The Quack Doctor

Would you buy a homeopathic remedy from this man?

Source: The Morning Times (Washington D.C.) 13 December 1896

James Monroe Munyon’s pompadour hairstyle was a familiar feature of American newspapers around the turn of the 20^th century. Having tried his hand at teaching, law, social work, publishing and song-writing, he started his Homoeopathic Home Remedy Company in the early 1890s and hit pay dirt.

In 1897, Munyon opened a London head office and a depot in Liverpool. A massive advertising campaign promised free vials of the remedies and challenged the British public to test his new system of curing disease. Perhaps Munyon anticipated lasting fame in the UK, but he couldn’t have predicted what his company would be remembered for.

There was a separate remedy for every disease. To name but a few, there were…

Munyon’s Kidney Cure, which a 1907 analysis showed to be 100% sugar.
Munyon’s Asthma Cure (sugar and alcohol)
Munyon’s Blood Cure (sugar)
Munyon’s Special Liquid Blood Cure (sugar, potassium iodide and corrosive sublimate)
Munyon’s Catarrh Cure (sodium bicarbonate, salt, borax, phenol and gum)
Munyon’s Special Catarrh Cure (sugar)
Munyon’s Grippe Remedy (sugar and arsenic)
Munyon’s Pile Ointment (a farthing’s worth of soft paraffin).

At various times these products were declared misbranded in the US because of the claims that they could cure disease, and Munyon received fines – but he carried on his business regardless. One of the slogans he used in his advertising was:

There is no punishment too great for him who deceives the sick.

While his remedies were coming under scrutiny from the BMJ and the American Medical Association, 60-year-old Munyon was busy marrying his third wife, 24-year-old actress Pauline Neff Metzger. His fortune was not an effective enough remedy for their differences, and they divorced in 1913.

Munyon had bought an island off North Palm Beach, Florida, and opened a resort there in 1903, calling his luxury hotel the Hygeia and attracting wealthy invalids. One of the attractions of the place was the ready supply of Paw Paw Tonic, a cure-all made from papaya. The place burnt down in 1917 and Munyon died a year later of an apoplexy while having lunch at the Poinciana Hotel on the mainland. His obituary in the New York Times quoted him as having said he started out with:

virtually no capital except ambition and a belief in letting folks know about it.

The company continued, and as late as the 1940s, shipments of its products were still being seized by the government and condemned. In 1944, a batch of Paw Paw Tonic was found to contain strychnine.

Above: Munyon’s Catarrh Cure. Photo credit: Michael Till. This was part of an inhaler that would originally have had a stopper with a tube insertion, allowing the patient to snort the remedy.

Munyon’s Homoeopathic Home Remedy Company has a colourful enough history of its own, but is now chiefly remembered for its other claim to fame.

The London office’s first manager was an industrious employee who had spent the past few years as a Consulting Physician in the Philadelphia and then Toronto branches, impressing Munyon with his work ethic and ability to improve sales. Unfortunately, the London manager started having problems with his wife, who was still in the US trying to become a professional singer and openly having affairs.

When she moved to London in 1900, he made some attempt to support her in her music hall career, but the stormy relationship interfered with his work. He left Munyon’s and did the rounds of various other patent medicine companies, including the Sovereign Remedy Company, his own business the Yale Tooth Specialists, and the Aural Clinic, later returning to the advertising department of his original employer.

Dr Hawley Harvey Crippen eventually got the sack from Munyon’s. By then he had taken up with Ethel le Neve, his wife was still giving him trouble, and things kind of went downhill from there.

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It is surprising the number of Persons that apply daily from 11 o’clock till 3, at No. 84, Wells-street, Oxford-street, to consult Dr. Cameron, who discovers disorders by an inspection of the morning urine, and although Dr. C.’s method is singular, it it (sic) a well known fact, that he restores many to perfect health, when the most eminent of the profession have failed, in painful, lingering, and dangerous cases; as diseases of the liver, bilious, and other obstructions, complaints in the Stomach, loss of appetite, jaundice, consumptions, dropsy, &c.; also those complaints peculiar to females at the different periods of life, and in all instances of Debility produced by free living and excesses, that derange, disorganize and weaken the nervous and muscular powers.

Source: The Anti-Gallican Monitor, 21 May 1815

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Uroscopy had been a diagnostic tool for centuries. The colour, consistency, smell and taste of urine were observed since the time of Hippocrates, and in the 17th century Thomas Willis described one circumstance in which it could be useful – in the diagnosis of diabetes mellitus. By Cameron’s time, however, the idea that it was possible to diagnose every disease from the urine alone – often without even seeing the patient – was well within the realms of quackery and uroscopists were derided as ‘piss-prophets’.

Cameron set up as a doctor in Well Street off Oxford Street in about 1809. Initially sharing premises with a silhouette-maker, he soon had enough good fortune to part ways with his impoverished artist friend. Because of urine-casting’s long history, he was able to attract patients who thought there was something in it and who were suspicious of most doctors’ insistence that it was a load of rubbish.

An anecdote in the Medical Adviser (1824) tells of Cameron’s modus operandi. The Adviser is not the most impartial of publications so the details must be taken with a pinch of salt, but they did claim to have verified the story.

A Holborn innkeeper consulted the doctor for chest pains and received some pills. After a month of taking them, he became unable to urinate and, in agony in the middle of the night, had to send for a surgeon to catheterise him. The pills turned out to contain the purgatives jalap and calomel (mercurous chloride), which the surgeon felt had been responsible for his symptoms. He recovered (apart from the chest pain, which was still there) – but not without wanting to pay Cameron back.

The vengeful innkeeper sent his ostler, along with a ‘heavy’ for back-up, to take a urine sample to Cameron. Variations on this story are still doing the rounds today, so you can immediately see what’s coming…

The doctor tasted the urine, and concluded that the sufferer was in a bad way, but could be cured. By asking questions about the age of the patient (24), how hard he worked (lots of heavy loads) and whether he was a drinker (a pail of water twice a day), Cameron diagnosed a bad back, at which point the ostler revealed that the urine was from his donkey.

‘Get out of my house, you rascal!’ bellowed the enraged ‘Doctor’ as he chased the little ostler about the parlour, who now got behind his colossal assistant, and as well might Cameron pierce the shield of Ajax as make an impression upon him, so he contented himself with snatching up the bottle, opening the window and dashing it into the street.

He continued to have a go at the visitors until they ‘coolly retired.’  In reporting the tale, the Medical Adviser certainly didn’t disguise its contempt of the self-styled Water Doctor:

In the name of the north and the honor of old Scotland is this fellow a Cameron? And has the name that is associated with deeds of glory and the might of auld lang syne, dwindled into a filthy water-taster?

Bristol Mercury 16 June 1838

Baron Spolasco next moved on to Swansea, and celebrated the first anniversary of his rescue by paying for a whole ox to be distributed among the poor. He was, however, about to suffer a temporary reversal of his fortunes, for in 1839 he was arrested in connection with the death of a young woman.

Twenty-three-year-old Susannah Thomas consulted the Baron about abdominal pain. Her aunt’s statement at the inquest gives an insight into how he worked. The Baron allegedly

…told [Miss Thomas] he knew by her eyes, that she was very ill, and that he would cure her; afterwards she would have cause to bless the hour she saw the good Baron Spolasco. Witness was not allowed to relate the symptoms of the disorder of deceased to the Baron, as he said he could know them by her bold eye.

In return for 22s. 6d., he supplied two pills and some powder – the aunt noticed that this was exactly the same for all the other patients. Back home, Miss Thomas became worse, so her aunt sent for the Baron, who advised to try some castor oil and a gruel and turpentine clyster. A quarter of an hour after he left, Miss Thomas died. The autopsy revealed that her intestines were inflamed and her stomach ulcerated and gangrenous, with a hole in the stomach wall allowing the contents to escape into her abdominal cavity. The surgeon conducting the post mortem examination believed that the Baron’s medicines – composed of aloes and jalap – had hastened the patient’s death.

Baron Spolasco was charged with manslaughter and, furious about the ‘foul conspiracy got up against him’ was sent to gaol to await the next circuit court. When his trial came up, the surgeon could not say with certainty that the medicines were the cause of death and the Baron was found not guilty.

But it wasn’t long before he had another brush with the law. In March 1840 he was arrested for forging the government stamps on his pills. An undercover policeman went to the Baron’s house and was furnished with medicines whose stamps imitated a design discontinued in 1823. Spolasco’s defence was that the packets were intended for sale in Ireland, where stamps were not necessary. He again spent a few months in gaol waiting for the Assizes, and again was acquitted.

One might have expected him to lie low for a while after this troublesome time, but he was as ostentatious as ever and within a few months of getting out of gaol, he published a song (in both English and Welsh) lauding his genius.

I pledge unto Spolasco’s name,
A name in which we glory;
His splendid cures and healing fame
Recorded are in story.
Be mindful of Spolasco’s skill,
Ye patrons of his merit;
Save him from all impending ill.
And a relentless spirit.

It goes on in the same vein for ten verses.

Advertising token from the Baron's days in Cork.

(Thank you to Lucy Martin for the above photograph.)

The Baron remained in Swansea for several more years, and was mentioned in an inquest for the Rev. Edward Matthews Davies, who died of kidney disease in 1843. The Baron had  tried to get him to hand over 20 guineas for consultation. Mr Davies’ servant asked whether such a large amount of money would actually result in a cure, and Baron Spolasco allegedly replied:

Do you think I would take any man’s money if I could not cure him? It is not the money I want, it is a name; I can get money as fast as I can count it.

It proved clear that the Rev Mr Davies had died of natural causes, and this time the Baron was not charged with anything. The coroner observed that:

…however culpable it might be to extort money from the pockets of a person labouring under a deadly disease, by pretending to cure him, yet a coroner’s jury could not deal with the case, unless it were proved that death was caused by the medicine prescribed.

At some point over the next few years, Baron Spolasco moved to London, remaining there until a 16-year-old servant girl stole a diamond ring from him, saying in her defence that she had taken it in revenge after he criminally assaulted her. She quickly changed her story to state that he had ‘taken a little liberty’ but that she had pushed him away. The Baron denied her allegations but appears not to have pressed charges for the theft. Soon afterwards he departed these shores for New York.

He carried on there just the same as he had done everywhere else, trumpeting his miracles and charging hefty fees for his advice. But he gradually went to seed and became the subject of Walt Whitman’s merciless description in ‘Street Yarn’ (1856):

Somebody in an open barouche, driving daintily. He looks like a doll; is it alive? We’ll cross the street and so get close to him. Did you see? Fantastic hat, turned clear over in the rim above the ears; blue coat and shiny brass buttons; patent leathers; shirt-frill; gold specs; bright red cheeks, and singularly definite jetty black eyebrows, moustache, and imperial. You could see that from the sidewalk; but you saw, when you stood at his wheel, not only the twinkling diamond ring and breast-pin, but the heavy, slabby red paint; and even the substratum of grizzly gray under that jetty dye; and upon our word there’s a hair of the same straggling out under the jaunty oiled wig! How straight he sits, and how he simpers, and how he fingers the reins with a delicate white little finger stuck out, as if a mere touch were all — as if his whole hand might govern a team of elephants! The Baron Spolasco, with no end of medical diplomas from all sorts of universities across the ocean, who cures everything immediately; you may consult him confidentially, or by letter, if you choose. It would be worth money to see that old gentleman — they say he is nearly eighty — undress himself! Clothes, wig, calves, stays, moustache, teeth, complexion — what a bald, bare, wizened, shriveled old granny he would be!

Though ‘they’ might have said Spolasco was pushing eighty, he was more like a mere 56. His fortunes declined and he moved to increasingly less salubrious parts of the city, defaulting on his rent each time. He died in 1858, unable to find a miraculous cure for his own cancer – but  perhaps still mourning the death of his little son on the Cork coast twenty years before.

On 19 January 1838, the steamer Killarney set sail from Cork, bound for Bristol. On board were 37 people and 600 pigs, and ahead of them was the most violent storm in more than half a century. The steamer was forced to turn back, and anchored at Cove for a few hours, until the Captain made the ill-fated decision to continue. By the following evening, 21 survivors were clinging to a rock, fast losing hope of rescue.

One of these survivors was Baron Spolasco (above), a flamboyant character who had been fraudulently practising as a physician and surgeon in different parts of Ireland. Though he looks rather exotic, he was probably born in the north of England in about 1800, and his real name appears in different sources as John Williams, John Smith, or the slightly more impressive John William Adolphus Frederick Augustus Smith.

Spolasco did not specialise in particular ailments – he cured everything instantly. You can click to enlarge this handbill and see the extent of his claims. I am very grateful to Lucy Martin for the handbill and portrait photographs, which she took at the University of Cork Art Gallery.

One part of the handbill says:

Any individual who has lost his, or her nose, can be supplied with a REAL one, Grecian, Roman or Aquiline, perfect and natural as by nature

This was done by the Talicotian operation, an ancient and ingenious way of reconstructing a missing nose by bringing down a flap of skin from the patient’s forehead.

On that fateful Friday in January 1838, Spolasco was off to Bristol to meet the agent of a ‘high personage’ about a complicated surgical case (or perhaps the people in Cork were starting to get wise to him). All his belongings were loaded onto the Killarney but he, his eight-year-old son Robert and their two Newfoundland dogs were five minutes late. They had almost resolved to wait for the next week’s boat, when some locals offered to row them out to the steamer.

During the course of that night and the next morning, the storm and the terrified pigs put the steamer in peril and it perished in Renny Bay. The poor Newfoundlands rapidly joined the choir invisible, but the Baron and Robert were among the 21 people who reached a rock 200 yards from shore. Though so close to land, there were no rescue attempts until the Sunday, by which time little Robert was among those who succumbed to the waves. In his Narrative of the Wreck of the Steamer Killarney, Spolasco later described his feelings about the death of his son:

I pause one moment to offer up my most fervent supplications to my God, to spare such of you my kind readers, as are fathers, and mothers; to spare you ever, from having to go through, to witness, to feel, to suffer, even a thousandth part of what I did for my dear, my sweet, my beautiful boy. Alas ! he is now no more, he is as still as the grave ! yes he is quiet—he moves not—he breathes not—he no longer enchants me as he was wont to do, morning, noon and night, with his sweet prattling, his but too sensible conversation ! HE IS DEAD ! ! !

The Narrative is a gripping read and, while melodramatic (in a good way) and self-aggrandising, the Baron’s story concurs in most details with other reports of the wreck.

The image below is from the Narrative, and though there’s no doubt a bit of artistic licence, it does emphasise just how near and yet so far the stranded people were from the land. They could see the locals making off with the dead pigs washed up on the beach, but they could do nothing to get themselves there alive.

We had not the good fortune to reach the top of the rock; we only got to between one and two yards of it and that part faced the sea. We had to hold on all night by our fingers and toes – something like being suspended by our hands and toes from the sill of a window in one of the upper stories of a house, and at every moment the tremendous and fearful billows lashing at our backs terribly, we were not able to rest ourselves even for a moment.

Eventually they were spotted by some ‘respectable’ people who sent for a set of rescue apparatus, but this relied on getting a rope out to the rock, and attempts proved futile. The rescuers tried attaching ropes to ducks and setting them off across the waves, but only one duck made it, and the survivors couldn’t catch it. Next they tried using a howitzer to fire balls with ropes attached, but to no avail.

Then the chief coastguard’s brother, Edward Hull, had the idea of carrying a long rope round the bay so that it would stretch from one promontory to the other, with a second rope hanging down over the rock. The first attempt was late on Sunday afternoon and as darkness fell the rescuers almost left off, but in desperation two people grabbed the rope and shouted to be hauled in. According to the Baron:

…[the rescuers] immediately did so, upon which we heard a splash but could see nothing, it being at this time dark.

After this melancholy occurrence, the remaining survivors were abandoned to a second night without food, water or shelter. The next day, using the long rope and a basket, those on land were finally able to get the staples of life – wine, whiskey and bread – onto the rock. The Baron writes:

I cannot find words sufficiently strong to express how grateful the wine was to my parched lips. Each having partaken of this seasonable relief, we all huzza’d, and waved our hats and caps, in token of gratitude for what we had just had, and in the hope of being speedily relieved.

The equipment had a cot designed to transport human beings, and by this method the 14 survivors were removed, one by one. First was the only woman, Mary Leary, but Baron Spolasco managed to be second in line and was taken to a nearby house. One of the others subsequently died of exhaustion.

Only a month later he wrote his Narrative, and used it as a way of increasing his fame and spreading the word about his medical practice. He went through with his plan of going to Bristol and started up with the same wild claims about miraculous cures. But his adventures had only just begun.

In the next post, the intrepid Baron gets arrested for manslaughter, charged with forgery, and falls under the satirical eye of Walt Whitman in 1850s New York.