Queen Victoria

The Poem of a Prince with Hemophilia

Prince Leopold (1853 – 1884), Duke of Albany. (Photo by Hulton Archive/Getty Images)

The first prince with hemophilia that we know of historically was Leopold, youngest son of Queen Victoria, and eighth of nine children. He was born on April 7, 1853. His birth was remarkable because he was the first royal child delivered with the aid of chloroform. This was administered by one of my personal heroes, Dr. John Snow, who also cracked the mystery of cholera in 1854 in London, during a savage outbreak, and pretty much launched the science of epidemiology and public health.

And because its National Poetry Month, we will publish a poem to Prince Leopold! This poem is from Colin S.K. Walker’s (Editor) 1993 book William McGonagall: A Selection. William McGonagall, born in 1825 in Edinburgh, published three collections of verses, and died in 1902. McGonagall is a terribly mocked Scottish poet. As the editor explained: “McGonagall’s poetry is undeniably dreadful, always sinking to new depths, just when you think you have hit rock bottom.” Ouch!

So yeah, it’s a pretty bad poem! But it is about Prince Leopold, a prince who had hemophilia, who died at age 30, after bleeding from a fall. At his funeral they played one of my favorite hymns (and that of Sir Ernest Shackleton), “Lead Kindly Light.” Let’s hope a better poem is written for King Charles III’s Coronation next month!

THE DEATH OF PRINCE LEOPOLD

ALAS! noble Prince Leopold, he is dead!
Who often has his luster shed:
Especially by singing for the benefit of Esher School,-
Which proves he was a wise prince, and no conceited fool.

Methinks I see him on the platform singing the Sands o’ Dee,
The generous-hearted Leopold, the good and the free,
Who was manly in his actions, and beloved by his mother;
And in all the family she hasn’t got such another.

He was of delicate constitution all his life,
And he was his mother’s favorite, and very kind to his wife,
And he had also a particular liking for his child,
And in his behaviour he was very mild.

Oh! noble-hearted Leopold, most beautiful to see,
Who was wont to fill your audience’s hearts with glee,
With your charming songs, and lectures against strong drink:
Britain had nothing else to fear, as far as you could think.

A wise prince you were, and well worthy of the name,
And to write in praise of thee I cannot refrain;
Because you were ever ready to defend that which is right,
Both pleasing and righteous in God’s eye-sight.

And for the loss of such a prince the people will mourn,
But, alas! unto them he can never more return,
Because sorrow never could revive the dead again,
Therefore to weep for him is all in vain.

‘Twas on Saturday the 12th of April, in the year 1884,
He was buried in the royal vault, never to rise more
Until the last trump shall sound to summon him away.

When the Duchess of Albany arrived she drove through the Royal Arch,-
A little before the Seaforth Highlanders set out on the funeral march;
And she was received with every sympathetic respect,
Which none of the people present seem’d to neglect.

Then she entered the memorial chapel and stayed a short time
And as she viewed her husband’s remains it was really sublime,
While her tears fell fast on the coffin lid without delay,
Then she took one last fond look, and hurried away.

At half-past ten o’clock the Seaforth Highlanders did appear,
And every man in the detachment his medals did wear;
And they carried their side-arms by their side,
With mournful looks, but full of love and pride.

Then came the Coldstream Guards headed by their band,
Which made the scene appear imposing and grand;
Then the musicians drew up in front of the guardroom,
And waited patiently to see the prince laid in the royal tomb.

First in the procession were the servants of His late Royal Highness,
And next came the servants of the Queen in deep mourning dress,
And the gentlemen of his household in deep distress,
Also General Du Pia, who accompanied the remains from Cannes.

The coffin was borne by eight Highlanders of his own regiment,
And the fellows seemed to be rather discontent
For the loss of the prince they loved most dear,
While adown their cheeks stole many a silent tear.

Then behind the corpse came the Prince of Wales in field marshal uniform,
Looking very pale, dejected, careworn, and forlorn;
Then followed great magnates, all dressed in uniform,
And last, but not least, the noble Marquis of Lorne.

The scene in George’s Chapel was most magnificent to behold,
The banners of the knights of the garter embroidered with gold;
Then again it was most touching and lovely to see
The Seaforth Highlanders’ inscription to the Prince’s memory:

It was wrought in violets, upon a background of white flowers,
And as they gazed upon it their tears fell in showers;
But the whole assembly were hushed when Her Majesty did appear,
Attired in her deepest mourning, and from her eye there fell a tear.

Her Majesty was unable to stand long, she was overcome with grief,
And when the Highlanders lowered the coffin into the tomb she felt relief;
Then the ceremony closed with singing “Lead, kindly light,”
Then the Queen withdrew in haste from the mournful sight.

Then the Seaforth Highlanders’ band played “Lochaber no more,”
While the brave soldiers’ hearts felt depressed and sore;
And as homeward they marched they let fall many a tear
For the loss of the virtues Prince Leopold they loved so dear. (pp. 89-93).

The Royal Disease and Russia

Both the Royals and the Russians have been making the news this past year, not much of it good. For the Royals, it’s mostly just the Markles (on their “Privacy Tour”). For Russia…. well, let’s not go there.

While Russia is making a ruinous name for itself these past two years, it’s famous for its hemophilia history. Which originated from the English Royals.

We noted last week that it’s Bleeding Disorder Awareness Month, and we shared some popular myths about hemophilia. One was that hemophilia has been dubbed “The Royal Disease.” I shared in detail how this happened, and who it affected in my blog here.

But the most famous outcome of a genetic link in the English Royal family happened when Princess Alix, whose grandmother was Queen Victoria, a carrier of hemophilia B, married Tsar Nicholas II of Russia. Queen Victoria had nine children, of whom two were carriers (Alice and Beatrice) and one had hemophilia (Leopold). It was well known that hemophilia was now running in the family.

Alix, nicknamed “Sunny” by Nicolas, gave birth to Alexis (or Alexei), after already having four girls. They got their heir to the throne. But Alexis had hemophilia.

Alexis had no access to clotting factor of course; this was 1904, after all. The royal family came rely on a person of ill repute: Rasputin, the mad monk. He had a lascivious reputation but also a track record of helping people in pain, probably through hypnosis. Rasputin became ingratiated into the royal family and helped also to bring down the Russian monarchy. It’s been proposed that Nicholas II was so distracted by his son’s suffering due to hemophilia, that eventually he lost his grip on the monarchy at a time when the Bolshevik Revolution was poised to strike. And it did. It has been proposed that hemophilia changed the course of World War I, and changed the course of history. The Cold War, the Soviet Empire… all find their roots in the royal palace of the Tsar and a little boy with hemophilia.

Order Alexis: the Prince Who Had Hemophilia here for your child with hemophilia.

Presidents Who Know Hemophilia


You could say England is lucky: they have the best hemophilia publicity in the world. Their longest reigning monarch, Queen Victoria, had a son with hemophilia and so gave hemophilia a place in royal history, hence the “royal disease” nomenclature. And she exported hemophilia. Germany, Spain? Hemophilia went straight to the royal families. Russia? The Crown Prince had hemophilia and while his life was cut short, he went down in history, as did hemophilia.

We’re not so lucky. The US has a publicity problem with hemophilia, not counting the Dark Ages when hemophilia was so closely linked to HIV. As it’s president’s day, it got me thinking: have any presidents known about hemophilia or known someone with hemophilia?

Prior to Ronald Regan, we don’t know. Regan seems to be the first to take notice of hemophilia, despite dire warnings from CDC in the early 1980s, when HIV was showing up in those with hemophilia. It took Regan’s Hollywood buddy Rock Hudson, who contracted HIV and stepped forward into the limelight in 1985, for Regan to finally take action on the nation’s blood supply and help stem the contamination.

Thanks to our great community activists, we wanted to keep hemophilia in the presidential eye, but it took a back seat once the HIV problem was controlled and recombinant products available.

Then came insurance problems. Big time. While campaigning, Obama, looking to connect on the insurance issue, was introduced personally to hemophilia through a Denver Town Meeting, where he made Nathan Wilkes–not just met him, Nathan introduced Obama to the televised Town Meeting! Nathan and Sonji Wilkes’ son Thomas has a high inhibitor and their medical bills were catastrophic. I know the Wilkes personally, and their story is incredible.

Apparently, Obama thought so too. He referred to the Wilkes family several times in the campaign. Obama is getting to know hemophilia. Just last summer, Obama had a photo op with HFA president Paul Brayshaw (hey, I know him too), in Paul’s back yard. Paul has fun telling about the secret service arrangements in preparing his humble abode for the arrival of the leader of the most powerful country on earth. Paul has hemophilia and Obama showed again support for our community.
Which presidential contender knows hemophilia? So we have Obama. Newt Gingrich actually does know hemophilia. He took up hemophilia as a study back in 2003-4, before the insurance crisis. Why? My good friend Dave Madeirios, founder of Factor Foundation of America, hired Newt to examine hemophilia as a case study in chronic disease management and why the American system has it all wrong. And I got to spend a day with Dave and Newt, discussing issues regarding reimbursement. Newt was knowledgeable about hemophilia, reimbursement and had ideas on how to fix it.

It’s not looking too hopeful for Newt at this point, but should he get elected, he would be the first president to have in-depth knowledge of the hemophilia community. Mitt Romney, our former Massachusetts governor? I don’t know. He wasn’t in our state too often as governor! But as he launched the first mandated health insurance plan in the US in our state, something tells me he’d make a quick study of it all.

Happy president’s day!

The Other Prince With Hemophilia

When we think of a prince with hemophilia, we almost always think about Alexis, the Russian heir to the throne, who was murdered on August 17, 1918. But there were others. The first prince with hemophilia that we know of historically was Leopold, youngest son of Queen Victoria, youngest of nine children. His birth was remarkable because he was delivered with the aid of chloroform, administered by one of my personal heroes, Dr. John Snow, who also cracked the mystery of cholera in 1854 in London, during a savage outbreak, and pretty much launched the science of epidemiology and public health.

But back to Leopold!

My friend Richard Atwood sent me this poem about Leopold, published in the 1800s.

THE DEATH OF PRINCE LEOPOLD

ALAS! noble Prince Leopold, he is dead!
Who often has his luster shed:
Especially by singing for the benefit of Esher School,-
Which proves he was a wise prince, and no conceited fool.

Methinks I see him on the platform singing the Sands o’ Dee,
The generous-hearted Leopold, the good and the free,
Who was manly in his actions, and beloved by his mother;
And in all the family she hasn’t got such another.

He was of delicate constitution all his life,
And he was his mother’s favorite, and very kind to his wife,
And he had also a particular liking for his child,
And in his behaviour he was very mild.

Oh! noble-hearted Leopold, most beautiful to see,
Who was wont to fill your audience’s hearts with glee,
With your charming songs, and lectures against strong drink:
Britain had nothing else to fear, as far as you could think.

A wise prince you were, and well worthy of the name,
And to write in praise of thee I cannot refrain;
Because you were ever ready to defend that which is right,
Both pleasing and righteous in God’s eye-sight.

And for the loss of such a prince the people will mourn,
But, alas! unto them he can never more return,
Because sorrow never could revive the dead again,
Therefore to weep for him is all in vain.

‘Twas on Saturday the 12th of April, in the year 1884,
He was buried in the royal vault, never to rise more
Until the last trump shall sound to summon him away.

When the Duchess of Albany arrived she drove through the Royal Arch,-
A little before the Seaforth Highlanders set out on the funeral march;
And she was received with every sympathetic respect,
Which none of the people present seem’d to neglect.

Then she entered the memorial chapel and stayed a short time
And as she viewed her husband’s remains it was really sublime,
While her tears fell fast on the coffin lid without delay,
Then she took one last fond look, and hurried away.

At half-past ten o’clock the Seaforth Highlanders did appear,
And every man in the detachment his medals did wear;
And they carried their side-arms by their side,
With mournful looks, but full of love and pride.

Then came the Coldstream Guards headed by their band,
Which made the scene appear imposing and grand;
Then the musicians drew up in front of the guardroom,
And waited patiently to see the prince laid in the royal tomb.

First in the procession were the servants of His late Royal Highness,
And next came the servants of the Queen in deep mourning dress,
And the gentlemen of his household in deep distress,
Also General Du Pia, who accompanied the remains from Cannes.

The coffin was borne by eight Highlanders of his own regiment,
And the fellows seemed to be rather discontent
For the loss of the prince they loved most dear,
While adown their cheeks stole many a silent tear.

Then behind the corpse came the Prince of Wales in field marshal uniform,
Looking very pale, dejected, careworn, and forlorn;
Then followed great magnates, all dressed in uniform,
And last, but not least, the noble Marquis of Lorne.

The scene in George’s Chapel was most magnificent to behold,
The banners of the knights of the garter embroidered with gold;
Then again it was most touching and lovely to see
The Seaforth Highlanders’ inscription to the Prince’s memory:

It was wrought in violets, upon a background of white flowers,
And as they gazed upon it their tears fell in showers;
But the whole assembly were hushed when Her Majesty did appear,
Attired in her deepest mourning, and from her eye there fell a tear.

Her Majesty was unable to stand long, she was overcome with grieff,
And when the Highlanders lowered the coffin into the tomb she felt relief;
Then the ceremony closed with singing “Lead, kindly light,”
Then the Queen withdrew in haste from the mournful sight.

Then the Seaforth Highlanders’ band played “Lochaber no more,”
While the brave soldiers’ hearts felt depressed and sore;
And as homeward they marched they let fall many a tear
For the loss of the virtues Prince Leopold they loved so dear. (pp. 89-93).

This poem was found in Colin S.K. Walker’s (Editor) 1993 book William McGonagall: A Selection. (Edinburgh, Scotland: Birlinn Ltd.). William McGonagall, who was born in 1825 in Edinburgh, published three collections of verses, and died in 1902. McGonagall may be the most mocked Scottish poet. As the editor explained: “McGonagall’s poetry is undeniably dreadful, always sinking to new depths, just when you think you have hit rock bottom. It is this inimitable multi-faceted awfulness which makes his work memorably funny.” Ouch!

Yeah, it is a pretty bad poem! To get a sense of what Leopold’s life might have been like, watch the movie “Young Victoria,” which just came out earlier this year. Lovely film about the 18-year-old who became queen of the most powerful nation on earth, who bore nine children, one with hemophilia, and who is still famed as England’s longest reigning monarch and one of the most beloved.

Good Book I Just Read
It’s Not How Good You Are, It’s How Good You Want to Be
Paul Arden

This is the fastest read ever: one hour. It’s a book about marketing, especially marketing yourself. The book itself is a marketing masterpiece, which makes it quite fun to read. Read it, pick up a few tips for your business, your nonprofit or your job hunting skills, and enjoy! Two stars.

Valentine’s Day with the Most Famous Carrier

I went to see the movie “Young Victoria” yesterday, which chronicles the most famous hemophilia carrier’s 1837 ascension to the throne as just a girl of 18. It also tells of her meeting with and eventually love for Prince Albert of Belgium. Lavishly filmed, I felt as though I had gorged on Godivas, taking in the costumes, scenery and gold. I thought the performances by Emily Blunt as Victoria and Rupert Friend as Albert were understated and well done. It was a very enjoyable movie. I was surprised it was such a love story, and the timing was perfect as it was a day before Valentine’s Day.

We always seem to think of Britain’s longest reigning monarch as a blimpy old woman, but here, she is beautiful, confident and headstrong. As you watch the courtship of the Princess and Prince, you marvel at how much they loved one another (by all accounts they truly did), and also by their tremendous wealth and privilege: Victoria cannot even walk down the stairs by herself, lest she fall. She always needs to hold someone’s hand (she abolishes that practice when she becomes queen). Despite the young love, and their wealth, one thing remains unsaid but we all know it happens: Victoria and Albert eventually have a child with hemophilia, Leopold.

I watched the ornate movie, and the tender love, and felt so sad for them! Like us, this young couple would have a child who suffers, but unlike us, there was no treatment. It was really poignant to see this beautiful young couple, blindly in love, happy, not knowing what fate had in store for them.

Victoria and Albert had nine children: three girls who were carriers and of course, Leopold. Eventually, she passed hemophilia on to the Russian, Spanish and German royal families. This is why hemophilia is called the “royal disease.” She had 42 grandchildren!

Albert died at age 42, after 22 years of marriage. The movie ends with a title which revealed that Victoria had his clothes laid out every morning for the next 40 years, in his memory. She forever wore black following his death. A movie worth seeing, especially if you have hemophilia in the family.

Great Book I Just Read
Child of the Dark by Carolina Maria De Jesus

This may quite possibly be the best book I’ll read all year. I don’t think I’ll ever read another book like it.

Carolina Maria De Jesus (1914-1977) lived in the favela, the slums of Sao Paulo, Brazil, surviving only one day at a time by picking up paper and scrap metal and selling it. Intelligent and single, she kept a journal, which became this book. She writes so much about hunger, the horror of slum life, rummaging through garbage to find something to feed her three children, and always hoping for a better life. Her insights are amazing and her description of the slum is simple but painfully portrayed. I couldn’t put this book down. I myself have been through slums in Central America, Brazil, Kenya and India. I often think that we could not live one day in the shoes of the poor, and after reading this book, I know it is true.

As amazing as her journal writing is, a co-author provides an epilogue: what happened after her book is published. Caroline, illegitimate and poor, rockets to fame as she becomes Brazil’s best-selling author. This book is a must read! Four stars.

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