Eminent surgeon

Painting of Treves by Luke Fildes in 1896

Treves began his medical career as a general practitioner, becoming a partner in a medical practice in Wirksworth, Derbyshire.^[6] His daughter was born in Wirksworth in 1878. The house he lived in on Coldwell Street is called Treves House. He moved to London where he became a surgeon, specialising in abdominal surgery, at the London Hospital in the late 19th and early 20th century. On 29 June 1888, he performed the first appendectomy in England.

In 1884, Treves first saw Joseph Merrick, known as the Elephant Man, being exhibited by showman Tom Norman in a shop across the road from the London Hospital.^[7] Treves brought Merrick to the London Hospital in about 1886, having him live there until his death in April 1890. Treves' reminiscences mistakenly name Joseph Merrick as "John Merrick", an error widely recirculated by biographers of Merrick including the account rendered in the 1980 film.

During the Second Boer War (1899–1902), Treves volunteered to work at a field hospital in South Africa, treating the wounded. He later published an account of his experiences in The Tale of a Field Hospital, based on articles written at the time for the British Medical Journal.^[8] Treves was also Medical Officer to the Suffolk Yeomanry until he resigned in May 1902,^[9] and he accepted the appointment as Honorary Colonel of the Royal Army Medical Corps (Militia) on 30 August 1902.^[10]

Vanity Fair caricature of Treves by "Spy" (1900)

In March 1900, Treves was appointed one of the Surgeons Extraordinary to Queen Victoria,^[11] and after her death the following year, he was appointed one of several Honorary Serjeants Surgeon to her successor, Edward VII.^[12] In May 1901 he was knighted as a Knight Commander of the Royal Victorian Order (KCVO).^[13]

The King's Achilles tendon was treated in January 1902, and then in June he found a "hard swelling in the abdomen".^[14] Treves did not remove the abscess, which was perityphlitis,^[15] an inflammation around the appendix which required draining.^[16] The coronation of the new king was scheduled for 26 June 1902, but on 24 June, Edward was diagnosed with appendicitis. Treves, with the support of the leading surgical authority, Lord Lister, performed a then-radical operation of draining the infected appendiceal abscess through a small incision and leaving the appendix intact.^[1] This was at a time when appendicitis was generally not treated operatively and carried a high mortality rate.^[1] The operation was carried out on a table in the Music Room at Buckingham Palace.^[17] The King had opposed surgery because of the upcoming coronation, but Treves insisted, stating that if he was not permitted to operate, there would instead be a funeral.^[18] The next day, Edward was sitting up in bed, smoking a cigar.^[19]

Treves was honoured with a baronetcy on 24 July 1902^[20] (which Edward had arranged before the operation),^[21] and appendix surgery entered the medical mainstream in the UK. He was granted the use of Thatched House Lodge in Richmond Park and was subsequently able to take early retirement. He published a book about his experiences of the king's illnesses, shortly after the coronation. Treves continued to serve the royal family as Serjeant Surgeon to the King and to the Royal Household from July 1902^[20] until 1910. In November 1905 the King fell down a rabbit hole, straining his Achilles tendon, for which he was fitted with an iron splint.^[22]

Treves received the Freedom of the Borough from his native town of Dorchester in July 1902.^[23]

Author and legacy

Treves' blue plaque at 6, Wimpole Street, Marylebone, London

Treves' ability as an author was discovered by Malcolm Morris of Cassell & Co. He wrote many books, including The Elephant Man and Other Reminiscences (1923), Surgically Applied Anatomy (1883), Highways and Byways in Dorset (the county in which he was born) (1906), A Student's Handbook of Surgical Operations (1892), Uganda for a Holiday, The Land That is Desolate, and The Cradle of the Deep (1908). This last volume is an account of his travels in the West Indies, interspersed with portions of their histories; describing (among other things) the death of Blackbeard the pirate, an eruption of Mount Pelée (which destroyed the city of St. Pierre, Martinique), and a powerful earthquake at Kingston, Jamaica, shortly before he landed there. He was also chairman of the Executive Committee from 1905 to 1912 of the British Red Cross, and was the first president of the Society of Dorset Men. From 1905 to 1908, he was Rector of the University of Aberdeen.

Around 1920, Sir Frederick went to live in Switzerland, where he died in Lausanne on 7 December 1923 at the age of 70. He died from peritonitis, which in the days before antibiotics commonly resulted from a ruptured appendix. His funeral took place at St Peter's Church, Dorchester, on 2 January 1924, King George V and Queen Mary were represented by the Physician-in-Ordinary, Lord Dawson. His lifelong friend Thomas Hardy attended and chose the hymns.^[24] Hardy also wrote a poem for the occasion which was published in The Times. It begins with the words: "In the evening, when the world knew he was dead". His ashes were buried in Dorchester (Weymouth Avenue) cemetery.

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