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It is much documented about Nightingale’s state of health after her return from the Crimea War (which, despite being ill, she had refused to leave until the last soldier had returned home). Emaciated and depressed, this was not the vibrant, intelligent woman who had left England to go to the Crimea.
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Whilst researching for my book, A History of Nursing, I came across some modern-day suggestions of what poor Flo would have been suffering, including PTSD, Chronic Fatigue and in her last years, Alzheimer’s.
In 1855, she became ill after contracting what she called typhus but according to the British Medical Journal in 1995, was probably Brucella melitensis, a bacteria that can be transmitted via contamination of dairy products. Recovery was slow and painful but she refused to go home until July 1856 after the last soldier had gone home and where it appears she was a changed woman – emaciated, tense and burdened. She complained of on-going symptoms such as palpitations, depression, sciatica, fatigue and loss of appetite …
… In the late 1850’s, Nightingale became unwell, collapsing at her home with cardiac symptoms, leading to years of disability. As well as being diagnosed with ‘neurosis’, she was probably suffering from ongoing post-symptoms of her Crimean illness a few years previously. Convinced she was going to die, Nightingale made her will and after a further attack in 1861 that left her unable to walk, she took to her bed for the next twenty years, as advised by doctors. More modern day investigations mention Chronic Fatigue Syndrome, which is now recognised as an illness, usually plaguing the patient after a viral or bacterial systemic illness.
Writing in 2015 for the Oxford University Press, Philip Makowiak states that the malady that kept Nightingale bedridden until she was at least in her 60’s when her symptoms eased, was a combination of her Crimean illness (bruceollsis), post traumatic stress disorder (PTSD), a personality disorder and in her old age, Alzheimers. Although Nightingale never wrote of typical PTSD symptoms such as flash-backs, Makowiak notes that Nightingale also had no one around her to whom she could confide.
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– A History of Nursing, Louise Wyatt (2019)
Florence Nightingale’s illness after her return to England
- 1856-7—Insomnia, anorexia, nausea at the sight of food, anaemia, and nervousness; also depression, which lasted for much of the subsequent 25 years
- August 1857—First severe attack with exacerbation of these symptoms together with delusions, tachycardia, and palpitations
- August 1859—Second severe attack, with additional symptoms of syncope, dyspnoea, weakness, indigestion, and flushing of face and hands
- 1861—Three further attacks; in the last she developed nervous tremors
- End of 1861—Serious attack with new symptoms: unable to walk (possibly radiculitis with consequent severe paraparesis), bedridden for 6 years; severe spinal pain (spondylitis) 1863-6; arthralgia (right elbow) and dyspnoea due to chest pains and spasms (possibly arthralgia of costochondrial joints, or muscle spasms linked to spondylitis)
- After 1870 most of these symptoms disappeared but severe headache and insomnia still plagued her life; her depression continued unabated, with feelings of worthlessness and failure
- After 1880 her depression lifted and other symptoms ceased
The British Medical Journal (BMJ, 1995)
Images courtesy of The Wellcome Collection via CC-BY-4.0
References
BMJ (1995) https://doi.org/10.1136/bmj.311.7021.1697 (will need Institutional log-in)
01 02 2020 Date
©Louise Wyatt 2020
It is much documented about Nightingale’s state of health after her return from the Crimea War (which, despite being ill, she had refused to leave until the last soldier had returned home). Emaciated and depressed, this was not the vibrant, intelligent woman who had left England to go to the Crimea.
![02 01 2020 calendar 02 01 2020 calendar](https://clubd.co.jp/wp/wp-content/uploads/2020/02/bl0429_expand_2.jpg)
Whilst researching for my book, A History of Nursing, I came across some modern-day suggestions of what poor Flo would have been suffering, including PTSD, Chronic Fatigue and in her last years, Alzheimer’s.
Open 2020 02 01 File
In 1855, she became ill after contracting what she called typhus but according to the British Medical Journal in 1995, was probably Brucella melitensis, a bacteria that can be transmitted via contamination of dairy products. Recovery was slow and painful but she refused to go home until July 1856 after the last soldier had gone home and where it appears she was a changed woman – emaciated, tense and burdened. She complained of on-going symptoms such as palpitations, depression, sciatica, fatigue and loss of appetite …
… In the late 1850’s, Nightingale became unwell, collapsing at her home with cardiac symptoms, leading to years of disability. As well as being diagnosed with ‘neurosis’, she was probably suffering from ongoing post-symptoms of her Crimean illness a few years previously. Convinced she was going to die, Nightingale made her will and after a further attack in 1861 that left her unable to walk, she took to her bed for the next twenty years, as advised by doctors. More modern day investigations mention Chronic Fatigue Syndrome, which is now recognised as an illness, usually plaguing the patient after a viral or bacterial systemic illness.
Calendar 02 2020
Writing in 2015 for the Oxford University Press, Philip Makowiak states that the malady that kept Nightingale bedridden until she was at least in her 60’s when her symptoms eased, was a combination of her Crimean illness (bruceollsis), post traumatic stress disorder (PTSD), a personality disorder and in her old age, Alzheimers. Although Nightingale never wrote of typical PTSD symptoms such as flash-backs, Makowiak notes that Nightingale also had no one around her to whom she could confide.
– A History of Nursing, Louise Wyatt (2019)
Florence Nightingale’s illness after her return to England
- 1856-7—Insomnia, anorexia, nausea at the sight of food, anaemia, and nervousness; also depression, which lasted for much of the subsequent 25 years
- August 1857—First severe attack with exacerbation of these symptoms together with delusions, tachycardia, and palpitations
- August 1859—Second severe attack, with additional symptoms of syncope, dyspnoea, weakness, indigestion, and flushing of face and hands
- 1861—Three further attacks; in the last she developed nervous tremors
- End of 1861—Serious attack with new symptoms: unable to walk (possibly radiculitis with consequent severe paraparesis), bedridden for 6 years; severe spinal pain (spondylitis) 1863-6; arthralgia (right elbow) and dyspnoea due to chest pains and spasms (possibly arthralgia of costochondrial joints, or muscle spasms linked to spondylitis)
- After 1870 most of these symptoms disappeared but severe headache and insomnia still plagued her life; her depression continued unabated, with feelings of worthlessness and failure
- After 1880 her depression lifted and other symptoms ceased
What Is 02 02 2020
Msg viewer pro 1 2 0. The British Medical Journal (BMJ, 1995)
Images courtesy of The Wellcome Collection via CC-BY-4.0
References
BMJ (1995) https://doi.org/10.1136/bmj.311.7021.1697 (will need Institutional log-in)
Powerball 02 01 2020
©Louise Wyatt 2020