Part 35

Mrs. Sharpe, wife of General Sharpe, York Terrace, Regent's Park, whose case had been pronounced deep consumption, by Sir Antony Carlisle, was also a patient of Mr. Long's; she had been attending Mr. Long about three months; she inhaled something, and an external application was made to her chest and back, in the same manner as to the other patients; there was considerable inflammation and discharge; she got much better, and was still under Mr. Long's care.

General Matthew Sharpe, husband of the last witness, said that the case was pronounced hopeless, and he applied to Mr. Long, of whom he never heard before; the consequences were highly beneficial: his wife was much better, and ceased to cough altogether; he certainly gave Mrs. Sharpe great relief, whatever might be the ultimate consequences.

Other witnesses who had been patients to Mr. Long, for different diseases, and to whom the same mode of treatment had been applied, spoke in the same terms of the advantageous effects which had accrued.

This evidence, however, was declared by the jury to have nothing to do with Miss Cashin's case; for Mr. Long might have committed many harmless acts, which, nevertheless, would not relieve him from the consequences of one which was not harmless; and the inquest was again adjourned until the following Monday.

On that day the inquiry terminated.

Among the witnesses examined were the Countess of Buckinghamshire, Mr. Prendergast, M.P., and Mr. Higgs, the brewer, all of whom spoke in high terms of Mr. Long's treatment, and of the virtues of his lotion for curing various complaints. The countess said she had greatly recovered since she had attended Mr. Long. Mr. Prendergast said he had suffered severely from a determination of blood to the head. His chest and forehead were rubbed, and the lotion applied to his back by Mr. Long; he was completely relieved, and the pain had not returned to his head from that day. Mr. Higgs said that for many years he had been afflicted with the gout, and had employed common doctors, who had done nothing for it. In February he applied to Mr. Long, and used his medicine for four months, and he was completely cured, perfectly at ease, and free from pain. All the witnesses said, that in consequence of the benefit they derived from Mr. Long's treatment, they had recommended many persons to him, and would employ him again themselves in case of necessity. The coroner, in summing up the case, observed, that if Mr. Long appeared to have possessed the necessary skill and knowledge for carrying on medical practice, and had used due diligence and care in the case of Miss Cashin, they must arrive at the conclusion that in this matter he was nowise to blame. It would be a lamentable thing if every medical man who committed an error of judgment was to be held responsible as if he committed a criminal act. At five o'clock the jury retired to consider their decision upon the case; and at eight o'clock returned into the room, and announced their verdict of Manslaughter against Mr. St. John Long. A buzz of approbation was heard in the room when the verdict was pronounced; and one or two persons cried out "Bravo!" Others exclaimed, "Shame, shame!" The coroner then asked if Mr. Long were present, and having been informed he was not, issued a warrant for his apprehension, and bound the witnesses over to attend at the sessions and prosecute the offender. The jury-room was crowded to the last moment.

Mr. Long subsequently surrendered to the warrant, and was admitted to bail to answer the charge; but on the case being called on for trial at the ensuing Old Bailey sessions on the 18th of September, it was postponed, owing to the absence of some material witnesses for the prosecution.

On the 30th of October Mr. Long was placed upon his trial, when the same facts which we have detailed were stated in evidence. After an ample investigation, a verdict of manslaughter was again returned. Mr. Long was then committed to Newgate to await his sentence; but on the following Monday, he was again placed at the bar. The Court then passed upon him a sentence, condemning him to pay a fine of 250_l._ to the king. The money was immediately paid, and the defendant was discharged out of custody.

The case had already created a great degree of interest in society from the vast number of persons whom Mr. Long had attended; and many honourable and right honourable persons were present at his trial; but the public excitement was still further aroused upon a subsequent charge of a similar nature being brought against him. The result of this charge was different from that of the indictment preferred in the case of Miss Cashin, but the affair was regarded with no less astonishment by the larger proportion of the community, who wondered at the folly of any person submitting to the absurd mal-treatment of this person for the cure of any real or supposed disease.

We give the proceedings of the coroner's inquest as they were published at the time, detailing more particularly, as they do, the course of treatment adopted by Mr. Long.

On Wednesday morning, November 10th 1830, at eleven o'clock, J. H. Gell, Esq. and a highly respectable jury assembled at the Wilton Arms, Kinnerton-street, Knightsbridge, to inquire into the death of Mrs. Colin Campbell Lloyd, aged 48, the wife of Captain Edward Lloyd, of the royal navy, whose death was alleged to have been occasioned by the treatment she had experienced under the hands of Mr. St. John Long.

The inquiry excited the most intense interest, and the jury-room was crowded to excess, principally by gentlemen of the medical profession, anxious to hear the result of the proceedings.

Mr. Wheatley, a barrister, attended on behalf of the family of Mrs. Lloyd; and Mr. Wooller appeared to watch the proceedings for Mr. St. John Long.

After the jury were impanelled, they proceeded to view the body of the unfortunate lady, at her lodgings, No. 33, Wilton-place, and on their return the following evidence was adduced:--

Mr. George Vance, of No. 27, Sackville-street, Piccadilly, surgeon: I visited Mrs. Lloyd on the 21st of October last, which, as I was informed by her medical attendant, Mr. Campbell, was about ten days from the commencement of her illness. Mrs. Lloyd informed me that she had inhaled from a tube a few times at Mr. St. John Long's, in Harley-street, and had been rubbed on the chest with a liniment twice; she did not say who rubbed her; the first rubbing, she said, produced no inconvenience, but the second a sense of burning heat; she stated that she was quite well at the time, and had not suffered any important indisposition for three years, which was the time I had attended her; from the inhalation, it appeared to me that her tongue, mouth, and fauces had eroded; on examining her chest I found a sloughing sore of great extent (where she had, by her own account, been rubbed with a liniment), which extended from the arm-pits across the chest in one direction, and from the collar bones above, under the nipples, in the other direction; in the middle of this sore, the soft parts covering the breast-bone were black and dead, but towards the circumference there was a little appearance of health, and the mortified parts were separating from the living; the stomach was much disturbed, and she was in a state of great exhaustion and despondency, frequently expressing a desire to die; in a day or two after my attendance some of the constitutional distress (by which I mean fever and irritation, as well as the sickness of the stomach) subsided in a degree, and her spirits revived; the dead parts began to separate more freely, and in a correspondence with her friends I gave encouraging hopes of her amendment; no granulations, however, appearing in the clean parts of the sore, and the surface having become dry and flabby, exhibiting the appearance of the dissected parts of a dead body, I imparted to her friends the certainty of her death. Mr. Campbell, a surgeon, and myself, together and separately, removed masses of putrid flesh. The breast-bone was found bare, and I believe that if the slough had been freely thrown off, the cartilages of the ribs would have been exposed also. The deceased gradually grew weaker, and died on Monday morning the 8th of November. In my opinion the application of some corrosive matter, applied to the parts which I found in a state of mortification, was the cause of her death.--Mr. Vance added, that about three years before, he had attended Mrs. Lloyd for an affection in the throat, which he considered to be Globus Hystericus. It was a nervous complaint, but soon disappeared. This was the only disease which he observed in Mrs. Lloyd; she was, in all other respects, a stout woman, very richly covered with fat. He had never known any disease of that nature terminate fatally. Mrs. Lloyd said, that she had been persuaded to apply to Mr. Long.

Mr. Brodie, of No. 16, Saville-row, surgeon; and Mr. Campbell, surgeon, of No. 23, Wilton-place, confirmed the testimony.

Captain Lloyd was then examined: He said he came to London with his wife and family on the 15th July; Mrs. Lloyd was in good health but subject to a nervous affection of the throat when she took cold; she continued in good health, until she became ill from the rubbing of Mr. Long. On the 5th I accompanied her to Mr. Long's house; she merely had a conversation; she went on the following day, when she inhaled. On the 7th she inhaled again, also on the 8th, when she paid him 1_l._; she went to him on the 9th, when she was rubbed, for the first time, across the bosom, as she described to me; on the 10th October she told me that she had inhaled as before, and afterwards was rubbed--as they termed it, "rubbed out;" she told me that there was but a small portion of liquid in the saucer, but more was added when that was expended. She became so unwell while the rubbing was going on, that the rubber became alarmed and went for Mr. Long, who did not come for some time, but when he did he said it was nothing, and would soon go off, which it did after some time; but an odd sensation remained, which continued during the evening; she came home in her sister's carriage, and continued uneasy the rest of the day; she complained of a cold and chillings all the evening; a cold shivering fit came on when she retired to bed, and she took some hot wine and water; she had a restless night, and on the 11th October was unwell all day; there was a vivid redness across the breast where the rubbing had taken place, and a dark place in the centre of the breast, from which a discharge was taking place from under some cabbage-leaves, which had been applied by the direction, as she said, of Mr. Long; the large dark spot on her breast still got deeper in colour. The edges were white, and all much puffed up. The pores of the skin on the black spot were expanded, but did not break. She expressed great surprise that Mr. Long did not call, and was inclined to be sick during the day, and could not take any nourishment, and complained of a dreadful burning heat in the breast. She passed a restless night, and on the morning of the 12th of October, on looking at her breast, it appeared to me that from lying on her back wherever the matter discharged from the wound rested it caused fresh blisters, some of which I cut to relieve her pain, as she complained all over. A wicker cradle was forced to be made to place over her to prevent the bed-clothes touching her. On this day I called upon Mr. Long, who expressed his surprise at not having seen Mrs. Lloyd to go on with her inhaling. On explaining her inability, and great sufferings, he said that he would come in the evening, which he did, and found that she had applied some common blister dressing to alleviate the heat and burning feeling. Mr. Long said that was wrong, and contrary to his practice, but he would rub it out, which Mrs. Lloyd exclaimed against, saying that she had suffered so much that she could not endure these parts being rubbed at all; the very idea of touching them, even by herself, was excruciating. Mr. Long said that the only thing necessary to be applied to the wound was old dry linen, to absorb. He then asked for a towel, and began rubbing it dry on the large black spot, as I suppose to absorb the discharge. Mrs. Lloyd said she had always healed any little blister by a simple blister-dressing; and Mr. Long said he saw no objection to her using it, and then departed. During the time Captain Lloyd was giving his evidence he appeared deeply affected, and frequently burst into tears.

The inquiry was then adjourned until the next day.

The jury resumed the inquiry on Thursday morning, when a post-mortem examination of the body took place.

Further evidence was given in corroboration of that heard on the preceding day, when the gentlemen who had examined the body of the deceased read a report, from which it appeared that the body was perfectly healthy. The lungs were sound and free from all disease. The heart was healthy, and the windpipe equally so; in fact, the medical gentlemen added, that in their professional researches they had seldom seen a body that had lived forty years with internal structures so generally healthy, and so fine in their proportions.

Several of Dr. Long's dupes were called to swear to the general excellence of his treatment.

The coroner addressed the jury, stating that the question for their determination was, whether the deceased came by her death from gross ignorance or inattention from her medical attendant, or whether she died a natural death.

The jury retired for about half an hour, and then returned the following verdict:--

"The jury, having attentively and deliberately considered their verdict

can come to no other than Manslaughter, against John St. John Long."

The coroner inquired on what grounds they found their verdict?

Foreman: On the ground of gross ignorance, and on other considerations.

Upon this second charge Mr. Long was tried at the Old Bailey on the 19th of February, 1831.

Mr. Long appeared somewhat confused on his entering the dock, but he soon recovered his self-possession, and bowed to many persons who entered the court. The case was tried before Mr. Baron Bayley.

The evidence of Captain Lloyd, and of the other witnesses examined before the coroner, was now again gone into, and the additional testimony of Mr. Campbell, who had first seen Mrs. Lloyd after she had quitted Mr. Long, was also given. His statement was as follows:--

I am a surgeon; I visited Mrs. Lloyd some time before her death; she appeared to me a healthy person; she told me a few days before her death that she was suffering great pain in her breast, which, from its appearance she must have done; there were very extensive wounds, no doubt produced by strong corrosive liquid; the skin was destroyed, and hung in folds on the chest; there was a considerable discharge from the wound generally; the wound extended from nearly one arm-pit to the other, and from the throat to the bottom of the chest; the skin was off both breasts; it was of a very dark colour; when I attended her first, there was no cabbage leaf on; I applied a simple dressing; I saw the deceased afterwards, every day until her death; I considered the wound dangerous to life from the first moment that I saw it; when Mr. Vance was called in, he applied the same dressing, and I described to him the treatment I had pursued; I gave the deceased some internal medicines; it was not until mortification had commenced that bark and mineral acids were administered; according to the best of my judgment, I should say that the deceased died of the wound in her chest; it certainly was not necessary to produce such a wound to cure a difficulty in swallowing; I know of no disease where it would be necessary to produce such a wound.

Cross-examined by Mr. C. Phillips: I have practised as a surgeon for seven years; some hope (after Mr. Vance was called in) remained that Mrs. Lloyd would recover; from the time that I was called in Mr. Long had no opportunity of prescribing for her; generally speaking, the remedy applied by the surgeon must be regulated by the description the patient gives him of his disease; I was not present when the deceased first described her symptoms to Mr. Long; I do not recollect whether I proposed to Mrs. Lloyd to call in some eminent surgeon; I did not consider that I was authorised in calling in another surgeon without the party wished it; the general practice in dangerous cases certainly is to mention it to the friends, and leave them to act as they please.

Mr. Phillips: Seeing, as you express it, that it was a wound dangerous to life, did you not wish for further assistance? Witness: I had no objection to take the chance; mortification came on about seven or eight days after Mrs. Lloyd was under my care; I was from the beginning apprehensive of gangrene, but I cannot say how soon afterwards it commenced; I applied nothing but simple dressing until Mr. Vance was called in; I stated at first to the friends of the deceased the danger that I anticipated from the wound; I attended her nearly a month before she died, during which time Mr. Long had no opportunity of seeing or prescribing for her.

Re-examined: I fully believed that I understood how to treat the wound; I saw the body examined after death, but from nothing I then saw do I think there is any reason to suppose that I mistook the cause of death; I never saw a wound like the one on Mrs. Lloyd's breast produced by a blister, and in such cases, where fatal results have followed, there have generally been appearances to account for them.

By the Court: I think simple dressing best calculated to have reduced the inflammation.

When the whole of the evidence had been given, Mr. Alley and Mr. Adolphus addressed the court, and urged that there was nothing in the proofs, which had been adduced, which fairly brought the prisoner within the jurisdiction of the court.

Mr. Baron Bayley, however, held that any man presuming to meddle with what he did not understand--unacquainted with the principles of medicine, venturing to prescribe for the sick, and thereby causing their death, incurred a heavy responsibility, and indisputably, in some cases, was guilty of manslaughter. It would be for the jury to decide whether the present case assumed such a complexion.

The prisoner was then called on for his defence.

He addressed the court and jury at some length, urging that the death of the deceased was occasioned, not by any improper treatment of his--for that, if he had been permitted to attend her for a few days longer, he would have restored her to perfect health--but to the inexperience of Mr. Campbell, into whose hands she was thrown, to his utter exclusion. He complained of the prejudices which had been excited towards him by practitioners, who were jealous of his success; for while he was earning ten or twelve thousands a year, they were not obtaining more than one-third of that sum. It was true that he was not a member of either the College of Surgeons or Physicians; but he had spent a fortune in the attainment of his professional knowledge, and in the pursuit of his practice had given the most universal satisfaction--so much so, that were he acquitted that day, he was persuaded he should be again honoured with the confidence of those distinguished and respectable individuals who had already from experience placed implicit confidence in his skill and judgment. Of those, he was proud to say, he had many in attendance, to whose testimony in his behalf he should refer. He complained that he had not himself been examined as a witness, before the Coroner's inquest, and repeated, that if guilt attached anywhere, it did so to Mr. Campbell more than to himself; for that there was nothing in his treatment which could have occasioned the melancholy result, which no man deplored more than himself. The prisoner spoke in rather a low tone of voice; and, having a slight impediment in his speech, his address did not seem to make a very forcible impression.

The counsel of the prisoner then proceeded to call evidence in his behalf.

Mr. Abingdon was examined: He said he had several times been under the care of the prisoner; he had an asthma, and subsequently a determination of blood to the head.

The Attorney-General here interfered, and submitted that the course of the present examination ought to be confined to the general character of the prisoner, in which the court, after hearing arguments from Mr. Alley and Mr. Phillips, acquiesced.

Mr. Phillips endeavoured to shake this decision, contending that as the indictment raised the question whether Mr. Long was grossly ignorant, or had been grossly careless, it was impossible to establish his innocence otherwise than by showing, as he verily believed they could, that he was both learned and skilful, and most attentive and humane in his practice of the healing art.

Mr. Baron Bayley: We cannot go into specific cases; we must confine ourselves to general evidence.

Mr. Phillips resumed the argument at length, but

The Attorney-General, in reply, said that if his learned friends found themselves at liberty to go into all the successful cases of the prisoner, he should go into the several failures in his practice.

The court having repeated its former decision, the examination of Mr. Abingdon was resumed, and he stated that the prisoner had attended him for several disorders, and he had the fullest reason to be satisfied with his skill, care, and attention.

Mrs. Ashworth, the wife of General Ashworth, Miss Rook, her sister, Mrs. Prendergast, Mrs. M'Donnell, Mrs. M'Dougall, and a vast number of other ladies and gentlemen were then examined, and every one of them bore testimony, in the strongest manner, to the skill, assiduity, and humanity of the prisoner, and to the extraordinary success which had uniformly attended his practice.

Mr. Baron Bayley then proceeded to sum up, observing, that the question for the jury to decide was, whether the prisoner had been guilty of gross rashness, or had manifested culpable ignorance. The point at issue was, not whether, after the medicine had been administered, the prisoner had been inattentive, for his services were prevented; but whether, before it had been administered, he was ignorant of its nature and probable effect upon the constitution of the unhappy person to whom it was applied. His lordship then proceeded to read over the evidence, and to comment upon it as he proceeded. If the jury were of opinion that the death took place from the wound given on the morning of the 10th, they would give their verdict against the prisoner; but they must be fully satisfied that the death arose from that alone. If they entertained any doubt, the prisoner would be entitled to the benefit of that doubt; but they must be satisfied that the crime imputed to him had been committed feloniously.

The jury retired at half-past eight o'clock, and returned in an hour with a verdict of "Not Guilty."

Several ladies, elegantly dressed, remained with the prisoner in the dock throughout the day, to whom this verdict appeared to give great satisfaction.

Mr. Long, upon his discharge, resumed his "rubbing in" practice, as before, and, we believe, still with much success. Many reports were circulated as to his habits and history, and many calumnious statements were made, both as to his mode of life and the system which he had adopted to carry on his business. For one of these libellous publications he brought an action in the Court of Common Pleas, which was tried on Tuesday, 14th June 1831, and he obtained a verdict with 100_l_. damages.