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PALGRAVE
STUDIES IN
LITERATURE,
SCIENCE AND
MEDICINE
Series Editors
Sharon Ruston
Department of English and Creative Writing
Lancaster University
Lancaster, UK
Alice Jenkins
School of Critical Studies
University of Glasgow
Glasgow, UK
Catherine Belling
Feinberg School of Medicine
Northwestern University
Chicago, IL, USA
Palgrave Studies in Literature, Science and Medicine is an exciting new
series that focuses on one of the most vibrant and interdisciplinary areas
in literary studies: the intersection of literature, science and medicine.
Comprised of academic monographs, essay collections, and Palgrave
Pivot books, the series will emphasize a historical approach to its sub-
jects, in conjunction with a range of other theoretical approaches. The
series will cover all aspects of this rich and varied field and is open to new
and emerging topics as well as established ones.
Editorial board:
Steven Connor, Professor of English, University of Cambridge, UK
Lisa Diedrich, Associate Professor in Women’s and Gender, Studies
Stony Brook University, USA
Kate Hayles, Professor of English, Duke University, USA
Peter Middleton, Professor of English, University of Southampton, UK
Sally Shuttleworth, Professorial Fellow in English, St Anne’s College,
University of Oxford, UK
Susan Squier, Professor of Women’s Studies and English, Pennsylvania
State University, USA
Martin Willis, Professor of English, University of Westminster, UK
John Keats
and the Medical
Imagination
Editor
Nicholas Roe
School of English
University of St Andrews
St Andrews, UK
Many thanks are due to the contributors for supporting this collection,
and to Ben Doyle at Palgrave for commissioning the book. Hrileena
Ghosh, Richard Marggraf Turley and Sarah Wootton helped to organise
the third Keats Bicentenary Conference at Guy’s Hospital, May 2015, on
which John Keats and the Medical Imagination is based. Without their
energy and enthusiasm that event would not have happened, and this
book would not exist. I’d also like to thank my fellow trustees of the
Keats Foundation, Ashley Goodall, Dr. Toni Griffiths, Bob Hall, Judith
Palmer and Simon Taylor.
vii
Contents
1 Introduction 1
Nicholas Roe
4 Mr. Keats 57
Nicholas Roe
ix
x Contents
Index 243
Editor and Contributors
Contributors
xi
xii Editor and Contributors
xv
xvi Abbreviations
xvii
xviii List of Figures
Introduction
Nicholas Roe
John Keats and the Medical Imagination contains ten chapters, originally
presented to the Keats Foundation Bicentenary Conference at Guy’s
Hospital, London, in May 2015. The conference theme was ‘John Keats:
Poet-Physician, Physician-Poet’, marking 200 years since Keats enrolled
at Guy’s in October 1815. The chapters gathered here range from freshly
researched information about John Keats’s day-to-day life as an appren-
tice apothecary and at Guy’s Hospital, to new and far-reaching explora-
tions of how medicine and medical pathology informed his poetry and
thought. Nearly seventy years ago Robert Gittings highlighted 1819
as the ‘Living Year’ when John Keats completed many of his greatest
poems1; John Keats and the Medical Imagination places the emphasis ear-
lier, in the comparatively neglected ‘Medical Years’, 1810–1817, when
the foundations for his later achievements were laid. This book’s principal
concern is to recover—so far as is possible—the lived actuality of Keats’s
experiences as a medical apprentice, student and practitioner, and to trace
how those experiences may have given the poet’s imagined worlds their
distinctive forms, colours and languages. The wider contexts of medi-
cal and surgical history, and European and classical medical knowledge
inform these studies of Keats but are not the book’s primary concern.
N. Roe (*)
University of St Andrews, St Andrews, UK
e-mail: nhr@st-andrews.ac.uk
were no antibiotics, no anaesthetics. Senna and castor oil were used, then
as now, as purgatives; colchicine (from the crocus) helped a bit with gout,
and digoxin (digitalis) with ‘dropsy’—fluid retention—but both were also
quite toxic and it is hard to know, as with mercury, whether overall these
treatments were mildly effective.6 Bone-setting and some minor surgical
procedures could be successful, as were some attempts at hygiene. Smallpox
inoculation was already possible, and within Keats’s lifetime Edward Jenner
pioneered vaccination with cowpox—a much safer organism that neverthe-
less conferred a good immunity. There was not much else, and London
swarmed with ‘Pretenders in the Science of Medicine’: ‘Lowndes’ celebrated
BILIOUS REMEDY’, ‘STAPLES’S-DAFFY’S ELIXIR’, ‘TOWERS’S
STOMACHIC ESSENCE’, ‘WESSEL’S JESUIT’S DROPS’, DALBY’S
GENUINE CARMINATIVE’, ‘REYNOLDS’ GOUT SPECIFIC’.7 Many
of these quacks and their ‘remedies’ were warranted by the establishment as
being something better, although the ‘Register of Diseases’ in London for a
single month, 20 August to 19 September 1816, speaks for itself: 93 cases
of ‘rheumatism’ (acute and chronic), 67 of scabies, 62 of ‘catarrhus’, plus
significant numbers with diarrhoea (56), rubeola (47) and syphilis (43).8
The highest mortality rate, as in other months, was for pthisis (tuberculosis).
Keats’s school at Enfield was well away from the city, in a relatively healthy
rural location; even so, it is almost certain that some of his school friends
would have fallen ill and died there.9
Keats survived the city and his school—but when exactly did he
begin his apprenticeship with Thomas Hammond? The date is impor-
tant, because it allows us to estimate how long Keats may have con-
tinued as Hammond’s apprentice. Over the years, there have been
various suggestions—and even those best placed to know appear curi-
ously uncertain. When in 1846 Richard Monckton Milnes put the
question in a letter to Charles Cowden Clarke—Keats’s school teacher
and friend—Clarke noted in the margin: ‘1811’. When Clarke com-
posed his reply to Milnes, however, his more considered view was that
Keats had left ‘at fourteen … in the summer of 1810’.10 Milnes’s Life,
Letters, and Literary Remains, of John Keats accepted that account:
‘on leaving school in the summer of 1810, [Keats] was apprenticed,
for five years, to Mr. Hammond, a surgeon of some eminence at
Edmonton’.11
Clarke’s vagueness is readily explained: Keats had continued to visit the
school for some time after he had formally left, arriving on Wednesdays
and Saturdays to talk of books and poetry.12 From the beginning of Keats’s
4 N. Roe
and in its forlorn relapse ‘to my sole self’—much as Keats used to return from
the pleasures of reading Spenser to resume his duties in Hammond’s surgery.
1 INTRODUCTION 5
least some of that time, although no letters survive from these obscure
years to provide more detailed evidence as to what he was doing. Given
that lack, other evidence is perhaps suggestive. The Keats family may
have been related to the mariner Keateses who plied between Poole and
Spain, and as schoolboys the Keats brothers had ‘determined to keep
up the family reputation for bravery’ embodied by their uncle Midgley
John Jennings (who served and was wounded aboard the Russell at the
battle of Camperdown).24 It is not wholly outlandish to suggest that
the sea was in Keats’s blood—which may explain why Chapman’s line
from Homer, ‘The sea had soak’d his heart through’, elicited ‘one of his
delighted stares’.25 Some months at sea gaining practical experience
would mean that when he arrived at Guy’s he was already a competent
surgeon: in March 1816, just six months after enrolling, ‘Mr. Keats’ skil-
fully extracted a pistol ball from a woman’s neck and saved her life.26 A
few other details add to this picture. The printer Henry C. Reynell said
that he recalled Keats, circa 1815–1816, wearing ‘some sort of sailor cos-
tume’, and Keats’s later thoughts of going as a ‘Surgeon to an Indiaman’
might reflect earlier experience of doing just that.27 So perhaps when
Keats wrote ‘Much have I travelled in the realms of gold’ he was, as so
often in his poems, alluding to what had really happened to him. And as
if to underline the point, he repeats himself: ‘round many western islands
have I been’. Our usual understanding is that those ‘realms’ are a golden
archipelago of poetry ‘[w]hich bards in fealty to Apollo hold’; Keats
glimpsed in ‘some sort of sailor costume’ suggests that a voyage by sea
may have assisted his medical career as well as his ‘Chapman’s Homer’
sonnet—his first poem of unquestionable genius.
It has long been known that Astley Cooper placed Keats in the care
of his Dresser George Cooper, who lodged at 28, St Thomas’s Street,
off the busy Borough Road in Southwark. Often assumed to date from
October 1815, there is reason to believe that this arrangement may
have been in place somewhat earlier. The obvious moment for Cooper
to have intervened was in July 1814, when George began as his Dresser
and eighteen-year-old Keats had left Hammond (and, perhaps, returned
from a voyage at sea).28 John Flint South says as much: ‘George Cooper
told me that whilst at Guy’s Hospital, where he was Dresser to Astley
Cooper for eighteen months, he lived in St. Thomas Street, at a tallow
chandler’s, named Markham, where John Keats, the poet, lived with
him, having been placed under his charge by Astley Cooper.’29 There is
nowhere else in London that Keats is known to have lived at this time,
1 INTRODUCTION 9
and South offers a simple and plausible explanation: Keats shared George
Cooper’s lodgings from July 1814 to early 1816—exactly eighteen
months—having been placed there on Astley Cooper’s instructions.
St Thomas’s Hospital was directly opposite, and Guy’s just fifty yards
further along the street. He could be at lectures, dissections, in the oper-
ating theatre or on the wards in a matter of minutes, thus also making
time for his life as a poet.
Often invoked as an arch-exponent of ‘Romantic anti-empiricism’ and
hostility to ‘mechanical natural philosophy’, for many years Keats seemed
to represent one pole of C. P. Snow’s ‘two cultures’.30 This is understand-
able, in that the later nineteenth century had reinvented Keats as a poet
with ‘no interest in anything but beauty’—an idea that proved to be sur-
prisingly tenacious: as late as 1966 Keats could be described as a writer
whose life experience was ‘mainly literary’.31 Change came in the 1970s,
when Stuart Sperry’s bracing account of chemical theory and language
in Endymion signalled a new direction.32 Recent years have seen numer-
ous studies of Romantic literature and science, some of them focusing on
Romanticism and disease, anatomy, the ‘vitality debate’, and natural his-
tory.33 Keats and medicine was treated in two full-length studies, both of
them robust cornerstones for chapters in the present book: Donald C.
Goellnicht’s The Poet-Physician: Keats and Medical Science (1984) and
Hermione de Almeida’s Romantic Medicine and John Keats (1991). In a
series of closely informed chapters on Chemistry, Botany, Anatomy and
Physiology, Pathology and Medicine, The Poet-Physician showed convinc-
ingly that Keats’s medical knowledge was ‘one of the fountains that flowed
into … his poetic mind, bringing with it ideas and images’; ‘the greatest leg-
acy he took from his first career to his second was … sympathy for human
suffering and the desire to heal it’.34 Hence Keats’s wish, announced in
‘Sleep and Poetry’, to quit the naïve ‘joys’ of pastoral and find a ‘nobler life’
associated with writing about ‘the agonies, the strife / Of human hearts’
(122–5). Romantic Medicine and John Keats addressed ‘the fundamental
intellectual issues of Romantic medicine … as these find focus and exem-
plary conceptual expression in the poetry and aesthetic theory of Keats’.35
The book captured a ferment of ideas and discoveries in European medical
circles, and suggested how this was reflected in the ‘intellectual tenor’ of
Guy’s Hospital (and particularly by holdings in the library of the Physical
Society) at a time when modern ‘boundaries between ways of knowing’—
between poetry and science—had not yet become established.36 More
recent studies that have made John Keats and the Medical Imagination
10 N. Roe
table, with no anaesthetic, watching the surgeon approach with his knife
and bone saw (Fig. 1.3). But that was not a view taken by the medi-
cal profession or their patients; as John Barnard shows, they believed in
the efficacy of the surgical procedures that were available to them at a
time when, as R. S. White’s chapter reveals, anatomy and surgery were
becoming more systematically focused on physical symptoms and com-
mensurate with ‘scientific method’. As the traditional ideas of ‘melan-
cholia’ gathered in Robert Burton’s Anatomy of Melancholy (1621) were
replaced by modern concepts, White argues, renaissance understandings
of ‘melancholy’ migrated to the poetic realm where it became for Keats
a personal affliction, a focus for medical study and a stimulus to creativ-
ity—as for example in Isabella; or, The Pot of Basil and Keats’s ‘cryptic
summation of the whole spectrum’, ‘Ode on Melancholy’.
Directing attention away from the operating theatre, Nikki Hessell’s
chapter argues that William Salisbury’s 1816 textbook The Botanist’s
Companion became a crucial intertext for the lyrical vocabulary and style
of Keats’s 1817 Poems. Salisbury’s book offered Keats information about
12 N. Roe
I had now my finger under the artery, and by its side I conveyed the blunt
aneurismal needle, armed with a single ligature behind it …44