Hektoen International

A Journal of Medical Humanities

A rare case report: Near amputation of a leg from a falling book

Avi Ohry
Tel Aviv, Israel

Francesco Petrarch. Via Wikimedia.

Traumatic injuries are common, resulting from war, natural disasters, workplace mishaps, accidents, or sports. But severe bodily damage occurring in a library?

In 1359, the famous Italian poet, humanist, and philosopher from Arezzo, Francesco Petrarch (1304–1374), was reading a book in his library written by one of his admired Roman scholars, Cicero. The book was huge and heavy and slipped from his hands, damaging his leg. He was not treated properly, and after a year of pain and infection, was near amputation. In letters to friends, he described his suffering and ongoing attempts to not obey his physicians’ misleading recommendations. He also asked why his “mentor,” Cicero, was punishing him.1

Indeed, researchers attest that Petrarch’s skeleton shows signs of many past injuries, which he recorded in his writings, including an injury from a donkey kick when he was forty-two.2

Petrarch often expressed his contempt for physicians3 and wrote one of the first descriptions of gout.4-5

References

  1. Petrarch. “Letters of Friendly Intercourse, and Miscellaneous Letters.” Bloomsbury Publishing. http://media.bloomsbury.com/rep/files/primary-source-71-petrarch.pdf
  2. “Petrarch.” Wikipedia. https://en.wikipedia.org/wiki/Petrarch
  3. Donaldson I. “Petrarch’s letter to Boccaccio ‘on the proud and presumptuous behaviour of physicians’.” J R Soc Med. 2016 Sep;109(9):347-53. doi:10.1177/0892705716663088.
  4. Schwartz SA. “Disease of distinction.” Explore (NY). 2006 Nov-Dec;2(6):515-9. doi: 10.1016/j.explore.2006.08.007.
  5. Benedek TG, Rodman GP. “Petrarch on medicine and the gout.” Bull Hist Med. 1963 Sep-Oct;37:397-416.

AVI OHRY, MD, is married with two daughters. He is Emeritus Professor of Rehabilitation Medicine at Tel Aviv University, the former director of Rehabilitation Medicine at Reuth Medical and Rehabilitation Center in Tel Aviv, and a member of The Lancet‘s Commission on Medicine & the Holocaust. He conducts award-winning research in neurological rehabilitation, bioethics, medical humanities and history, and on long-term effects of disability and captivity. He plays the drums with a jazz band.

Spring 2025

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