In Belgium, Merrick was robbed by his road manager and abandoned in Brussels. He eventually made his way back to London; unable to communicate, he was found by the police to have Dr. Treves' card on him. Treves came and took Merrick back to the London Hospital. Although his condition was incurable, Merrick was allowed to stay at the hospital for the remainder of his life. Treves visited him daily, and the pair developed quite a close friendship. Merrick also received visits from the wealthy ladies and gentlemen of London society, including Alexandra, Princess of Wales.
Aged 27, Merrick died on 11 April 1890. The official cause of death was asphyxia, although Treves, who dissected the body, said that Merrick had died of a dislocated neck. He believed that Merrick—who had to sleep sitting up because of the weight of his head—had been attempting to sleep lying down, to "be like other people".
The exact cause of Merrick's deformities is unclear. The dominant theory throughout much of the 20th century was that Merrick suffered from neurofibromatosis type I. In 1986, a new theory emerged that he had Proteus syndrome. In 2001, it was proposed that Merrick had suffered from a combination of neurofibromatosis type I and Proteus syndrome. DNA tests conducted on his hair and bones have proven inconclusive.
In 1979, Bernard Pomerance's play about Merrick called The Elephant Man debuted, and David Lynch's film, also called The Elephant Man, was released the following year.
The Greatest Sadness in His Life
In 1873, when Merrick was just 11 years old, his mother died of bronchial pneumonia. Merrick would later describe her passing as the “greatest sadness in my life.” His father remarried to their landlady less than a year later, and Merrick left school to seek work, eventually finding a job rolling cigars in a factory. But within two years, his right hand had become so deformed that he could no longer do the work and was forced to leave. His father, who owned a haberdashery, attained a peddler’s license for him and sent him out to the streets to sell his shop’s wares. By this point, however, Merrick’s deformities were so extreme, and his speech so impaired as a result, that people were either frightened of him or unable to understand him, and his efforts were met with little success. When one day his father beat him severely for not earning enough money, Merrick went to live with an uncle briefly, before becoming a resident at the Leicester Union Workhouse at age 17. Merrick found life in the workhouse intolerable, but unable to find any other means of supporting himself, he was forced to stay.