The Maestro is a biographical film of the late Leonard Bernstein. The film, starring Bradley Cooper as Bernstein, had a limited release before streaming on Netflix. As a work of biography, the film is peculiar in its focus on Bernstein’s sexuality and filandering, while paying virtually no attention to his radical chic politics, or his engagement with teaching music appreciation.
In any event, the film sent me to Wikipedia to fact check some details of Bernstein’s life, and I was surprised to see that Wikipedia described Bernstein’s cause of death as involving mesothelioma:
“Bernstein announced his retirement from conducting on October 9, 1990.[174] He died five days later at the age of 72, in his New York apartment at The Dakota, of a heart attack brought on by mesothelioma.[175][2]”
Bernstein certainly did not have occupational exposure to amphibole asbestos, but he did smoke cigarettes, several packs a day, for decades. Mesothelioma seemed unlikely, unless perhaps he smoked Kent cigarettes in the 1950s, when they had crocidolite filters. As you can see from the above quote, the Wikipedia article cites two sources, a newspaper account and a book. Footnote number 2 is an obituary was written by Donal Henahan, and printed in the New York Times.[1] The Times reported that:
“Leonard Bernstein, one of the most prodigally talented and successful musicians in American history, died yesterday evening at his apartment at the Dakota on the Upper West Side of Manhattan. He was 72 years old.
* * * * * * *
Mr. Bernstein’s spokeswoman, Margaret Carson, said he died of a heart attack caused by progressive lung failure.”
There is no mention of mesothelioma in the Times article, and the citation provided does not support the assertion that mesothelioma was involved in the cause of Bernstein’s death. The obituary cited was published the day following Bernstein’s death the night before, which suggests that there was no information from an autopsy, which would have been important in ascertaining any tissue pathology for an accurate and complete cause of death. In 1990, the diagnosis of malignant mesothelioma was often uncertain, even with extensive tissue available post-mortem.
The other citation provided by the Wikipedia article was even less impressive. Footnote 175 pointed to a book of short articles on musicians, with an entry for Bernstein.[2] The book tells us that
“Bernstein is most remembered, perhaps, for his flamboyant conducting style. *** Leonard Bernstein died at his home from cardiac arrest brought on by mesothelioma.”
The blurb on Bernstein provides no support for the statement that cardiac arrest was brought on by mesothelioma, and the narrative struck me as odd in leaving out the progressive lung failure caused by non-malignant smoking-induced lung disease.
I set out to find what else may have been written about the causes of Bernstein’s death. I was surprised to find other references to mesothelioma, but all without any support. One online article seemed promising, but offered a glib conclusion without any source:
“Leonard Bernstein, a towering figure in American music, met his end on October 14, 1990, just five days after retiring from his illustrious career as a conductor. Found in his New York apartment, the cause of his death was a heart attack induced by mesothelioma, a consequence of a lifetime of smoking.”[3]
The lack of any foot- or end-notes disqualifies this source, and others, for establishing a diagnosis of mesothelioma. Other internet articles, inspired by the Cooper production of Maestro, made very similar statements, all without citing any source.[4] Some of the internet articles likely plagiarized others, but I was unable to find who first gave rise to the conclusion that Bernstein died of complications of “mesothelioma” caused by smoking.
Whence came the Wikipedia’s pronouncement that Bernstein died of, or with, mesothelioma? Two “mainstream” print newspapers provided some real information and insight. An article in the Washington Post elaborated on Bernstein’s final illness and the cause of his death:
“Leonard Bernstein, 72, a giant in the American musical community who was simultaneously one of this nation’s most respected and versatile composers and preeminent conductors, died yesterday at his Manhattan apartment. He died in the presence of his physician, who said the cause of death was sudden cardiac arrest caused by progressive lung failure.
On the advice of the doctor, Kevin M. Cahill, Bernstein had announced through a spokeswoman Tuesday that he would retire from conducting. Cahill said progressive emphysema complicated by a pleural tumor and a series of lung infections had left Bernstein too weak to continue working.”[5]
Ah a pleural tumor, but no report or representation that it was malignant mesothelioma.
The Los Angeles Times, with the benefit of an extra three hours to prepare its obituary for a west coast audience, provided similar, detailed information about Bernstein’s death:
“Bernstein, known and beloved by the world as ‘Lenny’, died at 6:15 p.m. in the presence of his son, Alexander, and physician, Kevin M. Cahill, who said the cause of death was complications of progressive lung failure. On Cahill’s advice, the conductor had announced Tuesday that he would retire. Cahill said progressive emphysema complicated by a pleural tumor and a series of lung infections had left Bernstein too weak to continue working.”[6]
Now a pleural tumor can be benign or malignant. And if the tumor were malignant, it may or may not be a primary tumor of the pleura. Metastatic lesions of the pleura, or in the lung parenchyma adjacent to the pleura are common enough that the physician’s statement about tumor of the pleura cannot be transformed into a conclusion about mesothelioma.[7]
Feeling good about having sorted a confusion, I thought I could add to the font of all knowledge, Wikipedia, by editing its unsupported statement about mesothelioma to “pleural tumor.” I made the edit, but within a few days, someone had changed the text back to mesothelioma, without adding any support. The strength of any statement is, of course, based entirely upon its support and the strength of its inferences. Wikipedia certainly can be a reasonable starting place to look for information, but it has no ability to support a claim, whether historical, scientific, or medical. Perhaps I should have added the citation to the Washington Post obituary when I made my edit. Still, it was clear that nothing in article’s footnotes supported the text, and someone felt justified in returning the mention of mesothelioma based upon two completely unsupportive sources. Not only is the Bernstein article in Wikipedia suspect, but there is actually an entry in Wikipedia for “Deaths from Mesothelioma,” which lists Bernstein as well. The article has but one sentence: “This is a list of individuals who have died as a result of mesothelioma, which is usually caused by exposure to asbestos.” And then follows a list of 67 persons, of varying degree of noteworthiness, who supposedly died of mesothelioma. I wonder how many of the entries are false.
[1] Donal Henahan, “Leonard Bernstein, 72, Music’s Monarch, Dies,” New York Times (October 15, 1990).
[2] Scott Stanton, The Tombstone Tourist: Musicians at 29 (2003).
[3] Soumyadeep Ganguly, “Leonard Bernstein’s cause of death explored: How does Bradley Cooper Maestro end? Movie ending explored,” SK POP (modified Dec 25, 2023).
[4] See, e.g., Gargi Chatterjee, “How did Leonard Bernstein die?” pinkvilla (Dec 23, 2023).
[5] Bart Barnes, “Conductor Leonard Bernstein Dies at 72,” Wash. Post (Oct. 15, 1990) (emphasis added).
[6] Myrna Oliver, “Leonard Bernstein Dies; Conductor, Composer. Renaissance man of his art was 72. The longtime leader of the N.Y. Philharmonic carved a niche in history with ‘West Side Story’,” Los Angeles Times (Oct. 15, 1990) (emphasis added).
[7] See, e.g., Julie Desimpel, Filip M. Vanhoenacker, Laurens Carp, and Annemiek Snoeckx, “Tumor and tumorlike conditions of the pleura and juxtapleural region: review of imaging findings,” 12 Insights Imaging 97 (2021).
