Blood and Guts: A Short History of Medicine

New Price: $16.95
Used Price: $1.27

Mentioned in:

Samuel Pepys Would Have Been Huge on the Internet

At some point during the 31st of May 1669, a learned if bawdy, witty if obscene, educated if scandalous, pious if irreverent rake, raconteur, and libertine who’d recorded over one million words about his life for almost a decade stopped his private scribblings, even though this gentleman named Samuel Pepys would live for more than another three decades. To the best of our knowledge, until that point no Englishman had ever provided such a complete accounting; such a scrupulous interrogation not of the soul, but of a life—a largely secular exercise in tabulating not just wars, but dinners; not just plagues, but nights at the theater. Beginning on January 1st upon the first year of Restoration, Pepys would record everything from when fire immolated the city of London to a particularly enjoyable stew of tripe and mustard. An entry dated March 10th, 1666 confesses that the “truth is, I do indulge myself a little the more in pleasure, knowing that this is the proper age of my life to do it,” and such a position could be the motto of Pepys’s diary. That document doesn’t reach the rhetorical heights of other 17th-century classics—it has not the poetry of William Shakespeare’s famed soliloquy in Hamlet, nor the intellectual sophistication of John Donne’s Holy Sonnets or George Herbert’s The Temple. Rather, what Pepys offered was something different, but no less impressive—a complete map of an individual human life and mind during that defined period of time. As novelist Philip Hensher notes in The Atlantic, “there is no precedent and no parallel for what Pepys actually did.”

Restoration was inaugurated with King Charles II’s triumphant return to London to avenge his father’s regicide, and Pepys would work as administrator of the Navy in the new regime. This was a fabulous era of theatricality after a decade of dreary Puritan Interregnum; when John Dryden’s and Aphra Behn’s elaborate set-pieces thrilled London audiences, when Isaac Newton’s New Physics transformed the very nature of motion, when wits from John Wilmot to William Wycherley injected English letters with a pump of aphrodisiacs.  An era ruled by an aristocracy that Peter Stallybras and Allon White describe in The Politics and Poetics of Transgression as being “carelessly demonic, nonchalantly outrageous, cynical in the way that only a class which despises its compromises can be cynical,” all of which Pepys was able to document. Pepys observed both the plague and the Great Fire of London, the first which decimated the capital and the later which purified it, and the Second Anglo-Dutch War when the English traded the tropical paradise of Suriname for a small village named New Amsterdam on the tip of Manhattan Island. With large, soulful brown eyes, jutting lower lip, and curly auburn hair, Pepys cut a swath through London society, from the coffee houses and printers of Fleet Street to the book stalls at St. Paul’s, pushing the Socratic injunction to “Know thyself” to its extreme, the most self-obsessed man in a self-obsessed era. A man aptly described by Emily Cockayne in Hubbub: Filth, Noise & Stench in England as the sort “not to make too much of a fuss about being accidentally spat on by a lady in the theatre—providing the lady was pretty.”

Yet after nine years of privately recording his movement in regal circles, his observation of scientific and technological changes, his attendance at the splendid plays of the Restoration, his intellectual intercourse with the era’s great minds (as well as the other type of intercourse), Pepys made his last entry on that spring evening in 1669. Fearing that he was going blind (he was not going blind), the diarist signed off with “The good God prepare me,” and so after one million words Pepys would fall silent in the record of his own life. A funny thing which literary anniversaries we choose to commemorate or not. Certain authors come in for posthumous honoring more than others—Shakespeare, Jane Austen, Charles Dickens. This year sees the 200th birthday of the great, grey bard of Camden, Walt Whitman, and his work will be rightly celebrated with events throughout his cities of New York, Philadelphia, and Washington. Three years ago was the 400th anniversary of Shakespeare’s death, and it received a predictable amount of attention; 2023 will be the 400th year of publication for the first folio of the dramatist’s complete works, and it too will undoubtedly be commemorated with exhibitions, lectures, plays, books, and articles (I’m penciling such retrospectives into my own writing schedule right now). Pepys’s retirement as a diarist, by contrast, seems to largely be passing without much mention; the release of a commemorative coin from the Royal Mint (which he was associated with) notwithstanding.

An irony in this, because Pepys is in many ways a prophet of our own self-obsessed age. Pepys’s fragmentary, digressive, contradictory, messy diary (which was as voluminous in its output as it was disorganized in its execution) foreshadows our own individual self-fashioning. In Pepys we see Facebook; we see Twitter. British actor and web-programmer Phil Gyford sees in the diary a forerunner of blogging, and as part of an online project he spent nine years posting Pepys’s entries in real time. Lisa Schamess, in a delightful essay for Creative Nonfiction, considers both Gyford’s project and the general compatibility of Pepys’s diary with our own digital moment, arguing this his prose itself is “elegant evidence of how lustily the 17th century’s most famous diarist might have embraced the internet, tapping up its opulent charms deep into the night.” With an admirable eye towards close reading and comparison, Schamess reads through several of Pepys’s entries to demonstrate how in their half-formation, their digressions, and their exhibitionism, they’re reminiscent of Facebook posts. Schamess writes that Pepys’s “sharp eye and acid wit would be perfect for the restless internet, with its thin, glowing scrim between life and audience, its illusion of anonymity and controllable intimacy.”

Much is convincing in Schamess’s observation, yet it’s undeniable that even if his prose would be copacetic with the internet’s “illusion of anonymity and controllable intimacy,” Pepys’s actual writing was, at least while he was alive, completely private. Scholarly arguments abound about just how private Pepys’s expected his writings to ultimately be, and yet Gyford’s neat conceit aside, the historical diarist was not hitting “Post” after each one of his entries. Hewing to a more traditional interpretation of Pepys that sees him as a man of the late, late Renaissance, content to exist in wonder and curiosity, his editor Richard La Gallienne claimed that for Pepys’s “It is not so much himself that interests him, more merely the things that happen to himself, but the people about him and the things that are happening to everybody, all the time, to his nation as well as to his acquaintance.” Schamess’s and Gyford’s arguments about “social media Pepys” would be anachronistic coming from Pepys’s editor, a man old enough to have had an affair with Oscar Wilde, but perhaps La Gallienne would have concurred with them had he known what the internet was. Regardless, even in La Gallienne’s reading of the man’s character, there is something undeniable modern (or post-modern) in his vociferous appetites, his manner of absorbing, repackaging, and projecting his experience. In Pepys’s diary, there is an equivalence between his mind and the world, and what could be more contemporary than that, whether on paper or in 140-characters?

Written in a code-like short-hand developed in the 16th century, Pepys’s diary wouldn’t see publication until his writing was deciphered in the early 19th century; his previous reputation resting entirely on his role in civil government, ranging from membership in Parliament and being administrator of the Royal Navy to a position on the Tangier Council during the short years that the English governed a Moroccan colony. Pepys’s great colleague in self-introspection (or self-obsession), the Frenchman Michelle de Montaigne, may have invented the essay form more than a century earlier, but even he couldn’t match the Englishman for sheer magnificent, glorious, transcendent narcissism. The diary is what his name shall be inextricably linked with, not necessarily for the quality of the prose (though Pepys is often a fine stylist), but rather for the raw, honest, unguarded reflection on a sheer multitude of subjects ranging from politics to theater to medicine to sex. One of his 19th-century readers, the Scottish novelist Robert Louis Stevenson, writes that Pepys’s style “may be ungrammatical, it may be inelegant, it may be one tissue of mistakes, but it cannot be devoid of merit.” With what seems like faint praise, Stevenson clarifies that the worthiness of Pepys lay in a style that is “indefatigably lively, telling and picturesque…[dealing] with the whole matter of a life and yet is rarely wearisome.”

At turns anxious and perverse, aroused and guilty, introspective and arrogant, horny and holy, Pepys’s diary was the most complete record of the Restoration era, and of the vagaries of a human mind in all of its splendid contradiction. Tolerant and humane, if skeptical, in his Anglicanism, Pepys was an often unconvinced enthusiast of church sermons, writing on January 19 1661: “To church in the morning, where Mr. Mills preached upon Christ’s being offered up for our sins, and there proving the equity with what justice would lay our sins upon his Son.” Yet he was also the author who was able to write of his wife discovering Pepys’s dalliance with her maid Deb Willet as “coming up suddenly, did find me embracing the girl [with] my [hand under] her coats; and indeed I was with my [hand] in her cunny,” his indiscretions characteristically hidden in a hodgepodge of ellipses. Elsewhere he deploys a strange pidgin of English, Spanish, and French to mask his pornographic obsessions—idiosyncratic ciphers that if one can read his shorthand take most readers mere seconds to crack. That’s always been the enigma of Pepys, a man who spent so much time writing his apparently private diary, who took the most marginal of non-pains to cloak his indiscretions, and yet had the entire project bound in six volumes and categorized in his library’s bibliography with the apparent foreknowledge that it’d inevitably see posthumous publication. 

Pepys is the virtual font of an age for those of us who are weirdly enmeshed in the 17th century, attracted to a melancholic era of stunning contradiction, which White and Stallybras describe as being both “classical and grotesque, both regal and foolish, high and low.” To read Pepys is to inhabit his world, and while among the great prose stylists of that century he lacks the metaphysical acumen of Donne, the philosophical flights of Thomas Browne, or the psychological insight of Robert Burton, Pepys makes up for those deficiencies by simply being there—day after day, for the better part of Restoration’s first decade. Consider the eeriness of his first-hand account of the plague which leveled London in 1665, forcing the court to rusticate themselves as the buboes spread through the capital:

This day, much against my will, I did in Drury Lane see two or three houses marked with a red cross upon the doors, and “Lord Have Mercy upon Us” writ there – which was a sad sight to me, being the first of the kind… that I ever saw. It put me into an ill conception of myself and my smell, so that I was forced to buy some roll tobacco to smell and chew, which took away the apprehension.

Such a fusion of the horrific and the prosaic
conveys an immediacy that is still present three-and-a-half centuries later, a
sense of “This must have been what it was like.” Or consider his account of the
Great Fire of London from that satanic year of 1666, which remains haunting in
its specificity, the small details of tragedy illuminating the experience more
than maps and demographics ever could hope to:

Everybody endeavouring to remove their goods, and flinging into the river or bringing them into lighters that layoff; poor people staying in their houses as long as till the very fire touched them, and then running into boats, or clambering from one pair of stairs by the water-side to another. And among other things, the poor pigeons, I perceive, were loth to leave their houses, but hovered about the windows and balconys till they were, some of them burned, their wings, and fell down.

Hensher observes that from a “seventeenth-century perspective, everything here is a deplorable breach of literary manners: the undignified interest in inessentials, the failure to assert any kind of moral about people’s scrabbling after their possessions, and the eccentric, unpolished syntax.” And yet Pepys’s is a novelistic sensibility, apt more for Dickens or Gustave Flaubert than for his own century; an empathy that understands that there is infinitely more to be conveyed in the image of singed pigeons than the sophistries of theodicy that impose false meaning on such tragedy.

In making record of the 17th century, there is certainly something innately attractive in gravitating towards those particular dates that loom large, but what’s most evocative in Pepys are the personal details, the mundanities but which by virtue of his having recorded them now belong to the annals of eternity. On April 4th, 1663 he makes record of dinner “most neatly dressed by our own only maid,” in which Pepys and his guest feasted upon a “fricassee of rabbits and chickens, a leg of mutton boiled, three carps in a dish, a great dish of a side of lamb, a dish of roasted pigeons, a dish of four lobsters, three tarts, a lamprey pie (a most rare pie), a dish of anchovies, good wine of several sorts, and all things mighty noble and to my great content.” There are, it should be said, numerous entries of this sort. Think of it as the Restoration equivalent of an Instagrammed food picture. He’s less charitable in his theater recommendations; writing on September 29tht, 1662 that he went to the “King’s Theatre, where we saw Midsummer’s Night’s Dream, which I had never seen before, nor shall ever again, for it is the most insipid ridiculous play that ever I saw in my life.” But what’s Shakespeare next to a lamprey pie?

Or Pepys harrowing reminiscence of a surgical procedure, more than two centuries before anesthesia, which removed a kidney stone the size of a tennis ball from his bladder. Medical historian Roy Porter writes in Blood and Guts: A Short History of Medicine that “invasive surgery was limited in scope; lengthy operations, or ones demanding great precision, were out of the question.” Nevertheless, “A brave man—Samuel Pepys was one—might risk having a bladder stone removed surgically.” We should be thankful that the physician was the rare 17th-century doctor who saw fit to wash his hands before venturing tasks urological, for had there been for a bit more grime upon his digits when he performed surgery on Pepys’s peep and we’d never have had the diary to read. Pepys had his anatomical memento mounted as a trophy, writing March 26th, 1660 that “This day it is two years since it pleased God that I was cut of the stone…and did resolve while I live to keep it a festival.” Supposedly Pepys would plunk the stone into glasses of wine.

Then of course there is all of the sex in Pepys, with squeamish Victorian editors deleting whole entries where the diarist both luxuriated and punished himself over perversions both imagined and enacted. Pepys enumerated the women, from aristocrats to maids, wives and daughters of friends and colleagues, whom he fucks; women united in the status of not being his wife. Obsessed with not only his own erotic adventures, Pepys spends ample time hypocritically chastising Charles II’s own notorious appetites, while fantasizing about the monarch’s mistresses, from the actress (and “Protestant Whore”) Nell Gwynne to the aristocratic Barbara Villiers, whom Pepys claims he had a sex dream of that was “the best that ever was dreamt.” Still substantially less problematic than the entry from May 21st, 1662 in which Pepys writes that he came across Villiers’s underwear being hung out to dry in the palace at Whitehall’s privy garden, being “the finest smocks and linned petticoats…laced with rich lace at the bottom, that ever I saw; and did me good to look upon them.”

Cockayne writes that Pepys was “often led by his libido,” and indeed there is something disquieting about the author spending all of this time lusting after scullery maids and servants, duchesses and actresses. Critic Warren Chernaik writes in Sexual Freedom in Restoration Literature that the infamously scurrilous theater of the period was “fundamentally conservative in its sexual attitudes.” Reading all of those lustily guilty passages of Pepys, and you can get a sense for the fundamentally reactionary nature of the diarist’s priapic concerns, where prurience and puritanism are twined pairs. Chernaik writes that “With nothing to rebel against, no taboos to be transgressed, blasphemy would lose its power to shock. It can be argued that society creates its rebels,” so that far from an exercise in liberation, Pepys’s orgasmic encounters were a type of prison, with nobody trapped in the neurotic cycle of release and guilt more than the author himself. Evelyn Lord in The Hell-Fire Clubs: Sex, Satanism and Secret Societies, writes about Pepys’s encountering, while perusing book-stalls with his wife, a lewd French volume entitled The School of Venus (infamous for its illustrations of society women purchasing prodigiously endowed dildos). Lord writes that after expressing disgust at the book, Pepys “put it back on the shelf. However, he was unable to resist it, and eventually went back and purchased it in plain binding, took it home, read it and then burned it.” One imagines that Pepys perhaps had more onanistic concerns with the book that even he wouldn’t put into record. 

Denouncing The School of Venus to his wife, while later purchasing it in plain paper—was Pepys a hypocrite? Of course, he was a hypocrite. Did he feel guilt over his indiscretion? The ashes of his smut should leave little doubt that he did. Something modern in that position, the enigma of the neurotic. Pepys is our contemporary in that he dwells in a certain negative capability, a fractured ego strung as it is between the public and personal, the spectacle of accountability and the private web browser. In that manner, I see less of Twitter and Facebook in Pepys, less of the carefully manicured self-creation implied by our collective digital subterfuge, and more of a different post-modern literary genre—Samuel Pepys was the first writer of autofiction. That form, defined as it is by the presence of a narrator who is largely the same as the author but who dwells in the massive complexity of the individual, including all that is hidden (perhaps even from the author themselves). The true inheritors of Pepys’s ethos aren’t all of us clicking away on Twitter, it’s not the vulgarities of those writing status update while sitting on the toilet. Rather it’s those obsessive writers cataloging the minutia of their lives; poet Ben Lerner in 10:04, Sheila Heti’s How Should a Person Be?, Teju Cole’s Open City, and especially the Norwegian completist Karl Ove Knausgård’s six-volume My Struggle.

In that 3,600-page door-stopper, Knausgård contemplates both his conflicted relationship with his father, and the breakfasts he prepares for his children—with as much detail as Pepys once did. Knausgård writes of days that were “jam-packed with meaning, when each step opened a new opportunity, and when ever opportunity filled me to the brim.” The task of My Struggle was for Knausgård to write deliberately and simply, to dwell in the prosaicness of detail. By comparison, Hensher describes the minutia of Pepys’s diary as being such that most of its entries couldn’t be “considered important in any obvious way; each has the quality, instead, of being interesting, which is much stranger and harder to achieve. We know about the socially aspiring dish of tripe and the randy morning because the man wrote it down.” That is the cracked wisdom shared by both Knausgård and Pepys, the understanding that we don’t write about things because they’re important, but rather things become important because we write about them. Jonathon Sturgeon claims in Flavorwire that the best description of the autofictional novel is a book where “the oeuvre is the soul. The artist’s body of work…has come to replace the religious ideal of the immortal spirit.” If that’s true, I’d venture that Pepys’s profane, grubby, earthy, secular diary is the first autofictional novel, in all of its over-determined detail, with all of its insignificant meanings, and especially with all of its contradictions of spirit, so very human in their deployment.

Writing of Pepys shortly after the diary had been rediscovered and published in the 19th century, Stevenson provided gloss for Pepys’s protean character: “We all, whether we write or speak, must somewhat drape ourselves when we address our fellows; at a given moment we apprehend our character and acts by some particular side; we are merry with one, grave with another, as befits the nature of demands of the relation.”  Such a mercurial nature is our common birthright, and in the sloppy, imperfect, anomalous medium of a diary we can see a certain process made naked. A polished essay is like the woman or man dressed formally for a job interview, clothing dry-cleaned and hair perfectly coifed—the individual self-fashioned into the most presentable of versions. Diaries are how we actually are more or less all of the time—messy, confused, and impolite. Le Gallienne argues that “The record was a secret between himself and his own soul, not forgetting his God… whom he invokes on many curious occasions.” Written for the Lord and for posterity, Pepys’s diary is a record of the soul before editing and revision, which is to say a record of the soul as it actually is. No deletions, no rearrangements, no strike-throughs, but rather a manuscript as a man, all error and contradiction—and the more perfect for it.

Surprise Me!

BROWSE BY AUTHOR