penicillin

A number of presidents and their families have suffered the unthinkable during their time in the White House…the loss of a child. The Adams, Lincoln, Coolidge, and Kennedy families all suffered the loss of a child while in office; the Pierce family lost their last surviving child while en route to Washington to attend Franklin Pierce’s inauguration. John Adams’ grown son Charles died of alcoholism in 1800, shortly after the president lost his reelection bid. Thomas Jefferson’s grown daughter Mary died in 1804, three months after giving birth to her third child. Franklin Pierce lost all three of his sons at an early age. Eleven-year-old Benny, his only surviving child, was killed in a train accident in January 1853, two months before Pierce’s inauguration. Abraham Lincoln lost his son William “Willie” in 1862 in the middle of the Civil War. John F Kennedy lost his son, Patrick two days after he was born on August 7, 1963.

While it is always horrible when a child dies, whether the parents are famous or not, I find the death of Calvin Coolidge’s son to be among the saddest. While the deaths of these other presidents’ children are sad, little could have been done to change those losses. Calvin Coolidge had two sons, John (the oldest) and Calvin Jr. The boys spent the school year at boarding school, but they spent breaks from boarding school at the White House after he became president in 1923. The oldest son, John was born on September 7, 1906, and Calvin Jr was born on April 13, 1908.

On June 30, 1924, John and Calvin Jr were playing tennis on the courts at the White House. It was a hot summer day…the 91° heat was sweltering. The boys felt that it was too hot for socks, and during the game, Calvin Jr got a blood blister on one of his toes. Within a few days, Calvin Jr was not feeling well. He was diagnosed with blood poisoning…specifically a staphylococcus infection that, at the time, was usually treated with mercury. I’m no doctor, and many advances in the prevention and treatment of infections have been made over the years. One of the best ways to prevent a staphylococcus infection is proper hygiene…proper, frequent handwashing, and hygiene…or in this case, washing the toe several times a day. The feet are often a breeding ground for bacteria, because they are constantly in a hot, sweaty shoe.

By July 2, Calvin Jr was limping, running a fever, and had swollen glands in his groin. The blister on his third toe darkened, swelled to the size of a thumbnail, and red lines streaked his legs. This was in the days before antibiotics, and Alexander Fleming’s discovery of penicillin was still four years off. In the words of the attending presidential physician, Calvin Jr was “in trouble.” As Calvin Jr battled sepsis for a week, his father battled despair and really pure panic. It was the kind of agony that only a parent who has lost a child can really understand. Calvin Sr tried to trust that his son was getting “all that medical science” could offer and tried to keep up hope that “he may be better in a few days,” but Calvin Jr passed away at Walter Reed Army General Hospital on July 7, 1924.

President Coolidge and his wife, Grace, were at Calvin Jr’s bedside when he passed, and according to observers, the president’s face resembled “the bleak desolation of cold November rain beating on gray Vermont granite.” Their hearts were broken, and the President often wept, looking out his window where Calvin Jr once played tennis. It was his thought that if he hadn’t been president, his son would have been with them still. He said, “We do not know what would have happened to him under other circumstances, but if I had not been President, he would not have raised a blister on his toe, which resulted in blood poisoning, playing lawn tennis on the South Grounds.”

Starting to live life again after such a horrific loss is never easy, and many people really never make that return to life. Trying to grieve the loss of a child in such a public setting would be excruciating, and I can’t imagine being forced to live that way. Nevertheless, while much of the wind went out of their sails, the Coolidge family did go forward, as their son would have wanted them to. It’s what a family does. John married and had two daughters…Cynthia and Lydia. The daughters gave President two grandsons and a granddaughter. I think Calvin Jr would be pleased to know that they went forward to live a good life.

Most people have heard of “flesh-eating infections” caused by group A Streptococcus, scientifically known as Streptococcus Pyogenes. These days, these are the big headline grabbing diseases, but 150 years ago, the biggest headline grabber was Scarlet Fever. Whenever people heard of this disease, their blood ran cold. During the Victorian era in the United States and Europe. Scarlet fever killed United States children in the 1920s, 1930s and 1940s. Of the children who contracted the disease, thousands died.

It was in about 1949 that my mother, Collene Byer Spencer contracted the disease. It was still a terrifying situation for the family. My grandparents had nine children, and having one get Scarlet Fever put the rest of the children in danger too. Scarlet Fever can cause long-term complications as a result of Scarlet Fever include kidney disease, rheumatic heart disease, and arthritis. Following my mom’s bout with Scarlet Fever, she developed a heart murmur that she did not have prior to the disease. She was sick a long time, and in reality, they almost lost her. She spent a long period of time delirious from the fever, barely knowing anything that was going on around her. Even after she recovered, it would be a number of years before she had much strength. Her hearing suffered from the Scarlet Fever too. She could hear, but she had such a ringing in her ears that it made hearing the words being spoken to her very difficult. I have not heard that any of her siblings caught the disease, so I think they must have quarantined mom from the others during the disease.

The bacterial infection that causes Scarlet Fever often starts with strep throat and skin infections. Certain strep bacteria produce a toxin that can cause a red rash—the “scarlet” of scarlet fever. Scarlet fever is usually a mild illness that most commonly affects children between 5 and 15 years old…these days. The streptococcus bacteria that caused strep throat infections were genetically different than the strains around today, and they could cause children to become very sick and die. In years gone by, the schools implemented throat cultures to detect strep throat before it could develop into Scarlet Fever. A few years back, they stopped that because they thought it was wiped out. As a mom who did throat cultures, that makes me nervous. Such a simple test to protect from such an awful disease, and such a simple medicine…Penicillin to get rid of it, was a no brainer.

Pat NevilleYears ago when my girls were young, the school systems…at least in the Casper area, had a program whereby the kids were checked for symptoms of Streptococcus bacteria, or as we knew it…Strep Throat. Since I was not working outside the home, I volunteered to help with that program. That was where I first met the mother, Pat Neville, of my dear friend, Becky Neville Osborne. Pat taught me the ropes, and we worked together in that program for eight years. Pat has gone on to be with the Lord now, but the friendship that blossomed with her daughter, from her own childhood, has continued through the years, and continues to bless my life every day.

When Pat was teaching me the ropes of the throat culture program, I really didn’t know much about the Streptococcus bacteria, nor about how it had affected my grandmother, Anna Schumacher Spencer many years earlier. Streptococcus bacteria, is the same bacteria that causes Rheumatic fever, and years ago, that was a very dangerous disease. When Strep Throat is not treated with Penicillin to kill the bacteria, the bacteria just continues to run rampant in the system. Rheumatic fever is caused by a combination of bacterial infection and immune system overreaction, and it almost always follows a strep throat infection, which is an infection of the respiratory tract caused by bacteria of the Streptococcus family. The reason for throat cultures in the schools is that children are far more likely to get strep throat than adults…these days Becky Nevilleanyway. Years ago, it was anybody’s guess.

While my grandmother was living in Casper, Wyoming where my aunts, Laura and Ruth were living at the time, she contracted Strep Throat, and probably didn’t even know it. Then it turned to Rheumatic Fever. Unchecked, Rheumatic Fever can cause heart problems, which was common in children years ago, but is much less common now due to the routine use of antibiotics. In fact, I don’t believe routine throat cultures are performed in the schools anymore. Strep Throat still exists, but now people have to go to their doctor to be swabbed.

Rheumatic Fever is most common in children under 15 years of age, but it can affect adults too…as was the case with my grandmother. As was the case with my grandmother, Streptococcus bacteria can attack the joints. It can also attack the central nervous system, brain and spinal cord, as well as the heart. In the heart the disease affects the inner lining of the heart, including the heart valves, which is known as endocarditis, the muscle of the heart, which is known as myocarditis, or the covering of the heart, which is known as pericarditis.

Sometimes, the body reacts with a huge immune system reaction to the affected areas. The immune system becomes so active that it attacks the affected tissues too. In the joints, this results in a temporary arthritis. In the heart, permanent damage to the heart valves can occur, also increasing the risk of heart problems in later Anna Louise Spencerlife. Rheumatic fever can also cause problems in the nervous system, but these are usually reversible.

I do know that my grandmother spent her final years confined to a wheelchair, but I always thought it was because she had Rheumatoid Arthritis. Now I wonder if it was because of Rheumatic Fever. I also know that My great grandmother and uncle here sick with something that ended up causing temporary arthritis, so possibly they had it too. I guess I may never know for sure, but I do know that sometimes I wonder if the practice of taking throat cultures should have been stopped. It seems to me that it did a lot of people a lot of good, and probably saved a lives too.

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