Tragic Details Found In American President Autopsy Reports

The autopsy isn't quite as old as human history, but it's pretty old. According to Britannica, the Greek physician Galen of Pergamum was the first person to dissect a human — not just to learn about anatomy, but to learn more about how internal things might cause external symptoms. But not every culture loved the idea of cutting up a corpse, even if it was for science. It was taboo in Roman, Chinese, and Muslim nations, and it was outright banned during the Middle Ages.

By the early 1800s, however, cutting open the deceased to have a look around was becoming a basic medical thing, and people started to understand that it could help bring closure, especially in cases where a person's cause of death wasn't otherwise known. On the other hand, medical examiners didn't really become good at their jobs until much later, and the autopsy report didn't always tell the complete story.

Autopsies were never really a given, though, even after the death of someone as important as an American president. Warren G. Harding's death, for example, was quite sudden and (according to some) kinda suspicious, but his wife refused to allow an autopsy, prompting later speculation that she might have actually poisoned him (via PBS). It's almost certainly not true, but still, autopsy reports can reveal pretty awful and tragic medical truths. Here are some of the details found in the autopsies of other American presidents.

Abraham Lincoln was the first American president to be assassinated and the first to undergo a well-publicized autopsy. To be frank, there wasn't a huge need for an autopsy since it was painfully obvious what had killed the president: The evening before, John Wilkes Booth walked into the presidential box at Ford's Theater in Washington D.C. and fired a single bullet from a Derringer pistol into Lincoln's head. He then leaped out of the booth and was foiled by none other than the American flag (or to be specific, a version of the American flag called a regimental flag), which grabbed him by the foot and flung him onto the stage, where he famously broke his leg.

Still, no one could stomach the idea of leaving a bullet in Abraham Lincoln's head, so an autopsy was ordered. According to the report (via Circulating Now), "The ball entered through the occipital bone about one inch left of the median line and just above the left lateral sinus. It then penetrated the dura mater, passed through the left posterior lobe of the cerebrum, entered the left lateral ventricle, and lodged in the white matter of the cerebrum just above the posterior portion of the left corpus striatum." Perhaps most disturbingly of all, the doctor who performed the autopsy couldn't even find the bullet until he'd removed the president's brain and the bullet fell out of it into a basin (via Smithsonian).

If James A. Garfield's injury had occurred during the 21st century, doctors would have performed surgery right away, removing the bullet and the bone fragments (though to be fair, in some cases it isn't possible to remove a bullet). Perhaps more importantly, the surgery would have been performed in sterile conditions, limiting the chances of the kind of system-wide infection the president eventually developed.

The autopsy revealed the extent of the president's injury and subsequent decline. The bullet ruptured an artery, and Garfield's abdominal cavity had almost a pint of blood in it. There was also a 6" x 4" abscess between his liver and colon. The track the bullet left in Garfield's body was also completely infected, and he had bronchopneumonia in both lungs.

It's clear to us today what caused the massive infection. After initially failing to find the bullet, doctors spent the next weeks sticking their unwashed fingers into the wound (and the poor man didn't even receive ether to dull the pain of having his wound poked and widened). This and probably everything from the not-sterile clothes, bedsheets, and hands of everyone who touched the president led to a local infection, which slowly turned into the sepsis that prompted Garfield to cry "This pain! This pain!" in the moments before his death (via PBS).

It was obvious even to Garfield's assassin what his cause of death was — after hearing of the president's death, Charles Guiteau famously declared, "The doctors killed Garfield, I just shot him."

Decades after the death of JFK, people are still arguing about who killed him and why. But the actual mechanism of his death isn't under dispute, at least not by anyone who wants to be taken seriously. John F. Kennedy, the 35th president of the United States, was killed by a bullet.

JFK had the great honor of being the very first assassinated president to undergo a thorough, detailed autopsy conducted by people who were good at their jobs and would never have dreamt of poking around in his body with unwashed hands, though at that point, it technically didn't matter. According to the autopsy report (via the National Archives), JFK was "muscular, well-developed and well nourished" and had "reddish brown and abundant" hair and blue eyes. Why those details have to be in an autopsy report is anyone's guess, but whatever.

The report then goes on to describe lots of things that weren't wrong with JFK, like old scars and teeth "in excellent repair" before finally describing the wounds that killed him. There were two of note — one was a severe head wound, the other was a bullet wound in the throat that had been enlarged into a tracheostomy by the doctor who attended Kennedy just after the shooting. To conspiracy theorists, this was a tragic detail not because of what it said about the valorous but ultimately doomed effort to save the life of someone's husband and father, but because the tracheostomy obscured the wound, thus making it impossible to know which direction the bullet had come from.

Herbert Hoover was the 31st president of the United States, serving one term from 1929 to 1933. He is probably best known as the guy who got blamed for the Great Depression, though no one really agrees on how well-deserved that distinction is (via the White House). After his 1932 defeat by Franklin D. Roosevelt, Hoover spent most of the rest of his career being chairman of various commissions until his health finally started to decline in the early 1960s.

According to physician Michael Lepore's autobiography "The Life of the Clinician," Hoover was diagnosed with colon cancer in 1962. The primary tumor was removed and the president carried on until 1963, when he began suffering from internal bleeding. His health continued to decline throughout the following year, and in October of 1964, he died from what was described as a "hemorrhage of considerable magnitude" complicated by kidney disease.

It's hard to imagine that Hoover's death didn't have something to do with colon cancer, but that's not what the autopsy found. Medical examiners said the bleeding may have been caused by a rare vascular condition known today as Dieulafoy's lesion, which is basically just a super-sized artery in the GI tract. If doctors had known about Hoover's condition prior to his death, it's possible that prompt treatment could have saved him. But the man was 90 and repeatedly refused to be hospitalized, so not much effort was made to figure out what exactly was killing him.

Physician Gabe Mirkin calls Lyndon B. Johnson "one of the hardest-working presidents ever," which sounds admirable until you consider that "hard work" for Johnson meant 20-hour work days that left no time for exercise (though it's debatable if he would have exercised if he'd had the time).

Johnson also smoked, had an alcohol problem, and ate pretty much nothing but fried food, so he was not exactly a model of excellent health. Unsurprisingly, this lifestyle contributed to his first heart attack at the age of 47, a second probable heart attack (ironically, while he was in the hospital emergency room awaiting news of JFK's fate), a third probable heart attack at the age of 63, a confirmed massive heart attack at the age of 64, and a fifth and final fatal heart attack on January 22, 1973, at the age of 65. Through it all, he kept on smoking, eating crap food, and not exercising in defiance of medical advice.

Johnson's autopsy results weren't really surprising to anyone who knew him. Two of the president's main coronary arteries were completely blocked, and the third was 80% blocked.

Doctors already knew this, though. In fact, bypass surgery — which is often done to save the life of someone with coronary artery disease — was ruled out in Johnson's case because there was so much scarring on his heart from previous heart attacks that clearing the blocked arteries wouldn't have been enough to save him, as reported by The New York Times.