, 2013 by - Collecting, History of Medicine, History of Science, Museums, Travel

Welcome to the 55th edition of The Giants’ Shoulders, a blog carnival that rounds up history of science blogging from the last month. This carnival takes as themes three issues that would have been very familiar to eighteenth-century collector and physician, Sir Hans Sloane: curiosities, utility and authority.

Richard Greene’s museum at Lichfield, the “Lichfield clock”
Credit: Wellcome Library, London.

Curiosities for Sloane were wide ranging and could include interesting natural objects, strange stories, or ingenius man-made ones. Over at depictedscience there is an excerpt from Robert Hooke’s Micrographia (1664): a detailed picture of a fly as seen through a magnifying glass, along with a short description. Strange stories always captured the interest of early modern scientific minds. Adrienne Mayor at Wonders and Marvels writes on Sir Arthur Conan Doyle and a sea monster, while Laetitia Barber at Morbid Anatomy has some ideas on making your own ghosts. New inventions showed human ingenuity, such as the umbrella-vator from the 1780s (The Appendix tumblr) and the stethoscope (The Rose Melnick Medical Museum). Richard Carter at The Friends of Darwin porposes a theory for what some ancient Roman jars might be, reminding me of early Philosophical Transactions letters. But the greatest curiosity of all this month is the ideal historian of science spotted over at The Renaissance Mathematicus, though perhaps Thomas Young the polymath, discussed at OpenScientist, might have fit the bill.

Sloane, like many eighteenth-century people, believed that knowledge should be beneficial, especially to society as a whole. From Seb Falk we learn that knowing how to use an astrolabe could save your life, while Jonathon Keats at Culture Lab wonders whether the science in Sherlock Holmes stories would actually have worked. Maria Popova (Brain Pickings) recounts the tale of Charles Babbage’s fight against noise pollution, a battle that he eventually (sort of) won. Jai Virdi has a series of posts, starting with “The Pretensions of Dr. Turnbull“, that look at the nineteenth-century debates about the efficacy of Turbull’s treatments for deafness. Turnbull’s methods may have been in question, but Alfred Russel Wallace’s 1876 map of evolution in the natural world has stood the test of time, since it was only just updated in 2012. RIP to Rita Levi-Montalcini, a truly useful person who brought benefits to society throughout her life. She recently died at the age of 103 after a full life in which she overcame anti-semitism, a male-dominated establishment and scientific dogma — and won the Nobel prize.

Sloane lived at a time when medical and scientific authority was in flux, as they tried to establish who should be considered reliable–a question that hasn’t gone away, just changed form. Seth LeJacq discusses the different treatments for breast cancer preferred by early modern surgeons and their patients, while Vanessa Heggie considers the history of dieting advice. Kirsten Walsh at Early Modern Experimental Philosophy suggests that Isaac Newton and his contemporary experimental philosophers had fundamentally different worldviews, while Thony Christie asks who kept Stephen Grey from publishing in the Philosophical Transactions. Possibly Sloane… In December, there was a hullabaloo about science, authority, and criticism, which is summed up nicely by Rebekah Higgit who wonders what scientists and historians each bring to the analysis of science in society.

Museums are sites where authority, utility, and curiosity all come together, much as they did in Sloane’s own collections. At American Science, Lukas Rieppel ponders the rise and fall of a research mission in a natural history museum: what does it say about the broader society when a museum decides that research is no longer important? Sloane, who collected so that he might understand the world around him, would have been troubled by the lack of curiosity in curiosities.

Giants’ Shoulders #56 will be hosted by Michael Barton (@darwinsbulldog) at The Dispersal of Darwin on February 16. See you there!

Sir Hans Sloane’s Will of 1739

Posted on January 11, 2013 by - Collecting, Early Modern History, Family, Hans Sloane, Hans Sloane's Personal Life, History of Science, Museums, Religion

Sir Hans Sloane died on this day, 11 January 1753. Sloane, as I’ve noted before, is notoriously tricky to find since his letters are scattered and he wrote relatively little. His will is, oddly enough, one of the few documents that provides hints of the man behind the collection. Here, I’ll focus on the 1739 version of his will.[1]

Portrait of Sir Hans Sloane. Credit: Wellcome Library, London.

Sloane’s wishes were simple in the first instance: to be buried in Chelsea, to have his intimates invited to the funeral, and that his friends be given rings worth twenty shillings. His landed estates were divided into thirds for his eldest daughter Mrs Stanley, youngest daughter Lady Cadogan, and his niece Fowler (who was in the Elsmere family). He also left any of his “live rare animals” to the care of the Duke of Richmond.

Considering the size of his collections and properties, he left relatively modest bequests. Perhaps he was cash-strapped. Indeed, he made alternative provisions for his heirs in case the sale of the collections didn’t raise sufficient funds! He left fifty pounds each to his nephew William Sloane, sister Alice Elsmere and to her son Sloane Elsmere, but £200 to each of her two daughters. His grandson Hans Stanley and a John Roberts of Lincoln’s Inn received £100. Notably, the most vulnerable family members–unmarried nieces and young men–received the largest gifts.

His bequests to servants were comparatively generous. Two of his named servants, Henry Darlington and Martha Katling, were to receive an annuity of ten pounds for the rest of their lives, while all of his servants would receive one full year’s wages in addition to wages owed and five pounds to buy mourning clothes.[2]

What he saw as his greatest legacy, however, were the intangibles. When it came to his daughters, relations, and friends, he “earnestly recommend[ed] to them the practice of moral and religious duties, as being of greater use to them than any thing I can leave them”. This would help them “through the difficulties of [life], with more inward quiet, satisfaction and better health than otherways, and with the esteem and respect of their friends and acquaintance”.

Sloane also valued his collection not for its worth or objects, but for the reasons why he had collected. He wrote at length about how and why he had built his collections.

From my youth I have been a great observer and admirer of the wonderful power, wisdom and contrivance of the Almighty God, appearing in the works of his Creation; and have gathered together many things in my own travels or voyages, or had them from others.

One of these “others” was William Courten, his “ever honoured, late friend”, who had left him an entire collection. To this collection, Sloane had added printed and manuscript books, “natural and artificial curiosities, precious stones, books of dryed samples of plants, miniatures, drawings, prints, medals”. Sloane’s collection was now valued at over £50000.

Sloane hoped that his executors (son-in-law Charles Lord Cadogan, nephew William Sloane and Chelsea rector Sloane Elsmere) would keep the collection together as something that would not just outlast him, but because it had wider uses: “the manifestation of the glory of God, the confutation of atheism and its consequences, the use and improvement of physic, and other arts and sciences, and benefit of mankind”. For Sloane, it seems that he real importance of his collections was knowledge of the natural world and a deeper understanding of God.

More specifically, though, his will and desire was that the government of Great Britain would understand the collection’s true value and purchase it at the bargain price of £20000. To this end, Sloane requested that his friends who had access to the King, George II–the Duke of Richmond, Lord Cadogan, Sir Robert Walpole, Sir Paul Methuen and Mr. Edgcombe–would intercede on his behalf. If Britain refused, the collection should be offered to (in this order) the Royal Society, Oxford University, Edinburgh College of Physicians, Paris Academy of Sciences, St. Petersburg Academy of Sciences, Berlin Academy of Sciences or Madrid Academy of Sciences.

Later codicils to the will are intriguing, hinting at Sloane’s changing self-perception and public interest in his collections over time. Servants received more money. He rethought the list of potential buyers for the collection. And, above all, he emphasised the ways in which his collections would benefit the British nation. But that is subject enough for another post!

[1] Sir Hans Sloane, The Will of Sir Hans Sloane, Bart. Deceased (London, 1753).

[2] 10 pounds in 1753 is worth approximately 850 pounds today, while 100 pounds is worth approximately 8500 pounds. For a sense of what these bequests could buy during the eighteenth century, see Old Bailey Online.

Eighteenth-Century Ear Worms

Posted on November 5, 2012 by - Animal History, Early Modern History, History of Science, Patients, Remedies

In 1702, Mr. Hare, the Vicar of Cardington in Bedfordshire, wrote to Sloane with a “matter of fact”: a case of ear worms. Gory it may be, but this tale tells us much about domestic medical practices and popular scientific interests!

Hare reported that a young man—who lodged in the same house as him—had been suffering from some running humour and pain in his right ear, which he’d tried to treat with clean wool and honey. After several days, a maid in the house examined the lodger’s ear when she noticed it was bleeding. She “saw something working in his Ear like maggots” and promptly sent for a neighbouring woman to help. The neighbour’s remedy: an application of the steam of warm milk.

Hare took a look at the ear later that day, describing the worms inside as “large maggots in shape & Colour like those that commonly breed in putrefied flesh.” He began to pick out “a great number of Insects”, counting twenty-four. Although there were more worms in the ear, Hare could not extract them; they had burrowed in too deep during the operation. Instead, he left the patient “for about an hour in which time he was very uneasy & full of pain”, with a “thick bloody matter” in the ear. Fortunately, the remaining worms had started to work their way out and Hare “pickd out nine more” during a second attempt. The patient “found himself more at ease upon which we concluded that there were no more.” By the following day the young man had entirely recovered.

Illustrations from the English translation of Nicolas Andry’s An Account of the Breeding of Worms in Human Bodies, London, 1701 (Source: Wikimedia Commons)

Hare provided several details about domestic medical practices. The young man started off with self-treatment. A maid in the house examined his ear. A neighbouring woman and a clergyman (Hare) administered further treatments. This was typical of the process of seeking medical advice. Physicians and surgeons were seldom the first point of medical assistance—and some problems might be sorted out before their help was even necessary.

We also have some clues as to what sorts of treatments they tried. The honey and cotton wool would have been readily available and were the sort of basic application that one might try to treat an ear problem. According to the Countess of Kent’s A Choice Manual (1687), various types of simple applications for inflammations or injuries included honey. The milk steam also makes sense. In popular thought, milk was thought to draw worms out. But there were various ways this might be administered. In An Account of the Breeding of Worms in Human Bodies (1701), for example, Nicolas Andry referred to injecting warm women’s milk into the ear.

The timing of the letter suggests that the observation was offered in response to Nicolas Andry’s treatise, which had been published in English only the year before. Andry identified the different types of bodily worms, which he attributed to eggs hatching inside the body. In the human head, for example, worms might occur in the brain, nose, eyes, teeth, or ears. An Account detailed Andry’s experiments with a microscope as he explored the inner world of the human body and its many worms—including spermatozoa. Hare called his letter as a “matter of fact” (eyewitness testimony about an observation), but it was of limited scientific value and never appeared in the Philosophical Transactions. His keenness to share his account about a timely subject, however, suggests a man who was deeply interested in science and medicine.

And the account itself reveals a man who had a very steady hand…

An Invitation to View a ‘Monster’

Posted on October 29, 2012 by - Collecting, Early Modern History, Hans Sloane, History of Medicine, History of Science, Philosophical Transactions, Religion

Amidst Sloane’s letters is a handwritten advertisement:

An admirable Curiosity of Nature being a Surprising Instance of a monstrous and preternatural birth lately in France to Children Joyned together in the Body. With Two Backs one Breast one Heart and Two Entrails one Head and Two faces Three Tongues in one mouth. The Bodies having their Proper Members so that Monster has Four arms and Four hands on which are sixteen Fingers and Four Thumbs Four Thighs Four legs and Feet and Toes proportionable with perfect nails on both Toes and Fingers. It being at full birth and lived the Space of Four Days. This wonderful curiosity may be brought to any gentleman’s House.

It is an intriguing note, lacking an author’s name or date. But it makes me wonder: did Sloane arrange to view this curiosity?

There are several accounts of unusual births—severely deformed children or animals—in Sloane’s correspondence, some of which appear in the Philosophical Transactions. Monstrous births were a source of great fascination to early modern people; besides being the subject of many treatises and pamphlets, such curiosities were regularly exhibited (for a fee) across Europe.

Nicolaus Tulpius, Conjoined twins (1652).
Credit: Wellcome Library, London. Wellcome Images

The term ‘monster’ comes from Latin, meaning portent or warning. And this was how many people understood them—as a message from God that indicated the mother’s sins or served to caution the wider community about its morals. Other people were simply curious and wanted entertainment, keen to pay the money to see something so unusual. Natural philosophers such as Sloane, however, wanted to understand why such births occurred. Perhaps they were part of the natural world after all, just a matter of excess, or one of God’s secrets placed in nature for man to uncover. But first, natural philosophers needed to distinguish the real from the fake. Given the possibilities of profit and fame, trickery was certainly possible.

Sloane did not indicate that he saw the curiosity. He was a busy man and probably would have relied on word of mouth to decide whether or not it was worth his while to view it. Nonetheless, it is interesting that he bothered to keep the invitation at all. It is arguable that this was simply a random scrap of paper that was caught up in his papers, but I think it is more likely that the invitation acted as a memory device, either to recall that a particular curiosity had come to London or that it was one he had seen. Most significant of all, however, is that he never printed an account by anyone in the Philosophical Transactions that matches the description of this curiosity.

Not all monsters, apparently, were interesting—either as a hoax or medical case!

Glimpses into Daily Life: The Earthquake of 1703

Posted on October 15, 2012 by - Early Modern History, Environment History, Family, Hans Sloane's Personal Life, History of Science, Networks, Philosophical Transactions, Religion, Royal Society

In January 1703/4, Ralph Thoresby (an antiquary of Leeds and fellow of the Royal Society) sent Sloane a collection of accounts of an earthquake in the north of England on Childermas Day (December 28th) around five in the evening. Thoresby’s letter, and a second one on the earthquake, appeared in the Philosophical Transactions 24 (1704). The earthquake had been strongest in Hull, so Thoresby wrote first to the “most suitable person I know” there: Mr Banks, The Prebendary of York and Vicar of Hull. Thoresby also had accounts from friends and relatives across the north of England: his sister (a Parson’s wife), a minister who was related, and a minister named Mr Travers. The story is interesting on its own merits, but it also reveals much about the overlap between religion and science, the collection of scientific information and the activities of daily life.

Wenceslaus Hollar, Hull (17th century). Source: Wikipedia, Courtesy of the Thomas Fisher Rare Book Library, Wenceslaus Hollar Digital Collection, University of Toronto.

Mr Banks had relatively little to say for himself, having been walking through the noisy town streets on his way “to visit a sick Gentleman”. His Reader, however, the “ingenious good man” Mr Peers, had been writing at his desk and was “affrighted” when the desk and chair began to heave and the chamber and window shook. Mr Banks had twenty more such accounts from tradesmen. Mrs Banks had been concerned about the china in her closet [small private room] falling on her, while the rest of the family heard the pewter and windows rattling. Some of the accounts were more amusing. A neighbouring gentlewoman found her chair lifted so high that she thought her “great Dog had got under it”. And in a nearby ale house, the company was so merry that they did not even notice the chimney falling down. Only the landlady’s mother, who was in a chamber on her own, “felt the shock so violent, that she verily believ’d the house to be coming down” and nearly fell over. The accounts from Thoresby’s relatives and friends were similar.

The earthquake came one month after the largest natural disaster in the British Isles, the Great Storm of 1703. Mr Banks concluded that “Famines, Pestilences and Earthquakes, are joined by our Blessed Saviour, as portending future calamities.” In this case, he feared “the approach of some more dreadful Earthquake” and he prayed “God of his infinite mercy to avert his future Judgments.”

As Thoresby’s reports suggest, the exploration of the natural world and a firm belief in God went hand-in-hand in the eighteenth century. Thoresby had a longstanding interest in natural events such as unusual weather or earthquakes, and several of his letters on these subjects were published in the journal. Thoresby was typical of his time. Like Mr Banks, he believed that these events were signs from God. But these were not merely punishments. By Divine Providence, God might show his favour by protecting people from the worst. The terrible storm and the recent earthquake were warnings to be heeded. But if one could uncover the cause of these events, it might be possible to prevent them in the future.

NPG D27320; Ralph Thoresby by J. Baker, after George Vertue, after James Parmentier, line engraving, circa 1696 (with permission of the National Portrait Gallery)

Thoresby’s letters also reveal his information gathering process. Although Thoresby had not been in Hull, he knew just who to ask. In less than a month, Thoresby had heard back from Mr Banks, who had spoken to at least twenty-five people about their experiences. Thoresby then passed it on to Sloane who, as Secretary of the Royal Society, might publish the account in the Philosophical Transactions. It was, nonetheless, important to establish the credibility of one’s sources. Mr Banks was “suitable”, Mr Peers “ingenious good” and several of the others were listed as ministers, gentlewoman, or “Parson’s wife”. These were the accounts that received precedence, being from people considered reliable. This list also highlights Thoresby’s wider social and intellectual networks. Thoresby might be a fellow of the Royal Society and have access to Sloane’s attention, but his own information gathering occurred primarily within his own social group, the middling ranks of clergymen and tradesmen.

The accounts also tell us what was going in Hull at five in the afternoon when the earthquake happened. Mr Banks was walking through the lively town centre, on his way to visit a sick person. Mrs Banks kept the china in her closet, which is where she was, and many of the family members were at home. The Banks family were also obviously comfortable in their domestic arrangements, owning as they did both pewter and china. Mr Peers, Mr Travers, and twenty tradesmen were busy writing at their desks. A neighbouring woman kept a large dog, which was clearly known for causing similar domestic havoc. The nearby ale house, run by a woman, was thriving, and at least one member of her family lived above. Thoresby’s relative the minister was visiting a gentleman and his sister was “sadly frighted” while alone in her room. The drama of the earthquake contrasts sharply with the homeliness of regular activities.

A short scientific report, perhaps. But one that offers a fascinating glimpse into the daily life of Thoresby and his friends – encapsulating their religious beliefs, information networks, social status, family relationships, and cozy domesticity.

Making Friends in Early Modern England: Sloane and the Willughbys

Posted on September 24, 2012 by - Early Modern History, Hans Sloane, History of Science, Networks, Patients, Royal Society

The narrative usually associated with Sloane’s early career is one of luck, key patrons, and opportunities. It goes something like this… In 1685, aged 25, Sloane finished his medical degree at the University of Orange and moved back to London. Robert Boyle, his friend, helped Sloane to obtain an apprenticeship with the famous Thomas Sydenham. Two years later, Sloane had another wonderful opportunity when he became personal physician to the Duke of Albemarle, the new Governor of Jamaica. He returned to London in 1689, after the Duke died, but had during his stay in Jamaica found a wealthy wife and started an extensive exotic botanical collection. From this point, his career was set.

But Sloane’s correspondence suggests that Sloane worked hard to build up his own social and patronage networks. What often gets left out of the grand narrative of immediate success is that Sloane remained a household physician for four years to the widowed Duchess of Albemarle (who remarried, becoming Duchess of Montagu). A comfortable position, perhaps, but one of dependence. It wasn’t until 1693 that Sloane became an independent man. He began his private medical practice and became second secretary for the Royal Society. He also started a friendship with the Willughby family. In early modern Europe, patronage and friendship were closely related—the word ‘friend’ could refer to either, or both. Sloane’s relationship with the Willughbys reveals his care in cultivating friendships.

The Willughbys were a gentry family known for their naturalist interests. Francis Willughby (d. 1672) had been an active Royal Society member and his children Thomas and Cassandra also took an interest in natural history. Miss Willughby oversaw her brother’s gardens and catalogued her father’s library. They also had a connection with a close friend of Sloane’s, John Ray. Francis Willughby was Ray’s patron, giving him employment as household chaplain and tutor to the children and leaving him a generous annuity to continue his scholarship full time. Making friends with such a family could only help Sloane’s career.

Cassandra Willughby married widower James Brydges, Duke of Chandos in 1713. Sloane advised the Duke, who was involved in the Royal African Company, on botanical matters and slave inoculation. (Chandos family portrait by Kneller, 1713. Source: National Gallery of Canada, Wikimedia Commons. )

Sloane wrote the first letter to Miss Willughby on behalf of the Duke of Montagu in November. Lord Montagu enquired after the family’s health, remembering their ‘greate favours to his sonne the last summer’ (BL Sl. MS 4066, f. 164). In a second letter, this time on his own behalf, Sloane presented two favours (BL Sl. MS 4068, ff. 13-14). He shared the news that he had successfully proposed Thomas Willughby for fellow of the Royal Society and enclosed a recipe for cashew sugar enjoyed by Miss Willughby at Montagu House.

These were offerings to potential friends, but also emphasised Sloane’s scientific connections and sociability. The Royal Society nomination was Sloane’s initiative, ‘Mr Thomas Willughby giving me leave to propose him’. Sloane promised that when Willughby came to London, ‘I will wait on him & carry him thither’, something that further marked Sloane out as a well-connected member of the Royal Society.  Introducing the new Fellow was not just a courtesy, but gave Sloane a chance to show his own extensive network.

The recipe for Miss Willughby was particularly meaningful, suggesting at its most basic that he had attentively noticed her food preferences. Recipe exchange was also a form of social currency. Bonds were strengthened through sharing secret knowledge and assuming future reciprocity. The recipe also featured cashews, an imported, high-status food that casually referenced Sloane’s and Miss Willughby’s shared interest in botany. Sloane would later provide the Willughbys with other favours; his early offer of service to the family established a long-lasting relationship.

Willughby’s family home, Wollaton Hall (Samuel Hieronymous Grimm, 1773). Source: British Library, Wikimedia Commons.

In return, the Willughbys often consulted Sloane on medical matters. The correspondence does not specify other ways in which the Willughbys reciprocated, but there are hints. When Willughby thanked Sloane for his help in finding a house to rent, Willughby complained that he had not been able to come to London and instead hoped that he ‘could tempt [Sloane]’ to visit him in Nottinghamshire soon BL Sl. MS 4062, f. 13). The invitation was a return of Sloane’s help and indicated a genuine interest in seeing a friend.

Sloane also used his position with the family to request favours on behalf of John Ray’s family.  At Ray’s death in 1705, for example, his widow Margaret told Sloane that the family had been left with £40 annually. She appealed to Sloane to ask Willughby for half a year’s salary that would cover the costs from Ray’s illness and funeral. Willughby was indeed ‘very sorry Mr Ray has left his family in so ill a condition’ and given Ray’s reputation and service, was ‘willing to doe what you ask of me if there is reasonable occasion in charity to the widow to doe it’ (BL Sl. MS 4062, f. 24). Willughby provided other support to the family, sending £20 to Sloane for them and discussing a Ray monument (BL Sl. MS 4062, f. 22).

Sloane’s assistance must have been effective. Margaret Ray thanked Sloane in 1706, sending her gratitude to Willughby. In this case, Sloane tapped into his other friendships to help the Rays.  The Willughbys were Ray’s patrons, with Thomas Willughby paying £12 more annually than his father’s will specified (BL Sl. MS 4062, f. 24), but Mrs Ray did not feel able to approach them directly.  Sloane, however, was in a good position to help, being Willughby’s friend and social equal.

When Sloane met the Willughbys, he was at a transitional point in his career. He was starting to be able to use his newfound status to expand his circle of friends and potential sources of patronage. By the early eighteenth century, Sloane had developed extensive scientific, medical and collecting networks through which he could obtain, give and negotiate favours. Sloane’s success was not just a matter of luck and important patrons, but was closely tied to his efforts in building relationships and exchanging favours, just as he’d done with the Willughbys. The idea of winning friends and influencing people as a career strategy is not just a twentieth-century concept…

And Sloane was very, very good at it.

A longer version of this case is discussed in my soon-to-be-out chapter, “Friend and Physician to the Family” in From Books to Bezoars: Sir Hans Sloane and His Collections, eds. M. Hunter, A. Walker and A. MacDonald (University of Chicago Press, 2012).

 

 

Meeting Sloane

Posted on September 15, 2012 by - Collecting, Early Modern History, Hans Sloane, History of Medicine, History of Science

Sir Hans Sloane (1660-1753) was a great collector of his age. He collected curiosities, books, manuscripts, art, botanical samples, coins… He even collected knowledge, as secretary of the Royal Society and editor of the Philosophical Transactions (1695-1712), and kept his extensive correspondence from other people (forty-one volumes alone at the British Library). Despite his sizeable library and museum, Sloane himself remains elusive. He published relatively little and kept few drafts of his own letters. So, we often meet Sloane through the eyes of others.

Gottfried Kneller, Portrait of Hans Sloane (Source: Scientific Identity: Portraits from the Dibner Library of the History of Science and Technology, Smithsonian Libraries)

In August 1742, Henry Newman described his recent visit to Sloane’s new home in Chelsea (Wellcome Library, A letter by Henry Newman, 21 August 1742, WMS 7633/10; pictured above on blog banner). Sloane was 82 and had supposedly retired the year before because of poor health. Retirement for Sloane, however, was a busy affair. According to Newman, Sloane started his day by visiting the local Coffeeshop of Rarities via the garden passage that he’d had built. This ensured that Sloane did not “want company nor amusements”,  even though he had left London. From 5:00 to 6:00, Sloane saw patients and had his servant show visitors “his apartement of Curiosities”.

Newman was “indulg’d” in both activities. He first consulted Sloane about his asthma (caused, he reported, by living in London’s smoke), then was taken on a tour of the collections by Sloane’s servant. Newman noted the sheer size of the library–49,000 books and manuscripts. But what Newman admired most was the effectiveness of Sloane’s catalogues. Catalogues were crucial, both for finding items and for ensuring that everything remained in the same order as it had been in Bloomsbury. There were thousands of glasses with preserved animals also in precise order. The scale of Sloane’s move to Chelsea had been enormous, but “there was not one broke nor one book lost or mislaid”.

Among Sloane’s regular visitors was Princess Amelia. Newman reported that the Princess and her sisters had already visited Sloane three times, but as he “waited on Sr Hans they sent to know when they might come again”. All this description, Newman told his friend, was “to anticipate the pleasure you will have in viewing” the collections. Newman also hoped that Sloane’s “usefull life will be prolong’d many years by the change of his situation”.

Perhaps, as ever, the focus is really on Sloane’s collections. But there are tantalizing glimpses of the man himself. Even in retirement, he continued to practice medicine and to visit the coffeehouse for company. This suggests a sociable man who liked to keep busy and who continued to value his medical skills; others, like Newman, also thought highly Sloane’s experience, deeming him “usefull”. Sloane’s ability to keep his collections organised so that others could enjoy them was particularly impressive. Above all, though, Newman took much pleasure in his visit with Sloane–as did apparently the Princess, a repeat visitor: Sloane’s collections were only part of the attraction for his visitors.