  SIR WILLIAM GULL's ACCOUNT OF HIS ILLNESS. I have availed myself of the permission implied in the subjoined letter of Sir William Gull to make large extracts from his account of Mr. Motley's condition while under his medical care. In his earlier years he had often complained to me of those "nervous feelings connected with the respiration" referred to by this very distinguished physician. I do not remember any other habitual trouble to which he was subject. 74 BROOK STREET, GROSVENOR SQUARE, W. February 13, 1878. MY DEAR SIR,—I send the notes of Mr. Motley's last illness, as I promised. They are too technical for general readers, but you will make such exception as you require. The medical details may interest your professional friends. Mr. Motley's case was a striking illustration that the renal disease of so-called Bright's disease may supervene as part and parcel of a larger and antecedent change in the blood-vessels in other parts than the kidney. . . . I am, my dear sir, Yours very truly, To OLIVER WENDELL HOLMES, ESQ. I first saw Mr. Motley, I believe, about the year 1870, on account of some nervous feelings connected with the respiration. At that time his general health was good, and all he complained of was occasionally a feeling of oppression about the chest. There were no physical signs of anything abnormal, and the symptoms quite passed away in the course of time, and with the use of simple antispasmodic remedies, such as camphor and the like. This was my first interview with Mr. Motley, and I was naturally glad to have the opportunity of making his acquaintance. I remember that in our conversation I jokingly said that my wife could hardly forgive him for not making her hero, Henri IV., a perfect character, and the earnestness with which he replied 'au serieux,' I assure you I have fairly recorded the facts. After this date I did not see Mr. Motley for some time. He had three slight attacks of haemoptysis in the autumn of 1872, but no physical signs of change in the lung tissue resulted. So early as this I noticed that there were signs of commencing thickening in the heart, as shown by the degree and extent of its impulse. The condition of his health, though at that time not very obviously failing, a good deal arrested my attention, as I thought I could perceive in the occurrence of the haemoptysis, and in the cardiac hypertrophy, the early beginnings of vascular degeneration. In August, 1873, occurred the remarkable seizure, from the effects of which Mr. Motley never recovered. I did not see him in the attack, but was informed, as far as I can remember, that he was on a casual visit at a friend's house at luncheon (or it might have been dinner), when he suddenly became strangely excited, but not quite unconscious. . . . I believed at the time, and do so still, that there was some capillary apoplexy of the convolutions. The attack was attended with some hemiplegic weakness on the right side, and altered sensation, and ever after there was a want of freedom and ease both in the gait and in the use of the arm of that side. To my inquiries from time to time how the arm was, the patient would always flex and extend it freely, but nearly always used the expression, "There is a bedevilment in it;" though the handwriting was not much, if at all, altered. In December, 1873, Mr. Motley went by my advice to Cannes. I wrote the following letter at the time to my friend Dr. Frank, who was practising there:— [This letter, every word of which was of value to the practitioner who was to have charge of the patient, relates many of the facts given above, and I shall therefore only give extracts from it.] December 29, 1873. MY DEAR DR. FRANK,—My friend Mr. Motley, the historian and late American Minister, whose name and fame no doubt you know very well, has by my advice come to Cannes for the winter and spring, and I have promised him to give you some account of his case. To me it is one of special interest, and personally, as respects the subject of it, of painful interest. I have known Mr. Motley for some time, but he consulted me for the present condition about midsummer. . . . If I have formed a correct opinion of the pathology of the case, I believe the smaller vessels are degenerating in several parts of the vascular area, lung, brain, and kidneys. With this view I have suggested a change of climate, a nourishing diet, etc.; and it is to be hoped, and I trust expected, that by great attention to the conditions of hygiene, internal and external, the progress of degeneration may be retarded. I have no doubt you will find, as time goes on, increasing evidence of renal change, but this is rather a coincidence and consequence than a cause, though no doubt when the renal change has reached a certain point, it becomes in its own way a factor of other lesions. I have troubled you at this length because my mind is much occupied with the pathology of these cases, and because no case can, on personal grounds, more strongly challenge our attention. Yours very truly, During the spring of 1874, whilst at Cannes, Mr. Motley had a sharp February 20, 1875. MY DEAR Mr. MOTLEY,—. . . The examination I have just made appears to indicate that the main conditions of your health are more stable than they were some months ago, and would therefore be so far in favor of your going to America in the summer, as we talked of. The ground of my doubt has lain in the possibility of such a trip further disordering the circulation. Of this, I hope, there is now less risk. On the 4th of June, 1875, I received the following letter:— CALVERLY PARK HOTEL, TUNBRIDGE WELLS, MY DEAR SIR WILLIAM,—I have been absent from town for a long time, but am to be there on the 9th and 10th. Could I make an appointment with you for either of those days? I am anxious to have a full consultation with you before leaving for America. Our departure is fixed for the 19th of this month. I have not been worse than usual of late. I think myself, on the contrary, rather stronger, and it is almost impossible for me not to make my visit to America this summer, unless you should absolutely prohibit it. If neither of those days should suit you, could you kindly suggest another day? I hope, however, you can spare me half an hour on one of those days, as I like to get as much of this bracing air as I can. Will you kindly name the hour when I may call on you, and address me at this hotel. Excuse this slovenly note in pencil, but it fatigues my head and arm much more to sit at a writing-table with pen and ink. Always most sincerely yours, On Mr. Motley's return from America I saw him, and found him, I In December, 1875, Mr. Motley consulted me for trouble of vision in reading or walking, from sensations like those produced by flakes of falling snow coming between him and the objects he was looking at. Mr. Bowman, one of our most excellent oculists, was then consulted. Mr. Bowman wrote to me as follows: "Such symptoms as exist point rather to disturbed retinal function than to any brain-mischief. It is, however, quite likely that what you fear for the brain may have had its counterpart in the nerve-structures of the eye, and as he is short-sighted, this tendency may be further intensified." Mr. Bowman suggested no more than such an arrangement of glasses as might put the eyes, when in use, under better optic conditions. The year 1876 was passed over without any special change worth notice. The walking powers were much impeded by the want of control over the right leg. The mind was entirely clear, though Mr. Motley did not feel equal, and indeed had been advised not to apply himself, to any literary work. Occasional conversations, when I had interviews with him on the subject of his health, proved that the attack which had weakened the movements of the right side had not impaired the mental power. The most noticeable change which had come over Mr. Motley since I first knew him was due to the death of Mrs. Motley in December, 1874. It had in fact not only profoundly depressed him, but, if I may so express it, had removed the centre of his thought to a new world. In long conversations with me of a speculative kind, after that painful event, it was plain how much his point of view of the whole course and relation of things had changed. His mind was the last to dogmatize on any subject. There was a candid and childlike desire to know, with an equal confession of the incapacity of the human intellect. I wish I could recall the actual expressions he used, but the sense was that which has been so well stated by Hooker in concluding an exhortation against the pride of the human intellect, where he remarks:— "Dangerous it were for the feeble brain of man to wade far into the doings of the Most High; whom although to know be life, and joy to make mention of His Name, yet our soundest knowledge is to know that we know Him, not indeed as He is, neither can know Him; and our safest eloquence concerning Him is our silence, when we confess without confession that His glory is inexplicable, His greatness above our capacity and reach. He is above and we upon earth; therefore it behoveth our words to be wary and few." Mrs. Motley's illness was not a long one, and the nature of it was such that its course could with certainty be predicted. Mr. Motley and her children passed the remaining days of her life, extending over about a month, with her, in the mutual under standing that she was soon to part from them. The character of the illness, and the natural exhaustion of her strength by suffering, lessened the shock of her death, though not the loss, to those who survived her. The last time I saw Mr. Motley was, I believe, about two months before his death, March 28, 1877. There was no great change in his health, but he complained of indescribable sensations in his nervous system, and felt as if losing the whole power of walking, but this was not obvious in his gait, although he walked shorter distances than before. I heard no more of him until I was suddenly summoned on the 29th of May into Devonshire to see him. The telegram I received was so urgent, that I suspected some rupture of a blood- vessel in the brain, and that I should hardly reach him alive; and this was the case. About two o'clock in the day he complained of a feeling of faintness, said he felt ill and should not recover; and in a few minutes was insensible with symptoms of ingravescent apoplexy. There was extensive haemorrhage into the brain, as shown by post-mortem examination, the cerebral vessels being atheromatous. The fatal haemorrhage had occurred into the lateral ventricles, from rupture of one of the middle cerebral arteries. I am, my dear Sir, E.FROM THE PROCEEDINGS OF THE MASSACHUSETTS SOCIETY.At a meeting of the Massachusetts Historical Society, held on Thursday, the 14th of June, 1877, after the reading of the records of the preceding meeting, the president, the Hon. Robert C. Winthrop, spoke as follows: "Our first thoughts to-day, gentlemen, are of those whom we may not After a most interesting and cordial tribute to his friend, Mr. Quincy, "The death of our distinguished associate, Motley, can hardly have taken many of us by surprise. Sudden at the moment of its occurrence, we had long been more or less prepared for it by his failing health. It must, indeed, have been quite too evident to those who had seen him, during the last two or three years, that his life-work was finished. I think he so regarded it himself. "Hopes may have been occasionally revived in the hearts of his friends, and even in his own heart, that his long-cherished purpose of completing a History of the Thirty Years' War, as the grand consummation of his historical labors,—for which all his other volumes seemed to him to have been but the preludes and overtures, —might still be accomplished. But such hopes, faint and flickering from his first attack, had well-nigh died away. They were like Prescott's hopes of completing his 'Philip the Second,' or like Macaulay's hopes of finishing his brilliant 'History of England.' "But great as may be the loss to literature of such a crowning work from Motley's pen, it was by no means necessary to the completeness of his own fame. His 'Rise of the Dutch Republic,' his 'History of the United Netherlands,' and his 'Life of John of Barneveld,' had abundantly established his reputation, and given him a fixed place among the most eminent historians of our country and of our age. "No American writer, certainly, has secured a wider recognition or a higher appreciation from the scholars of the Old World. The universities of England and the learned societies of Europe have bestowed upon him their largest honors. It happened to me to be in Paris when he was first chosen a corresponding member of the Institute, and when his claims were canvassed with the freedom and earnestness which peculiarly characterize such a candidacy in France. There was no mistaking the profound impression which his first work had made on the minds of such men as Guizot and Mignet. Within a year or two past, a still higher honor has been awarded him from the same source. The journals not long ago announced his election as one of the six foreign associates of the French Academy of Moral and Political Sciences,—a distinction which Prescott would probably have attained had he lived a few years longer, until there was a vacancy, but which, as a matter of fact, I believe, Motley was the only American writer, except the late Edward Livingston, of Louisiana, who has actually enjoyed. "Residing much abroad, for the purpose of pursuing his historical researches, he had become the associate and friend of the most eminent literary men in almost all parts of the world, and the singular charms of his conversation and manners had made him a favorite guest in the most refined and exalted circles. "Of his relations to political and public life, this is hardly the 'O place and greatness, millions of false eyes "I forbear from all application of the lines. It is enough for me, "His fame, however, was quite beyond the reach of any such accidents, and could neither be enhanced nor impaired by appointments or removals. As a powerful and brilliant historian we pay him our unanimous tribute of admiration and regret, and give him a place in our memories by the side of Prescott and Irving. I do not forget how many of us lament him, also, as a cherished friend. "He died on the 29th ultimo, at the house of his daughter, Mrs. Sheridan, in Dorsetshire, England, and an impressive tribute to his memory was paid, in Westminster Abbey, on the following Sunday, by our Honorary Member, Dean Stanley. Such a tribute, from such lips, and with such surroundings, leaves nothing to be desired in the way of eulogy. He was buried in Kensal Green Cemetery, by the side of his beloved wife. "One might well say of Motley precisely what he said of Prescott, in a letter from Rome to our associate, Mr. William Amory, immediately on hearing of Prescott's death: 'I feel inexpressibly disappointed —speaking now for an instant purely from a literary point of view —that the noble and crowning monument of his life, for which he had laid such massive foundations, and the structure of which had been carried forward in such a grand and masterly manner, must remain uncompleted, like the unfinished peristyle of some stately and beautiful temple on which the night of time has suddenly descended. But, still, the works which his great and untiring hand had already thoroughly finished will remain to attest his learning and genius, —a precious and perpetual possession for his country." …………………………… The President now called on Dr. Oliver Wendell Holmes, who said:— "The thoughts which suggest themselves upon this occasion are such as belong to the personal memories of the dear friends whom we have lost, rather than to their literary labors, the just tribute to which must wait for a calmer hour than the present, following so closely as it does on our bereavement." …………………………… "His first literary venture of any note was the story called 'Morton's Hope; or, The Memoirs of a Provincial.' This first effort failed to satisfy the critics, the public, or himself. His personality pervaded the characters and times which he portrayed, so that there was a discord between the actor and his costume. Brilliant passages could not save it; and it was plain enough that he must ripen into something better before the world would give him the reception which surely awaited him if he should find his true destination. "The early failures of a great writer are like the first sketches of a great artist, and well reward patient study. More than this, the first efforts of poets and story-tellers are very commonly palimpsests: beneath the rhymes or the fiction one can almost always spell out the characters which betray the writer's self. Take these passages from the story just referred to: "'Ah! flattery is a sweet and intoxicating potion, whether we drink it from an earthen ewer or a golden chalice. . . . Flattery from man to woman is expected: it is a part of the courtesy of society; but when the divinity descends from the altar to burn incense to the priest, what wonder if the idolater should feel himself transformed into a god!' "He had run the risk of being spoiled, but he had a safeguard in his aspirations. "'My ambitious anticipations,' says Morton, in the story, were as boundless as they were various and conflicting. There was not a path which leads to glory in which I was not destined to gather laurels. As a warrior, I would conquer and overrun the world; as a statesman, I would reorganize and govern it; as a historian, I would consign it all to immortality; and, in my leisure moments, I would be a great poet and a man of the world.' |
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