Profiles of US Presidents in the 20th Century: Merits and Maladies
Robert W. Schrier Professor of Medicine University of Colorado School of Medicine Theodore Roosevelt (1858-1919) Twenty-sixth President (1901-1909) Theodore Roosevelt, Conservationist National Treasures Created or Enlarged 1901-1909
• U.S. Forest Service • National Forests (150) • National Parks (6) • National Monuments (18) • Federal Bird Reservations (51) • National Game Preserves (4)
Theodore Roosevelt Sr., Father of Teddy Roosevelt
Teddy Roosevelt in his Rough Rider uniform Teddy Roosevelt as Governor of New York from 1899-1900 Teddy and Edith Roosevelt with their children Quentin, Theodore III, Archie, Alice, Kermit, and Ethel Teddy’s bloody shirt from assassination attempt William Howard Taft (1857-1930) Twenty-seventh President (1909-1913) Mrs. William Howard Taft (Helen “Nellie” Herron Taft) William Howard Taft, the Governor of the Philippines, on a carabao Woodrow Wilson (1856-1924) Twenty-eighth President (1913-1921) President Taft and Woodrow Wilson heading to Presidential Inauguration WOODROW WILSON
• 1896 - First stroke at age 40 while a Professor at Princeton University • 1906 - Second stroke at age 50 while President of Princeton University • 1910 - Elected Governor of New Jersey at age 54 • 1912 - Elected President of the United States at age 56 WOODROW WILSON’S MEDICAL ILLNESSES DURING HIS PRESIDENCY (1912-1920) • 1912 – Symptoms on left side compatible with right internal carotid ischemia • 1914 – Wife’s death led to severe depression with suicidal tendencies • 1914 – Medical records showed high blood pressure with hypertensive and atherosclerotic changes and exudates in fundi • 1918 – “Cerebral atherosclerosis with lapses in memory and judgment, diminished emotional control and increased suspiciousness” Wilson with his second wife, Edith WORLD WAR I AND THE VERSAILLES TREATY • April 1917 – United States declares war against Germany • 1918 – Versailles Treaty • ENTENTE POWERS – Severe reparations • Clemenceau – France • Lloyd-George – Great Britain • Orlando – Italy
• WILSON’S “FOURTEEN POINTS” – humane peace WOODROW WILSON AT VERSAILLES
“He was beaten out that he could only remember with effort what the council had done in the afternoon.” Wilson Aide Versailles, France WILSON’S POST-VERSAILLES CROSS COUNTRY SPEAKING TOUR • September 25, 1919 – Third stroke at age 63 in Pueblo, Colorado
• October 2, 1919 – Fourth stroke with complete paralysis on the left side
• March 1921 – Finished second term bedridden Wilson early (above) and later (right) in his Presidency Warren G. Harding (1865-1923) Twenty-ninth President (1921-1923) Warren and Florence Harding The U.S. Senate investigation of the Teapot Dome Scandal Calvin Coolidge (1872-1933) Thirtieth President (1923-1929) President and Mrs. Calvin Coolidge Silent Cal with Indian chiefs President and Mrs. Coolidge at their son’s funeral Herbert Hoover (1874-1964) Thirty-first President (1929-1933) The Herbert Hoover family Herbert Hoover’s support for starving children in World War I Vice President Charles Curtis A “Hooverville” during the Great Depression A shanty in a Hooverville Franklin D. Roosevelt (1882-1945) Thirty-second President (1933-1945) POLITICS, POLIO AND FDR • 1905 – Married Eleanor Roosevelt • 1910 – Elected to New York State Senate • 1913 – Roosevelt appointed Assistant Secretary of Navy by Woodrow Wilson • 1920 – Lost election as Democratic candidate for Vice President • 1921 – Developed polio at Campobello, New Brunswick • 1922 – Returned to New York law practice and many other activities with increased vigor FDR’S PATH TO THE PRESIDENCY • 1924 – Nominated Governor Al Smith for Presidency at Democratic Convention • 1928 – Al Smith asked FDR to run for Governor of New York; FDR replied, “You’re asking me to run, Al, but I can’t even walk.” • 1928 – Elected Governor of New York • 1932 – Elected 32nd President of United States - 49 years old - major issue of campaign was FDR’s health (public release of medical exam; BP – 140/100 mm HG, LVH by EKG) FDR photo in wheelchair in support of polio victims President Roosevelt’s strong upper body and withered lower limbs President Roosevelt’s leg braces President Roosevelt being supported by Eleanor and his son President Roosevelt with his daughter Anna and Eleanor FDR AND POLIO
Asked if her husband’s polio had affected his mental ability, Eleanor Roosevelt replied, “Yes, any person who has gone through great suffering is bound to have a greater sympathy for and understanding of the problems of mankind.” Changing of the guard: Hitler and Hindenburg In Potsdam, March 1933 WORLD WAR II AND FDR
• 1937 – Hitler annexed Austria • 1938 – Czechoslovakia falls • 1939 – Poland invaded • 1940 – France surrendered • 1940 – FDR elected for third term • December 7, 1941 – Pearl Harbor FDR’S FOURTH PRESIDENTIAL TERM • 1944 – Normandy invasion
• 1944 – Democratic convention – FDR did not attend; Harry Truman replaced Henry Wallace as Vice Presidential candidate
• 1944 – FDR elected for fourth term in spite of congestive heart failure, anorexia and cardiac cachexia
• 1944 – Admiral Ross McIntire stated that FDR was “in better condition than the average man of his age;” FDR’s health was “very good,” he was in “splendid shape.”
• 1944 – James Roosevelt – campaign “was Father’s Death Warrant” Natural History of Essential (?) Hypertension (Franklin D. Roosevelt) FRANKLIN D. ROOSEVELT’S HYPERTENSION
• 1935-1941 – Blood pressure (BP) rose from 140/100 to 188/105 mm Hg
• March 1944 – Digitalis started; lungs cleared; decreased heart size; BP was 220/118 mm Hg
• May 1944 – BP was 240/130 mm Hg
• November 1944 – Reelected to fourth term
• February 1945 – Yalta conference with Stalin and Churchill
• April 12, 1945 – Died of massive cerebral hemorrhage The question about whether Roosevelt’s fatal brain hemorrhage was due to a melanoma YALTA CONFERENCE OF THE BIG THREE
• FDR’s trip to Yalta – A total of 12 days. FDR was accompanied by Harry Hopkins who had terminal cancer and new Secretary of State Stettinius had replaced moribund Cordell Hull
• Resulted in the division of Europe
• Did FDR’s illnesses (28 hospitalizations from 1942-45) contribute to the failure to coordinate military and foreign policy throughout the war and thus the imbalance at Yalta and the ultimate division of Europe?
Roosevelt making a point to Churchill at Yalta President Roosevelt at his Warm Springs Polio Retreat The deadly hiatus in American leadership – from the point when Roosevelt’s health and judgment began to fail to the point when Truman woke up to the reality of Soviet intentions – led to Yalta and Potsdam, the betrayal of the Poles, the imposition of Communist governments in Eastern Europe, the Czechoslovak coup, and, on the other side of the world, the loss of China and the invasion of South Korea.
(Jeffrey Hart, National Review, September 15, 1989) Ochsner Harry S. Truman (1884-1972) Thirty-third President (1945-1953) Truman in his National Guard uniform Truman and Bess on their wedding day Chicago Tribune gets it wrong Margaret Truman was a vocalist, pianist and novelist Dwight D. Eisenhower (1890-1969) Thirty-fourth President (1953-1961)
The MacArthur years - Douglas MacArthur and Dwight Eisenhower George Patton, Ike and Bernard Montgomery Ike at time of Fitzsimons Hospital for heart attack Ike’s room at Fitzsimons Army Hospital Ike and Mamie on his discharge from Fitzsimons Army Hospital “ … But three illnesses in three successive years, any one of which could have been completely disabling if not fatal, convinced me that I should make some specific arrangements for the Vice President to succeed to my office if I should incur a disability that precluded proper performance of duty over any period of significant length.”
Dwight D. Eisenhower, 1964 President Eisenhower with Vice President Richard Nixon John F. Kennedy (1917-1963) Thirty-fifth President (1961-1963) He and his aides had created the image of a young, heroic politician, full of vital energy, an image which both the general public and the media accepted, and which carried the patient, with his back troubles, three episodes of near deaths with the last rites, and Addison’s disease, into the White House. JOHN F. KENNEDY’S ILLNESSES
• 1942 – After P.T. boat school – “out of commission for several weeks” – fatigue, back pain
• 1943 – PT 109 wreck – stranded with crew for 6 days on an island
• 1943 – Assigned to PT 59 but “back ache, mental and physical exhaustion” kept him from assuming command and ended his military career Kennedy after PT 109 episode JOHN F. KENNEDY’S ILLNESSES
• 1944 – First back surgery in Boston
• 1947 – Post-election trip to Europe; admitted to London clinic where Addison‘s Disease first diagnosed by Sir Daniel Davis – “Young American friend of yours hasn’t got a year to live.”
• 1948 – Collapsed after 5 mile Bunker Hill Day Parade walk during campaign for Congress Sickly-looking Kennedy five months after the diagnosis of Addison’s disease JOHN F. KENNEDY’S ILLNESSES • 1952 – During round-the-world trip with Robert Kennedy, JFK developed high fever and became seriously ill • Given last rites by the Catholic Church • Treated with increased corticosteroids and antibiotics • 1954 – Second back operation in Boston - Given last rites by the Catholic Church - Developed severe infection - 5 months of hospitalization and treatment with antibiotics and larger doses of cortisone President Kennedy and Jackie after back surgery KENNEDY’S ILLNESSES BECAME A PRESIDENTIAL CAMPAIGN ISSUE IN 1960 “John F. Kennedy does not now nor has he ever had an ailment described classically as Addison’s disease, which is a tuberculous destruction of the adrenal gland. Any statement to the contrary is malicious and false … in the post war period (he had) some mild adrenal insufficiency. This is not in any way a dangerous condition and it is possible that even this ACTH stimulation test for adrenal function was considered normal in 1958.”
JFK spokesperson Medical History of John F. Kennedy “Autoimmune Polyendocrine Syndrome Type 2” (Ann Int Med, Sept 2009)
Family History Younger sister, Eunice, had Addison’s disease John F. Kennedy, Jr., had Graves disease
Dr. Janet Travell’s listing of Kennedy's medications hydrocortisone, 10 mg daily prednisone, 2.5 mg twice daily methyltestosterone, 10 mg/d liothyronine sodium, 25 μg twice daily fludrocortisone, 0.1 mg/d
President Kennedy and Jackie in Dallas just prior to his assassination Bobby, Jackie and Teddy Kennedy at President Kennedy’s funeral Lyndon B. Johnson (1908-1973) Thirty-sixth President (1963-1969) Johnson being sworn in as President after Kennedy’s assassination President Johnson chatting with the first Medicare recipient, former President Truman The “Johnson treatment” on New York Governor Nelson Rockefeller Johnson said, “If I’ve lost Walter Cronkite, I’ve lost Middle America.” President and Lady Bird Johnson on the South Lawn of the White House Richard M. Nixon (1913-1994) Thirty-seventh President (1969-1974) The Nixon family Nikita Khrushchev and Nixon in their Kitchen Debate Nixon and the Vietnam troops Mao Zedong and Nixon Bob Woodward and Carl Bernstein Leaving the White House permanently after the Watergate Scandal Quotes about Nixon
Biographer Elizabeth Drew “Nixon was a smart, talented man, but the most peculiar and haunted of all presidents.”
Author Richard Reeves “Nixon was a strange man of uncomfortable shyness who functioned best alone with his thoughts.”
Dr. Hutschnecker (Nixon’s psychotherapist) “Nixon’s mental status was fragile and like a rumbling volcano.” “He was racked with fears and desperate to be loved.” Nixon had problems with depression and alcoholism. Henry Kissinger (Secretary of State) When North Korea shot down a U.S. spy plane, a drunken Nixon said, “Henry, we’ve got to nuke them.”
James Reston (journalist) With the protests against the invasion of Cambodia, Nixon made 51 telephone calls from 9:22 p.m. May 8th to 4:22 a.m. on May 9th to reporters, cabinet members, Foreign Service officers, and magazine editors.
Alexander Haig The end of the Nixon Presidency was “one of the most dangerous periods in American history.”
Gerald R. Ford (born 1913) Thirty-eighth President (1974-1977) Gerald Ford, All-American at the University of Michigan Gerald Ford in his Navy uniform Watergate Crisis
• Vice President Agnew Resigns
• Gerald Ford APPOINTED Vice President
• President Nixon Resigns and Ford APPOINTED President
• President Ford APPOINTED Nelson Rockefeller Vice President
President Ford announcing the Nixon “full, free, and absolute pardon” President Ford discussing the end of the Vietnam War with Nelson Rockefeller and Henry Kissinger President Ford immediately after assassination attempt 1976 Debates between Ford and Carter Jerry and Betty Ford dancing in the White House
Jimmy Carter (born 1924) Thirty-ninth President (1977-1981) Jimmy and Rosalyn Carter on their wedding day Governor of Georgia Jimmy Carter President Carter with Anwar Sadat and Menachem Begin at the Camp David Accords President Carter receiving the Nobel Peace Prize in 2002 Carter and Rosalyn with Fidel Castro Founders of the Carter Center Ronald Reagan (1911–2004) Fortieth President (1981-1989) Ronald Reagan, “The Gipper” Ronald Reagan in his Air Force uniform Ronald Reagan as host of the General Electric Theater The bullet
President Reagan’s chest x-ray after assassination attempt March 1981
• President Reagan Shot
• President’s physician not consulted about his condition until the morning after surgery
• White House and staff dismissed 25th Amendment
Alexander Haig, Secretary of Defense, stated, “I’m in charge.” Succession Act of 1947 of Powers and Duties of the President Vice President Speaker of the House President Pro Tempore of Senate Secretary of State Secretary of Treasury Secretary of Defense Attorney General Secretary of Labor Secretary of Health and Human Service Secretary of House and Urban Development Secretary of Transportation July 13, 1985 • President Reagan’s Colon Surgery
• Written declaration to Congress that Vice President Bush would assume power i.e. Acting President.
• Surgery began at 11:48 am; Reagan reasserted his authority as President at 7:22 pm President Reagan, after colon surgery, with Regan and MacFarland at his bedside President Reagan and Mikhail Gorbachev Reagan riding off into the sunset George Bush (born 1924) Forty-first President (1989-1993)
Naval aviator, three days before his 19th birthday Captain of his Yale baseball team President Bush with Gulf War soldiers when he had hyperthyroidism All three, including the dog, had hyperthyroidism Bush debate with Clinton and Ross Perot when he was euthyroid William J. Clinton (born 1946) Forty-second President (1993-2001) Bill Clinton on the saxophone
Young Bill Clinton meeting President Kennedy A bearded Bill Clinton with Oxford roommates Bill and Hillary Rodham dating during law school 32 year old Bill Clinton being sworn in as Governor of Arkansas President and Hillary Clinton dancing at the Inaugural Ball, January 20, 1993 President Clinton signing the North America Treaty Agreement (NAFTA)
Monica Lewinsky and President Clinton share a moment
President Clinton denies the accusation President Clinton, Prime Minister Ehud Barak, and Palestine Chairman Yasser Arafat
Former Presidents Bush and Clinton work together to raise funds after the tsunami in Asia Summary of 20th Century Presidents’ Illnesses
Theodore Roosevelt Jr. Disabling asthma as a child Episodes of depression Probable bipolar personality
William Howard Taft Hypertension Morbid obesity Probable obstructive sleep apnea
Thomas Woodrow Wilson Tobacco addiction Hypertension Atherosclerosis Four strokes Terminal left sided paralysis and disability during last 14 months of presidency Summary of 20th Century Presidents’ Illnesses
Warren Gamaliel Harding Tobacco addiction Atherosclerosis Fatal heart attack
John Calvin Coolidge Jr. Debilitating depression over death of son
Herbert Clark Hoover Orphan Total commitment to Quaker individualism during early phase of depression
Franklin Delano Roosevelt Polio related lower extremity paralysis Tobacco addiction Atherosclerosis Accelerated hypertension Congestive heart failure Summary of 20th Century Presidents’ Illnesses
Harry S. Truman Diphtheria related partial paralysis as child Poverty limited his formal education
David Dwight Eisenhower Tobacco addiction Atherosclerosis and heart attack Hypertension Bowel obstruction secondary to Crohn’s disease Left ventricular aneurysm and probably embolic stroke Multiple heart attacks, cardiac arrests and terminal congestive heart failure
John Fitzgerald Kennedy Autoimmune Polyendocrine Syndrome Type 2 with adrenal insufficiency and hypothyroidism Chronic back pain with vertebral fusion Probable addiction to prescription drugs Sexual addiction Summary of 20th Century Presidents’ Illnesses
Lyndon Baines Johnson Tobacco addiction Atherosclerosis Hypertension Gall bladder disease Episodes of depression and probable bipolar personality
Richard Milhaus Nixon Severe insecurity and paranoid personality Alcoholism
Gerald Rudolph Ford Jr. Two assassination attempts on his life Wife with breast cancer and drug addiction
James Earl Carter Jr. Probable obsessive-compulsive personality
Summary of 20th Century Presidents’ Illnesses
Ronald Wilson Reagan Gun shot to chest Alzheimer’s disease
George Herbert Walker Bush Graves disease (hyperthyroidism)
William Jefferson Blythe III Clinton Sexual addiction