Hektoen International

A Journal of Medical Humanities

“Dr. Livingstone, I presume?” — The most famous four words in exploration history

On the morning of November 10, 1871, a disheveled group of men emerged from near Lake Tanganyika after an eight-month expedition through the jungle, led by an American journalist, Henry Morton Stanley. As they came across a thin, gray-bearded Scotsman, Stanley removed his hat, extended his hand, and delivered one of the most deliciously understated lines in history: “Dr. Livingstone, I presume?” The doctor reportedly smiled and replied, “Yes, and I feel thankful that I am here to welcome you.”

Born in 1813 in a single-room tenement in Blantyre, Scotland, David Livingstone came from abject poverty. From age ten, he worked in a cotton mill, reading books propped against his spinning machine during breaks. He educated himself; he studied medicine and theology in Glasgow, qualifying as a physician while preparing to become a Christian missionary. By 1840, he had qualified as a physician and was ordained by the non-denominational London Missionary Society. Though he had initially intended to work in China, the outbreak of the Opium War led him to change his plans and go to South Africa. He arrived in Cape Town in 1841, quickly grew bored with routine mission station work, and, crossing the Kalahari Desert, followed the Zambezi River. In 1855, he became the first European to reach its spectacular waterfall, which he called Victoria Falls in honor of Queen Victoria. He also became the first European to complete a true transcontinental journey across Africa, walking from Angola to Mozambique. Between 1853 and 1856, traveling lightly with small groups of African companions rather than large, heavily armed military escorts, he mapped rivers, lakes, and trade routes, providing valuable geographic information, combining medicine, religion, geography, and humanitarian efforts.

His later government-funded expeditions, such as the Zambezi Expedition (1858–1864), were plagued by logistical failures, the tragic death of his wife Mary, and friction with his colleagues. His medical training proved invaluable during his travels. He treated both African communities and fellow European travelers suffering from malaria, dysentery, and other infections, contributing to a better understanding of tropical diseases and emphasizing hygiene, proper nutrition, and preventive measures whenever possible. He believed that opening Africa to Christianity, commerce, and education would improve the lives of its people and help end the slave trade. His journeys took him across vast regions that were largely unknown to Europeans at the time. His dual role as a doctor and a missionary helped him gain the trust and respect of local communities. He was deeply opposed to the East African slave trade, was horrified by the suffering it caused, and devoted much of his life to exposing its cruelty. Through his books, lectures, and reports, he informed European audiences about the realities of slavery in Africa. His writings helped strengthen public support for anti-slavery efforts and encouraged humanitarian action. He was difficult, stubborn, often tactless, and a famously neglectful husband and father who dragged his family into the wilderness and then sent them home when things got dangerous. Genuinely courageous, he survived a lion attack that shattered his shoulder, leaving him with a distinctive drooping arm for the rest of his life. He pressed on through malaria, dysentery, and starvation with a tenacity that bordered on the fanatical.

By the late 1860s, nothing had been heard from him. He was somewhere in central Africa, looking for the source of the Nile. The New York Herald sent its star correspondent, Stanley, to find out. He left Zanzibar in 1871 on an expedition marred by nightmares and ravaged by desertion, disease, and hostile locals. But eventually, he found his man in the village of Ujiji, frail but very much alive. The two men spent four months together, exploring the northern shores of Lake Tanganyika. Livingstone refused to go home. In May 1873, his servants found him dead, kneeling by his bed in prayer, in a small village in present-day Zambia. His body was carried in an astonishing 1,500-mile journey by his loyal servants, Chuma and Susi, to the coast, and eventually to Westminster Abbey. His contributions to geography, medicine, and humanitarian causes helped shape the European understanding of Africa. His life remains an example of curiosity and commitment to helping others.


GEORGE DUNEA, MD, Editor-in-Chief

Spring 2026

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