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On 21 August 1956, Eden woke with severe pain, needing pethidine, and in October had a febrile episode of 106° Fahrenheit and spent three nights in University College Hospital. His periodic fevers continued with increasing exhaustion. Meanwhile, Eden continued his plans to attack Egypt. Fighting began on 31 October. On 19 November, Evans ordered complete rest in a warm climate. Eden flew to Jamaica on 23 November. He returned on 14 December, only to have recurrent fevers at Christmas. On New Year's Day 1957, Evans told Eden and his wife that his illness would disable him from continuing as Prime Minister. On 7 January, Evans brought in Sir Gordon Gordon-Taylor (who had taught me surgery at the Middlesex) and Dr Thomas Hunt, both of whom firmly confirmed Evans's advice. They all signed the inevitable bulletin: "The Prime Minister's health gives cause for anxiety. In spite of the improvement which followed his rest before Christmas, there has been a recurrence of abdominal symptoms. This gives us much concern because of the serious operations in 1953 and some subsequent attacks of fever. In our opinion, his health will no longer enable him to sustain the heavy burdens inseparable from the office of Prime Minister."

Eden resigned the next day. Ennobled as Earl of Avon, he lived for another 20 years, in variable ill-health with periodic fevers, and needed a further major operation in Boston in 1970. 

There has been considerable debate over how much of Eden's Suez disaster could be attributed to his illnesses and his prescribed medication, especially barbiturates, as well as hypnotics and stimulants for his depression. Amphetamines had been used in this way from the 1930s, and in the 1950s were still the only available antidepressant. Many of those who knew him well, including his doctors, doubt this hypothesis. Tommy Hunt's considered opinion was that Eden would not have acted very differently in the Suez crisis if he had been in robust health. 

I am not a political historian, I am a physician, but in both London and New York I have been involved in teaching bioethics. I pose eight questions, bearing in mind that I knew or met all the British doctors I named.

(1) Churchill replaced Hunt by Wilson as his medical adviser because Hunt refused to cancel another patient's appointment to fit in Churchill.

Should a doctor allow a VIP to dislodge an ordinary citizen? And if Hunt had been Churchill's physician, would he have acted differently?

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Anne Elborn
May 24th, 2012
10:05 PM
A very interesting article. Are you te Jeremy Baron I met at Alan Small's house in the early 50's@ I stillhave a book by Heine that you gave me

Dr Roderick Neilson
July 27th, 2011
10:07 PM
I think the post by 'anonymous' says more about him or her than it's content does. I worked for the Medical and Dental Defence Union of Scotland for 5 years. The use of clinical records by MDOs in medical negligence and GMC cases is covered by legal privilege, not patient confidentiality. If a doctor is accused of negligence or serious professional misconduct they have a right in law to access to relevant clinical records to answer the case made against them. As for the allegation that MDOs, lawyers and courts falsify and distort records, that smacks of sour grapes and failed litigation by Anonymous rather than fact.

Anonymous
January 23rd, 2011
4:01 AM
If Dr Neilson above was an advisor to a medical defence oragnisation (MDO), then he would know what a joke patient confidentiality is. MDOs routinely instruct doctors, expert witnesses and lawyers through the MDO medico-legal advisors to collude, with deliberate deception, against medical malpractice patients by falsifying their medical records, tests and radiographs. The Spine helps with this abuse of privacy, as do all electronic computer medical records. This deception and abuse of process goes all the way from the MDOs to the prejudiced rulings of medical boards and court judges.

Dr Roderick Neilson
December 7th, 2009
7:12 PM
I write as a practising consultant and a previous medical adviser to a UK Medical Defence Organisation. If Dr Baron is to believed St Mary's Hospital Medical School teaches and practices lower standards in relation to patient confidentiality than the Scottish University I attended. It is a step too far to suggest that the chequered medical histories of past politicians, all of whom are conveniently dead and thus cannot complain, means the public has a right to know the medical histories of current or would be current ones. I have little sympathy for most politicians but the fact they are politicians does not mean they have a lesser right to medical confidentiality than ordinary people. Neither does it mean that the GMC's position on medical confidentiality does not apply to their doctors. I'm sorry but Dr Baron's view that different standards should apply as regards confidentiality when politicians are patients is unethical and intrusive. Dr Roderick Neilson Consultant Haematologist

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