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| Dr. Thomas Neill Cream |
There's a lot of he-said-she-said regarding the August 20, 1880 abortion death of Mary Ann Matilda Faulkner. Rather than try to sort out which people were telling the truth, I'll just tell you what's known for sure and then provide different people's sides of the story, taken from news coverage, primarily of the coroner's inquest and subsequent trial.
The case involves Dr. Thomas Neill Cream, a dapper and very vain man, who, while in prison awaiting the outcome of his trial, kept copies of his documents to show off to reporters who came to interview him: his medical school diploma from McGill College in Montreal, his Canadian physician's license, his diploma and license of midwifery (obstetrics) from the Royal College of Surgeons in Edinburgh, an award he'd received as an Intern at St. Thomas Hospital in London, and his Illinois physician's license.
What We Know For Sure
Late in the evening of Saturday, August 21, 1880 a woman named Elizabeth Green approached Lieutenant Steele at the West Lake Street police station in Chicago to report a terrible smell coming from the home of her upstairs neighbor, Mrs. Hattie Mack aka Hattie Mackey. Elizabeth said that she'd knocked on the door and gotten no response. It was close to midnight when Steele broke in the door of the flat and found the decomposing remains of a young woman lying on a bed. The overwhelming odor sent Lt. Steel outside for air.
A search of the premises found her belongings and positively identified her as Mary Ann Matilda Faulkner of Ottawa, Canada.
"A recipe of vile character" (likely an abortifacient recipe) was found in Mary Ann's trunk. Two stilettos were found in Hattie Mack's home.
The police questioned Mack's neighbors and got a description from the doctor they had seen coming and going. It matched the description of Dr. Thomas Neill Cream.
Dr. Cream had been implicated in another abortion case which, according to the August 22, 1880 Tribune Sun, "he managed to elude by leaving town until the excitement had blown over."
The case raised so much public interest that police had to clear spectators away from the inquest.
What Witnesses Said
Testimony From Doctors
Dr. M. Fitch and Dr. D. Frazer said that the care Cream had provided to Mary Ann after the abortion was appropriate given her injuries.
Hattie's Downstairs Neighbor
Hattie's Upstairs Neighbor
Hattie's Sometimes Boarder
Hattie Mack's Testimony
Some time around the end of February, Cream told her to expect a married woman whose husband had abandoned her. Mack was not told the woman's name. Cream said that he was going to "treat" the woman and pay Mack to care for her during the process and the woman's convalescence. He would Mack $12.50 (about $375 in 2023) for providing care to the woman and would pay for the woman's room and board: $5 (c. $150) for the first week and $4 (c. $120) for each subsequent week. Since she owed Cream $15 (c. $450) for previous medical care, this gave her an opportunity to work off her debt.
Cream reassured Mack that all would go well, that he had done more than 500 cases at St. John's or St. Thomas' hospital.
The woman told Mack that she had been deserted by her husband and had gone to work to earn her living. When she'd learned that she was pregnant she sought out an abortionist and had been given the card of a Dr. Geer. Geer advised her to visit Dr. Cream, who was in that line of work. The young woman hadn't had the $5 to pay Geer for the consult so she gave him her gold watch to hold as security until she could pay him. She had followed Geer's advice and visited Cream, who said that he always had comfortable and safe places to keep his patients because he could pressure patients who owed him money to provide lodging.
Cream came by several times a day to check on his patient, who had expelled the baby but was becoming very ill. He told Mack to keep everything "secret as death," never to call any other doctor in to attend to the woman, and to just keep administering the medicine he provided. Mack begged Cream to remove the woman from her premises so that she'd not be implicated, reminding him that she'd only gotten involved to pay off her debt. Cream refused, but did supply Mack with whiskey, which made her enable to continue caring for the patient whose deteriorating condition was causing a foul odor.
Lieutenant Steele produced a pocketbook belonging to Mary Ann that had been found in Cream's office. He showed Hattie Mack the jewelry that had been in the pocketbook. She said that the jewelry had not been there when she'd given the pocketbook to Cream. She said that the young woman had told her that she'd pawned some jewelry over to Cream to cover the $25 (c. $750) fee for his services.
On the evening of August 19, Cream brought in another doctor, unfamiliar to Mack, to try to save the ailing woman.
During her stay, the patient often bewailed her fate. The woman had moaned piteously the last day of her life and at this point told Hattie Mack her name and the name and address of her mother in Ottawa. Mary Ann fell into unconsciousness some hours before she died at around 6:00 in the morning on Friday, August 20.
Once the young woman was dead, Mack went to tell Cream what had happened. Cream told her to take her children with her to her sister's home, leaving the house locked up. He offered to buy the furniture from her for $30. Cream's plan was to throw tar over the contents and "burn the whole damned place." Mack said she wanted no part of an arson plan and threatened to contact the police. Cream then told Mack to stay at the house in order to avoid causing suspicion, and he'd he'd get a wagon and come by at 2:00 Saturday morning in his stocking feet to take away the body and would "shoot anyone" who tried to interfere.
Mack told Cream that there was no way anybody would be able to remain at the home due to the terrible smell, which was sure to gain the attention of the neighbors.
Dr. Thomas Cream's Version of Events
Cream had testified, "A week ago last night (Friday, August 12), after 12:00 at night, the colored woman Mackey came to the drug-store where I was sleeping, and was let in by the druggist. She asked for me, and the druggist called me. I got up, and the woman wanted me to go to her house, where she said she had a very sick woman. I dressed and went with her. I found the young woman in bed. She had just been confined, and I found a 3-months child lying on the bed. Knowing the character of the negress to be that of an abortionist, she having confessed to me before that she was such, and had committed abortions upon herself and other women, I saw that something wrong had been done. They were both unwilling to speak on the subject at first, but I pressed them, and finally they admitted that the sick woman had been taking oil of cotton-root and ergot. I told them I knew of no medicine that could be relied upon for such a thing, and said that something else had been done. They denied this for some time, but afterwards the negress told me that she had operated upon the woman with an instrument, which she produced."
Cream testified in detail about the care he had provided to Mary Ann. He said that on Thursday, August 19, he found Mary Ann desperately ill, which he attributed to concoctions that Mack had administered on her own initiative. Cream testified that the records of the prescriptions he'd ordered from the drug store would show that he had provided appropriate care to his patient.
Cream said that he'd never performed an abortion in his life, but had assisted in "necessary cases" when a medical student.
When Mary Ann died, he'd told Mack, "You have killed the woman, and the best thing you can do is throw yourself on the mercy of the police" He denied offering to buy Mack's possessions and torch the building, instead saying that he'd not even been willing to complete a death certificate because he didn't think that Mary Ann should be buried until the police cleared the case.
The Outcome
Mack and Cream originally had been slated to be tried together but Cream managed to get the cases severed. On November 20, 1880 Cream's jury was sent to deliberate at 3:30 p.m. They returned at 4:30 p.m. with a verdict of not guilty. The Inter Ocean reported that Cream, "who had been sitting in court in very apparent suspense and anxiety during the absence of the jury, when the foreman announced the verdict, jumped to his feet and shook Counsellor Trude violently by the hand, and then went through the same process with each member of the jury in rotation. Judge Gary informed Dr. Cream that it would be necessary for him to go through the jail and be discharged in the usual manner."
As for Hattie Mack, the charges against her were dismissed the day after Cream's trial ended, evidently because she had turned state's evidence against Cream.
Guilty or not, it's really a shame that Cream was acquitted and released. He was later sentenced to life in prison for the death of his lover's husband, who died after taking poison Cream provided. A letter writing campaign -- and a promise to leave the country -- got him released. He moved to London and gained infamy as a serial murderer, killing young women with poison. He was hanged in Newgate Prison in 1892.
Sources:
- "Double Murder," Chicago Tribune, August 22, 1880
- "The Faulkner Inquest," The Daily Inter Ocean, August 24, 1880
- "The Cream abortion case," Montreal Gazette, November 17, 1880
- "Earle and Cream," Chicago Tribune, November 17, 1880
- "'Dr.' Cream," The Inter Ocean, November 17, 1880
- "Cream's Crime," The Inter Ocean, November 18, 1880
- "Dr. Cream," Chicago Tribune, November 19, 1880
- "Who Did It?" The Inter Ocean, November 20, 1880
- "The Turf," Chicago Tribune, November 21, 1880


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