C.
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,
WILLIAM W. GULL.

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,
WILLIAM W. GULL.
During the spring of 1874, whilst at Cannes, Mr. Motley had a sharp
attack of nephritis, attended with fever; but on returning to
England in July there was no important change in the health. The
weakness of the side continued, and the inability to undertake any
mental work. The signs of cardiac hypertrophy were more distinct.
In the beginning of the year 1875 I wrote as follows:—
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,
June 4, 1875.
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,
My dear Sir William,
J. L. MOTLEY.
On Mr. Motley's return from America I saw him, and found him, I
thought, rather better in general health than when he left England.
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,
Yours very truly,
WILLIAM W. GULL.

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
again welcome to these halls. We shall be in no mood, certainly,
for entering on other subjects this morning until we have given some
expression to our deep sense of the loss—the double loss—which our
Society has sustained since our last monthly meeting.”—[Edmund
Quincy died May 17. John Lothrop Motley died May 29.]

After a most interesting and cordial tribute to his friend, Mr. Quincy, Mr. Winthrop continued:

“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
occasion or the moment for speaking in detail. Misconstructions and
injustices are the proverbial lot of those who occupy eminent
position. It was a duke of Vienna, if I remember rightly, whom
Shakespeare, in his 'Measure for Measure,' introduces as
exclaiming,—
'O place and greatness, millions of false eyes
Are stuck upon thee! Volumes of report
Run with these false and most contrarious quests
Upon thy doings! Thousand 'stapes of wit
Make thee the father of their idle dream,
And rack thee in their fancies!'
“I forbear from all application of the lines. It is enough for me,
certainly, to say here, to-day, that our country was proud to be
represented at the courts of Vienna and London successively by a
gentleman of so much culture and accomplishment as Mr. Motley, and
that the circumstances of his recall were deeply regretted by us
all.
“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.”
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