Being a history buff, I rarely
read JFK, thinking he was my contemporary, not yet a historical figure. Visiting his library and museum with Katy, my
two daughters and Edwin at Boston
last month changed my view. I put down
Paul Murray Kendall’s Richard the Third
(a 1955 book) and began to listen and read Jacqueline
Kennedy: Historic Conversations on Life with John F. Kennedy (an interview
with Arthur Schlesinger).
Jackie is very articulate (one
meaning of articulate is 咬字清晰), it is
a pleasure listening to the CD, but reading the book version is quite helpful
to get the full story as it comes with lots of annotations of the people and
events of interest.
This post focuses on JFK’s back
surgery. The right choice of management (surgery
vs. non-surgical approach) for the herniated disc or spinal stenosis of spines
remains elusive in many cases; the unpredictable outcome remains true in select
cases to this day. JFK didn’t have the
good outcome and Jackie resented it bitterly; she even used the term of “criminal”
in criticizing the surgeon’s decision.
The following is from the CD.

“Yeah, with the back. It had just
gotten worse and worse. I mean, the year
before we were married, when he’d take me out, half the time it was on
clutches. You know, when I went to watch
him campaign, before we were married, he was on clutches. I can remember him on clutches more than not. And then, in our marriage, he’d be off it a
lot, and then something would go wrong. It was really—I mean, the problem everyone
found later—he didn’t even need the operation.
It was that he’d had a bad back since college, and then the war, and
he’d had a disk operation that he never needed, so all those muscles had gotten
weak, and gone into spasm, and that was what was giving him pain—the
muscles. And so, then he’d go—I think if
he went on crutches for four days, you know, he’d get everything better, but
again that was only weakening it. And it
wasn’t until after his back operation that the poor doctor who’d been his
medical man, Ephraim Shorr [a New York Hospital endocrinologist], said to him,
“Now I think I am at liberty to tell you something which I wanted to tell you
before, but I didn’t think it was correct to do that to Dr. Wilson [the
surgeon, who was a Harvard classmate of JFK’s father],” who was the back
surgeon. This made me so mad how doctors
just let people suffer, and don’t say anything to hurt the other eminent
physicians’ feelings. . .after a year of surgery and a year out, his back was
weaker than ever. . . .”
[What Dr. Shorr said could be a hindsight 20-20, though.]
Schleisinger asked: “In other words, the operation of 1955 was
not necessary?” to which Jackie responded,
“It was no more necessary than it
is for you to have one this minute. And
it was just criminal. But, you know, all
those bone surgeons look at X rays—you see, Jack was being driven so crazy by
this pain. They even said to him before it, “We can’t tell if it will help or
not.” I remember his father and I and he
talking, and he said, “I don’t care. I
can’t go on like this.” It was, you
know, one chance in a million, but he was going to take it.”
Jackie’s knowledge about JFK’s
back problem might not be 100% correct, thus her resentment might not be fully
justified. Robert Kennedy wrote an
introduction for the memorial edition of his brother’s book, Profiles in
Courage, published in 1964, in which he wrote, “half his [JFK’s] days on this
earth spent in pain.”
There is a lengthy article about
JFK’s medical problems in the December 2002 issue of the Atlantic Monthly, which is an excerpt from Robert Dallek’s An
Unfinished Life: John F. Kennedy,
http://www.theatlantic.com/magazine/archive/2002/12/the-medical-ordeals-of-jfk/305572/1/