Catherine the Great: Portrait of a Woman

by Robert K. Massie

Not surprisingly, this being Moscow in early March, she caught a cold. At first, Johanna, alarmed that her daughter might be criticized as too susceptible to illness, tried to conceal her sickness. Sophia developed a fever, her teeth began to chatter, she was bathed in sweat—eventually, she fainted. Doctors, summoned belatedly, diagnosed acute pneumonia and demanded that the unconscious patient be bled. Johanna vehemently refused, claiming that excessive bleeding had caused the death of her brother Charles, about to be betrothed to the young Elizabeth, and that she would not permit other doctors to kill her daughter. “There I lay with a high fever between my mother and the doctors, arguing,” Sophia wrote later. “I could not help groaning, for which I was scolded by my mother who expected me to suffer in silence.” Word that Sophia’s life was in danger reached the empress in retreat at the thirteenth-century Troitsa Monastery, forty miles away. She rushed back to Moscow, hurried to the sickroom, and walked in on an argument still raging between Johanna and the physicians. Elizabeth immediately intervened and commanded that whatever the medical men considered necessary must be done. Berating Johanna for daring to oppose her doctors, she ordered an immediate bloodletting. When Johanna continued to protest, the empress had the girl’s mother evicted from the room. Elizabeth then cradled Sophia’s head while a doctor opened a vein in her foot and took two ounces of blood. From tha...