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John F. Kennedy's health issues

 

Physician Jeffrey Kelman discusses the extensive ailments John F. Kennedy suffered during his presidency

John F. Kennedy: new profile of pain
Lawrence K. Altman and Todd S. Purdum
The New York Times
Monday, November 18, 2002

John Kennedy was sick from age 13 on. In 1930, when he was 13, he developed abdominal pain. By 1934 he was sent to the Mayo Clinic where they diagnosed colitis or it was called colitis. By 1940 his back started hurting him, by 1944 he had his first back operation, by 1947 he was officially diagnosed as having Addison's Disease Addison's Disease is adrenal insufficiency. The adrenal gland makes cortico steroids and other hormones that are used for salt metabolism, response to stress, response to inflammation. In '47 he was officially diagnosed in England, as being adrenally insufficient, and from that point on, at least that point on, he was being treated with daily cortico steroids of some form or another. There is some evidence he was actually being treated earlier, with a form of doka implanted under his skin. But at from '47 he had to receive daily steroids to survive.  The steroids themselves have side effects, including susceptibility to infection. Kennedy needed multiple courses of antibiotics, he had urinary infections, skin infections, he had respiratory infections. And he was basically sick from then on through the rest of his life. He had two back operations, in '54 and '55, which failed. And he needed chronic pain medication from '55 through his White House years, until he died in Dallas. He was never healthy. I mean, the image you get of vigor and progressive health wasn't true. He was playing through pain most of the presidency.

By the time he was President, he was on ten, twelve medications a day. He was on anti-spasmodics for his bowel, paregoric, lamodal transatine, he was on muscle relaxant, Phenobarbital, Librium, Meprobomate, he was on pain medications, Codeine, Demerol, Methadone, he was on oral cortisone; he was on injected cortisone, he was on testosterone, he was on Nembutal for sleep. And on top of that he was getting injected sometimes six times a day, six places on his back, by the White House physician, with Novocain, Procaine, just to enable him to face the day.


Hiding the Pain
Excerpt from Suffering in Camelot

ABCNEWS.com

Hiding the Pain

But Kennedy and his closest circle took great pains to hide his health problems from the public, fearing it would impair his political career. JFK was particularly fearful that revelations about his health problems would hurt him in the neck-and-neck presidential race with Richard Nixon in 1960.

He was so terrified of his medical conditions being known that in the 1960 fight for the Democratic nomination, Lyndon Johnson aides aired the fact that Kennedy had Addison's disease, and the Kennedy campaign flatly denied it, Dallek said. His doctors later published a letter saying his health was excellent.

As amazing as the list of drugs Kennedy took is the fact that it was kept mostly secret. To this day, his closest aides don't know or won't admit the extent of his ailments.

"He was a man in very good health," said Kennedy adviser Ted Sorenson told ABCNEWS. "There is no doubt about the fact that he had a bad back, as millions of men do, sometimes it hurt worse than others."

His aides attributed any visible problem to a war injury. When the president rode a cherry picker to board Air Force One, it was just because of a sore back, not the fact he couldn't climb a stair.

In the book, Dallek speculates that the corset Kennedy wore for his back trouble may have made him a sitting target for his assassin, Lee Harvey Oswald. Kennedy's back was ramrod straight, making his head and neck perfect targets when the second bullet — believed to be the one that killed him — struck.

"Of course we'll never know, but if he had toppled over when the first bullet hit, he might have been saved," Dallek said.

Read the entire article
ABCNEWS.com


 

 

WASHINGTON The first thorough examination of President John F. Kennedy's medical records, conducted by an independent presidential historian with a medical consultant, has found that Kennedy suffered from more ailments, was in far greater pain and was taking many more medications than the public knew at the time or biographers have since described.

 

As president, Kennedy was famous for having a bad back, and since his death, biographers have pieced together details of other illnesses, including persistent digestive problems and Addison's disease, a life-threatening lack of adrenal function.

 

But newly disclosed medical files covering the last eight years of Kennedy's life, including X-rays and prescription records, show that he took painkillers, anti-anxiety agents, stimulants and sleeping pills, as well as hormones to keep him alive, with extra doses in times of stress.

 

At times the president took as many as eight medications a day, says the historian, Robert Dallek. A committee of three longtime Kennedy family associates, who for decades refused all requests to look at the records, granted Dallek's request, in part because of his "tremendous reputation," said one of them, Theodore Sorensen, who was the president's special counsel.

 

Dallek is writing a biography, "An Unfinished Life: John F. Kennedy, 1917-1963," to be published next year by Little, Brown. He was allowed to examine the records over two days last spring in the company of a physician, Jeffrey Kelman, and to make notes but not photocopies. Their findings appear in the December issue of The Atlantic magazine, and they discussed them in interviews with The New York Times.

 

The new information shows how far Kennedy went to conceal his ailments and shatters the image he projected as the most vigorous of men. It is a remarkable example of a phenomenon that has been seen many times, notably in the case of Franklin Roosevelt.

 

Yet for all of Kennedy's suffering, the ailments did not incapacitate him, Dallek concluded. In fact, he said, while Kennedy sometimes complained of grogginess, detailed transcripts of tape-recorded conversations during the Cuban missile crisis in 1962 and other times show the president as lucid and in firm command.

 

By the time of the missile crisis, Kennedy was taking anti-spasmodics to control colitis; antibiotics for a urinary tract infection, and increased amounts of hydrocortisone and testosterone, along with salt tablets, to control his adrenal insufficiency and increase his energy.

 

The records show that Kennedy was hospitalized for back and intestinal ailments in New York and Boston on nine previously undisclosed occasions from 1955 to 1957, when he was a senator from Massachusetts, campaigning unsuccessfully for the 1956 Democratic vice-presidential nomination - and quietly planning his 1960 presidential bid.

 

In December 1962, after Jacqueline Kennedy complained that he seemed "depressed" from taking antihistamines for food allergies, he took a prescribed anti-anxiety drug, Stelazine, for two days. At other times he took similar medications regularly.

 

The records show that Kennedy variously took codeine, Demerol and methadone for pain; Ritalin, a stimulant; meprobamate and librium for anxiety; barbiturates for sleep; thyroid hormone, and injections of a blood derivative, gamma globulin, presumably for infections.

 

In the White House, Kennedy received "seven to eight injections of procaine in his back in the same sitting" before news conferences and other events, Kelman said. The president had so much pain from three fractured vertebrae from osteoporosis that he could not put a sock or shoe on his left foot unaided, the records reveal. He sometimes reported waking before dawn with severe abdominal cramps.

 

In August 1961, the records show, Jacqueline Kennedy rushed in from another room when he screamed in pain as the White House physician, Janet Travell, injected procaine deep into his back muscles to numb them.

 

While not a complete record of Kennedy's lifetime medical history, much of which remains sealed in private hospitals, the disclosures provide a broad, authoritative view.

 

In The Atlantic, Dallek writes that while Kennedy's secrecy can be taken as "another stain on his oft-criticized character," the records also reveal the "quiet stoicism of a man struggling to endure extraordinary pain and distress."

 

The records are largely from Travell, a specialist in internal medicine and pain management who treated Kennedy for years before ultimately being eased aside after bitter arguments with other doctors about his care. She gathered files from before and after he became president in 1961. Kennedy's widow and brothers, Robert and Edward, donated them in 1965 to the Kennedy Library, Deborah Leff, the library's director, said, and a half-dozen scholars who sought permission to see them over the years were rebuffed.

 

Senator Edward Kennedy said his family had abided by the committee's decision to make all judgments like releasing the medical records.

 

"While not aware of the exact details of my brother's medical condition," he said, "I did see the great courage he exhibited throughout his life in triumphing over illness and pain."

 

Kelman, a specialist in internal medicine and physiology in Collington, Maryland, said, "The most remarkable thing was the extent to which Kennedy was in pain every day of his presidency."

 

The records say nothing about treatment by Max Jacobson, a New York physician who later lost his medical license for prescribing amphetamines to Kennedy and others. The Times detailed his involvement years ago, but the files said "nothing, nil," about Jacobson  Dallek said.

 

 

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