MOST ASTONISHING OF ALL was the arrival, via France, of the papal emissary Bertano. The previous year Pope Paul III had convened the Council of Trent, part of whose purpose was to see whether the Protestant powers could somehow be reconciled with the Holy See. This, I think, is the context for Bertano’s visit – to establish whether some arrangement could be made between England and the Pope, some formula to allow Henry to keep his Supreme Headship of the Church, which he genuinely believed had been awarded him by God, while making some friendly arrangement with the Pope. Theologically, however, the Royal Supremacy and the papal function were irreconcilable, and on this diplomatic front at least, Henry failed.
IF, AS THE TIMELINE SUGGESTS, March 1546 was the crucial date for changes in both domestic and foreign policy, what happened during that month? I think the answer lies in a development often overlooked – the collapse of Henry’s health.
It is impossible at this distance to be clear what was wrong exactly with Henry by the 1540s, but some things can be said confidently. The old idea that the King suffered from syphilis is long discredited – there is no evidence for this, and much against. At the core of Henry’s problems seems to have been lack of mobility. David Starkey has suggested in his Six Wives: The Queens of Henry VIII (2004) that in Henry’s jousting accident in 1528 he broke his left leg; it healed but left a piece of detached bone in his calf, which decayed and formed a large and painful ulcer. In any event, Henry gradually had to give up his former regime of very active exercise and, as the years passed, he became increasingly immobile. His portraits show growing obesity, especially in the period 1537 to 1540, during his late forties, between his marriages to Jane Seymour and Anne of Cleves.
By 1544, measurements for his armour showed a waistline of 54 inches; even a modest further weight gain might give a waistline of around 58 inches by 1546; even for a man of 6'2", this puts Henry at the outside edge of gross, morbid obesity. Why did a man who had so prided himself on his appearance allow this to happen? The most likely explanation is that his initial weight gain and immobility, especially given the Tudor elite’s diet of meat and sweetstuffs, would have made likely the development of type 2 diabetes, a disease not understood at the time. If this happened it would have added another element to the vicious cycle of immobility and weight gain, for Henry would have been constantly hungry and thirsty.
By 1546 it seems that walking any distance was difficult and painful for the King. He already sometimes used a ‘tram’ (a type of wheelchair) to get around the palaces, and had a ‘device’ to get him up and down stairs. And his gross obesity and immobility would have made him prone to yet another problem, deep-vein thrombosis in his legs, both of which were now described as ulcerated (a condition consistent with diabetes). Blood clots would form in the legs, then could become detached and travel to the lungs (to trigger a pulmonary embolism). If the clot can dissolve, a patient can survive, but otherwise dies. The descriptions of Henry’s medical crises from 1541 seem consistent with a series of pulmonary embolisms, the last of which killed him in January 1547, although he would also be liable to strokes or heart attacks – all his organs would have been under tremendous strain.