George Washington's Final Hours: A Bleeding Tragedy
The question of how much blood was removed from George Washington during his final illness is a grim one, and the answer is as shocking as it is historically significant. In the late hours of December 14, 1799, as George Washington lay dying, physicians employed the standard medical practice of the era: bloodletting. While the exact quantity is difficult to pinpoint with absolute precision, historical accounts and medical interpretations suggest a substantial and ultimately detrimental amount was drained from the ailing Founding Father.
The Medical Practices of the 18th Century
To understand the volume of blood removed, it's crucial to grasp the medical philosophy of the late 18th century. Diseases were often believed to be caused by an imbalance of the body's humors, and bloodletting was seen as a way to restore that balance by expelling "bad" or "excess" blood. This practice was not only common but was considered a primary treatment for a wide range of ailments, from fevers to inflammation.
Washington's Symptoms and the Intervention
George Washington's final illness began on the evening of December 13, 1799. He awoke with a sore throat and difficulty breathing, symptoms that rapidly worsened. His physicians, Dr. James Craik, Dr. Elisha Dick, and Dr. Gustavus Richard Brown, were summoned. They diagnosed his condition as quinsy, a severe form of tonsillitis or pharyngeal inflammation.
The primary treatment they administered was bloodletting. The initial bleeding, performed by an overseer named Albrittain, removed approximately 30-40 ounces of blood from Washington's arm. This was a significant amount, as a typical adult's circulatory system contains about 10-12 pints (120-144 ounces) of blood.
The Escalation of Bloodletting
Despite this initial bleeding, Washington's condition did not improve; in fact, it deteriorated. The physicians, adhering to their training and the perceived urgency of the situation, continued with bloodletting. Over the course of the next day, Washington underwent several more instances of bloodletting.
- A second bleeding of approximately 32 ounces was performed.
- A third bleeding, this time from his foot, removed another 16 ounces.
- There's also evidence suggesting a possible fourth bleeding, though the precise volume is less documented.
When all the blood drawn is considered, estimates suggest that George Washington may have lost anywhere from 70 to 100 ounces of blood in total over a period of roughly 12 hours. This represents a staggering loss, equivalent to roughly half to two-thirds of his total blood volume.
Other Treatments
Beyond bloodletting, Washington's physicians also attempted other treatments of the era, including:
- Administering purgatives and emetics.
- Applying blisters.
- Attempting to administer a gargle of molasses, vinegar, and sage.
However, it was the repeated and aggressive bloodletting that is most widely cited as a critical factor in his demise. The immense blood loss would have significantly weakened an already ill man, leading to shock and exacerbating his respiratory distress.
"The quantity of blood taken from him was considerable, indeed, larger than I had ever before taken from a patient."
– Dr. James Craik, reflecting on the event.
The Legacy of Washington's Death
George Washington's death and the medical practices employed have become a stark reminder of the evolution of medicine. While his physicians acted with the best intentions and within the established medical knowledge of their time, their interventions ultimately proved fatal. The story of his final hours serves as a powerful lesson in the history of medicine and the importance of scientific advancement.
Frequently Asked Questions
How much blood was removed from George Washington in total?
While exact figures are impossible to ascertain with absolute certainty, medical historians estimate that between 70 and 100 ounces of blood were removed from George Washington during his final illness. This was a result of multiple bloodletting procedures performed over a period of approximately 12 hours.
Why did doctors perform bloodletting on George Washington?
In the late 18th century, bloodletting was the standard medical treatment for a wide variety of illnesses. Physicians believed that diseases were caused by an imbalance of the body's humors, and draining blood was thought to restore this balance by removing "bad" or "excess" blood. Washington's physicians believed they were treating his severe throat inflammation and difficulty breathing by expelling ill humors.
Was bloodletting common in George Washington's time?
Yes, bloodletting was an extremely common medical practice in the 18th century and for centuries prior. It was performed on all classes of people, from commoners to royalty, and was considered a primary therapeutic intervention for a vast array of conditions, even if its effectiveness was questionable.
Could George Washington have survived if he hadn't been bled?
This is a hypothetical question, but many modern medical professionals believe that the extensive blood loss from bloodletting significantly weakened Washington. It is plausible that without such aggressive intervention, his body might have had a better chance to fight off the infection, though his illness was indeed severe.

