CHIEFS OF THE MEDICAL DEPARTMENT UNITED STATES ARMY 1775 — 1940. Biographical Sketches Compiled hy James M. Phalen, oi Colonel, U. S. Army, Retired, Formerly Librarian, Army Medical Library, Washington, D. C. Peace to the ashes of the departed; years of zestful life to the surviving. FOREWORD More than thirty years have passed since the appearance in print of Major J. E. Pilcher’s Surgeon Generals of the Army. The edition of this excellent work was small, it is now out of print, and few copies of it are available to those interested in its material. While Major Pilcher’s book is largely concerned with the administration of the office of the medical chief by its incumbents, it is here desired to discourse on the man him- self, the details of his early career, the personal qualities and the fortuitous circumstances which brought him to the lead- ership of the corps. It goes without saying that every occupant of the office has been possessed of outstanding qualities, qual- ities of character, of personality, of leadership, of industry, of high intelligence. Some combination of these qualities together with a modicum \of ambition, has entered into the making of every one of these'careers. But not every man with the am- bition to lead the corps, even though richly endowed with the qualities to fill the office with distinction, has been able to see his ambitions realized. There are always a set of circumstances which limits the choice sharply, and, ultimately, some determin- ing circumstances which govern the selection. It is thus a misfortune for any man to set his heart too firmly upon this goal. No situation in the service is more unfortunate than that of the defeated candidate for the head of the corps who cannot accept philosophically the fact of his being set aside. While thus primarily concerned with the man himself, an attempt has been made to chart the major achievements of each administration, but with no thought of producing anything ap- proaching a history of the medical service. There appears to be no question in regard to the men who are entitled to places on the roll of “chiefs of the medical ser- vice.” During the years of the Revolutionary War, at the time of the threatened war with France in 1799, and again in the War of 1812, men were selected from the civilian profession and placed in definite charge of the medical service, to be returned to civilian life at the close of the emergency. There were thus considerable periods of years when there was no such medical FOREWORD head, when in fact there was no medical organization beyond that of the regiment. The Legion of General Anthony Wayne was organized in 1792 for service against the Indians in Ohio and Richard Allison was designated “Surgeon to the Legion.” Though he had subordinate medical officers, his position as chief medical officer of this field force hardly makes his status that of the chief of the national medical service. It was not until 1818 that a medical department in time of peace was authorized and a medical officer of career appointed to be its head. The title of Surgeon General first bestowed in that year has carried down to the present day. Not all of our medical chiefs have been happy in their ad- ministration of the office. The first three to guide the destinies of the service during the Revolutionary War were unfortunate in being compelled to make bricks with a scarcity of straw and left the service under unhappy circumstances. The Civil War, too, with its Sanitary Commission and its tyrannical Secretary of War, proved the undoing of two surgeon generals. With the passing years, while the pressure of administration problems has increased, there has been a diminution in friction within the War Department and the later occupants of the office have reign- ed in comparative peace and quiet. Length of terms of the office have been extremely variable. General Lawson held the place for twenty-four years, while Gen- erals Lovell and Barnes each completed eighteen years. General Ireland’s thirteen years of office came next in length. In con- trast, four men held the place for less than a year, while a fifth completed but a little over one year. The circumstance of seniority has been a potent factor in the choice of our surgeon generals. For a considerable period it was apparently the decisive one. Generals Lawson, Finley, Murray, Baxter, Sutherland, and Forwood were the senior offi- cers of the corps and by reason of that fact were assistant sur- geon generals by title or by duties at the time of their appoint- ments. In later years absolute seniority has counted for little, though relative rank within the corps has always been an im- portant factor. The references appended to each biographical sketch are the principal, but by no means the sole, sources of information FOREWORD which have been consulted in the preparation of this work. Old records of the War Department, of the Pension Bureau, of the Census Bureau have furnished many items of pertinent in- formation as have the newspaper files of the Library of Con- gress. Only one acquainted with biogrophical research will ap- preciate the numberless sources which must be searched for the items to make up a complete and accurate record of a man’s career. It is desired to express deep appreciation of the courtesy and helpfulness of Colonel Harold W. Jones, M. C., Librarian, and the staff of the Army Medical Library in the collection of the material for the biographical work, to Lieut. Colonel James E. Ash, M.C., Curator, and Mr. Roy M. Reeve, photographer, of the Army Medical Museum for the reproduction of the portraits which add so much to the appearance and usefulness of the book, to Mr. George A. Scheirer of The Surgeon General’s Office for his valuable contributions toward completion of the manuscript and index, and last, though perhaps foremost, to Major General Charles R. Reynolds who kindly voiced approval of this useful employment of my otherwise purposeless days. J. M. P. March 27, 1940. CONTENTS. Foreword PAGE III The Roll. I. Benjamin Church, Director General and Chief Physician of the Hospital of the Army, July 27, 1775—October 17, 1775.... 1 11. John Morgan, Director General and Physician in Chief of the American Hospital, October 17, 1775—January 9, 1777 ... 5 III. William Shippen, Jr., Director General of the Military Hos- pitals of the Continental Army, April 11, 1777—January 3, 1781 10 IV. John Cochran, Director General of the Military Hospitals of the Continental Army, January 17, 1781—November 3, 1783.. 14 V. James Craik, Physician General of the Uunited States Army, July 19, 1798—June 15, 1800 18 VI. James Tilton, Physician and Surgeon General of the United States Army, June 11, 1813—June 15, 1815 22 Vll. Joseph Lovell, Surgeon General, United States Army, April 18, 1818—October 17, 1836 27 VIII. Brevet Brigadier General Thomas Lawson, Surgeon General, November 30, 1836—May 15, 1861 33 IX. Brevet Brigadier General Clement Alexander Finley, Surgeon General, May 15, 1861—April 14, 1862 38 X. Brigadier General William Alexander Hammond, Surgeon General, April 25, 1862—August 18, 1864 42 XI. Brevet Major General Joseph K. Barnes, Surgeon General, August 22, 1864—June 30, 1882 47 Xll, Brigadier General Charles Henry Crane, Surgeon General, July 3, 1882—October 10, 1883 52 XIII. Brigadier General Robert Murray, Surgeon General, November 23, 1883—August 6, 1886 55 XIV. Brigadier General John Moore, Surgeon General, November 18, 1886—August 16, 1890 58 XV. Brigadier General Jedediah Hyde Baxter, Surgeon General, August 16, 1890—December 4, 1890 62 XVI. Brigadier General Charles Sutherland, Surgeon General, December 23, 1890—May 29, 1893 66 XVII. Brigadier General George Miller Sternberg, Surgeon General, May 30, 1893—June 8, 1902 70 XVill. Brigadier General William Henry Forwood, Surgeon Generl, June 8, 1902—September 7, 1902 75 XIX. Brigadier General Kobert Maitland O’Eeilly, Surgen General, September 7, 1902—January 14, 1909 79 XX. Brigadier General George Henry Torney, Surgeon General, January 14, 1909—December 27, 1913 84 XXI. Major General William Crawford Gorgas, Surgeon General, January 16, 1914—October 3, 1918 88 XXII. Major General Merritte Weber Ireland, The Surgeon General, October 4, 1918—May 31, 1931 94 XXlii. Major General Kobert Urie Patterson, The Surgeon General, June 1, 1931—May 31, 1935 101 XXIV. Major General Charles Eansom Keynolds, The Surgeon General, June 1, 1935—May 31, 1939 107 XXV. Major General James Carre Magee, The Surgeon General, June 1, 1939— 118 INDEX 121 CHIEFS OF THE MEDICAL DEPARTMENT UNITED STATES ARMY 1775 —1940. BENJAMIN CHUPxCH I. BENJAMIN CHURCH (August 24, 1734 - 1776), Director General and Chief Physician of the Hospital of the Army, July 27, 1775 - Oct. 17, 1775, was born in Newport, R. I. He was the son of Benjamin Church, a merchant of Boston and deacon of the Hollis Street Congregation Church conducted by the Rev. Mather Byles. His grandfather, Colonel Benjamin Church, took a prominent part in the war with the Narrangansett Indians and led the force which hunted King Philip to his death on August 12, 1675. The third Benjamin attended the Boston Latin School and graduated from Harvard College in 1734. He studied medicine with Dr. Joseph Pynchon, later continuing his studies in London. While there he married Hannah Hill of Ross, Herfordshire. Returning to Boston he built up a reputation as a talented physician and a skillful surgical operator. With grow- ing friction between the colonies and Great Britain, Church sup- ported the Whig cause vigorously with his pen, but even in the early stages of the controversy he was accused of being secretly a supporter of the government. There is evidence that during this period he was variously considered as an ardent patriot and as a secret Tory sympathizer. He examined the bodies of the dead and treated some of the wounded in the so-called Boston Massacre on May 5, 1770, and in 1773 he delivered an anniver- sary oration, To Commemorate the Bloody Tragedy of the Fifth of May 1770, which marks him as an orator of high order. In 1774, after a secret meeting of Whig leaders, it was stated that the business of the meeting had been divulged to the Tories and Church was accused of having furnished the information. He continued, however, in the confidence of the Whig leaders and in 1774 he was appointed a delegate to the Massachusetts Pro- vincial Congress and to membership in the Committee of Safety, which had charge of preparation for armed conflict. On Feb. 21, 1775, the Provincial Congress appointed him with Dr. Joseph Warren a committee to make an inventory of medical supplies necessary for the army and on March 7 voted them the sum of five hundred pounds for the purchase of such supplies. On May 2 THE ARMY MEDICAL BULLETIN 8 he was appointed a member of an examining board for sur- geons for the army and on June 19 a resolution ordered “that Dr. Church, Dr. Taylor, and Dr. Whiting be a committee to con- sider what method is proper to take to supply the hospitals with surgeons and that the same gentlemen be a committee to pro- vide medicine and other necessaries for hospitals.” As the chairman of a subcommittee of the Committee of Safety, he signed a report on May 12 which recommended a system of de- fensive works on Prospect Hill and Bunker Hill. On the other hand he came under criticism for having entered Boston after the battle of Lexington and having been in conference with Gen- eral Gage. In May he went to Philadelphia to consult the Con- tinental Congress about the defense of Massachusetts colony, and on July 27 that body authorized the establishment of a medi- cal department of the army with a director general and chief physician and chose Church to fill that position. In the mean- time, on July 2, General Washington had arrived at Cambridge to take command of the colonial forces and Church was one of the committee appointed to receive him. From the day of his appointment Church was in difficulty. Though of undisputed professional skill and of distinguished lit- erary and political ability he was deficient in the executive qualifications essential in an army staff and quite unfitted to cope with a personnel that was to give succeeding medical chiefs their main trouble—the regimental surgeons. His relations with these medical officers became so strained that a tempest of com- plaint poured in upon the army headquarters and Washington was compelled to order an investigation of the service. In de- fense Church complained of the jealousy of rivals for his posi- tion and is said to have asked for permission to leave the army. In the meantime an incident arose which brought him before an army court-martial on Oct. 4, 1775. In July 1775 Church had sent a cipher letter addressed to Major Cane, a British officer in Boston. The letter was inter- cepted and was sent to Washington in September. It was de- coded and found to contain an account of the American forces before Boston, but contained no disclosures of great importance. It contained, however, a declaration of Church’s devotion to the Crown and asked for directions for continuing the correspond- THE ARMY MEDICAL BULLETIN 3 ence. The matter was placed before a court of inquiry made up of general officers, Washington presiding, to whom Church ad- mitted the authorship of the letter but explained that it was written with the object of impressing the enemy with the strength and position of the colonial forces in order to prevent an attack while the Continental army was still short of ammuni- tion and in hopes of aiding to bring about an end to hostilities. The court considered that Church had carried on a criminal cor- respondence with the enemy and recommended that the matter be referred to the Continental Congress for its action. The re- port of Washington to the President of Congress is in part as follows: “1 have now a painful though necessary duty to perform, respecting Doctor Church, the Director of the Hospital. About a week ago, Mr. Secretary Ward, of Providence, sent up one Wainwood, an inhabitant of JN ewport, to me with a letter directed to Major Cane in Boston, in occult letters, which he said had been left with Wainwood some time ago by a woman who was kept by Doctor Church. She had before pressed Wain- wood to take her to Captain Wallace, Mr. Dudley, the Collector, or George Kowe, which he declined. She gave him the letter with strict injunc- tions to deliver it to either of these gentleman. He, suspecting some improper correspondence, kept the letter and after some time opened it, but not being able to read it, laid it up, where it remained until he receiv- ed an obscure letter from the woman, expressing an anxiety as to the original letter. He then communicated the whole matter to Mr. Ward, who sent him up with the papers to me. I immediately secured the woman, but for a long time she was proof against every threat and persuasion to discover the author. However she was at length brought to a confession and named Doctor Church. I then immediately secured him and all his papers. Upon the first examination he readily acknowl- edged the letter and said that it was designed for his brother, etc. The army and country are exceedingly irritated.” Congress on Oct, 17, 1775, elected Dr. John Morgan “in the room of” Dr. Church and on Nov. 7 passed the following resolu- tion: “That Doctor Church be close confined in some secure jail in the Colony of Connecticut, without use of pen, ink and paper, and that no person be allowed to converse with him except in the presence and hear- ing of a magistrate of the town or the sheriff of the county where he is confined, and in the English language, until further orders from this or a future Congress.” 4 THE ARMY MEDICAL BULLETIN In accordance with this resolution he was confined at Nor- wich, Connecticut. Previous to this action, however, he was ar- raigned on Nov. 2 before the Massachusetts Provincial Congress. Despite an eloquent appeal in his own defense he was unanimous- ly expelled as a member of the House. Owing to the unfavor- able effects of confinement upon his health he was, in January 1776, released from jail and was permitted considerable move- ment under guard. On May 13 he was permitted to return to Massachusetts under bond. Shortly thereafter he sailed from Boston, presumably for the West Indies, but the vessel on which he took passage was never heard from again. Thus miserably ended a career that had been brilliantly be- gun. It is difficult, even impossible, to estimate at this time the degree of his guilt. He was deeply in debt and the position he had won, promising eminence and profit, had proved only a source of trouble and devoid of glory. He was convicted, not of treason, but of communicating with the enemy. It should be remembered that Church’s letter was written at a time wher independence was in the minds of only a few medical leaders. The colonial conflict was popularly viewed as a struggle of British citizens for British rights. Church was an ambitious man with considerable personal conceit. A friendly viewpoint is that “he visualized himself as the arbitrator who should bring about the restoration of friendly relations between the father- land and the colonies, little suspecting that its effects would place him in the ranks of those we brand as traitors.” Appearances were decidedly against him, and at a time when party zeal and prejudice were keen in search of men suspected of disloyalty. However harmless his letter to his British officer friend may have been, its discovery marked him as a traitor to a cause to which he was ostensibly giving distinguished service. It is said that his family was pensioned by the British govern- ment. [L. C. Duncan Medical Men in the American Revolution, 1773-1783 (1931). James Thacher American Medical Biography (1828). T. H. S. Hamersly Complete Army and Navy Register of the United States, 1776-1887 (1888). Dictionary of American Biography, Yol. IV (1930). J. M. Toner Medical Men of the Revolution (1876). P M. Ashburn History of the Med- ical Department of the V S. Army (1929). F. K. Packard History of Medi- cine in the United States (1931).] JOHN MORGAN THE ARMY MEDICAL BULLETIN 5 II. JOHN MORGAN (June 10, 1735 - Oct. 15, 1789), Director General and Physician-in-Chief of the American Hospital, Oct. 17, 1775 - Jan. 9, 1777, was born in Philadelphia, the son of Evan and Joanna (Miles) Morgan. His father had emigrated from Wales, settling in Philadelphia, and had become a success- ful merchant. The family were Quakers. John Morgan at- tended the Academy conducted by the Rev. Samuel Finley at Nottingham, Chester County, and received the degree of B. A. from the College of Philadelphia in 1757 in the first class grad- uated from that institution. In the meantime he had been study- ing medicine for a number of years, for some time as an ap- prentice to Dr. John Redman a leading practitioner of Philadel- phia. In April 1758 he joined the British army operating against Fort Duquesne as a first lieutenant of the line but his duties were largely the care of the sick. After two years of military service he resigned and sailed for London in 1760 to resume the study of his profession. For the next year he ‘‘walked” the hos- pitals of London making the acquaintance of the leading lights of the medical profession of that time. Later he attended the University of Edinburgh where he received his M. D. degree in 1763. Then followed a term of study in the hospitals of Paris and Rome. Returning to London he was elected Fellow of the Royal Society. He was already a licentiate of the College of Physicians of London and a member of the College of Physicians of Edinburgh. During all of his European sojourn he was plan- ning the creation of a medical school in his home city and when he returned there in 1765 he carried with him the recommenda- tions of a number of British medical educators in furtherance of that plan. He submitted his proposals to the board of trustees of the College of Philadelphia and on May 3, 1765, he was elected professor of the theory and practice of medicine in the new med- ical department. Thereby was created the first medical professorship in America. At the commencement exercises of the college at the end of May he delivered his famous address entitled, A dis- 6 THE ARMY MEDICAL BULLETIN course upon the Institution of Medical Schools in America, which he had prepared before leaving Paris. When the school opened the following October, William Shippen, Jr., filled the chair of anatomy and surgery, Adam Kuhn that of botany and materia medica, and Benjamin Rush that of chemistry. Morgan limited his practice to internal medicine and was one of the first phy- sicians in America to give up dispensing drugs and turn over that business to the practitioners of pharmacy. Not only was he in a short time in possession of a highly lucrative practice, but he enjoyed high standing in the arts and letters as well as in society. He became one of the leading men of the Philadelphia of his day. He was one of the founders of the American Phil- osophical Society in 1769 and contributed papers to its Trans- actions. For years he was physician to the Pennsylvania Hos- pital. The beginning of strained relations between the colonies and Britain moved him to write The Reciprocal Advantage of a Perpetual Union betiueen Great Britain and her Amercian Colon- ies, in 1766. But with increasing friction he definitely aligned himself with the cause of the colonies. His service in the Revolu- tionary army began on October 17, 1775, when he was elected by Congress director general and physician-in-chief of the Ameri- can hospital “in the room of” Dr. Benjamin Church. He accept- ed promptly and at once reported for duty to General Washington at Cambridge. Here he was confronted by an appalling situa- tion in which he found unequipped hospitals overcrowded with an unsegregated variety of patients and manned by incompetent personnel without the implements of their profession. Typhoid fever, dysentery, malaria, and smallpox were rife among the troops. He was able to do much to remedy these chaotic con- ditions. He began the campaign for vaccination by publishing Recommendation of Inoculation According to Baron Dimsdale’s Method (1776). He collected medicines and hospital supplies, instituted new examinations for medical officers, and brought about the beginning of system in the medical organization. He inaugurated a plan to supply to each regimental surgeon a well- stocked medical chest. By the time the British evacuated Boston in April 1776 he had brought about fairly satisfactory conditions. His orders to transfer the hospital to New York brought new problems. A branch of the hospital had to be THE ARMY MEDICAL BULLETIN 7 left at Cambridge to care for the patients that could not travel. He was able to collect large quantities of blankets, rugs, bed- sacks, and pillows and these together with a considerable stock of medicine he transported to New York, where he established his hospital. The disastrous campaign which began with the battle of Long Island and resulted in the evacuation of Manhat- tan Island and the withdrawal to New Jersey and Westchester completely disorganized the frail system that had been built up. His chief difficulty was with the regimental surgeons, whose demands for supplies he was not able to satisfy, and who were persisting in maintaining regimental hospitals. He had collected in some way the supplies for his hospital and he was impatient that the regimental surgeons had not provided for themselves from the facilities of the neighborhood from which they came. Following a conference with the regimental surgeons Morgan submitted to Congress a set of regulations for the guidance of the medical service, remarkable in its scope and in its detail. Thus was suggested a system of medical supply by means of “Continental druggists’’ entirely independent of the director- general and issuing directly to the regimental surgeons. This system was adopted and functioned for a time with but scant success. Another provision called for the abolition of regimen- tal hospitals, but when put into effect it had only limited com- pliance from the regimental surgeons. Up to this time there had been a distinct line of demarcation between medical officers serving with troops and those serving in hospitals, their duties being in no way interchangeable. The inequalities existing be- tween the two groups were removed, but without entirely heal- ing the breach between them. Continued dissatisfaction was still rife among the regimental surgeons. They increased their efforts to undermine Morgan with Congress. Involved in this agitation was Dr. William Shippen, Morgan’s colleague in the Philadelphia Medical School and now Medical Director of the Flying Camp, operating in New Jersey. On October 9, 1776, Congress passed a resolution dividing the jurisdiction over army hospitals. All those east of the Hudson river were to remain under the control of Morgan, while those to the west of the river were assigned to Shippen’s control. Morgan supervised the medical service with the army in Westchester in such a man- 8 THE ARMY MEDICAL BULLETIN ner as to win the praise of General Washington. From New York the general hospital was moved to North Castle and after the battle of White Plains, to Peekskill. A branch was estab- lished at Stamford, Conn. In November Morgan went to Phil- adelphia for the purpose of obtaining from Congress an explana- tion of the resolution dividing the authority over hospitals. He was unable to obtain a hearing, but was privately informed that the arrangement was to stand. In the meantime the agitation of the regimental surgeons continued unabated and was aug- mented by complaints from the Northern army where Medical Director Samuel Stringer had from the beginning denied and resisted Morgan’s authority. On January 9, 1777, Congress, without consulting Washington and without holding any hearing, passed a resolution dismissing both Morgan and Stringer from the army. Thus ended the army career of a man who never had a chance of a success. A man of high character and ability, of tireless energy under every discouragement, he made a gallant struggle against the impossible. If the medical service of this period of the war was a failure, so was every other service of the army, and the army command itself. An army of amateurs was pitted against professionals and only the costly lessons of failure could equalize them. Morgan retired a disappointed and broken man, the victim of public clamor against failures which were more chargeable to Congress than to any army service. Stung by the injuries of his arbitrary dismissal, Morgan prepared and widely circulated his Vindication of his Public Character in the Station of Director General of the Military Hos- pital and Physician-in-Chief to the American Army. Brought to the attention of Congress, it was referred to a committee, but no report was made upon it until May 12, 1779. This report, unani- mously approved by Congress was as follows: “Whereas, by report of the Medical Commission confirmed by Con- gress on the ninth of August 1777, it appears that Doctor John Morgan, late Director General, and Chief Physician of the General Hospital of the United States, had been removed from office on the ninth of January 1777, by reason of the general complaint of persons of all rank in the army, and the critical state of affairs at that time: and that the said Doctor John Morgan requesting an inquiry into his conduct, it was thought proper that a committee of Congress should be appointed for that purpose: and whereas, on the eighteenth day of September last. THE ARMY MEDICAL BULLETIN 9 such a committee was appointed before whom the said Doctor John Morgan had in a most satisfactory manner vindicated his conduct in every respect, as Director General and Physician-in-Chief, upon the testimony of the Commander-in-Chief, General officers, officers in the general hospital department and other officers in the army showing that the said Director General did conduct himself ably and faithfully in the discharge of the duties of his office, therefore: .Resolved that Congress are satisfied with the conduct of Doctor John Morgan while acting as Director General and Physician-in-Chief in the general hospitals of the United States, and that this resolution be pub- lished.” This was a handsome apology, but it was long delayed and there was no word in it in regard to a restoration to the ser- vice. It could not entirely bolster the broken spirit which Morgan carried to the end of his days. He had been nourishing his re- sentment against his successor, Shippen, and now, his own record vindicated, he preferred against that officer charges of mal- practice and misconduct of his office. With the active support of Dr. Benjamin Rush, he pushed the charges before Congress and the army command until Shippen was ordered before a court-martial. Following his retirement from the army Morgan took up his practice and his teaching in Philadelphia. However, he withdrew more and more from contact with public affairs and in 1785 he resigned from the office of physician to the Pennsylvania Hospital. He continued to hold the chair of medi- cine in the medical school until his death in his native city at the age of fifty-four. He was married on September 4, 1765, to Mary Hopkinson, daughter of Thomas and Mary Hopkinson, who died in 1785. They had no children. Their burial place is in the churchyard of St. Peter’s in Philadelphia. [L. C. Duncan Medical Men in the American Revolution, 1775-1783 (1931). John Thacher American Medical Biography (1828). Joseph Carson History of the Medical Department of the Univ. of Pa. (1869). C. W. Norris Early History of Medicine in Philadelphia (1886). J. A. Morgan History of the Family of Morgan (1902). T. H. S. Hamersly Complete Army and Navy Register of the United States, 1776-1887 (1888). J. E. Pilcher Sur- geon Generals of the Army 1905).] THE ARMY MEDICAL BULLETIN 10 III. WILLIAM SHIPPEN, JR. (Oct. 21, 1736 - July 11, 1808), Director General of the Military Hospitals of the Continental Army, April 11, 1777 - Jan. 3, 1781, was born in Philadelphia, the son of Dr. William and Susannah (Harrison) Shippen, His father was one of the most prominent medical men of his time, one of the founders of the Pennsylvania Hospital and of the University of Pennsylvania, a trustee for thirty years of Prince- ton College, and a member of the Continental Congress elected in 1788. The son attended Rev. Samuel Finley’s School at Not- tingham in Chester County and the College of New Jersey (Princeton) from which he graduated with the degree of A. B. in 1754. He was valedictorian of his class and showed such talent that he was urged to study for the ministry. However, he returned to Philadelphia and took up the study of medicine with his father. In 1758 he went to London where he studied anatomy under John Hunter and midwifery under the older brother, William. He obtained his doctorate in medicine from the University of Edinburgh in 1761, presenting a thesis en- titled, De Placentae cum Utero Nexu (1761). After a visit to the schools and hospitals of Paris he re- turned to Philadelphia in 1762 and immediately began prepara- tions for giving courses in anatomy and midwifery. He began his anatomical lectures and demonstrations in November 1762 and achieved a notable success though meeting with much criti- cism and some violence on account of the popular hostility to human dissection. In 1765 he began his lectures on midwifery, the first systematic instruction in obstetrics given in this country. He engaged actively in this specialty, though as was customary at the time he left the actual management of the labor in the hands of female midwives. With the establishment of the medical school of the College of Philadelphia in 1765, Shippen was appointed professor of anatomy and surgery in 1766. When this school was merged with the University of Pennsylvania in 1791 he was given the chair of anatomy, surgery, and midwifery. He was on the staff of the Pennsylvania Hospital in 1778-79 and WILLIAM SH1PPEN, JR THE ARMY MEDICAL BULLETIN 11 from 1791 to 1802. He was a member of the American Philo- sophical Society and was one of the founders of the College of Physicians of Philadelphia and its president from 1805 to 1808. Shippen’s military service began with his appointment on June 15, 1776, to the position of medical director of the Flying Camp, a force of about ten thousand troops, operating in New Jersey, with headquarters at Trenton. On October 9 Congress directed him to establish a general hospital for the troops with which he was serving and on November 24 passed a resolution giving him supervision over all military hospitals west of the Hudson river, and limiting Director General Morgan’s authority to those east of that river. This order and its administration caused a break in the friendly relations previously existing be- tween the two men, resulting eventually in a serious estrange- ment, which cast a cloud over the careers of both. It appears that Shippen was highly critical of Morgan’s administration of the medical service and that he made little or no effort to counter- act the dissatisfaction among the regimental surgeons. Follow- ing Morgan’s separation from the service there was an interval during which there was no head of the medical department. During this period a plan for the reorganization of the medical service, based upon the British system, was submitted by Ship- pen and Dr. John Cochran, a man of previous military service. This plan, approved by Washington, was voted into effect by Congress on April 7, 1777, and on April 11 the medical officers to fill the places created by the act were elected. Shippen was elected director general, and Cochran physician and surgeon, of the army. This legislation definitely fixed the status of the director general as executive head of the department. In the reorganization a deputy director general was provided for each of three military districts, the director general himself retain- ing supervision over the fourth. An assistant director general was provided for command of each general hospital, and senior surgeons, second surgeons, and surgeons’ mates provided for their medical service, with apothecaries, commissaries, matrons, storekeepers, stewards, and nurses for other duties in the hos- pitals. A physician general and a surgeon general were pro- vided for each military district and a physician and surgeon gen- eral for each army. 12 THE ARMY MEDICAL BULLETIN During the winter of 1776-77 Shippen had collected practi- cally all of the army sick into hospitals at Bethlehem, Easton, and Allentown in the upper Delaware valley, and established his office in Bethlehem. In the latter part of March 1777 the hos- pital was transferred to Philadelphia. The service to the sick was much improved under the new system; but it was still far from giving general satisfaction and the same complaints that beset Morgan were renewed. The care of the sick in the hos- pitals again at Bethlehem, during the tragic winter of 1777-78, came under particular criticism. Immediately following his vindication by Congress on May 11, 1779, former Director Mor- gan addressed a letter to Congress charging Shippen with mal- practice and misconduct of his office and declaring himself ready to produce the necessary proof of his charges. In this action he had the active support of Dr. Benjamin Rush, a former medi- cal officer who laid his resignation from the service to Shippen’s ill-will. Other men of high standing in the medical service sup- ported Morgan’s charges. The specifications against Shippen included ignorance and neglect of his duties, misapplication of hospital supplies and funds and the rendition of false morbidity and mortality reports. After much correspondence a court- martial was ordered and Shippen appeared before it at Morris- town, N. J., on March 15, 1780. The case was not finally set- tled until August 18, 1780, when Congress passed a motion to the effect, “That the court-martial having acquitted the said Doctor W. Shippen that he be discharged from arrest.” The original motion calling for confirmation or approval of the ver- dict could not be carried. He remained in Philadelphia until November 24 when Congress ordered him to return to the head- quarters of the Commander-in-Chief in the highlands of the Hudson. The medical department had undergone another re- organization by act of Congress on October 6, 1780, and Ship- pen had been again elected medical director of the army. He reported at army headquarters in December, but resigned his post on January 3, 1781. Returning to Philadelphia he resumed practice and again took up his teaching. His later years were saddened by the death, in 1798, of his only son, a young man of much promise. After this event he gave up much of his public activities, THE ARMY MEDICAL BULLETIN 13 including his practice and his teaching. He died at German- town near the age of seventy-two years. He had married in London, about 1760, Alice Lee, of a prominent Virginia family, the sister of Francis Lightfoot, William, Richard Henry, and Arthur Lee. Shippen’s character is one not easily understood. He had marked ability, energy, public spirit, and was gifted with great personal attraction. His mind, however, was of the contem- plative type, well fitted to his teaching career but lacking in creative ability. His habits of mind and body did not fit him for the rough experiences of army life in the field. His short- comings as chief of the medical service were largely due to his disinclination to share in any degree in the hardships of his subordinates. His disposition to avoid by whatever means all personal discomforts and administrative difficulties appears to have brought upon him the stigma of a court-martial. His career as a medical practitioner and as a teacher was distinguished. His lectures and demonstrations in the subject of anatomy were highly effective and his teaching of midwifery effected a revolu- tion in the practice of the city. He unquestionably exerted a marked influence upon the medical profession of his day. Except for his graduation thesis he appears to have written nothing for publication. [L. C. Duncan Medical Men in the American Revolution, 1775-1783 (1931). T. H. S. Hamersly Complete Army and Navy Register of the United States, 1776-1887 (1888). Joseph Carson History of the Medical Department of the Univ. of Pa. (1869). Dictionary of American Biography, Yol. XVII (1935). J. E. Pilcher Surgeon Generals of the Army (1905).] 14 THE ARMY MEDICAL BULLETIN IV. JOHN COCHRAN (Sept. 1, 1730 - April 6, 1807), Director General of the Military Hospitals of the Continental Army, Jan. 17, 1781 - Nov. 3, 1783, was born at Sadsburyville, Chester County, Pa., the son of James and Isabelle (Cochran) Cochran. His parents, cousins to some degree, of Scotch Irish descent, had both emigrated from Ireland. The Cochran family, members of the Dundonald clan, crossed from Paisley, Scotland, to North- ern Ireland in 1570 and to Philadelphia about 1700. John re- ceived his early education in the grammar school of Dr. Francis Alison at New London, near his home. He studied medicine with a Dr. Thompson of Lancaster, Pa., and at the beginning of the French Colonial war in 1755 he joined the Northern army based on Albany. He accompanied the expedition, headed by Colonel John Bradstreet, which captured Fort Frontenac in 1758, and served with the force of Lord Amherst around Lake Champlain in 1759. In the expedition against Fort Frontenac he formed a close friendship with Major (later General) Philip Schuyler, who induced Cochran to settle in Albany for practice after the close of hostilities in 1759. In the next year he married Mrs. Ger- trude Schuyler, widow of Peter Schuyler and sister of his com- rade in arms. Soon thereafter he removed to New Brunswick, N. J., where he practiced “physic and surgery” with marked success until 1776. He was one of the founders of the New Jersey Medical Society in 1766 and in 1769 became its president. He took an active part in procuring the passage of the act of 1776 to regulate the practice of medicine and surgery in New Jersey, for which he received a vote of thanks from the state society. An early partisan of the colonies in their difficulties with the mother country, Cochran volunteered for duty without pay in the hospital department of the Continental army in the latter part of 1776, and, while still occupying that status, col- laborated in February 1777 with Medical Director Shippen of the Flying Camp in a plan for the reorganization of the medical service of the army. This plan, based on that of the British ser- vice, received the approval of General Washington who submitted JOHN COCHRAN THE ARMY MEDICAL BULLETIN 15 it to Congress from his headquarters at Morristown, N. J., under date of February 14, 1777. At about the same time Wash- ington recommended Cochran to the consideration of Congress in the following terms: “1 would take the liberty of mentioning a gentleman who I think highly deserving of notice, not only on account of his abilities, but for the very great assistance which he has afforded in the course of this winter, merely in the nature of a volunteer. This gentleman is Dr. John Cochran, well known to all the faculty. The place for which he is well fitted and which would be most agreeable to him, is surgeon general of the middle department; in this line he served all of the last war in the British service, and has distinguished himself this winter particularly in his attention to the smallpox patients and the wounded.” In the reorganization that followed the submission of the plan and in accordance with Washington’s resolutions, Cochran was appointed on April 10, 1777, physician and surgeon general of the army of the middle department, which included that part of the theatre of war between the Hudson and the Potomac rivers. In this capacity he served through nearly the whole of the next three years, including the trying winter at Valley Forge. Cochran’s previous military experience and sound judgment made him Shippen’s chief reliance for advice and counsel during the latter’s term as director general. He at- tended the Marquis de Lafayette through a serious illness at Fishkill, N. Y., during the latter part of 1778. In the reorgani- zation of the medical service which took place in the latter part of 1780, Cochran, presumably the author of the plan, was ap- pointed under date of October 6, 1780, chief physician and sur- geon under Shippen as director general. On the resignation of the latter on January 3, 1781, there were nominated to Con- gress to fill the place the names of Cochran, James Craik, John Morgan, and William Brown. On January 17, Cochran was chosen by vote of Congress as Shippen’s successor, with Craik promoted to Cochran’s former position. These selections were undoubtedly influenced to some extent by a letter from Wash- ington to a member of Congress, dated October 9, 1780, com- mending a number of medical officers, but singling out Cochran and Craik for the highest commendation. In contrast with the experience of his three predecessors Cochran served to the end of the war under happy auspices and 16 THE ARMY MEDICAL BULLETIN to the satisfaction of Congress and the military command. Though his office was with the headquarters in the field, he did not participate directly in the Yorktown campaign, but remained with the northern forces based on West Point. While his term as director general was in the main a happy one, it was not without its problems and troubles. He was immediately faced by a more than ordinary scarcity of medical supplies and by numer- ous resignations of medical officers. The latter were due some- what to their unsatisfactory status, but more particularly to the fact that their pay was badly in arrears. Legislation favorable on the whole to the medical service was passed. The medical committee of Congress was abolished and its functions taken over by a Board of War. Promotion by seniority was estab- lished by an act of September 20, 1781, and the offices of chief physician and surgeon of the army and chief hospital physician were abolished on January 3, 1782. Inspections of the medical service by officers of the Inspector General’s Department were instituted by the act of January 10, 1782, and regulations pro- vided for the operations of the medical purveyor’s service. The relative rank of medical officers was fixed by a res- olution of Congress January 3, 1781, providing that those who served to the close of the war should be entitled like other offi- cers to half pay for life, the director to the half pay of a lieu- tenant colonel and the others except mates, to the half pay of a captain. Cochran’s outstanding qualities, those that brought him safely through troubled conditions which wrecked the ca- reers of others, were industry, sound judgment, and unfailing tact. Thacher, the medical historian of Revolutionary days, re- garded him highly, saying that “he united a vigorous mind and correct judgment with information derived and improved from long experience and faithful habits of attention to the duties of his profession. He possessed the pure and inflexible principles of patriotism and his integrity was unimpeachable. It is gratify- ing to have this opportunity to express respectful recollections of his urbanity and civilities and of affording this small tribute to his cherished memory.” He was mustered out of the service November 3, 1783. His home in New Brunswick having been burned by the British troops he took his family to New York City, and there resumed THE ARMY MEDICAL BULLETIN 17 the practice of medicine. Shortly after Washington became president in 1789, retaining, to use his own words, “a cheerful recollection of his past services,” he appointed Cochran to the post of commissioner of loans for the State of New York. This office he held for a number of years, until a paralytic stroke in- capacitated him for its duties. He retired to Palatine, Mont- gomery County, N. Y., where he resided until his death in his seventy-seventh year. [L. C. Duncan Medical Men in the American Revolution, 1775-1788 (1931). T. H. S. Hamersly Complete Army and Navy Register of the United States 1776-1887 (1888). J. Thacher American Medical Biography (1828). Dictionary of American Biography Vol. IV (1930). American Medical and Philosophical Biography, 2d Ed. I (1814). J. E. Pilcher Surgeon Generals of the Army (1905).] 18 THE ARMY MEDICAL BULLETIN V. JAMES CRAIK ( 1730 - Feb. 6, 1814), Physician General of the United States Army, July 19, 1798 - June 15, 1800, was born on the estate of Arbigland in the parish of Kirkbean, County of Kirkcudbright, near Dumfries in Scotland. His father, Robert Craik, a member of the British Parliament, had a gar- dener, John Paul, whose son, born upon the estate emigrated to Virginia and under the name of John Paul Jones became Amer- ica’s most famous naval hero. James Craik is said to have been an illegitimate son, but was acknowledged, protected, and edu- cated by his father. He took his academic and medical train- ing at the University of Edinburgh, joining the medical service of the British army immediately after graduation. In 1751 he went to the West Indies as an army surgeon but resigned soon thereafter, settling in Norfolk, Va., where he began medical practice. Later he removed to Winchester, a frontier village and the base for military operations to the West. On March 7, 1754, he was commissioned surgeon of the Virginia Provincial Regi- ment, commanded by Colonel Joshua Fry. With this force, later commanded by George Washington, he participated in the capture of the French force at Great Meadows and in the sur- render of Fort Necessity to the French. In this campaign be- gan the lifelong friendship of Craik and Washington. In 1755 Craik was with Braddock’s army in the ill-fated advance against Fort Duquesne, was in the thick of the battle in which the Eng- lish were routed by the French under Beaujeu and their Indian allies under De Langlade. He dressed the wounds of Braddock on the field and attended upon him until his death on the fol- lowing day near Great Meadows. He accompanied the retreat- ing army to Fort Cumberland and later accompanied Washing- ton to Winchester, Va. Here from 1755 to 1758 Washington was in command of the Virginia provincial forces charged with the protection of the Virginia and Maryland frontier from the depredations of hostile Delawares, Shawnees, and Mingos from the valleys of the Allegheny, Muskingum, and the Scioto branch- es of the upper Ohio. Craik was the chief medical officer and JAMES CRAIK THE ARMY MEDICAL BULLETIN 19 shared in all the hardships and privations of these hardy troops until the fall of Fort Duquesne on November 25, 1756. Follow- ing this event and the consequent cessation of Indian raids. Craik retired from the army and bought a plantation at Port Tobacco, Maryland, where he established himself for medical practice and built himself an imposing home. Here he brought his bride, Marianne Ewell, of Prince William’s County, Vir- ginia, whom he married on November 13, 1760. She was the great-aunt of General Richard S. Ewell of the Confederate army. In 1770 he accompanied Washington on a trip into the Ohio valley for the purpose of examining lands subject to military claims. They journeyed by horseback to Pittsburgh, then down the Ohio by canoe to the mouth of the Big Kanawha, and back by the same route. In 1784 after the close of the Revolution they made a similar journey, this time striking by horseback directly across the Appalachian mountains to the Ohio, thence up that river and the Monongahela, thence southward through the mountains, emerging into the Shenandoah valley near Staunton. In the midst of his practice at Port Tobacco, Craik took an active interest in the stirring events leading up to the Rev- olutionary War. As early as 1774 he took an active part in a meeting of Charles County citizens at Port Tobacco in which resolutions were adopted protesting against the blockade of the port of Boston and pledging aid in commercial reprisals against the British. His first service with the Continental army began in 1777 when Washington tendered to him a choice between the positions of physician and surgeon to the hospital or assistant director general in the Middle Department. He chose the lat- ter which gave him the opportunity of serving close to his old- time friend during the war. It was he who in 1778 warned Washington of the so-called “Conway Cabal” to make General Gates Commander-in-Chief. He attended the wounds of Gen- eral Mercer on the battle field of Princeton and of Lafayette at the Brandywine. When the French under Rochambeau landed at Newport, R. I., Craik established the hospital service for their sick and wounded. In 1780 a reorganization of the medical department made Craik the senior of four holding the title of chief hospital physician and surgeon. With the resignation of Director General Shippen in 1781, Craik was Washington’s choice 20 THE ARMY MEDICAL BULLETIN for the succession but the place went to John Cochran, Chief Physician and Surgeon of the Army, and Craik was advanced to second place with the latter title. In this capacity he served until the close of the war, participating in the final campaign against Yorktown. With the close of the war, Craik, at the suggestion of Wash- ington, took up his residence in Alexandria, Virginia, and re- sumed the practice of medicine. He was a frequent visitor at Mount Vernon and attended whatever sickness occurred there. When in 1798 Washington was summoned from his retirement to command the army in a threatened war with France, he made it a condition of his acceptance that he should have the naming of the principal members of his staff. He chose Craik for his chief medical officer, who was appointed physician general on July 19, 1798, with the pay and emoluments of lieutenant colonel but without rank. By 1800 it became a certainty that there would be no war and Congress passed a bill, on May 14, 1800, directing the discharge of nearly all the troops involved in the emergency increase. Craik was mustered out of the service on June 15, 1800, leaving in the medical department but six sur- geons and twelve surgeon’s mates. For over a decade again it was without a chief. While Craik was still the army medical chief he had the unhappy duty of attending his old friend and commander in his last illness. On Dec. 13, 1799, he was called to Mount Vernon in attendance upon Washington and found him in a serious con- dition from a throat ailment upon which was made a diagnosis of “cynanche trachealis”, a term denoting what might now be called a streptococci cellulitis of the throat. Dr, Elisha C. Dick of Alexandria was called in consultation and later Dr. Gustave R. Brown of Port Tobacco, Maryland. Despite every effort the condition proved fatal on the evening of the following day. The only known published writing of Dr. Craik was a pam- phlet relating to Washington’s illness, A Sermon Occasioned by the Death of General Washington Preached Dec. 29, 1799, By the Rev. Hezakiah N. Woodruff, A. M. To which is added —An Appendix Giving a Particular Account of the Behaviour of General Washington During his Distressing Illness, Also of the Nature of the Complaint of which he died, by Doctors James THE ARMY MEDICAL BULLETIN 21 Craik, and Elisha C. Dick, Attending Physicians (1800). Craik survived his illustrious friend for fourteen years. He gave up his practice in Alexandria and retired to his nearby es- tate, Vaucluse, where he and his wife lived with his daughter-in- law, Mrs. George Washington Craik, until his death here in his eighty-fourth year. His burial place is in the cemetery of the old Presbyterian meeting house on South Fairfax Street in Alexandria. He was an original member of the Maryland So- ciety of the Cincinnati. His son studied medicine but abandoned a career in that profession to become Washington’s private secre- tary. [W. B. Blanton Medicine in Virginia in the Eighteenth Century (1931). J. Thacher American Medical Biography (1828). L. C. Duncan Medical Men in the American Revolution, 1775-1783 (1931). H. E. Brown Medical Depart- ment of the U. 8. Army from 1775 to 1873 (1873). Dictionary of American Biography, Vol. IV (1930). J, M. Toner Medical Men of the Revolution (1876).] 22 THE ARMY MEDICAL BULLETIN VI. JAMES TILTON (June 1, 1745 - May 14, 1822), Physician and Surgeon General of the United States Army, June 11, 1813 - June 15, 1815, was born on a farm in Kent County, Delaware, at that time a part of Pennsylvania. His father, Thomas Tilton, is said to have been descended from John Tilton, who emigrated from England to Lynn, Mass., between 1630 and 1640. His mother, early left a widow, sent him to the Nottingham Academy, Nottingham, Pa., conducted by the Rev. Samuel Finley. Later, after studying under Dr. Ridgely, a prominent physician of Dover, Del., he entered the newly established medical depart- ment of the College of Philadelphia where he received the degree of B. M. with the first class graduated by that institution in 1768. He presented a graduation thesis on the physiology of respiration. He established himself for practice at Dover, but returning to his old school was given the degree of M. D. in 1771, his graduation thesis being entitled, De Hydrope. When the Revolutionary War broke out he was again a practitioner at Dover and a lieutenant of infantry in the local militia. When the Delaware Regiment, commanded by Colonel John Haslet, was organized, Tilton was appointed regimental surgeon on Jan- uary 16, 1776. He served with the regiment through that year in the battle of Long Island, at White Plains, at Trenton, and until the regiment was practically wiped out and Colonel Haslet killed at the battle of Princeton on Jan. 2, 1777. He served with the sick and wounded remnant of the regiment in a hospital at Wilmington for the remainder of that winter. On April 3, 1777, he was appointed hospital physician and on April 23 Con- gress passed the following resolution: “Resolved, That Dr. James Tilton be authorized to report to Dum- fries in Virginia, there to take charge of all Continental soldiers that are or shall be inoculated, and that he shall be furnished with the neces- sary medicines.” While inoculations for smallpox had been largely practiced since the beginning of the war this resolution and others fol- lowing which called for the assembling of troops for inoculation JAMES TILTON THE ARMY MEDICAL BULLETIN 23 were the first actions taken by Congress in the matter. Follow- ing this duty he was placed in command of a hospital established at Princeton, N. J., after the retreat from the battle at the Brandywine in September 1777. While on this duty he con- tracted typhus which necessitated a sick leave of some months. During this time he visited the military hospitals at Bethlehem, Reading, Lancaster, and elsewhere studying conditions which later formed the basis for the sharpest criticism of military hos- pital management and of the system that made these conditions possible. He was also outspoken in criticism of the director general being also the purveyor of supplies. During the cam- paigns of 1775-80 he was in charge of hospitals at Morristown and Trenton, N. J., and at New Windsor, N. Y., at which places he was able to give trial with considerable success, to his pet scheme of small well-ventilated log huts capable of holding but six or eight patients each. In the medical department reorgan- ization of 1780 his name apeared at the head of the list of “hos- pital physicians and surgeons”. In this capacity he conducted a hospital at Williamsburg during the Yorktown campaign and was left in charge of the hospitals at Yorktown after its evacua- tion following the surrender. He had been largely instrumental in securing the action of Congress on September 20, 1781, pro- viding for promotion by seniority of medical officers. This legislation however, placed hospital surgeons above regimental surgeons, who were given the same rank as hospital mates. Eventually regimental surgeons wrere given an intermediate posi- tion between hospital surgeons and hospital mates. With the close of hostilities he returned to his practice at Dover. In the meantime he had been offered and had declined the chair of materia medica in his old medical school, reorgan- ized in 1791 as the medical department of the University of Pennsylvania. He served one term (1783-85) in the Continental Congress, and repeated terms as member of the state House of Representatives. From 1785 to 1801 he occupied the position of government commissioner of loans for Delaware. The climate of Dover not being to his satisfaction, he bought a farm in the hill country back of Wilmington and varied his medical practice with the cultivation of his fields and by an occasional essay on some agricultural subject. In these circum- 24 THE ARMY MEDICAL BULLETIN stances he continued for years the leading medical man and the most frequently employed consultant in the state. In February 1813, while the country was at war with Brit- ain, he published a small treatise entitled, Economical Observa- tions on Military Hospitals and the Prevention and Cure of Diseases Incident to an Army. It was dedicated to General John Armstrong, secretary of war, and embodied his observa- tions during the Revolutionary "War and repeated his former recommendations regarding the construction and administration of military hospitals. Probably as a result of this publication he was offered the position of physician and surgeon general of the army, an office created by a reorganization of the staff departments under an act of March 3, 1813 (2 Stat. 819). On account of his age he was loath to accept the appointment, but did so upon being assured that his duties would be chiefly execu- tive in character and that he would not be required to serve in the field. His appointment was confirmed by the Senate to date from June 11, 1813. At the same time Dr. Francis Le Barron of Massachusetts was appointed apothecary general. In the meantime under date of May 1, 1813, the President caused to be issued Rules and Regulations for the Army, and therein were prescribed the duties of the chief medical officer as fol- lows : “It shall be the duty of the Physician and Surgeon General to pre- scribe rules for the government of the hospitals of the army, to see these enforced, to appoint stewards and nurses, to call for and receive returns of medicine, surgical instruments and hospital stores, to authorize and regulate the supply of regimental medical chests, to make out general half year returns of these and of the sick in hospital to the War Depart- ment, and yearly estimates of what may be wanted for the supply of the army. “The apothecary general shall assist the Physician and Surgeon General in the discharge of the above mentioned duties, and shall receive and obey his orders in relation thereto.” One of his first acts after assuming office was to make a tour of inspection of the hospitals and camps along the north- ern frontier. Here he found that all the lessons of sanitation learned from the bitter experience of the last war had been forgotten. In both camp and hospitals he found such utter contempt for sanitary measures and such dire results of this THE ARMY MEDICAL BULLETIN 25 neglect that immediate action was necessary. By moving the hospitals and establishing new ones and by the elimination of incompetent personnel he was able to do much in improving these unsatisfactory conditions. His efforts to improve hos- pital conditions and to rehabilitate the medical and hygienic ser- vice of the army resulted in the publication of the Regulations for the Medical Department issued in general orders of December 1814. This, the most important result of his administration, de- fined clearly for the first time the duties of medical officers and other sanitary personnel. With the end of the war in the spring of 1815, the army was greatly reduced by the act of March 3, 1815 (3 Stat. 224), and the office held by Tilton was terminated June 15, 1815. During the later months of Tilton’s term of office his usefulness was greatly impaired by the develop- ment of a malignant tumor of the knee. On December 7 following his relief from office it became necessary to perform a thigh amputation in order to prolong his life. Despite his seventy years and his previous suffering, he withstood the pre-anaes- thetic era agonies of the amputation with the utmost fortitude and even counseled with the operator and his assistants con- cerning the details of the operation. The remaining years of his life were passed in the stone mansion he had built overlooking the city of Wilmington, his time occupied by the supervision of his fields and gardens. Here he died near the end of his seventy-seventh year. After Yorktown, the Delaware troops were brought back from duty in the Carolinas and went into camp at New Castle awaiting discharge. The officers of this camp, with others, met at Wilmington, where following the example set by officers in other states, they formed on July 4, 1783, the Delaware State Society of the Cincinnati, and elected Tilton its first president. He held this office until 1795 and w’as delegate to the general meetings of the Society of the Cincinnati from 1784 to 1793. He was a member of the American Philosophical Society and of his state medical society, which he served as president for years. He was not a prolific writer. Aside from his doctor- ate theses and his Economical Observations, his published writ- ings were limited to four pamphlets on agricultural subjects. 26 THE ARMY MEDICAL BULLETIN Tilton was outstanding both in appearance and in charac- ter. He stood six and one-half feet tall, was spare in build and notably dark of hair and complexion. Though he never married, he was of a sociable nature and was companionable with all ages. He was especially generous in his friendships with the younger members of the medical profession of his community. Despite an absolute honesty, positive views, and unusual frank- ness of speech, he does not appear to have made active enemies. He was a man of many eccentricities, few of which seem to have been of a displeasing character. [H. E. Brown Medical Department of the U. S. Army from 1775 to 1873 (1873). L. C. Duncan Medical Men in the American Revolution, 1775-1783 (1931). H. H. Bellas History of the Delaware Society of the Cincinnati (1895). F. J. Tilton History of the Tilton Family in America, Vol. I (1928). J. T. Scharf History of Dclatvare, Vol. 1 (1858).] JOSEPH LOVELL THE ARMY MEDICAL BULLETIN 27 VII. JOSEPH LOVELL (December 22, 1788 - October 17, 1836), Surgeon General of the United States Army, April 18, 1818 - Oct. 17, 1836, was born in Boston, Mass., the son of James S. and Deborah (Gorham) Lovell. His father attained the grade of major in the Continental army during the Revolutionary War and his grandfather, James Lovell, was an active member of the Whig organization in Boston before the Revolution, and was a member of the Continental Congress from 1777 to 1782. He was one of the prime movers in the scheme to supplant General Washington as commander-in-chief by General Horatio Gates. He was an original member of the Massachusetts Society of the Cincinnati. Joseph Lovell obtained his early education in the Boston schools, after which he entered Harvard College, where he gradu- ated in 1807. He began the study of medicine with Dr. Wil- liam Ingalls of Boston and was graduated from the Harvard Medical School in 1811, with the first class to receive the degree of M. D. With the practical certainty of a second war with Britain, Congress passed an act on January 11, 1812 (2 Stat. 671), increasing by thirteen regiments the military forces of the country, and providing a surgeon and two surgeon’s mates for each regiment. On May 15, 1812, Lovell was appointed major and surgeon, 9th Infantry. With an unusually thorough medical education, he early became an outstanding medical offi- cer. When, late in 1812, the troops were moved to the Canadian border, general hospitals were established at Plattsburg, N. Y., and at Burlington, Vt., Lovell was detached from his infantry regiment and placed in command of the Burlington Hospital. During this time, while the hospitals as a whole came under severe criticism the Burlington Hospital was held up as a model of what a hospital should be. Lovell attracted attention not only as a skilled practitioner but as an officer of marked execu- tive ability. In recognition of his exceptional service he was selected for appointment to the grade of hospital surgeon on June 30, 1814. During the latter part of the war his longest 28 THE ARMY MEDICAL BULLETIN service was in the hospital at Williamsville, N. Y., which re- ceived the casualties for the operations along the Niagara river., In 1817, Lovell, then chief medical officer of the Northern Department, addressed to Major General Jacob Brown, the de- partment commander, a letter dealing with the Sick Report of the Northern Division for the Year ending June 30, 1817, in which he discussed not only the cause of disease in the army, but also gave his views upon the duties of medical officers and their for the sickness occurring among the troops. During the winter and spring of 1818 Congress was en- gaged on a bill for the reorganization of the staff of the army. This bill, passed April 14, 1818 (3 Stat. 426), repealed certain previous legislation in regard to the medical department and carried the following section: “Section 2. And be it further enacted, That there shall be one Sur- geon General, with a salary of two thousand five hundred dollars per annum, one assistant surgeon general with the emoluments of a hospital surgeon * * * and that the number of post surgeons be increased not to exceed eight to each division.” Pursuant to this legislation Lovell v/as appointed Surgeon General to date from April 18, 1818, with Hospital Surgeons Tobias Watkins and James C. Bronaugh, assistants, one for each of the two divisions of the army. Apothecary General Le Bar- ron was retained in his old position. Though only in his thirtieth year, his services in the hospitals on the northern frontier during the war and his appreciation of the needs of the service as evi- denced by his reports made Lovell the logical choice for head of the service. Thus was established for the first time a permanent medical department organization. For the first time a career medical officer was made chief of the service. All of the former chiefs had been appointed to meet the emergency of war, real or expected, with an organization to serve the forces in the field. Again, for the first time was bestowed upon the service chief the title of surgeon general, which has survived to the present day. Immediately following Lovell’s appointment the following order was issued bjr the War Department: THE ARMY MEDICAL BULLETIN 29 “Adjutant and Inspector General’s Office April 21, 1818. General Orders. All reports, returns and communications connected with the Medical Department will hereafter be made to the Surgeon General’s Office in Washington. All orders and instructions relative to the duties of the several officers of the Medical Staff, will be issued through the Surgeon General, who will be obeyed and respected accordingly. The Assistant Surgeon Generals will forthwith commence the-, inspections of the Medical Department in their respective divisions; agreeably to the instructions they receive from the Surgeon General^ order. B. Parker, Assistant and Inspector General.’'’ Lovell saw as an early duty the revision of the Medical Regu- lations. The regulations of December 1814 had been super- seded by those of April 24, 1816, but these were defective in that they were not adapted to the new organization or to the pro- visions of the order quoted above. The result was the Regula- tions of the Medical Department, September 1818. In his first report to Secretary of War Calhoun in November 1818, he dwelt upon the difficulty of obtaining from medical officers compliance with orders, particularly in regard to reports and returns. In reply the Secretary called upon him for recommendations for the improvement of the medical service. Lovell began his recom- mendations with the statement that the first requisite was to make the position of a medical officer such that he would place some value upon the retention of his office, at that time held in low esteem. Recruitment of officer personnel was difficult and the retention of suitable men even more so. He asked an in- crease in the number of medical officers and an increase in their pay and allowances. With officers with a sense of responsibility he promised appreciable economies in medical supplies. He rec- ommended further that the Apothecary General be authorized to make all purchases of medical supplies and that purchasing of- ficers be bonded for the proper application of public funds. Though no immediate legislation ensued, the changes advocated were all brought about during Lovell’s term of office. On March 2, 1821 (3 Stat. 615), Congress passed an act reducing the army and reorganizing the staff corps. Section 10 30 THE ARMY MEDICAL BULLETIN defined the future medical staff as follows: “And be it further enacted, That the medical department shall consist of one surgeon general, eight surgeons with the compensation of regimental surgeons and forty-five assistant surgeons with the com- pensation of post surgeons.” Thus was abolished the old system of titles which had stood since the Revolution, with the substitution of a new system which was to last for nearly ninety years, though military rank and titles came in 1847. This reorganization brought about the dis- charge of the Apothecary General and his assistants. In 1825 a new edition of the Medical Regulations was issued. It was es- sentially the same as that of 1818, except as to phraseology to conform to the new designations of the medical officers. The office of Assistant Surgeon General was changed to that of Medical Director of Department and the duties of the Apothecary General and his assistants were assigned to officers detailed to the purveying department. An important addition was a para- graph calling for the examination by a board of three medical officers of all applicants for the position of assistant surgeon. This provision was not put into effect until after the issue by the War Department of General Orders, No. 58, July 7, 1832, which defined the requisites for appointment. Thus was initi- ated the foremost factor in the high professional standing of the corps to the present day. An act of Congress of June 30, 1834 (4 Stat. 714), confirmed the provisions for entrance ex- aminations and fixed the pay and allowances of medical officers relative to those of other officers of the service. A dangerous crisis developed in 1830, when, in the midst of agitation for retrenchments, Secretary of War Eaton sug- gested the abolition of the office of Surgeon General. In a letter to Congress in support of his administration, Lovell was so far successful that he not only saved his own office but obtained an increase in the number of officers in the corps. During Lovell’s term of office occurred the Black Hawk War and the beginning of the long continued struggle with the Seminoles of Florida. In 1832, incident to the trouble with the Sacs and Foxes in Illinois and Wisconsin, troops were sent to that section by way of Buffalo and the Great Lakes. Cholera broke out on two boats enroute from Buffalo to Chicago. The THE ARMY MEDICAL BULLETIN 31 troops were debarked in the vicinity of Detroit and put into camp. Nearly four hundred cases developed with eighty-eight deaths. The Seminole War began on Dec. 28, 1885, when the Indians, under Osceola, ambushed and destroyed two companies of the 4th Infantry under command of Major Dade. The anxie- ties incident to furnishing medical service for the troops collect- ing for the punitive campaign weighed heavily upon Lovell. He established a medical supply depot at Tampa and a general hos- pital at St. Augustine. He asked for an increase of medical officers and a small addition was authorized on July 4, 1835. The report of June 4 with its request for additional officers was his last important act. His wife, to whom he was deeply at- tached, died about this time and the double burden of anxieties was too much for an always delicate constitution. He died in Washington on Oct. 17, 1836, near the end of his forty-eighth year. Less than thirty years of age and with but six years of service when he became Surgeon General, Lovell’s eighteen years’ tenure of office were marked by constant improvement in the efficiency of the service and in the status of the officers of the corps. With a wholesome pride in his office and in the service which he represented, he strove to foster that same pride throughout the corps and to render the military establishment conscious of its obligations to the medical service. Quite beyond the medical department he rendered conspicuous service to every branch and department of the army. More than any other person he was responsible for the abolition of the whiskey ration which was making drunkards throughout the army. He was largely instrumental in the passage by Congress of a bill by which unsuitable and inefficient officers could be eliminated from the army by action of a board of officers. From his personal observations he was able to make recommendations which brought about notable improvements in the ration and clothing of the soldier. One of his first acts as Surgeon General was to require from all army posts quarterly reports by the medical officers on weather conditions and on the incidence and causes of diseases. The compilations of these reports have high his- toric value. The weather reports thus begun were the begin- ning of the present Weather Bureau. A notable service by 32 THE ARMY MEDICAL BULLETIN Lovell was the encouragement and official assistance which he gave to Surgeon William Beaumont in the study of gastric physiology. The year 1836 is given as the time when in Lovell’s office was begun the collection of books which was to become the Army Medical Library. Lovell’s death, preceded by a few months by that of his wife, Margaret Mansfield Lovell, left an orphaned family of eleven children. A son, Mansfield Lovell, graduated from West Point and became a major general and corps commander in the Confederate army. In 1842, the officers of the medical corps testified to their appreciation of Lovell’s services to them and to their personal esteem for him by the erection of a handsome monument over his grave in the Congressional Cemetery in Washington. [F. F. Harrington Harvard Medical School, Yol. II (1905). H. E. Brown Medical Department of the U. 8. Army from 1775 to 1873 (1873). J. E. Filcher Surgeon Generals of the Army (1905). Dictionary of American Bio- graphy, Vol. II (1933). National Intelligencer, Washington, Oct. 19, 1836.] THOMAS LAWSON THE ARMY MEDICAL BULLETIN 33 VIII. THOMAS LAWSON (August 29, 1789 - May 15, 1861), Surgeon General, Nov. 30, 1836 - May 15, 1861, was born in Virginia, in Princess Anne County or in the nearby part of south- ern Norfolk County. He was the son of Thomas and Sarah (Robinson) Lawson, the grandson of Colonel Anthony Lawson and of Colonel Tully Robinson, and descended from Anthony Lawson who came to Virginia from Londonderry, Ireland, about 1668. The Lawson family and its affiliates were for two centu- ries prominent in the two counties which make up the south- eastern corner of the state. No information is available in re- gard to his early education or of his medical studies, hence it is probable that he studied with the practitioners of his home community. However obtained, his medical education was com- pleted early, for at nineteen years he entered the navy on March 1, 1809, as a surgeon’s mate. After two years of shipboard life he resigned on January 12, 1811, and in the following month, on February 8, 1811, he was appointed to the position of garrison surgeon’s mate in the army. On May 21, 1813, he was pro- moted to the post of surgeon, 6th Infantry, in which position he went through the War of 1812. With the reduction and reor- ganization of the army at the close of the war he became surgeon of the 7th Infantry on May 17, 1815. Upon the reorganization of the medical department in 1821 his name appeared upon the roll as the senior officer in the grade of surgeon and remained so until his advancement to Surgeon General in 1836. During his early service in the field with the 6th Infantry, he won the official commendation of Hospital Surgeon Mann, the medical director, for his attention to the wounded and for his courage under fire, particularly during the investment of Plattsburg by the British forces. His high relative rank in the corps insured him an interesting and varied service. In 1832 he was president of a board of medical examiners which visited practically every post in the army for the purpose of holding entrance and pro- motion examinations in accordance with War Department orders which prescribed for the first time these examinations for the 34 THE ARMY MEDICAL BULLETIN corps. He had a decided inclination toward field service and was much disappointed when his application for duty with the forces operating against Black Hawk in 1833 was disapproved. As in the case of many other medical officers his garrison duty was varied by details as adjutant, quartermaster, or even as a company commander. His qualities of military leadership were recognized when, following the Seminole outbreak, a regiment of volunteer infantry was raised in Louisiana with Colonel P. F. Smith in command and Lawson was tendered the office of lieutenant colonel. He served in this capacity with credit from Feb. 5, 1836, until the regiment was mustered out on May 15 following. With the concentration of troops for the Seminole War he was appointed medical director with headquarters at Fort Mitchell, Alabama, where he was serving when he was ap- pointed Surgeon General on November 30, 1836. Surgeon General Lovell died on Oct. 17, 1836, and there immediately followed a movement to appoint a civilian in his place, the claims of Dr. Henry Huntt, a hospital surgeon in the War of 1812, being very strongly advocated. It is said that Dr. Huntt refused the office when tendered him by President Jackson. The army was almost unanimous for Lawson, senior officer of the corps, and he was appointed on Nov. 30, 1836. He arrived in Washington only in the late spring of 1837 and was then detailed to accompany ex-President Jackson to his home. Other duties incident to the Seminole War kept him away from his Washington office until May 1838. Assistant Surgeon Benjamin King had charge of the office during the absence of the chief. The years between the Seminole War and the Mexi- can War were relatively uneventful ones for the office of the Surgeon General. However, Lawson had some very definite ideas for the improvement of the service and battled valiantly for them. He was able to obtain for the corps military rank, two increases in numbers, improved uniform, stewards enlisted in the department, and increased pay for soldiers detailed to it for duty. In 1839 there was issued the first volume of Army Medical Statistics prepared by Assistant Surgeon Samuel Ferry. It embraced the sickness and mortality of the corps from 1819 to 1839, the medical topography and meteorology of the var- ious posts, a report on the construction and condition of the bar- THE ARMY MEDICAL BULLETIN 35 racks and hospitals, and other information in reference to pre- vailing diseases and their treatment. There was a small reduction in officer personnel in 1842, following the close of the Seminole campaign. The clouds of war were gathering again however, and in 1845, with a con- centration of troops at Corpus Christi, Texas, medical depots were established at this place and at New Orleans. The bom- bardment of the American camp across the river from Mata- moras, by the Mexicans in that town on May 6, 1846, precipi- tated the Mexican War. Surgeons P. H. Craig, and C. A. Finley were at different times medical director of the troops operating in Northern Mexico. In December 1846 Lawson left Washington for New Or- leans, where General Scott was preparing plans for the capture of Vera Cruz. In February 1847 he accompanied General Scott as chief of his medical staff to Lobos Island where troops were gathering for the attack on Vera Cruz. On Feb. 11, 1847, Congress passed an act to increase the army temporarily (9 Stat. 124), which act gave an increase in medical officers, and at the same time gave for the first time definite military rank to medical officers. Lawson accompanied General Scott from Vera Cruz to Mex- ico City, but only in an advisory capacity, Surgeon B. F. Harney being the medical director. In the medical service of this cam- paign Surgeons R. S. Satterlee, C. S. Tripler, and J. J, B. Wright played the leading parts. With the cessation of hostilities Law- son returned to his office in Washington, which had been under the charge of Surgeon H. L. Heiskell. On May 30, 1848, he was given the brevet rank of brigadier general for meritorious con- duct in the late war. For more than a decade following, Lawson filled the office of chief, years of comparative tranquility after the strenuous ones of his earlier service. In July 1856 appeared a second volume of Medical Statistics with much the same class of information brought up to date. This volume brought forth general and generous commendation from the medical profession. Other equally valuable contributions to science were the Meteor- ological Register of 1826 to 1830 and that from 1831 to 1842. The first volume of this series, covering the years 1822 to 1825, had been published by Surgeon General Lovell in 1826. Though 36 THE ARMY MEDICAL BULLETIN Lawson is credited with the authorship of these volumes on medical statistics and meteorology, they were in fact compiled by officers of his staff to whom full credit was given at their time of issue. In 1850 Lawson obtained authority for representa- tion of the Army Medical Corps at meetings of the American Medical Association and Surgeon C. S. Tripler attended the Cincinnati meeting that year as a delegate. Legislation passed August 16, 1856 (11 Stat. 51), increased the number of medical officers, provided for the appointment or enlistment of hospital stewards, and for extra pay for special duties in hospitals. A third volume of Medico.il Statistics was issued in 1860. The clos- ing years of Lawson’s term were clouded by the oncoming shad- ows of the Civil War. On January 1, 1861, the corps consisted of one surgeon general, thirty surgeons and eighty-three assist- ant surgeons. Of these, within a few months, twenty-four re- signed to enter the Confederate service and three more were dismissed for disloyalty. The fall of Fort Sumter broke upon Lawson in his seventy-second year and found him in impaired health. With a situation which called for all his abilities and experience he was compelled to leave his office and seek treat- ment at Norfolk, Va. He entered the home of Dr. Daniel C. Barraud, where on May 15 he was stricken with apoplexy and died within a few hours. He served his country’s military es- tablishments for fifty years, twenty-four as Surgeon General. With him passed from the corps the last of the participants in the War of 1812. Lawson was a man of originality of intellect, of unflag- ging industry, with an intense enthusiasm for the military ser- vice. He had a high sense of the usefulness of the medical ser- vice and a determination to gain for it every consideration to which it had a right. There were at the time numerous glaring wrongs to be righted and he was in good measure successful in their elimination. He was also implacable in his pursuit of med- ical officers whose actions he considered discreditable to the corps. These traits in his character brought him into frequent conflict with his superiors in the War Department and with his subordinates in the service; but he was dismayed neither by dis- play of authority on the one hand nor by the threats of political influence on the other. In consequence, while he was universal- THE ARMY MEDICAL BULLETIN 37 ly held in respect, he never was able to gain the confidence and affection of his subordinates, a gift which was possessed in high degree by Surgeon General Lovell. But it can be said with confidence that no other member of the corps of his day could have carried on the persistent and successful fight for the right of rank for his corps as did Lawson. For this and for his other notable services it is easy to forget his lack of graciousness and personal charm. Though credited with having been something of a beau, he never married. However, during his long years in Washington he kept house in a large mansion in a fashionable district to the west of the White House. [H. E. Brown Medical Department of the TJ.S. Army from 1775 to 1873 (1873). P. M. Ashhurn History of the Medical Department of the U. S. Army (1929). W. B. Atkinson Phys. and Stirgs. of the U.S. (1873). J. E. Pilcher Surgeon Generals of the Army (1905). Kelly and Barrage American Medical Biographies (1920). Evening Star (Wash. D. C.) May 20, 1861.] 38 THE ARMY MEDICAL BULLETIN IX. CLEMENT ALEXANDER FINLEY (May 11, 1797 - Sept. 8, 1879), Surgeon General, May 15, 1861 - April 14, 1862, was born at Newville, Cumberland County, Pa. His father, Samuel Finley, served in the Virginia cavalry during the Revolutionary War attaining the grade of major. President Washington ap- pointed him receiver of public moneys in the northwest, which position took him to Chillicothe, Ohio, about 1796, where he re- ceived a large allotment of land for his Revolutionary War ser- vice. Here the son spent his childhood and youth and here ob- tained his early education. With the educational facilities of Chillicothe exhausted, he was sent to Carlisle, Pa., near his birthplace, to Dickinson College where he was graduated in 1815. He then went to Philadelphia where in 1818 he was given the degree of M. D. by the University of Pennsylvania. His father’s military service attracted him to the army, which had recently emerged from the War of 1812-15, and on August 10, 1818, he was commissioned as a surgeon’s mate of the 1st Infantry. The forty-three years that intervened before he became Surgeon Gen- eral were filled largely with routine garrison duty, but included much field service in the wars of the period. His first assign- ment carried with it four years with his regiment in Louisiana, then two years in what was then the wilds of Arkansas, at Fort Smith. In the years from 1825 to 1828 he served at Fort Gib- son, Arkansas, in Florida, at Jefferson Barracks, Missouri, and at Fort Leavenworth, Kansas. Following this he passed three years at Fort Dearborn, Illinois, where he saw the beginning of Chicago’s marvelous growth. In 1831 he was ordered to Fort Howard, Wisconsin, and while on this duty he was detached for service as chief med- ical officer of the forces operating under General Winfield Scott in the Black Hawk War of 1833. He served a year with the 1st Dragoons in Florida, then two years again at Jefferson Bar- racks. In 1834 he was again sent to Florida where he served throughout the Seminole War until 1838. With hostilities over he was sent to Fortress Monroe, Virginia, for a year, and then CLEMENT ALEXANDER FINLEY THE ARMY MEDICAL BULLETIN 39 to Buffalo, N. Y., for another year. From 1840 to 1844 he served at Carlisle Barracks, Pa., where he renewed his acquaint- ance with his alma mater, Dickinson College. The outbreak of the Mexican War found him again at Fortress Monroe, from where he was sent in 1846 to the army which was invading Mex- ico across its northern border. By virtue of his rank he be- came medical director of this army commanded by General Zach- ary Taylor, but shortly after was sent north on account of sick- ness. During this detached service he acted as member of a number of examining boards. In 1847 he returned to duty in Mexico with the army, under General Scott, which was invading the country by way of Vera Cruz. He was medical director of this force until again sickness required that he be sent north. He was permanently relieved from Mexico duty and ordered to Newport Barracks, Kentucky, In 1849 he went to Jefferson Barracks for a third tour of duty and in 1854 to duty in Phil- adelphia with his quarters at Frankford Arsenal. The years up- on this detail largely involved work on examining boards and it was on this sort of duty that he was engaged when in 1861 he received the appointment to the office of Surgeon General. Sur- geon General Lawson’s death came unexpectedly and it was gen- erally considered that his successor would be Surgeon Robert C. Wood, a high ranking officer who was in charge of the office during Lawson’s absence. Wood was son-in-law to former President Taylor and brother-in-law to Jefferson Davis and from his long duty in the War Department had many other influential friends. But a new political party was now in control and President Lincoln chose Finley, the senior officer of the corps, for the coveted place on May 15, 1861. Finley retained Wood as his assistant and their relations appear to have been entirely cordial. The new Surgeon General was sixty-four at the time of appointment, but was in good physical condition and entered the office keen for the heavy duties devolving upon him. Beyond his office work he was busy in the furtherance of legislation and in the selection of hospital buildings and sites in the capital city. It is difficult at this time to determine to what extent Finley in- fluenced the policies and legislation affecting the medical de- partment during his term of office. The Sanitary Commission 40 THE ARMY MEDICAL BULLETIN was active with criticism and recommendations and had high influence with Congress. The act passed on August 3, 1861 (12 Stat. 288), increasing the number of officers and providing for the employment of medical cadets and female nurses was no doubt in response to recommendations from both the office of the Surgeon General and the Sanitary Commission. The act also provided for the creation of boards for the consideration of cases of disability. A provision for two assistants to the Sur- geon General with the rank of lieutenant colonel, contained in the original bill, was stricken out. On April 16, 1862, an act was passed (12 Stat. 378) for the reorganization of the medical department which gave the Sur- geon General the rank of brigadier general, created an assistant Surgeon General and a medical inspector with rank of colonel, eight medical inspectors with the rank of lieutenant colonel, and provided for medical purveyors. This was the first time when actual rank in the medical department had exceeded the grade of major, except that the Surgeon General had the grade of colonel. But Finley was not to achieve the advanced grade, as he was retired on his own application on April 14, 1862, two days before the passage of the act. He had incurred the dis- pleasure of Secretary of War Stanton by a hospital appointment and after a heated interview with the Secretary had been re- lieved from his office and directed to repair to Boston and await orders. From Boston he appealed against the treatment ac- corded him, but despite the efforts of influential friends no action could be obtained and hopeless of justice and redress he applied for admission to the retired list. In the meantime, and until the appointment of his successor, Surgeon Wood performed the duties of Surgeon General. After his retirement Finley made his home in West Phil- adelphia, where he passed eighteen peaceful years and where he died on September 8, 1879. In the meantime, in 1865, he was given the brevet rank of brigadier general “for long and meri- torious service in the army.” General Finley was a notably handsome man, six feet tall, of good figure and good military bearing. During most of his service he wore the so-called military beard in a fashion that few could achieve. He was a talented physician and was ab- THE ARMY MEDICAL BULLETIN 41 sorbed in the care of his patients. During the Black Hawk War he received the official thanks of General Scott for his handling of the cholera outbreak in the command. His whole career was marked by conspicuous and efficient service. Any estimate of his personal achievements as Surgeon General is obscured by the presence of a highly able assistant and a meddlesome Sani- tary Commission. In 1832 he married Elizabeth Moore, daughter of Dr. Samuel Moore, at that time director of the United States Mint at Phila- delphia and formerly member of Congress from Bucks County, Pa. [H. E. Brown Medical Department of the U. S. Army from 1775 to 1873 (1873), J. E. Pilcher Surgeon Generals of the Army (1905). W. P. Atkinson Bhysicians and Surgeons of the U.8. (1878). G. V. Henry Military Records of Civilian Appointments (1873). Appleton's Cyclopedia of Amer. Biog., Yol. II (1887).] 42 THE ARMY MEDICAL BULLETIN X. WILLIAM ALEXANDER HAMMOND (Aug. 28, 1828 - Jan. 5, 1900), Surgeon General, April 25, 1862 - August 18, 1864, was born at Annapolis, Md., the son of Dr. John W. and Sarah (Pinkney) Hammond, members of two old Maryland families of Ann Arundel County. When he was about five years old the family moved to Harrisburg, Pa,, where his early education was completed at a local academy. He began the study of medicine at sixteen and at twenty was given the degree of M. D. by the medical department of the University of the City of New York. After a year of internship in the Pennsylvania Hospital in Philadelphia, he settled in Saco, Me., for the practice of medi- cine. He stayed there but a few months when he took the ex- amination for the army medical service and was appointed as assistant surgeon on July 29, 1849. Shortly thereafter he was sent with a body of troops to New Mexico, where during the fol- lowing three years he served at nine different posts and was engaged a large part of the time in operations against the Indians. After a sick leave spent in study in Europe he was stationed at West Point and later at Fort Meade, Florida, and Fort Riley, Kansas. While at Fort Riley he served as medical director of a large force operating against the Sioux Indians and was medical officer with an expedition which located a road to Bridger’s Pass in the Rocky Mountains. From Fort Riley he was transferred to Fort Mackinac in Michigan. During this first ten years of service he devoted his spare hours to physio- logical and botanical investigation and in 1857 he published an exhaustive essay Experimental Research Relative to the Nutri- tive Value and Physiological Effects of Albumen Starch and Gum, when Singly and Exclusively Used as a Food, which was awarded the American Medical Association Prize. His growing reputation attracted the attention of the au- thorities of the University of Maryland and on October 31, 1860, he resigned from the army to accept the chair of anatomy and physiology in the medical school in Baltimore. Here he taught with marked success and practiced his profession until the out- WILLIAM ALEXANDER HAMMOND THE ARMY MEDICAL BULLETIN 43 break of the Civil War. As surgeon to the Baltimore Infirmary he attended the wounded men of the 6th Massachusetts Infantry, who while marching to the defense of Washington were fired upon by a Baltimore mob. He resigned his professorship and on May 28, 1861, he reentered the army as an assistant surgeon at the foot of the list upon which he had formerly held high place. His first Civil War service was as medical purveyor at Frederick, Md. Later he organized the Camden Street Hospital in Baltimore and was then transferred to the command of Gen- eral Rosecrans in West Virginia where he was made inspector of camps and hospitals. His work in this field attracted the favorable attention of the Sanitary Commission, which, dis- satisfied with the administration of the medical service of the army, urged the removal of the incumbent head and the ap- pointment of Hammond in his place. Surgeon General Finley’s break with Secretary Stanton brought the opportunity, and de- spite strong backing for the acting Surgeon General, Colonel R. C. Wood, and a candidate put forward by Secretary Stanton, Hammond was appointed Surgeon General on April 25, 1862. Colonel Wood failing in his greater ambition, asked for the ap- pointment as assistant Surgeon General, which upon Ham- mond’s approval was given him. Shortly, however, friction de- veloped between the two and Wood was relieved from duty in the office, though he retained the title of assistant Surgeon Gen- eral until October 31,1865. Major Joseph R. Smith was brought into the office to fill Wood’s position. The year and a half of Hammond’s actual tenure of the office was marked by an ad- ministration of high efficiency and by many important accom- plishments. These included a new and vastly enlarged supply table and the provision of hospital clothing for patients. There was a general reorganization of boards of examiners for entrance to the corps and increased standards for applicants. A new and complete system of hospital reports was introduced, furnishing an amount of information later invaluable in the preparation of the medical history of the war. On May 21, 1862, he directed the organization of the Army Medical Museum and the collection of specimens and material for its exhibition. It was during his term that the most definite program was made in the construction and equipment of military hospitals. That 44 THE ARMY MEDICAL BULLETIN he was a man of vision is evidenced by the highly constructive recommendations that he made, all of which in the fullness of time have come into realization. He recommended the forma- tion of a permanent hospital corps, the establishment of an army medical school, the establishment of a permanent general hos- pital in Washington, the autonomy of the medical department in the construction of hospitals and the transportation of sup- plies, and the institution of a military medical laboratory. It was inevitable, however, that the masterful personality of Ham- mond would excite the disapproval of such an autocratic spirit as Secretary Stanton. Their official and personal relations early became strained and there was constant friction in the con- duct of business between the two officers. This situation cul- minated in orders issued in the latter part of August 1863 reliev- ing Hammond from charge of the Washington office and direct- ing him to duty inspecting sanitary conditions in the Depart- ment of the South with his headquarters in New Orleans. On Sept. 3, 1863, medical inspector general Joseph K. Barnes was placed in charge of the Surgeon General’s office. The anomalous situation in which he was placed caused General Hammond to demand the restoration of his office or trial by court-martial. In consequence he was tried on charges and specifications alleg- ing his involvement in irregularities incident to the purchase of medical supplies. The prosecution was pushed with bitterness and apparent personal animosity. It is said that the finding of the court-martial was for acquittal, but that this finding was disapproved and a reconsideration directed which resulted in a verdict of guilty and a sentence of dismissal from the army. The dismissal took effect August 18, 1864. Upon leaving the army Hammond found himself in strait- ened circumstances from the expense of his trial. With the help of friends he was able to establish himself in practice in New York, and in a short time he became a leader in the practice and teaching of neurology, a specialty then in its infancy. Soon after his arrival in New York he was appointed lecturer on nervous and mental diseases in the College of Physicians and Surgeons. He resigned this position in 1867 to accept the pro- fessorship of the same subjects which had been created for him in the faculty of Bellevue Hospital Medical College. In 1874 he THE ARMY MEDICAL BULLETIN 45 transferred to a like professorship in the medical department of the University of the City of New York. At other times he was on the faculty of the University of Vermont at Burlington and of the Post Graduate Medical School of New York, of which he was one of the founders. In 1878, then at the height of his success and popularity, he started a campaign for vindication of his conduct of the of- fice of Surgeon General. Under an act of Congress approved March 15, 1878 (20 Stat. 511), he was restored to the army and placed upon the retired list as Surgeon General with the grade of brigadier general, without pay or allowances, on Aug- ust 27, 1879. In 1888 he moved to Washington where he estab- lished a large sanatorium for the care of cases of nervous and mental diseases. It became necessary for him gradually to limit his professional work on account of a cardiac ailment from which he died at his Washington home on Jan. 5, 1900. During his later years he became much interested in the therapeutic employ- ment of animal extracts and did much to instruct the medical profession in their use. Throughout his career Hammond was a facile writer. While carrying the responsibilities of Surgeon General he found time to write a Treatise on Hygiene, with Special Reference to the Military Service (1863). The most noteworthy of his other medical works were: On Wakefulness: With an Introductory Chapter on the Physiology of Sleep (1866), Sleep and Its De- rangements (1869), Physics and Physiology of Spiritualism (1871), and Insanity in its Medical Relations (1883). In 1871 he published his Treatise on Diseases of the Nervous System, a well written book largely based on the lectures of Charcot. This was announced as “the first text-book of nervous diseases in the English language.” He was also a playwrite and novelist. For a time he was editor of the Maryland and Virginia Journal, published in Richmond and Baltimore. In 1867 he established the Quarterly Journal of Psychological Medicine and Medical Jurisprudence, of which he was editor until 1875. He also co- operated (1867-1869) in the founding and editing of the New York Medical Journal and of the Journal of Nervous and Mental Diseases (1867-1883). General Hammond was a pioneer in the field of nervous 46 THE ARMY MEDICAL BULLETIN and mental diseases in the United States. American neurology began with the Civil War, from the experiences gained by Ham- mond, S. Weir Mitchell, and William W. Keen. He was a dom- inant personality in any field he entered, attracting a following and developing active enemies. From a certain penchant for theatrical action he could not escape entirely from a reputation for charlatanry. Personally he was an uncommonly large man, six feet two inches in height, and of two hundred and fifty pounds weight. He had a powerful voice, a pleasing delivery, and a flow of language which made him a popular speaker. He was married twice: in July 1849 to Helen Nisbet, daughter of Michael Nisbet of Philadelphia, and in 1886 to Esther T. Chapin. [H. E. Brown Medical Department of the U. S. Army from 1775 to 1873 (1873). B. M. Ashburn History of the Medical Depai'tment of the U.8. Army (1929). The Post Graduate, N. Y., May 1900. J. E. Pilcher Surgeon Generals of the Army (1905). Kelly and Barrage American Medical Biographies (1920). Dictionary of American Biography, Vol. VIII (1932).] JOSEPH K. BARNES THE ARMY MEDICAL BULLETIN 47 XL JOSEPH K. BARNES (July 21, 1817 - April 5, 1883), Sur- geon General, August 22, 1864 - June 30, 1882, was born in Phil- adelphia, Pa., the son of Judge Joseph Barnes, a native of New England, who served for many years as Judge of the district court of that city. He received an academic education at Round Hill School at Northampton, Mass., and entered upon a collegiate course at Harvard University. Compelled by ill-health to leave college before graduation he began the study of medicine with Surgeon (later Surgeon General) Thomas Harris of the navy, and received his medical degree from the University of Penn- sylvania in 1838. After graduation he served a year as resident physician at Blockley Hospital and for another year as visiting physician for the northwestern district of Philadelphia. He then appeared before an army examining board which was meeting at the time in Philadelphia and pursuant to its recommendation he was commissioned an asssistant surgeon on June 15, 1840, and was assigned for his first duty to the West Point Military Academy. After only a few months of this duty he was or- dered, Nov. 19, 1840, to accompany a detachment of recruits to Florida, where hostilities were in progress against the Seminole Indians. For the two following years he served successively at eight posts in that state, much of the time giving professional service to two or more posts at the same time, owing to the shortage of medical officers. Notable in his field service of this period was that involved while accompanying General Harney’s expedition through the Everglades. In 1842 he was assigned to Fort Jesup, La., where he remained until 1846, when with the beginning of the Mexican War he joined the 2d Dragoons en- route to Corpus Christi to join the army being mobilized for the invasion of Mexico from the north. He served with the cavalry column of General Taylor’s army during its advance to Monterey. Later transferred to General Scott’s forces before Vera Cruz he served with General Worth’s division during the siege and capture of that city. During the advance upon Mexico City he was chief surgeon of the cavalry brigade and participated in the 48 THE ARMY MEDICAL BULLETIN battles of Cerro Gordo, Contreras, Cherubusco, and Molina del Rey, in the storming of Chapultepec and the capture of the cap- ital. From Mexico City he was ordered to duty at Baton Rouge, La., in 1848. During the thirteen years that intervened between this time and the Civil War, Barnes saw a service which took him to widely separated parts of the country. In the south he served at Fort Croghan and other posts in Texas, in the plains country at Fort Scott, Fort Leavenworth, and Camp Center (now Fort Riley), on the Pacific coast at San Francisco, Fort Vancouver and the Cascades, while between times he saw tours of duty at Baltimore, Fort McHenry, Philadelphia, and West Point. In the meantime he had been promoted to major and surgeon on August 29, 1856. The shelling of Fort Sumter found him at Fort Vancouver. He was immediately ordered east and served successively as medical director of the forces under General David Hunter, medi- cal director of the Western Department, and medical director of the Department of Kansas, all of these assignments pertaining to the troops operating in Missouri. On May 2, 1862, he was or- dered to report to the Surgeon General in Washington and upon reporting was assigned to duty as attending surgeon for the city. While on this duty he formed the acquaintance of Secretary of War Stanton who quickly gained a highly favorable impres- sion of him. The friendship which ensued lasted throughout their careers and had profound effects, not only upon the future activities of Barnes, but upon the fortunes of the medical ser- vice. On February 9, 1863, Barnes was appointed a medical in- spector with the rank of lieutenant colonel, and with station in Washington. On August 10, 1863, he was further advanced to the position of medical inspector general with the grade of col- onel. It was but a few weeks after this advancement that the difficulties between Stanton and Surgeon General Hammond culminated in the detachment of the latter from his office. On September 3, 1863, Barnes was by a special order of the War Department “empowered to take charge of the bureau of the Medical Department of the army and to perform the duties of Surgeon General during the absence of that officer.” He as- sumed the office of acting Surgeon General the following day THE ARMY MEDICAL BULLETIN 49 thus beginning one of the longest and most eventful administra- tions in the history of the office. On August 22, 1864, he was advanced to the position of Surgeon General, with the grade of brigadier general and on March 13, 1865, he received the brevet of major general for faithful and meritorious service during the war. Secretary Stanton, now having a Surgeon General of his own choice and one personally acceptable to him, became as solicit- ous for the medical service as he had hitherto been inimical. For the remainder of his term of office he exhibited the greatest interest in the health and hygienic conditions of the army, in the comfort and welfare of the sick and wounded, and in efforts to extend the facilities and opportunities of the medical officers. Such a situation tended to make easy the problems of the new Surgeon General. As principal assistant, Barnes brought to his office Major Charles Henry Crane, who continued in the capa- city throughout the eighteen years of his term and succeeded to the office upon the retirement of his chief. The work of collecting material for the Medical Museum and for the Medical and Surgical History of the War of the Re- bellion was pushed vigorously during the years 1863 and 1864. The question of the military control of general hospitals was a vexing one from the beginning of the war. A War Department order of April 7, 1862, placed them under the supervision of the Surgeon General, but was not sufficiently explicit in its provi- sions regarding the right of command of the medical officers in charge of these hospitals. It was not until December 27, 1864, that the question was finally settled by General Order No. 306, confirming the medical officer’s right to command in his own sphere of action. The good will of Secretary Stanton was again shown by an order of February 8, 1865, giving to the medical department en- tire control of hospital transports and hospital boats. The Med- ical and Surgical History of the War of the Rebellion was first suggested by Surgeon General Hammond in a circular to medical officers inviting cooperation in the collection of material. In 1865 there was issued by the Surgeon General a report upon the extent and nature of the material available for its preparation. Since 1862 Major Joseph J. Woodward had been in charge of 50 THE ARMY MEDICAL BULLETIN the Army Medical Museum and of the material for the history. In 1866 Major George A. Otis was brought into the office and he and Major Woodward were charged with the preparation of this great work. Four of the six monumental volumes were completed under General Barnes’ administration and the other two were far ad- vanced at the time of his retirement. His regime was further notable for the interest he took in the development of the Army Medical Library. During his term of office, the library, under the supervision of Major John S. Billings, was expanded from a small collection of text-books to first rank among medical li- braries of the country. An epoch making event was the appearance in 1880 of the first volume of the Index Catalogue, edited by Billings, the con- tinuance of which has brought world wide fame and acclaim to the library and to the medical department. In the reorganization of the army following the Civil War, General Barnes was successful in retaining for the medical de- partment the same proportion of the several grades of officers as existed during the conflict. This was not accomplished with- out a protracted struggle against various proposals which would have seriously crippled the department. General Barnes was a handsome man of fine physique and attractive personality. Gifted with tact and diplomacy he pos- sessed to a high degree the quality of inspiring confidence and friendship. These qualities stood him in good stead during the early years of his administration and were fruitful in benefits for the medical department. It fell to his lot to share in the professional care of two murdered presidents. At the time of the assassination of President Lincoln and the attempted assassi- nation of Secretary Seward he attended the death bed of the one and ministered to the successful restoration of the other. During the long illness of President Garfield he was one of the surgeons who for weeks served in the chamber of the dying pres- ident. The protracted service and anxiety incident to the care of the latter took heavy toll on Barnes’ health. An Act of Con- gress passed June 30, 1882 (22 Stat. 118), providing for com- pulsory retirement for age found Barnes nearly a year past the statutory age and he was retired on June 30, 1882. A chronic THE ARMY MEDICAL BULLETIN 51 nephritis of which he was a subject for some time caused his death at his home in Washington on April 5, 1883. His remains lie in Oak Hill Cemetery, Washington, D. C. His wife, who was Mary Fauntleroy, daughter of Judge Fauntleroy, of Winchester, Va., survived him. [H. E. Brown Medical Department of the U S. Army from 1775 to 1873 (1873). P. M. Ashburn History of the Medical Department of the U.S. Army (1929). J. E. Pilcher Surgeon Generals of the Army (1905). Kelly and Barrage American Medical Biographies (1920). History of American Bio- graphy, Vol. I (1928). G. V. Henry Military Records of Civilian Appoint- ments (1873).] 52 THE ARMY MEDICAL BULLETIN XII. CHARLES HENRY CRANE (July 19, 1825 - Oct. 10, 1883), Surgeon General, July 3, 1882 - October 10, 1883, was born at Newport, R. L, the son of Captain (later Colonel) Ichabod Ben- nett Crane of the Artillery Corps. His childhood was spent in army posts until he was sent to the Maple Grove Academy in Middletown, Conn., to prepare for entrance to Yale where he later received the degree of B. A. in 1844. In 1847 he had completed his medical course at Harvard and was given the degree of M. D., at the same time receiving the degree of M. A. from Yale. His heart for a long time set upon a military career, he lost no time in presenting himself be- fore an army examining board and in November 1847 he was appointed an acting assistant surgeon to await a vacancy to which he might be appointed. In this capacity he was sent to Vera Cruz with a detachment of recruits, arriving February 20, 1848. In the meantime, on February 14 he was given a per- manent commission as assistant surgeon. After six months’ ser- vice with an artillery regiment in Mexico he was ordered to New York and shortly thereafter to Fort Pickens in Florida. In 1849 he was at Key West, Florida, and for the next three years participated in campaigns against the Seminole Indians. In 1852 he went by boat to San Francisco accompanying a shipment of recruits. For four years he served on the west coast in Cali- fornia and Oregon. Much of this duty was in the field, first against hostile Indians in the Sacramento and Merced valleys in 1852 and against the Indians of Rogue River in Oregon in 1856. For his services in the latter campaign he was highly commended by his commanding officer. Returning to New York in December 1856 he was detailed assistant to the medical pur- veyor in that city, with additional duties of attending surgeon and examiner of recruits. He was on this duty until January 1862. In the meantime, in September 1859, he accompanied General Winfield Scott on a trip to the Pacific coast. On May 21, 1861, he was promoted to the grade of major and surgeon. In February 1862 he was detailed as medical director of the CHARLES HENRY CRANE THE ARMY MEDICAL BULLETIN 53 Department of Key West and in June of that year he became medical director of the Department of the South. In July 1863 he was ordered to Washington for duty in connection with pris- oners of war and in September, when Colonel Barnes was made acting Surgeon General, Crane was appointed executive officer and principal assistant in his office. From that time, for eight- een years until he became Surgeon General himself in 1882, he was the wheelhorse of the office to whom duties of all kinds and in all amounts could confidently be given. Though relieved from the office, Colonel R. C. Wood retained the rank and title of assistant Surgeon General until the end of the war and it was not until the reorganization act of July 28, 1866 (14 Stat. 334), that Crane could be appointed assistant Surgeon General with the rank of colonel, though for three years he had been performing the duties of that office. Crane was of the greatest assistance to Surgeon General Barnes, relieving him of the routine of the office and giving to him the opportunity to exer- cise the tact and diplomacy of which he was master and of which there was so much need in dealings with Secretary Stanton, Con- gress, and the Sanitary Commission. In connection with the ar- duous and exacting work incident to the war, Crane combined remarkable executive ability with sound judgment and a delicate sense of justice and right. He was without doubt a consider- able factor in the degree of discipline and efficiency displayed by the medical department in the later years of the war. On January 1, 1865, he was given brevets of lieutenant colonel and colonel, and on March 13 the brevet of brigadier general “for faithful and meritorious service during the War of the Rebel- lion.” With the retirement for age of General Barnes in 1882, there was a general movement toward the succession among the senior officers of the corps. Colonel J. H. Baxter was a con- spicuous candidate, but on July 3, 1882, Crane was given the much sought place. The new honor brought little change in his duties. As chief he showed the same patient, earnest, and punctilious attention to the business of the office which for years he had shown as assistant. He had the gratification of seeing finished the surgical part of the Medical and Surgical History of the War of the Rebellion and of getting well under way the 54 THE ARMY MEDICAL BULLETIN final medical volume. Owing to the death of Major Otis in 1881, Major D. L. Huntington prepared the final surgical volume and, following the death of Major Woodward in 1884, the completion of the last medical volume was assigned to Major Charles Smart. His term of chief of the service was destined to be a short one. He developed a malignant ulcer at the base of his tongue, the outlook for which was hopeless; but he died unexpectedly from a hemorrhage at his home in Washington on October 10, 1883, at the age of fifty-eight years. His body was taken to Shelter Island, Long Island, N. Y., for burial. General Crane was a man of an unusually kind and generous spirit, combined with a quiet and dignified manner. His por- trait shows a fine high forehead, clear wide set eyes, a large aquiline nose, and a patriarchal beard which could have few equals. At the time of his death he was a commissioner of the United States Soldiers’ Home and on the visiting staff of the Govern- ment Hospital for the Insane and of the Columbia Hospital. He was a primary member of the Aztec Club of 1847, an hereditary society of officers of the United States Army, formed in the City of Mexico in that year, and which still exists. He is wearing the insignia of this society in his portrait in the Army Medical Library. He had been married on July 18, 1861, at Shelter Island, N. Y., to Sarah Payne Nicoll, of that place, who survived him for nearly thirty years. One son also survived him. LJ. E. Pilcher Surgeon Generals of the Army (1905). P. M. Ashburn History of the Medical Department of the U.8. Army (1929). Appleton's Cyclopedia of American Biography, Vol. II (1887). G. V. Henry Military Kecords of Civilian Appointments (1873). Kelly and Burrage American Medical Biographies (1920).] KOBERT MURRAY THE ARMY MEDICAL BULLETIN 55 XIII. ROBERT MURRAY (August 6, 1823 - January 1, 1913), Surgeon General, November 23, 1883 - August 6, 1886, was born at Elkridge, Maryland, then in Anne Arundel County. He was the son of Daniel and Mary (Dorsey) Murray, of Scotch descent. He was educated in the local schools of his community and at- tended the University of Maryland. His medical training was obtained at the University of Pennsylvania where he graduated in 1843. Following a year in Baltimore hospitals he took the examination for the army medical service, was appointed an acting assistant surgeon early in 1846, and was commissioned an assistant surgeon on June 29 of the same year. After a short service at Fort Gratiot, Mich., he was ordered to duty on the Pacific coast, which he reached after months of sea voyaging around the Horn. For four years he served in California at Los Angeles, Monterey, and Camp Far West. In October 1850 he returned east to Fort Independence in Boston harbor where he spent two years, followed by two years in New York City. Returning to California in April 1854 he remained there until the outbreak of the Civil War, when, in June 1861, he was or- dered to Washington, D. C., where he participated in the organ- ization of the early hospitals in Washington and Alexandria. While on this duty he was married to Adelaide Atwood of Gar- diner, Maine. In the meantime he had been promoted to captain on June 29, 1851, and to major and surgeon on June 23, 1860. In September 1861 he was ordered to Kentucky to the Army of the Ohio, then under organization. Though appointed medical director of the department he took the field with the headquar- ters of the army, now the Army of the Cumberland, serving suc- cessively with Generals Anderson, Sherman, Buell, and Rose- crans. He arrived with Buell’s army on the field of Shiloh on the second day of the battle and, as he was the ranking medical officer in the combined armies, he became the medical director of the entire force, aggregating fifty thousand men. He con- tinued as medical director of the Army of the Cumberland until December 1862, when he was ordered to duty in Philadelphia as 56 THE ARMY MEDICAL BULLETIN medical purveyor where he remained until the close of the war. The depot which he commanded here was the principal pur- chasing agency in the country for medical supplies. In this duty which involved the expenditure of millions of dollars he showed executive ability of a high order. On the 13th of March 1865 he was given the brevets of lieutenant colonel and colonel for meritorious service during the war, and on July 28, 1866, with the reorganization of the army, he was appointed an assistant medical purveyor with the grade of lieutenant colonel. In July 1866, he was again ordered to the Pacific coast as medical pur- veyor at San Francisco, upon which duty he remained for the following eleven years. On June 26, 1876 he was promoted to the grade of colonel and the following year he was transferred to the post of medical director of the Division of the Missouri at Chicago. In 1880 he went to the Division of the Atlantic at New York as medical director. As the ranking colonel of the medical department he auto- matically became the assistant Surgeon General on December 14, 1882, following the advancement of General Crane to the higher office. With the sudden death of the latter in 1883 there was the usual keen rivalry for the succession; but President Arthur solved the problem by deciding to advance the senior officer to the vacancy, and Murray became Surgeon General on November 23, 1883. The few years of his incumbency in that high office were comparatively uneventful ones. General Mur- ray was of a naturally conservative disposition with his thoughts more directed toward the preservation and improvement of exist- ing conditions than to the initiation of new movements. It may be said of his regime that it was a contented one and that the in- terests of the department did not suffer during his term of of- fice. It was a time of scientific awakening in the corps, co- incident to a similar phenomenon in the profession at large. General Murray’s report of 1884 mentions for the first time in such reports the subject of antisepsis and antiseptic surgery. Operations were being performed under antiseptic technique in army hospitals as early as 1883, a time when Lister was still a subject of ridicule in London. Bacteriology and hygiene of modern type were exciting attention. In his report of 1885, Murray, in discussing the sanitation of posts, suggested the prob- THE ARMY MEDICAL BULLETIN 57 ability of water supplies as carriers of disease germs, and re- commended the disposal of garbage by incineration. In this year he was instrumental in sending Major Sternberg to Rome as a delegate to the International Sanitary Conference. General Murray was retired on account of age on August 6, 1886, after which he took up his residence in his ancestral home at Elkridge. With this as his headquarters he spent most of his later life in travel, spending years at a time in Europe. He died in Baltimore of pneumonia on New Year’s day of 1913, at the age of ninety years. With his death there passed away the last of the prominent medical officers of the Civil War, the last who had held the title of medical director in that conflict. His death left but three officers on the retired list whose service dated back to the time of the Mexican War. Like his predeces- sor in office, General Murray was a primary member of the Aztec Club of 1847: Military Society of the Mexican War. He was its president from 1911 to 1912. [J. E. Pilcher Surgeon Generals of the Army (1905). Kelly and Burrage American Medical Biographies (1920). Records of Living Officers of the il.S. Army (1884). Alum. Reg. U. of Penn. (1912-13). Medical Annals of Maryland 1799-1899 (1903).] 58 THE ARMY MEDICAL BULLETIN XIV. JOHN MOORE (August 16, 1826 - March 18, 1907), Sur- geon General, November 18, 1886 - August 16, 1890, was born at Bloomington, Indiana, the son of Garrett Moore and Catherine English. He attended Indiana State University where he was graduated with the degree of A. B, in 1845. After medical courses at the University of Louisville Medical Department in 1848-49 and at the medical department of the University of the City of New York in 1849-50 he graduated from the latter school in 1850. After one year internship in Bellevue Hospital and two years with the New York Dispensary he took the examina- tion in 1853 for the army medical service and was commissioned as assistant surgeon on June 29 of that year. His first station was Fort Myers, Florida, where he served until November 1856. He next was ordered to Fort Independ- ence in Boston harbor where he stayed until July 1857, at which time he was detailed to duty with troops en route to Utah in con- nection with difficulties arising between the Government and the officials of the Mormon church. His station was at Camp Floyd, Utah, until October 1861, though in the meantime he saw field duty from August to October 1859, and from June to Oc- tober 1860, in connection with Indian depredations. He was promoted to the grade of captain on June 29, 1858. With the beginning of the Civil War he was brought east and assigned to duty in the Marine Hospital at Cincinnati, Ohio, where he served until August 1862. Having been promoted to the grade of major on June 11, 1862, he was transferred to the Army of the Potomac and assigned as medical director of the Central Grand Division. He held this position until February 1863, in the meantime participating with his division in the sec- ond battle of Bull Run, Antietam, and the disastrous attack at Fredericksburg. Promoted to the position of medical director of the 5th Corps in the Army of the Potomac he served in this capacity at the battle of Chancellorsville. His next assignment in June 1863 took him to the Department of the Tennessee as medical director, which position he held until November 1864. JOHN MOORE THE ARMY MEDICAL BULLETIN 59 During his tenure of this office the troops under Rosecrans fought the campaign against Chattanooga with the battles of Chickamauga and Lookout Mountain, and General Sherman con- ducted his march upon Atlanta. From November 1864 to June 1865 Moore was successively medical director of the Army of Georgia and Tennessee and of General Sherman’s army in southern Georgia. With the close of hostilities he was assigned as medical director of the Military Division of the Missouri with station at St. Louis until November 1865, when he was trans- ferred to Vicksburg, Miss., as medical director until August 1866. Meanwhile he had been given the brevet rank of lieutenant col- onel on Sept. 1, 1864, “for gallant and meritorious service in the Atlanta campaign,” had been made colonel of volunteers on Feb- ruary 25, 1865, a commission he held for five months, and had been given the brevet rank of colonel on March 13, 1865, “for faithful and meritorious service during the war.” In the autumn of 1866 he was transferred to New York harbor where he served for two years at Fort Wadsworth and Fort Columbus. The years from 1868 to 1880 were passed main- ly in New York City as attending surgeon and on various board assignments. During this tour of duty in New York he availed himself of a long leave of absence for travel in Europe. It was also broken by a short assignment to the office of medical di- rector of the 1st Military District at Richmond, Va., in 1870, and by a year as medical director of the Department of Texas in 1875-76. In 1880 he was assigned to duty as medical director of the Department of the Columbia with headquarters at Fort Vancouver, Washington. On October 8, 1883, he was promoted to the position of assistant medical purveyor with the grade of lieutenant colonel, and was transferred to duty in San Francisco where he served until 1886 when he was appointed Surgeon Gen- eral. During the latter days of the administration of Surgeon General Murray the various candidates for the succession were busy aligning their supporters and strengthening their claims for consideration. Colonel Baxter was the senior officer of the corps and Colonel Sutherland had the greatest number of years’ service. Major Huntington, well down the list, had served two Surgeon Generals as principal assistant and had edited with 60 THE ARMY MEDICAL BULLETIN distinguished credit the last surgical volume of the Medical and Surgical History of the War of the Rebellion. These were apparently the leading candidates; Moore, a lieutenant colonel, was seventh in the lineal list and was one of the least insistent of the candidates. The appointment was delayed for three and a half months, during which time Colonel Baxter, as the senior officer, occupied the position of acting Surgeon General. A new political party had recently come into power and new influences were at work, so it came as a distinct surprise when President Cleveland appointed Moore to be Surgeon General with the grade of brigadier general on November 18, 1886. In addition to retaining Colonel Baxter as his principal as- sistant he brought into the office Major Charles R. Greenleaf and Major Charles Smart, forming a trio of strong and capable men who helped much toward the improvement of the medical service and toward the success of his administration. By a Gen- eral Order No. 86, issued from the War Department on No- vember 20, 1886, instruction in first aid was introduced through- out the army. The instruction was directed to be by lecture and demonstration and reports of results achieved were required from the medical officers giving the instruction. Following and as a result of this order there appeared a succession of small manuals of first aid by medical officers of the service, usually combined with a manual of drill for the newly authorized Hos- pital Corps. The first of these manuals, which appeared early in 1888, was written by Lieutenant J. E. Pilcher, followed soon thereafter by those of Majors Heizmann, Hoff, Havard, and Woodhull and by that of Captain Dietz. The law authorizing the formation of the Hospital Corps was passed by Congress March 1, 1887 (24 Stat. 435), the corps to be filled by trans- fers of men from the line of the army, and Army General Orders No. 56 were issued August 11, 1887, promulgating rules and reg- ulations for the government of the Hospital Corps. This was a truly great event in the history of the department. The corps thus authorized and initiated has developed into the splendid corps of enlisted noncommissioned officers and privates of which the department is justly proud. On January 17, 1887, the Army and Navy General Hospital in Hot Springs, Ark., was opened with sixteen beds for officers and sixty-four for enlisted men. THE ARMY MEDICAL BULLETIN 61 It was owing to General Moore’s insistence that the monthly sanitary report was made of practical value. The provision of Army Regulations, revised July 15, 1885, in regard to the sani- tary report directed its transmission to the War Department by post commanders. Insistence upon this provision not only added to the quality of the reports but assisted materially in the sani- tary improvements of the posts. General Moore was popular with the medical profession at large. During his long tour of duty in New York City he had formed a wide acquaintance with the profession of that city. The cordiality of the regard in which he was held was mani- fested at a dinner given in 1887 by the New York Practitioners’ Society for him and the Surgeon General of the Navy. The din- ner was a striking tribute, not only to the two honor guests but also to the interest of the civilian profession in the military branch. A similar interest was evident in the meetings of the military section of the Ninth International Medical Congress held in Washington later in the same year. General Moore was retired, upon reaching the statutory age, on the 16th of August 1890. He continued his residence in Washington, where for years he maintained vigorous health and an active life. He was a large, broad-shouldered man with a powerful physique and a fine soldierly bearing. In his later years he developed arterio-sclerosis and an interstitial nephritis which caused his death at his home on March 18, 1907, in his eighty-second year. His funeral from St. Matthew’s Church was notable for the attendance of high government officials. He was buried in Arlington Cemetery. He was married in New York City on June 22, 1873, to Mrs. Mary Jane Dolan, widow of Michael F. Dolan of Roxbury, Mass. He was survived by his wife and one daughter, the wife of W. A. Thompson, an officer of the cavalry arm. LJ. E. Pilcher Surgeon Generals of the Army (1905). Military Surgeon 1908, pp. 219-221. N. York M. J. 1907, p. 559. J. A. M. A. 1907, p. 1053. Wash- ington papers, March 19-20, 1907.] 62 THE ARMY MEDICAL BULLETIN XV. JEDEDIAH HYDE BAXTER (March 11, 1837 - Dec. 4, 1890), Surgeon General, August 16, 1890 - December 4, 1890, was born at Strafford, Orange County, Vermont, the son of Porter and Ellen Janette (Harris) Baxter. His early education was obtained in academies at South Woodstock and St. Johns- bury in his native state after which he attended the University of Vermont at Burlington where he received the degree of B. S. in 1859 and that of M. D. in 1860. After graduation he went to New York City where he saw some service as resident phy- sician at Bellevue and Blackwell’s Island hospitals. With the outbreak of the Civil War he volunteered for service and was commissioned as surgeon of the 12th Massachusetts Volunteers on June 26, 1861. In this capacity he served with the Army of the Potomac from July 27, 1861, to April 4, 1862, when he was appointed major and surgeon of volunteers and assigned to the duty of brigade surgeon. Later that year he was ordered to Washington and placed in charge of Campbell General Hospital and still later in that year he was assigned to duty in the newly organized Provost Marshal General’s Bureau as chief medical officer, a position which he filled for the remainder of the war and until the completion of the records of that office. It appears that during a portion of this period he had some duties as a medical purveyor. On March 13, 1865, he received the brevet of col- onel of volunteers for “faithful and meritorious service during the war.” Incident to the reorganization of the army following the war Baxter was appointed by President Johnson an assistant medical purveyor with the rank of lieutenant colonel, to fill an original vacancy, dating from July 20, 1867. His acceptance vacated his volunteer commission and brought to the regular corps a remarkable personage who strongly influenced the af- fairs of the medical department for the next quarter of a century. He was given the brevet of colonel in the regular establishment on the same date as that of his appointment to the corps. There JEDEDIAH HYDE BAXTER THE ARMY MEDICAL BULLETIN 63 is no evidence that Baxter served outside of Washington after 1862. He was appointed chief medical purveyor with no change in grade on March 12, 1872, and was promoted to colonel and chief medical purveyor on June 23, 1874. Appointed to this position during the administration of Surgeon General Barnes, he continued through the terms of General Crane, General Mur- ray, and General Moore. He early developed an understandable ambition to head the medical department, and with each succes- sive vacancy he not only was a candidate but was always strong- ly supported for the place. It was urged against him that he had entered the corps as a lieutenant colonel instead of as a lieutenant as had his competi- tors and that though he held high rank in the corps he had much less service than many who were his juniors on the lineal list. It was further urged that he had entered the service without the professional examination which had been required of others. Considerable heat and bitterness were aroused in each of the contests and they were each time settled by the advancement of the senior ranking officer of the corps. With his comparative youth Baxter could wait his turn for the place. As chief medical purveyor his work was of high advantage to the service. Medical supplies were of better quality and more abundant in quantity. He increased markedly the professional literature furnished to medical officers and was sympathetic to requests for instruments and appliances from those proposing to make special research. In addition to the work of his office he carried on an active medical practice. His professional clientele included several presidents and their families, and he had a large following among senators, congressmen, and other government officials. His alleged methods in obtaining a clientele that would assist in furthering his military ambitions were the subject of considerable criticism from civilian physicians who accused him of unethical practices. He was the medical attendant at the White House during the early part of the administration of President Garfield and considerable comment was aroused by his failure to be included among the surgical attendants following the fatal wounding of the President. Whatever the cause of this neglect or to whom it may be charged the incident provoked a high degree of resentment among Baxter’s friends. Even the 64 THE ARMY MEDICAL BULLETIN additional activity of a busy practice did not fill Baxter’s time as he would have it filled, so he took up the study of law and after a full course at the Law School of the Columbian University he was graduated with the degree of LL. B. With the retire- ment of Surgeon General Moore in 1890, circumstances were highly propitious for Baxter. A fellow Vermonter, the Hon. Redfield Proctor, was secretary of war and Benjamin Harrison, the President, was a long-time patient and friend. There was no real contest for the place and Baxter was appointed Surgeon General on August 16, 1890. He had shown excellent adminis- trative ability in the conduct of the supply department and while waiting for the high place to which he at last achieved he had been laying plans for far-reaching and comprehensive improve- ments in the department. There can be no doubt that he would have made every effort to bring his plans to realization but hardly more than four months after his appointment he suffered a paralytic stroke on December 2, 1890, at his home in Wash- ington and died two days later at the age of fifty-three years. His funeral from All Souls Church was attended by all official Washington with a long list of the highest officers of the army and navy as honorary pallbearers. He was buried in Arlington Cemetery. Thus terminated the career of one of the most colorful personalities that the medical service has produced. Physically he was of medium height and strongly built. He was a good friend and a good hater, a man of strong personal attraction and equally strong prejudices. It is said that when he was made Surgeon General there was a general shake-up in the stations of the corps with a view to the reward of friends and the dis- cipline of the unfavored. Particularly notable is his work with the Provost Marshal General’s Bureau. Entering upon this duty when in his twenties, he won early recognition by his high in- telligence and industry. He acquired the most detailed knowl- edge of the work of the bureau, including a personal acquaintance with practically every officer on duty with it. He prepared the two-volume Medical Statistics of the Pro- vost Marshal General’s Bureau, published by the Government in 1875. This work, which presents the results of the examination of over a million men, contains also a discussion of anthro- THE ARMY MEDICAL BULLETIN 65 pometry, recruiting regulations of other governments, and re- ports from medical officers of the bureau, including not only their special work but also the topography and diseases of their districts. As a representative of this office he attended the Boston meeting of the American Medical Association in 1865. Beside the local medical societies he was a member of the Public Health Association, the Boston Gynecological Society, and the Phila- delphia Academy of Natural Sciences. He contributed some papers to the transactions of these societies and to medical periodicals. He was married on March 9, 1876, at Boston, Mass., to Florence Try on, daughter of William Tryon of that city, who survived him. They had no children. LJ. E. Pilcher Surgeon Generals of the Army (1905). P. M, Ashburn History of the Medical Department of the U.S. Army (1929). W. B. Atkinson Fhysicians and Surgeons of the U.S. (1878). A. Y. P. Garnett Exposition of Facts (1877). Records of Living Officers of the Army (1884).] 66 THE ARMY MEDICAL BULLETIN XVI. CHARLES SUTHERLAND (May 29, 1829 - May 10, 1895), Surgeon General, December 23, 1890 - May 29, 1893, was born in Philadelphia, the son of Joel Barlow and Mary (Read) Suther- land, of Scotch ancestry. His father, a graduate of the Uni- versity of Pennsylvania Medical School, served in the War of 1812, first as an assistant surgeon and later as lieutenant col- onel of an infantry regiment. Later he studied law, became a member of the state legislature, a member of Congress (1825- 1837), and still later judge of the court of common pleas in Philadelphia. He was the first president of the Society of the War of 1812, of which Society General Sutherland himself was at one time the historian. The son received the best educational advantages afforded by the private schools of Philadelphia and his medical education at Jefferson Medical College where he was graduated in 1849. He passed the examination for the medical corps of the army in 1851 and after ten months of service as an acting assistant sur- geon he was commissioned as assistant surgeon on August 5, 1852. His first stations were Fortress Monroe and Jefferson Barracks. At the latter post he had the experience of an out- break of cholera among the troops. From this post he went with an exploring party which located the site for Fort Riley in Kansas and developed a shorter route for the overland trail to Santa Fe, New Mexico. He re- mained in New Mexico for the next five years, serving for var- ious periods at Forts Webster, Fillmore, Craig, Stanton, and Santa Fe, and participating in much field service against the Apache and Comanche Indians. In October 1859 he went to Fort Moultrie, S. C., where he remained for a year, after which he was ordered to Texas where he served at Forts Davis and Duncan on the Mexican border. He was on this duty when the Civil War broke out. The garrison with which he was serving succeeded in avoiding capture by the Confederate forces and secured boat transportation to New York. Reporting to the War Department he was sent with a force to CHARLES SUTHERLAND THE ARMY MEDICAL BULLETIN 67 reinforce the garrison holding Fort Pickens in Florida. During his year of service at this post it was subjected to two bombard- ments and an assault by Confederate forces from Forts Bar- rancas and McRee, the other defenses of Pensacola harbor which had been captured by the Confederate arms. For his efficiency in handling the medical service in these engagements Sutherland received special commendation from General Harvey Brown, commanding the fort. He was pro- moted to the grade of major and surgeon on April 16, 1862, and at about the same time assigned to duty at Fort Warren, Mass., then a prison camp for the captured Confederate officers who were held there to the number of several hundred. In June 1862 he was ordered to report to General Halleck at Corinth, Mississippi, and assigned to duty as medical purveyor for the armies concentrated in that center of military activity. In the pursuance of this duty he established a medical depot at Columbus, Kentucky, with supplies for the two hundred thousand men whom it was estimated would make up General Halleck’s armies. A second large depot was organized at Memphis, Tenn., where he fitted out nine general hospitals with a capacity of three thousand beds for the casualties among the troops along the Mississippi and equipped a floating hospital of eight hundred beds for use at Milliken’s Bend near Vicksburg, then under siege by General Grant. He was with the headquarters of Grant’s army before Vicksburg for some months, serving as assistant medical director and inspector of camps and hospitals of the Army of the Tennessee. His duties consisted in the sanitary inspection of camps, transfer of wounded to transports for north- ern hospitals, and the supply of medicine and hospital stores. He participated in the battles of Jackson and Champion Hills, having general supervision of the field hospitals established for these engagements. After the fall of Vicksburg he was transferred east to the position of medical director of the Department of Virginia in North Carolina under General John G. Foster, and later in the same year to Annapolis, Maryland, as medical director of hos- pitals and parole camp. In May 1864 he was ordered to Wash- ington and assigned as medical purveyor for the Army of the Potomac and for the hospitals in and around Washington. He 68 THE ARMY MEDICAL BULLETIN served to the end of the war on this duty which involved the sup- ply of one hundred and fifty thousand men in the field and of twenty hospitals with a bed capacity of thirty thousand pa- tients. For such a service large warehouses were required, with a large force of -workmen to handle the flow of incoming and outgoing supplies. During Sutherland’s incumbency of this of- fice he disbursed over four million dollars without loss or ques- tion. With the reorganization of the army at the close of the Civil War, Sutherland had the backing of Surgeon General Barnes and of General Grant for one of the positions of medical pur- veyor which was given him with the grade of lieutenant colonel on July 28, 1866. For the next thirteen years he divided his time between the New York and Washington medical purveying depots, meanwhile receiving the promotion to the grade of col- onel on June 26, 1876. From 1879 to 1884 he served as medical director of the Division of the Pacific at San Franciso and from 1884 until his appointment as Surgeon General, as medical di- rector of the Division of the Atlantic at New York. Following the death of Surgeon General Baxter in December 1890, there were the usual number of candidates for the vacated place but President Harrison followed the precedent broken only in recent years by the selection of General Moore and appointed the senior officer in the person of Colonel Sutherland to be Sur- geon General on December 23, 1890. Major Pilcher describes his administration as being “conservative and progressive,” which can be interpreted that General Sutherland’s office was as progressive as the conservative temper of the War Department of his day would allow. With a continuing interest in medical supply he gave the medical department a new field equipment but deprived the med- ical officer of a personal equipment which he had formerly been issued. The organization of the enlisted medical personnel into detachments began about this time and it was during General Sutherland’s term, in 1891, that Captain (later Colonel) John Van R. Hoff organized the first company of instruction for the Hospital Corps at Fort Riley, Kansas. Captain Hoff applied the term Hospital Corps to these enlisted men but the name was not officially authorized until 1901. THE ARMY MEDICAL BULLETIN 69 General Sutherland was a large and powerful man, standing over six feet two inches and of corresponding bulk. He was of a kind and amiable disposition, a good friend and an attractive companion. He was highly popular with the junior officers of the corps. He was retired by reason of reaching the age limit on May 29, 1893. He continued to make his home in Washing- ton where he died suddenly of angina pectoris on May 10, 1895, in his sixty-sixth year. He was married on November 3, 1869, in Montgomery County, Maryland, to Elizabeth Wirt Brewer, who with seven children survived him. He had been previously married to Kate Brewer who died in November 1866. LJ. E. Pilcher Surgeon Generals of the Army (1905). P. M. Ashburn History of the Medical Department of the U. S. Army (1929). G. Y. Henry Military Records of Civilian Appointments (1873). Records of Living Offi- cers of the Army (1884). Kelly and Barrage American Medical Biographies (1920).] 70 THE ARMY MEDICAL BULLETIN XVII. GEORGE MILLER STERNBERG (June 8, 1838 - Nov. 3, 1915), Surgeon General, May 30, 1893 - June 8, 1902, was born at Hartwick Seminary, Otsego County, N. Y., where he spent most of his childhood. His father, Levi Sternberg, a Lutheran clergyman who later became principal of Hartwick Seminary, was descended from a German family from the Palatinate, which had settled in the Schoharie valley in the early years of the eight- eenth century. His mother, Margaret Levering (Miller) Stern- berg, was the daughter of George B. Miller, also a Lutheran clergyman and professor of theology at the seminary, a Luther- an school. George was the eldest of a large family and it was necessary for him to lift from his father’s shoulders as much as he could of the burden of its support. His studies at the semi- nary were interrupted by a year of employment in a bookstore in Cooperstown and by three years of teaching in neighboring rural schools. During his last year at Hartwick he was an in- structor in mathematics, chemistry, and natural philosophy, and at the same time was pursuing the study of medicine with Dr. Horace Lathrop of Cooperstown. For his medical studies he went first to Buffalo, N. Y., and later to the College of Phy- sicians and Surgeons of New York where he received the degree of M. D. in the spring of 1860. Following graduation he settled in Elizabeth, New Jersey, for practice and remained there until the outbreak of the Civil War. He was appointed an assistant surgeon in the United States Army on May 28, 1861, and on July 21 of that year he was captured at the Battle of Bull Run, while serving with General George Sykes’ division. He was able to escape and soon joined his command in the defense of Wash- ington. Later he participated in the Peninsular campaign and saw service in the battles of Gaines’ Mill and Malvern Hill. During this campaign he contracted typhoid fever while at Harrison’s Landing and was sent north on a transport. During the remainder of the war he performed hospital duty, mainly at Portsmouth Grove in Rhode Island, and at Cleveland, Ohio. On March 13, 1865, he was given the brevets of captain and major for faithful and meritorious service during the war. The GEORGE MILLER STERNBERG THE ARMY MEDICAL BULLETIN 71 years following the war were full of the moves which make up the life of a junior medical officer. Sternberg was married on October 19, 1865, to Louisa Russell, daughter of Robert Russell of Cooperstown, N. Y., and took his bride to Jefferson Barracks, Missouri, from whence he was soon transferred to Fort Marker, Kansas. Mrs. Sternberg did not accompany him to the latter post, but joined him in 1867 just prior to an outbreak of cholera. She was one of the first civilians to develop the disease which caused her death within a few hours on July 15. Sternberg, a captain since May 28, 1866, was sent to Fort Riley, Kansas, in December 1867, and with troops from this post took part, during 1868-69, in several expeditions against hostile Cheyenne Indians along the upper Arkansas river in Indian Territory and western Kansas. He served at Fort Riley until July 1870, when he was ordered to Governors Island, N. Y. In the meantime, he was married on September 1, 1869, at Indian- apolis, Indiana, to Martha L. Pattison, daughter of Thomas T. N. Pattison of that city. Two years at Governors Island and three years, 1872-1875, at Fort Barrancas, Florida, gave him frequent contacts with yellow fever and at the latter post he con- tracted the disease himself. He had noted the efficiency of moving inhabitants out of an infested environment and success- fully applied the methods to the Barrances garrison. About this time he published two articles in the New Or- leans Medical and Surgical Journal (“An Inquiry into the Modus Operandi of the Yelloiv Fever Poison,” July 1875, and “A Study of the Natural History of Yellow Fever” March 1877) which gave him a definite status as an authority on yellow fever. While convalescing from the disease in 1877 he was ordered to Fort Walla Walla, Washington, where later in the same year he participated in a campaign against the Nez Perce Indians. The spare hours of his early service had been well employed in study and experimentation which laid the foundation for his later work. He perfected an anemometer and in 1870 patented an automatic heat regulator which has had wide use. On December 1, 1875, he was promoted to the grade of major and in April 1879 he was ordered to Washington, D. C., and detailed with the Havana Yellow Fever Commission, his medical associates being Dr. Stanfard Chaille of New Orleans 72 THE ARMY MEDICAL BULLETIN and Dr. Juan Guiteras of Havana. In the distribution of the work Sternberg was given the problems relating to the nature and natural history of the cause of the disease which involved microscopical examination of blood and tissues of yellow fever patients. In these investigations he was one of the first to employ the newly discovered process of photomicography, and he developed high efficiency in its use. He spent three months in Havana closely associated with Dr. Carlos Finlay, the proponent of the theory of transmission of yellow fever by the mosquito. After a year’s work the Commission arrived at the conclu- sion that the solution of the cause of yellow fever must wait upon further progress in the new science of bacteriology. Soon after this Sternberg was sent to New Orleans to investigate the conflicting discoveries of the Plasmodium malariae of Alphonse Laveran, and the Bacillus malariae of Arnold Karl Klebs and Carrado Tomassi-Caudeli. His report, made in 1881, declared that the Bacillus malariae had no part in the causation of ma- laria. In this same year, simultaneously with Louis Pasteur, he announced the discovery of the pneumococcus, now recognized as the pathogenic agent in lobar pneumonia. He was the first in this country to demonstrate the plasmodium of malaria (1885) and the bacilli of tuberculosis and typhoid fever (1886). The interest in bacteriology naturally led to an interest in disinfec- tion and he was the American pioneer in the field. He began these experiments in 1878 with putrefactive bacteria and con- tinued them in Washington and in the laboratories of Johns Hop- kins Hospital in Baltimore, under the auspices of the American Public Health Association. For his essay Disinfection and Individual Prophylaxis against Infectious Diseases 1886, he was awarded the Lomb prize. The essay was translated into several languages. During the Hamburg cholera epidemic of 1892 he was detailed for duty with the New York quarantine station as a consultant on disin- fection as applied to ships, their personnel, and cargo. Though cases of the disease reached American shores, none developed within the country. On January 2, 1891, he was promoted to lieutenant colonel. With the retirement of General Sutherland in May 1893, Sternberg, as did many others, submitted his claims for con- THE ARMY MEDICAL BULLETIN 73 sideration for the vacancy. While not the senior officer of the corps by any means, he was in the first dozen and was without question the most eminent professional man in the service. He received the appointment of Surgeon General at the hands of President Cleveland on May 30, 1893, with the grade of brig- adier general. His nine years’ tenure of that office was a time of profes- sional progress and was featured by the occurrence of the Span- ish-American War. He was responsible for the establishment of the Army Medical School in 1893, for the organization of a con- tract dental service and the army nurse corps, the creation of the tuberculosis hospital at Fort Bayard, New Mexico, and of a special surgical hospital at Washington Barracks. The equip- ment of the medical school included laboratories of chemistry and bacteriology, and a liberal-minded policy was adopted in the supply of laboratory supplies to the larger military hospitals. With the Spanish-American War and its epidemic of typhoid fever, the problem of hospitalization, though difficult, was met with fair success. In that year of war the Surgeon General caused the organization of the Typhoid Fever Board, made up of Majors Walter Reed, Victor C. Vaughan, and Edward 0. Shakespeare, which established the facts of contact infection and fly carriage of the disease; and in 1900 he organized the Yellow Fever Commission, headed by Major Reed, which fixed the transmission of yellow fever upon a particular species of mos- quito. On his recommendation the first tropical disease board was established in Manila in January 1900 where it functioned for about two years. General Sternberg was retired on account of age on June 8, 1902, and devoted the later years of his life to social welfare activities in Washington, particularly to the sanitary improve- ment of habitations and the care of the tuberculous. He died at his home in Washington, on November 3, 1915. On his monu- ment in Arlington Cemetery is the inscription: “Pioneer American Bacteriologist, distinguished by his studies of the causation and prevention of infectious diseases, by his discovery of the microorganism causing pneumonia, and scientific investigations of yellow fever, which paved the way for the experimental demonstration of the mode of transmission of this pestilence. Veteran of three wars, breveted for bravery in action in the Civil War and the Nez Perce Wars. 74 THE ARMY MEDICAL BULLETIN Served as Surgeon General of the United States Army for period of nine years including the Spanish War. Founder of the Army Medical School. Scientist, author and philanthropist. M. D., LL. D.” His name will survive as that of the American bacteriologist, contemporary of Pasteur and Koch, who first brought the fun- damental principles and technique of the new science within the reach of the American physician. From 1875, when he pub- lished his first articles on yellow fever, he was a frequent con- tributor to periodical literature of medicine. In 1892 he pub- lished his Manual of Bacteriology, the first exhaustive treatise on the subject produced in the United States. His professional standing received wide and abundant rec- ognition. The honorary degree of LL.D. was conferred upon him by the University of Michigan in 1894 and by Brown Uni- versity in 1897. He was made an honorary member of the Epidemiological Society of London, the Royal Academy of Rome, the Academy of Medicine of Rio Janeiro, the American Academy of Medicine, and the French Society of Hygiene, He was a mem- ber, and one time president of the American Medical Association, the American Public Health Association, the Association of Military Surgeons of the United States, the Washington Biologi- cal Society, and the Philosophical Society of the District of Co- lumbia. He was a modest and unassuming man, gentle in manner and in speech, whose whole career was devoted to duty and un- tiring industry. Faced in the Spanish-American War with great difficulties he bore without reply the burden of much criticism, either unfounded or the result of conditions not of his making. He was short in stature, with a moderate stoutness in his later years. His later portraits show him with a white moustache and a fringe of white hair together with the fine intelligent forehead and keen speculative eyes which marked all his earlier portraits. L Who's Who in America 1914-15. Martha L. Sternberg George Miller Sternberg (1920). Address Delivered at the Complimentary Banquet to Gen. George M. Sternberg—on his Seventieth Birthday (1908) ed. by G. M. Kober. A. C. Abbott in Tr. Coll. Physicians Philadelphia (1918). Kelly and Burrage American Medical Biographies (1920). J. E. Pilcher Surgeon Generals of the Army (1905). Obituary in Evening Star (Washington, D.C.) Nov.3, 1915.] WILLIAM HENRY FORWOOD THE ARMY MEDICAL BULLETIN 75 XVIII. WILLIAM HENRY FORWOOD (Sept. 7, 1838 - May 12, 1915), Surgeon General, June 8, 1902 - September 7, 1902, was born at Brandywine Hundred, Delaware, the son of Robert and Rachel Way (Larkin) Forwood. He received his preliminary education in the public schools of his native community and in Chester Academy at Chester, Pennsylvania, He obtained his medical education at the University of Pennsylvania, where he graduated in 1861, in the early days of the Civil War. On August 5th of that year he was commissioned an assistant sur- geon in the army and detailed for duty at Seminary Hospital in Georgetown, D. C. After a few months of this service he was sent on duty in the field as regimental surgeon of the 14th Infantry and later served as acting medical director of General Sykes’ division in the Army of the Potomac. Following a short tour of duty in the office of the medical director in Washington, he was again sent to field duty as surgeon of the 6th Cavalry in Stoneman’s cavalry division. He took part in the battles of Yorktown, Gaines’ Mill, Malvern Hill, the second Bull Run, Antietam, Gettysburg, and Brandy Station. In the latter engagement he received a severe gunshot wound through the chest. Following his recovery he was assigned as executive officer of Satterlee General Hospital in West Philadelphia, and later was placed in charge of the medical storeship Marcy C. Day. His last war service was the command of Whitehall General Hospital near Bristol, Pa., a hospital of two thousand beds which he organ- ized and built. On March 13, 1865 he was given the brevets of captain and major for faithful and meritorious service dur- ing the war. Following the close of the war he was sent to Fort Riley, Kansas, where he served until June 1867. This duty was marked by a severe epidemic of cholera in 1866, which he fought alone, and was varied by several tours of field service with the 2d Cavalry in expeditions against hostile Indians along the upper Arkansas river. He was promoted to the grade of captain on July 28, 1866, and in the following year was trans- 76 THE ARMY MEDICAL BULLETIN ferred to Fort Earned, Kansas, where he served until July 1870. Two years followed at Fort Brady, Mich., a part of which time was taken up by a leave spent in the study of yellow fever at the quarantine station at Philadelphia. His next duty was at Fort Richardson, Texas, where he stayed until September 1876. After short tours at Raleigh, N. C., and Columbia, S. C., he was sent to Fort McPherson, in Georgia, where he remained until December 1879. From here he was transferred to Fort Omaha, Neb., from which post, during the summers of 1881 and 1882, he was detailed as surgeon and naturalist for military reconnaissance and exploring expeditions to the northwest, which were conducted annually under instructions from General Philip Sheridan. In November 1882 he was detailed as attending sur- geon at the headquarters of the Division of the Missouri, at Chicago, and in the following summer again accompanied the exploring expedition to the northwest, this time in company with President Arthur and Secretary of War Robert T. Lincoln, guests of General Sheridan. The results of his observations on these trips were embodied in Observations on Flora, etc., Dur- ing Journey through Portions of Wyoming and Montana (1881), Geologic and Botanic Reports of Explorations of Parts of Wy- oming, Idaho and Montana (1882), and Labor Among Primitive Peoples (1904). He remained at Chicago until December 1886, when, after an extended leave, he was sent to Fort Snelling, Minn., where he served for the next three years. On May 27, 1890, he reported for duty as attending surgeon at the United States Soldiers’ Home at Washington, D. C., which continued to be his station until December 12, 1898. The years of this tour were eventful and useful ones. When the Army Medical School was organized in 1893 he was appointed professor of military surgery. During the years 1895-97 he held the chair of surgery and surgical pathology, and during the years 1897-98 that of military surgery, in the medical department of George- town University, which conferred upon him the honorary de- gree of LL.D. The flood of sick coming up from Cuba in the summer of 1898 caused the establishment of a great hospital and convalescent camp at Montauk Point, N. Y., and of that camp Forwood was made chief medical officer. Later in that year he selected the site and superintended the construction of a general THE ARMY MEDICAL BULLETIN 77 hospital for returning troops at Savannah, Ga. In December 1898 he was relieved from duty in Washington and ordered to San Francisco as chief surgeon of the Department of California, a position of increasing importance on account of probable hos- tilities in the Philippines. In 1901 he was assigned to duty in the office of the Surgeon General in Washington and with the reorganization of the Army Medical School in the fall of that year he was made president of the faculty. In the meantime he had been promoted to the grade of lieutenant colonel on June 15, 1891, and to colonel on May 3, 1897, and had reached a rank in the corps second only to the Surgeon General. When General Sternberg retired in June 1902, Colonel Forwood had himself but three months to serve before his compulsory retirement for age. He was, however, promoted to the Surgeon Generalcy, with the grade of brigadier general, on June 8, 1902, for the brief period, an act which gave great satisfaction to the whole medical service. He retired on Sep- tember 7, 1902, after forty-one years of notably creditable ser- vice. He was one of the outstanding operating surgeons of the corps of his day, was always a profound student of surgery and surgical anatomy, and was an able instructor. He continued his residence in Washington where he lived quietly after his re- tirement until after a prolonged illness, his death occurred at his home there in his seventy-seventh year. In addition to the monographs heretofore mentioned Gen- eral Forwood contributed the article on military surgery in Vol. II of William H. Dennis’ System of Surgery (1895-96) and that on the same subject in Vol. II of J .C. Warren and A. P. Gould’s International Textbook of Surgery (1900). From 1876 on he contributed a flow of journal articles pertaining to natural his- tory and military medicine. From February 1898 to February 1899 he was in charge of “The Military Surgeon”, a supplement of the National Medical Review. He was a member of the American Medical Association, the American Academy of Medicine, the Philadelphia Academy of Natural Sciences, and of the Association of Military Surgeons. General Forwood’s early war service marks him as a man of unusual physical courage, dash, and gallantry. Repeatedly he exposed himself to the greatest dangers in treating the wounded 78 THE ARMY MEDICAL BULLETIN on fire-swept fields and in rescuing wounded from falling into enemy hands. It was on such duty as this that he received the chest wound at Brandy Station. Later he showed that same courage in seeking opportunities for service in centers of epidemic disease, when the dangers again were decidedly real. He was aided by a physique of great strength and endurance. He was of medium height with a large chest and heavy musculature. He retained in his later years a good thatch of hair, a military mustache, and goatee, none of them much touched with gray. He was married on September 28, 1870, to Mary Osbourne, daughter of Antrim Osbourne of Media, Pa. They had no children. tAlumnae Register (Univ. of Pa.)Nov. 1902. J. E. Pilcher Surgeon Gen- erals of the Army (1905). Medic News N. Y., June 14, 1902. Mil. Surgeon June 1915. Evening Star (Washington, D.C.) May 12, 1915. Records of Living Officers of the U.S. Army (1884). Records of the Office of The Sur- geon General.] ROBERT MAITLAND O’REILLY THE ARMY MEDICAL BULLETIN 79 XIX. ROBERT MAITLAND O’REILLY (Jan. 14, 1845 - Nov. 3, 1912), Surgeon General, September 7, 1902 - January 14, 1909, was born in Philadelphia to John and Ellen (Maitland) O’Reilly. He was descended on his father’s side from an old Irish family, one branch of which, emigrating to Spain, produced General Alexander O’Reilly who was captain general of Cuba and one of the Spanish governors of Louisiana. The American branch settled in Pennsylvania before the Revolutionary War. Young Robert was educated in the public schools of his native city and had commenced the study of medicine at the University of Penn- sylvania when the Civil War broke out. In August 1862 he was appointed an acting medical cadet and was assigned for duty in the Cuyler General Hospital in Philadelphia. Later he served as a medical cadet in a hospital at Chattanooga, Tenn., and in the office of the medical director of the Army of the Cumber- land. With the close of the Civil War, he resumed his medical studies at the University of Pennsylvania and was graduated in 1866. On May 14, 1867, he was appointed assistant surgeon in the army and sent to Fort Trumbull, Conn. Shortly there- after he was sent out to California by way of Nicaragua with a shipment of recruits. While en route with recruits from San Francisco to Whipple Barracks, Arizona, he was wounded by the acidental discharge of a revolver at Camp Mud Springs, Cal., and was under treatment for some time at Drum Bar- racks, Cal., after which he proceeded to his original assignment in Arizona. He served at Camp Date Creek, Camp McDowell, Camp Renon, Fort Whipple, Camp Halleck, and Fort Union, all in the extreme southwest, until June 1870, during which time he saw considerable field service against hostile Indians. The summer of 1870 was spent in the field in Colorado with the 8th Cavalry, after which he was assigned for station at Fort Lar- amie, Wyoming, where he served from May 1871 to July 1874. He participated in the campaign of 1874 against the Sioux In- dians and at the conclusion of that campaign he took station at 80 THE ARMY MEDICAL BULLETIN Fort D. A. Russell at Cheyenne, Wyoming. In June 1875 he was ordered east, and given short tours of duty at Fort McHenry, Maryland, and at Fort Hamilton, New York. In November 1875 he was sent to Fort Ontario, New York, which was his station until May 1878. While at this station he was detailed, in 1877, to duty incident to labor disturbances in Pennsylvania, and sus- tained an injury which incapacitated him to a remarkable ex- tent for two years. Short terms of duty at Charleston, S. C., and Fort McPher- son, Ga., interspersed with sick leaves brought him to the sum- mer of 1882, when in June he was ordered to duty with the at- tending surgeon in Washington, D. C. In November 1884 he himself became the attending surgeon, which post he held un- til November 1889. In this capacity his attractive personality and his professional skill made him a prominent figure in the capital. He was made the attending physician to the White House by President Cleveland, with whom he was on terms of intimate friendship and who brought him back to Washington during his second term in the presidency. From June to Sep- tember 1888 he attended General Philip Sheridan during his last illness at Nonquitt, Mass. From Washington he was or- dered to Fort Logan, Colorado, where he served from May 1890 to February 1893 when he was again detailed as attending sur- geon at the capital. In April 1897 he was assigned to duty at Fort Wayne, Michigan, and from this post he accompanied the troops into the field at the onset of the Spanish-American War. Arriving at Mobile, Ala., he was assigned as chief surgeon of the First Independent Division commanded by Major General John J. Coppinger. He was later chief surgeon of the 4th Army Corps and still later chief surgeon on the staff of Major General James F. Wade in Havana. The medical department ship Bay State was placed at his disposal and he was sent to Jamaica for the purpose of acquiring information relative to the experience of the British army in tropical hygiene. He made a study of the housing, food, clothing, and care of troops and submitted a re- port with recommendations on these subjects which were of material value. Returning from Cuba in November 1899 he commanded the THE ARMY MEDICAL BULLETIN 81 Josiah Simpson Hospital at Fortress Monroe, Va., and later was transferred to the headquarters of the Department of California at San Francisco as chief surgeon. In the passing years he had been rising in the military scale. Promoted to captain May 14, 1870, to major November 1, 1886, and to lieutenant colonel February 21, 1900, he reached the grade of colonel on February 14, 1902. At the time of General Forwood’s retirement in September 1902 there was a regulation in effect that the appointment to Surgeon General should be for a period of four years, and a rul- ing that the appointee must have four years to serve before his compulsory retirement for age. There was a small group of brilliant officers on the list ahead of Colonel O’Reilly, notably Colonels Smart, Lippincott, and DeWitt, but all were barred from the coveted place by lack of the necessary four years to serve. Colonel O’Reilly, the senior officer able to meet the re- quirements, was appointed Surgeon General with the grade of brigadier general on September 7, 1902. Up to this time it had been the almost invariable custom that the office assistants of the Surgeon General should be se- lected from among the senior officers of the corps. General O’Reilly departed from the long-time custom by surrounding himself with a group of young, alert, active men, a group that went far toward directing the fortunes of the corps for the next two decades. To this group belonged Jefferson R. Kean, Walter D. McCaw, Charles F. Mason, and James D. Glennan, all junior majors, and Merritte W. Ireland, Francis T. Winter, Charles Lynch, and Carl R. Darnall who had still to gain that grade when General O’Reilly’s term began. Major Kean was made executive officer and the others assigned to the charge of divisions into which the office was organized. Unsatisfactory conditions in the army disclosed by the Spanish-American War caused the appointment by President McKinley of the Dodge Commission. The findings of this commission relating to the medical department took the form of a number of recommenda- tions which it devolved upon General O’Reilly to carry out. These recommendations were briefly as follows: (1) a larger force of commissioned medical officers, (2) authority to establish in time of peace a proper volunteer hospital corps, (3) 82 THE ARMY MEDICAL BULLETIN a nurse corps of selected trained women nurses ready to serve whenever necessity should arise, (4) a year’s supply, for an army of at least four times the normal strength, of all medicines, hospital furniture, and stores as are not materially damaged by keeping, to be held constantly on hand in the medical supply depots, (5) charge of transportation to such an extent as will secure prompt shipment and ready delivery of all medical sup- plies, (6) simplification of administrative paper work, (7) pro- vision for purchase by subsistence funds of articles of special diets for the sick. In his last annual report, that of 1908, General O’Reilly was able to say that all of these objectives had been realized or were in good prospect of realization. General O’Reilly and his staff achieved a relation with the army, with Congress, with the medical profession, and with the public never visualized by any previous administration. During his term every medical department activity was studied, overhauled, and improved. To- ward the latter part of his term an appropriation was obtained from Congress for the purchase of the site and for the begin- ning of construction of a general hospital in Washington (the Walter Reed General Hospital), a project under advisement since the days of General Hammond. Perhaps the outstanding accomplishment of this regime was the increase and reorganization of the Medical Corps and the Hospital Corps, with the elimination of the meaningless titles carried by medical officers and the substitution of the titles sergeant and corporal for the obsolete titles of noncommissioned officers. This reorganization act of April 23, 1908 (35 Stat. 66), also created the Medical Reserve Corps. General O’Reilly was president of the board which recommended the adoption of ty- phoid prophylaxis for the army. In 1906 he reconstituted the Board for the Study of Tropical Diseases in Manila and set for it certain objectives. In that same year he represented the United States at the international conference at Geneva, Switzerland, for the revision of the Geneva Convention. At the expiration of his first term of appointment in 1906 he was reappointed and served until the time for his compulsory retirement for age on January 14, 1909. Never of strong constitution and the subject of much THE ARMY MEDICAL BULLETIN 83 ill-health during his army career, his remaining three years were spent quietly in a state of semi-invalidism in Washington, where he died of uremic poisoning, on November 3, 1912. Few of our Surgeon Generals went in much for literary work and General O’Reilly was not of that few. His only no- table contribution was the monograph on military surgery which appeared in the fourth edition of W. W. Keen’s American Text- book of Surgery (1903), in which he collaborated with Major William C. Borden. General O’Reilly was a man of fine mind and of high cul- ture. He had great personal attraction, winning the affection and loyalty of all with whom he came into intimate contact. Though of a sensitive and retiring disposition he had an unfail- ing fund of courtesy and good nature. He was a devotee of chamber music and an accomplished performer on the violin. Many of his deepest friendships were with those to whom he was bound by the ties of music. Physically a small man, he carried himself with a good military bearing. He was married on August 6, 1877, to Frances L. Pardee of Oswego, N. Y., who, with one daughter, survived him. The death of his only son, just grown to manhood, saddened his later years. [J. E. Pilcher Surgeon Generals of the Army (1905). E. H. Garrison In Memoriam: General Robert Maitland O'Reilly, in N. York M. J. Nov. 30, 1912. Kelly and Burrage American Medical Biographies (1920). Who's Who in America 1912-13, P, M. Ashburn History of the Medical Department of the U.8. Army (1929).] 84 THE ARMY MEDICAL BULLETIN XX. GEORGE HENRY TORNEY (June 1,1850 - Dec. 27,1913), Surgeon General, January 14, 1909 - December 27, 1913, was born in Baltimore, Maryland, the son of John P. and Mary M. (Peacock) Torney. He received his preliminary education at Carroll College, New Windsor, Maryland, which he attended from 1862 to 1867, following which he took the course in medi- cine at the University of Virginia at Charlottesville where he was given his degree of M.D. on June 30, 1870, After an internship at the Bay View Hospital in Baltimore he entered the Navy as an assistant surgeon on November 1, 1871. He was promoted to passed assistant surgeon on De- cember 18, 1874, but on account of intractable seasickness he resigned his commission on June 30, 1875. The following day, July 1, 1875, he accepted appointment as a first lieutenant and assistant surgeon in the medical department of the army. Then followed years of highly useful though relatively uneventful ser- vice in various army posts. Upon appointment he was ordered to Fort Wood in New York harbor, from whence he sailed in November 1875 with a battalion of the 5th Artillery to Key West Barracks, Florida. He served at Fort Canby in Florida until May 1877 when he was transferred to Fort Gibson in the Indian Territory. In September 1878 he went to Fort Win- gate, New Mexico, and in December 1880 to Fort Lyon, Colo- rado, where he remained for the following four years. In this service in the southwest he saw the usual amount of field ser- vice against hostile Indians that fell to the lot of all medical officers serving in that section during those troublesome times. In April 1885 he was brought east to Fortress Monroe, Vir- ginia, where he served for the next four years, after which he had four years of service at Fort Brown, Texas, near the mouth of the Rio Grande. He had been promoted to Captain on July 1, 1880, and in September 1893 he was ordered to Philadelphia as attending surgeon and to prepare him for his examination for the grade of major. He was promoted to major on June 6, 1894, and in the fol- GEORGE HENRY TORNEY THE ARMY MEDICAL BULLETIN 85 lowing month was detailed for duty as surgeon at the United States Military Academy at West Point. He remained there until the outbreak of the Spanish-American War, when in May 1898 he was ordered to equip and command the hospital ship Relief. He served in this capacity, transporting sick and wound- from Cuba and Porto Rico to the United States, until the end of hostilities. In October 1898 he was sent to Fort Leavenworth, Kansas, and detailed as instructor in hygiene in the general service schools. After one year of this duty he was transferred to the command of the Army and Navy General Hospital at Hot Springs, Arkansas, where he remained until November 1902. From this duty he was transferred to Manila, P. L, and assigned to the command of the First Reserve Hospital. In July of the following year he was transferred, seriously ill, to the general hospital at the Presidio of San Francisco. In November he was sufficiently recovered to be assigned to the duty of chief surgeon of the Department of California. After four months of this duty he was sent back to the Presidio as com- manding officer of the general hospital. He held this position from March 1904 until December 1908. It was during this per- iod, on April 18, 1906, that the great earthquake and fire oc- curred in San Francisco. The army was active in the police and rescue work following the disaster and the Presidio hospital was taxed to the limit. Lieut. Colonel Torney was placed in charge of the sanitary work of the stricken city and acquitted himself notably well in the face of the greatest difficulties. The brilliant record that he made as an administrator and sanitarian during these trying days made him the popular hero of the city and assisted materially to give him the office of Surgeon General when it became vacant. From November 1907 to No- vember 1908 he filled the dual role of chief surgeon of the De- partment of California and commanding officer of the general hospital which was later designated Letterman General Hos- pital in War Dep’t. General Orders, No. 152, November 23, 1911. In the meantime he had been advanced to the grade of lieutenant colonel and deputy surgeon general on August 6, 1903, and to colonel of the medical corps on April 23, 1908. With the retirement of General O’Reilly in January 1909 86 THE ARMY MEDICAL BULLETIN the strength of San Francisco’s gratitude was sufficient to give Colonel Torney the vacated place, though the list of officers sen- ior to him included such potent names as those of Colonels Gorgas, Havard, and Hoff. General Torney began his career as Surgeon General on January 14, 1909. He retained as his office assistants much of the same group that General O’Reilly had assembled and con- tinued to advocate the policies laid down by his predecessor. The reserves of officers, nurses, and supplies were built up, and the Walter Reed General Hospital was opened in May 1909 following the announcement in War Dep’t. General Orders, No. 70, April 14, 1909, and the discontinuance of the hospital at Washington Barracks. Immunization against typhoid fever was pushed to universal use in the army in 1911, and the use of venereal pro- phylaxis extended. The Army Medical School was built up, de- partment laboratories established, and sanitary measures im- proved. An act of Congress approved March 3, 1911 (36 Stat. 1054), created the Dental Corps as part of the medical depart- ment. It was a time of activity in the tactical training of medi- cal personel with the beginning of the instruction of medical officers in field work and medical tactics at the Fort Leaven- worth schools and with added importance given to military hygiene in the service schools. The mobilization of a maneuver division in Texas gave the medical department an opportunity to test for the first time the worth of their field hospitals and ambulance companies and the efficiency of the regimental sani- tary equipment. It gave also a practical test of the efficacy of the typhoid prophylaxis. In the Philippines the work of the medical research board was fruitful in the practical elimination of beri-beri from the native troops. General Torney’s term of four years ended with a brilliant record of achievement in Jan- uary 1913 and he was immediately reappointed on January 14. His second term had advanced less than a year when on Decem- ber 27, 1913, he died of broncho-pneumonia at his residence in Washington after an illness of some weeks duration. He was within about six months of his retirement for age. General Torney was a member of the American Medical Association and of the Association of Military Surgeons and a fellow of the American College of Surgeons. He was elected THE ARMY MEDICAL BULLETIN 87 president of the Association of Military Surgeons at its Mil- waukee meeting in 1911. He was the Chairman of the War Re- lief Committee of the American National Red Cross. He was married on January 22, 1872, to Mary A. Johnston of Baltimore. She survived him together with one daughter and four sons. One son followed his father’s bent in the study of medicine and another followed him in a military career as an infantry officer. [ Who's Who in America (1912-13). Mil. Surgeon Feb. 1909. Ibid, Feb. 1914. Boston M. and S. J. 1914, p. 71. J. A. M. A. 1914, p. 52. N. York M. J. 1914, p. 32. N. Y. Med. Times 193 4, p. 121. P. M. Ashburn History of the Medical Department of the U. S. Army 1929). Kecords of the Office of The Surgeon General.] 88 THE ARMY MEDICAL BULLETIN XXL WILLIAM CRAWFORD GORGAS (October 3, 1854 - July 3, 1920), Surgeon General, January 16, 1914 - October 3, 1918, was the son of General Josiah Gorgas, a native of Pennsylvania who graduated from the United States Military Academy in the class of 1841. Assigned to the ordnance service, he was in command of Mount Vernon Arsenal, near Mobile, Alabama, in 1853, when he married Amelia Gayle, daughter of Judge John Gayle, a former governor of Alabama. William was born at the Gayle home, Toulminville, near Mobile. The elder Gorgas, strongly sympathetic with the Southern cause, resigned his cap- tain’s commission on April 3, 1861, shortly before the attack on Fort Sumter. On April 8 he was appointed a major in the Confederate service and was assigned to duty as chief of ord- nance which post he held throughout the war, rising to the grade of brigadier general. In the capital city of the Confeder- acy, young William spent the four stirring years of the war and with his mother saw the entrance of the Federal troops after his father accompanied General Lee in his evacuation of the city. Following a short time spent in Baltimore the family moved to Brierfield, Alabama, where the father was manager of the Brier- field Iron Works. In 1869 the University of the South was open- ed at Sewanee, Tenn., and General Gorgas was made head of the junior department. Up to this time the son’s education had been quite irregu- lar. He had had the advantages of a private school in Richmond but the times were too distracting for satisfactory progress. He spent six years at the Sewanee school and in 1875 graduated with the degree of bachelor of arts. From the experiences of his childhood Gorgas had acquired a strong desire for a military career. Every effort was made to obtain for him an appointment to the West Point academy but without avail. Much against his father’s wishes he determined to enter the service by way of a medical degree. He entered Bellevue Hospital Medical College in New York in 1876 and was graduated in 1879 after three years of financial difficulties. Following an internship in Bellevue Hospital he was appointed, on June 16, 1880, an assistant surgeon in the medical corps of WILLIAM CRAWFORD GO KG AS THE ARMY MEDICAL BULLETIN 89 the army. For nearly two decades thereafter Gorgas’ life was that of the average medical officer of the period. Following several years in Texas posts and a tour of duty in North Dakota he spent practically the entire decade preceding the Spanish-Ameri- can War at Fort Barrancas in Pensacola Bay, Florida. Shortly after the beginning of his army career he went through an epi- demic of yellow fever at Fort Brown, Texas, and was himself stricken with the disease. Thereafter, as an immune, he was frequently drafted for service where yellow fever existed. This accounts for his long service at Fort Barrancas, a post in a sec- tion notorious for its epidemics and itself frequently subject to visitations of the disease. He was promoted to captain June 16, 1885, and to major July 6, 1898. To Gorgas, as to others, yellow fever was an enigma. Its suddenness of appearance, its puzzling choice of victims, and the inutility of ordinary means of disease prevention were quite beyond understanding. With the Spanish-American War in progress, Gorgas arrived at Sib- oney, in Cuba, on July 7, 1898. While negotiations for the capitu- lation of Santiago were in progress yellow fever broke out in the American forces. Gorgas was assigned to the yellow fever section of the Siboney hospital and shortly thereafter took over the command of the hospital from Major Louis A. La Garde. It is significant of the view of the disease then currently held that it was recommended that the village of Siboney be destroy- ed by fire. Not only was this recommendation carried out, but in September the Siboney group of hospitals with much of their equipment was similarly destroyed. Major Gorgas was returned to the United States in Septem- ber, convalescent from typhoid fever. Later in 1898 he return- ed to Cuba and early in 1899 he became chief surgeon of the Department of Havana. Following the appointment of General Leonard Wood as military governor of Cuba in December 1899, Gorgas was made chief sanitary officer for the city of Havana. Though yellow fever at this time showed only as sporadic cases it was, as always, the chief concern. Gorgas applied to the city the generally accepted methods of disease control. He cleaned up the city, segregated the sick, and quarantined infected locali- ties. Though a friend of Dr. Carlos J. Finlay and familiar with 90 THE ARMY MEDICAL BULLETIN his theory of the mosquito transmission of yellow fever Gorgas placed no confidence in the idea. Despite the greatly improved sanitary condition of Havana the yellow fever situation, instead of improving, became much more serious. It was not until the board, of which Major Walter Reed was the head, furnished proof that the Stegomyia mosquito was the carrier of the dis- ease that truly effective methods could be instituted. The Steg- omyia, since more accurately named Aedes Aegypti, was the common mosquito pest of the city. It is a highly domesticated insect, breeding in all kinds of water containers in and around habitations. The surest control of the insect was deemed to be the elimination of its breeding places. This plan was adopted and, though the task had many difficulties, Havana was not only freed of its mosquitoes but was permanently rid of yellow fever. The results obtained by his work in Havana brought him an in- ternational reputation as a sanitarian. The years from 1900 to 1904 brought the gradual develop- ment of plans for digging the Panama Canal. There was early recognition of the necessity for expert sanitary advice upon the project and in 1902 Gorgas was transferred from Havana to Washington and assigned to this work. In March 1903 Congress raised him to the grade of colonel in recognition of his services in Havana. For two years he studied the canal problem, review- ing the experience of the French on the isthmus and making visits to the Suez Canal and to Panama. Actual work upon the canal commenced in 1904, and Gorgas with his staff of assistants arrived in June of that year. He early encountered administra- tion difficulties. Despite the positive knowledge that the French failure had been due to disease the American administration was disinclined to support adequate measures for preventing a repeti- tion of that experience. The first Canal Commission, headed by Admiral John C. Walker, had strongly in mind the prevention of graft and extravagance. Expenditures for sanitary improve- ments were regarded as falling under the latter head. It required a visitation of yellow fever, starting in November 1904, to ob- tain for Gorgas any substantial support for his work. He began in the Canal Zone the measures which had been highly success- ful in Havana. Again the mosquito was to be deprived of breed- ing places and cases of yellow fever segregated and protected THE ARM Y MEDICAL BULLETIN 91 from mosquitoes. The situation in Panama presented more dif- ficulties than that in Havana and results were far less prompt. It was well into 1905 before yellow fever had been eradicated, and in the meantime determined efforts were being made to dis- credit Gorgas’ work and to supplant him. It is probable that these could have been successful but for the interest aroused by a report made by Dr. Charles A. L. Reed of Cincinnati to the American Medical Association in March 1905, in which the ob- structive hand of Commissioner Carl E, Grunsky was so largely featured. The discharge of the Walker Commission at about this time and the appointment of another headed by Theodore P. Shonts did little to mitigate Gorgas’ troubles. Yellow fever was still prevalent and the new commissioners were dissatisfied that the first interest of the sanitary service was the elimination of mosquitoes rather than the general improvement of the cities of Panama and Colon. They recommended the removal of Gorgas which not only drew the disapproval of President Roosevelt but caused an or- der for active support of his work. In November 1906 the Presi- dent paid a visit to Panama and shortly thereafter Gorgas was made a member of the canal commission. For a time he had practically a free hand, but after the reorganization of the commission in 1908, with Colonel George A. Goethals as chairman and chief engineer, his troubles began anew. Goethals, given unusual powers by executive order, ruled the Canal Zone with a despotic control. He was free in criti- cism and centered his attacks upon the expense of the sanitary service. Despite the difficulties thrown around his work, due to lack of cooperation from the chief commissioner, Gorgas not only freed the Canal Zone from yellow fever but he made the cities of Panama and Colon models of sanitation comparable with any city of the United States. In the meantime his reputation had extended until he was generally regarded as the world’s fore- most sanitary expert. In 1913 he was asked by the Transvaal Chamber of Mines to visit South Africa and make recommenda- tion for the control of pneumonia among the negro mine work- ers. It was while engaged in this work that he received the notification of his appointment as Surgeon General of the Army, with the rank of brigadier general, on January 16, 1914. He 92 THE ARMY MEDICAL BULLETIN returned to the United States in April to take up his new duties, and on March 4, 1915, he was advanced to the grade of major general. The recently organized International Health Board enlisted him as an advisor, and in 1916 sent him with a staff of assistants for a tour of South and Central America with a view to continuing the fight on yellow fever in these sections. Follow- ing this trip, a plan for the elimination of yellow fever was adopted and Gorgas was made director of the work. General Gorgas had always been more interested in dis- ease prevention than in office administration. In January 1917 he informed the Secretary of War that he wished to retire and Colonel Henry P. Birmingham was tentatively chosen as his successor. The severance of diplomatic relations with Germany soon thereafter caused him to change his plans and put a stop to his public health activities. It would be quite beyond the scope of this sketch to attempt any narration of the activities of the medical department during the World War. General Gorgas’ time during this period was largely taken up by consultations with representatives of the Secretary of War, the Council of National Defense, the General Medical Board, and with Con- gressional committees. The details of his office were in the hands of Colonel (later Major General) Robert E. Noble, who had served with him through many years of his Panama ser- vice. He was intelligent, capable and industrious, and he man- aged the office extraordinarily well. The Army School of Nursing authorized by the Secretary of War on May 25, 1918, was organized and its first sessions began in July 1918 with Miss Annie W. Goodrich, a contract nurse, as the first Dean. The Fitzsimons General Hospital for tubercular patients was built at Denver, Colorado, and opened for patients on October 17, 1918, just two weeks after General Gorgas’ retirement from office. General Gorgas was retired on account of age on October 3, 1918, shortly before the Armistice, and again became available for work with the International Health Board. He was com- missioned to investigate the yellow fever situation on the west coast of Africa and in May 1920 he sailed with his staff for London. After attending the meeting of the International Hy- giene Congress in Brussels he returned to London where he ex- THE ARMY MEDICAL BULLETIN 93 perienced a stroke of apoplexy, and died a month later, on July 3, 1920, in the Queen Alexandria Military Hospital at Millbank. The funeral was held in St. Paul’s Cathedral and the body re- turned to the United States to rest in the Arlington National Cemetery. General Gorgas had been the recipient of many honors. Honorary degrees had been given him by the University of the South, by Harvard, Brown, Pennsylvania, Johns Hopkins, and by Oxford Universities. He had been decorated by a number of foreign countries. The University of the South and the Uni- versity of Alabama, both of which his father had served, offered him their presidencies. In 1908 the American Medical Associa- tion elected him its president. During his last illness he was visited by King George and knighted. As the man whose sanitary skill made possible the con- struction of the Panama Canal, his name will always be linked with that gigantic work. His achievement at Havana which first brought him to fame is overshadowed by his later and great- er work. He published Sanitation in Panama (1915) but wrote com- paratively little for publication, leaving his work to speak for itself and to be reported upon by others. Physically he was a little above the average height. To the end he conserved the trim figure which early athletic habits had given him. His por- traits show a fine oval face with firm mouth and humorous eyes. His hair was deep black in youth. In his later years his heavy crown of white hair and his white mustache contributed much to a distinguished appearance. Temperamentally he was mild, amiable, and optimistic. To a pliability of temperament was added a quiet determination and persistence. It was this combination of seemingly opposite qualities that carried him suc- cessfully through his Panama difficulties. He was married on September 15, 1885, to Marie Cook Doughty of Columbus, Ohio, who with one daughter, survived him. [H. C. Gorgas and E. J. Hendrick William Crawford Cor gas: His Life and Work (1924). F. H. Martin in Surg. Gyn. Obst. Oct. 1923. E. E, Noble in Am. J. Pub. Health March 1921. J. F. Siler in Am. J. Troy. M. March 1922. M. W. Ireland in Science July 16, 1920. Who's Who in America, 1920-21. P. M, Ashburn History of the Medical Department of the U.S. Army (1929).] 94 THE ARMY MEDICAL BULLETIN XXII. MERRITTE WEBER IRELAND, The Surgeon General, October 4, 1918 - May 31, 1931, was born on May 31, 1867, at Columbia City, a town in the upper end of the Wabash valley in Whitley County, Indiana. His father, Dr. Martin Ireland, was born in Chillicothe, Ohio, and graduated in medicine in Cin- cinnati in 1849, settling in Columbia City in 1855. The Ireland family originated in the west of Scotland, coming to Ohio by way of Maryland. His mother, whose maiden name was Sarah Fellers, came from Waynesboro, Virginia. After finishing the high school course in his native town, he entered the Detroit College of Medicine where after three years (1887-1890) he received an M.D. degree in the latter year. The following year was spent in Jefferson Medical College where again he was given an M.D. degree in 1891. He immediately took the examination for the medical service of the army and was commissioned an assistant surgeon from Indiana on May 4, 1891. His first assignment took him to Jefferson Barracks, Mo., where he served from May to September of 1891. At the end of that time he was transferred to Fort Riley, Kansas, to serve under Major John Van R. Hoff and to have direct charge of the first company of instruction of the Hospital Corps organ- ized by Captain Hoff. This early contact with one of the most forceful characters the medical department has produced was bound to have a lasting influence. The friendship of the two remained a close one until Colonel Hoff’s death. During this tour at Fort Riley he had terms of temporary duty at Fort Yates, N. D., in 1892 and at the World’s Fair in Chicago in 1893. He was transferred to duty at Fort Apache, Arizona, in April 1893 and remained there until November of the following year. While at this post he returned to Columbia City, his old home, and was married on November 8, 1893, to Elizabeth Liggett of that place. In November 1894 he went for duty to Fort Stan- ton, New Mexico, where he served until January 1896. His ser- vice at Fort Apache and Fort Stanton was featured by much field service incident to Indian depredations and to exploring MERR1TTE WEBER IKELAND THE ARMY MEDICAL BULLETIN 95 expeditions. From Fort Stanton he was transferred to Benicia Barracks, California, in January 1896. While stationed at that post he spent the summers of 1896-1897 in the Yosemite National Park with troops. In January 1898 he was ordered to the Pres- idio of San Francisco, where the outbreak of the Spanish-Ameri- can War found him. In April 1898 he accompanied units of the 3d Field Artillery to Chickamauga Park, Georgia, and from there to Port Tampa, Florida. In June he went to Cuba on the transport Saratoga landing at Siboney, where he was as- signed to the Reserve Divisional Hospital under command of Major Louis A. La Garde. Accompanying General Shatter’s army he returned to the United States in August, landing at Montauk Point, L. I., where he was assigned as executive officer of the general hospital at Camp Wickoff. In November he was sent to Fort Wayne, Michigan, as post surgeon. His stay there was short for in the following summer he was assigned to the position of major and surgeon, 45th Volunteer Infantry, and went with that organization to the Phil- ippines. From December 1899 to April 1900 he saw constant field service with his regiment, participating in a dozen engage- ments in the provinces of Cavite, Camarines, and Albay in south- ern Luzon. In April he was detached from his regiment and placed in charge of the medical supply depot in Manila. For nearly two years he performed the duty of medical purveyor of the Division of the Philippines with additional duties as dis- bursing officer of the Public Civil Fund. For the highly efficient performance of these duties he received the commendation of the Philippine high command. He held rank as a major of volunteers from August 17, 1899, to June 30, 1901. In the meantime he had been promoted to the grade of captain in the regular establishment on May 4, 1896, and was advanced to the grade of major on August 3, 1903. He returned to the United States on the transport Grant in March 1902, and was assigned as attending surgeon in St. Louis, Missouri. In October of that year he was brought to the office of The Surgeon General in Washington by General O’Reilly who had recently taken over that office. He was given charge of the Hospital Corps division of the office, the name later changed to personnel division. For nearly ten years there- 96 THE ARMY MEDICAL BULLETIN after, through the administrations of Generals O’Reilly and Tor- ney, Major Ireland served the central office in various capacities. At different times he was executive officer and in charge of the supply division, reverting again in his later years in the office to the post of head of the personnel division. This service, from 1902 to 1912, gave him a remarkable knowledge of the person- nel of the corps, a knowledge which was of the greatest value to him in his later career. As personnel officer he had put in- to effect a foreign service roster, the operation of which had brought him to the top of the list in 1912, when he went again to the Philippine Islands, serving from September 1912 to June 1915 as surgeon of the brigade post of Fort McKinley, near Manila. He returned to the United States in August 1915 and was assigned to Fort Sam Houston, Texas, first as sanitary in- spector of the Southern Department and surgeon of the Cavalry Division, later as surgeon of the post. His tour of duty here coincided with the assembly of large bodies of National Guard troops along the Rio Grande and with the Punitive Expedition into Mexico led by General Pershing. Fort Sam Houston was the hospital center for these operations, with a situation beset with difficulties for the surgeon, but Ireland, a lieutenant col- onel since May 1, 1911, only added to his reputation for able ad- ministration. He was holding this position when a state of war was declared with Germany on April 6, 1917. In assembling his staff for the high command in France, General Pershing chose Ireland for the post of chief surgeon, but The Surgeon General selected for the place Colonel Alfred E. Bradley. Ireland sailed with General Pershing for France as first assistant to Colonel Bradley and served in that capacity until the latter was compelled on account of ill-health to give up this office in April 1918, when Ireland became chief surgeon. As as- sistant and head of the service in the American Expeditionary Force his administrative and professional abilities won the high- est commendation of General Pershing. This is no place to go into any detail regarding the medical service in the A. E. F. and nothing of the sort will be attempted. Ireland was promoted to colonel in the medical corps on May 15, 1917, to temporary rank of brigadier general on May 16, 1918, and to major general assistant Surgeon General, A. E. F., on August 8, 1918. THE ARMY MEDICAL BULLETIN 97 With the approaching retirement of General Gorgas in Oc- tober 1918 there was much interest and concern in regard to his successor. The conduct of General Gorgas’ office by Colonel Robert E. Noble (at this time a temporary major general) had made him a formidable candidate and there was considerable mention of men from the civilian profession for the place. In the A. E. F., in the summer of 1918, a group of high ranking men of the corps, several senior to General Ireland, put in a re- quest to General Pershing that he should recommend Ireland for appointment as Surgeon General. This coincided with General Pershing’s own view and he made the recommendation as re- quested. Whether or not this was the deciding factor, General Ireland was appointed Surgeon General with the grade of major general on October 4, 1918. The choice of General Ireland by this group of men of the A. E. F., any one of whom might with good reason have been himself a candidate, was a tribute of the highest order, and the corps as a whole has reason to be proud of this group in its unselfish abnegation. General Ireland arrived in New York on October 28 and took the oath of office October 30, the office in the meantime functioning under Brigadier General Charles Richard. After the Armistice November 11, 1918, he found the office confronted with the problems incident to demobilization and reorganization. To the medical service fell not only the duty of the physical examination of all personnel prior to discharge and the evalua- tion of their disabilities; but there were still thousands of sick and wounded to be healed and reconstructed. With the gradual reduction of the case load there was nec- essary a coincident reduction of medical department facilities; but the years following the close of the war were still busy ones for the army general hospitals. Much of the energy of Gen- eral Ireland’s early years in office was employed in replacing with permanent construction the temporary hospital structures erected during the war. The Walter Reed and Letterman Gen- eral Hospitals were thus rebuilt and completed. The William Beaumont General Hospital at El Paso, Texas, was built and put into operation July 1, 1921. The development of the Army Medical Center was another notable achievement of this period. In addition to the construction of new pavilions for the hos- 98 THE ARMY MEDICAL BULLETIN pital and the improvement of the grounds there were added the fine building which houses the Army Medical, Dental, and Vet- erinary schools, and a new Red Cross building. The medical de- partment schools housed in the new building were greatly de- veloped with largely full-time instructors. The Army School of Nursing was continued in connection with the Walter Reed General Hospital. A further development was the creation on May 15, 1920, of the Medical Field Service School at Carlisle Barracks, Pa., a school for officers and enlisted men where they are instructed in medico-military matters, administration, tac- tics, field sanitation, work with field units, map-making, equita- tion, motor mechanism, and kindred topics. The third tropical disease board was established in Manila in the spring of 1922. The disposal of the large stocks of surplus medical sup- plies on hand at the close of the war was one of the major prob- lems of the supply division of the office. Altogether General Ire- land’s term of office was marked by notable progress along the whole line of medical department activity. He had the confi- dence of the General Staff and of the military committees of the Senate and House and was given by them a degree of considera- tion accorded to but few of the occupants of The Surgeon Gen- eral’s office. He was reappointed on October 30, 1922, and again on October 30, 1926, and October 30, 1930, and was re- tired on May 31, 1931, by reason of reaching the statutory age. One can do no better in listing the qualities of General Ire- land than to quote the words of the commanding general of the A.E.F. who saw in him the outstanding figure in the medical corps of that time: “He is abounding in vitality, mental and physical, quick and accurate in decision, and prompt in action once the decision is made. He understands men and knows how to work with them for the common end. He has a thorough knowl- edge of the organization of the army and the medical depart- ment’s place in it. He is far-sighted in making plans, and un- usually able in administration. He is loyal always, but cour- ageous in promoting sound views and avoiding error. He has an attractive personality and a diplomatic turn of mind, through which he has been able, among other things, to promote, in the War Department and in Congress, the goal of his ambition, which is to make his department more useful not only to the army but THE ARMY MEDICAL BULLETIN 99 to the profession in general.” To the writer, an outstanding trait of General Ireland is his instant grasp of any proposi- tion brought to his attention, his recognition of its merits and its defects and the promptness with which he can weigh these, one against the other, and arrive at a decision convincing to the author of the scheme. He has the gift of a highly retentive memory of personnel, not only of names and faces but of inci- dents connected with previous meetings. This happy faculty has been not only an aid in the success of his administration but has had much to do with his great personal popularity. General Ireland has been the recipient of a flood of hon- ors, from his own and from foreign governments, from learned societies, and from institutions of learning. He was given the American Distinguished Service Medal, and was made a Com- mander of the Legion of Honor of France, a Companion of the Order of the Bath of Great Britain, and a Grand Officer of the Order of Polonia Restituta. He is a fellow and one time presi- dent of the American College of Surgeons, fellow of the Ameri- can College of Physicians, and of the Royal College of Surgeons of Edinburgh. He has been president of the National Board of Medical Examiners and a member of the Council of Medical Education and Hospitals of the American Medical Association. He has been a director of Garfield Hospital, of Columbia Hos- pital, and of the United States Soldiers’ Home, all in Washing- ton. A long-time member of the Association of Military Sur- geons, he was its president in 1925-27. General Ireland’s contributions to periodic literature have been largely in the form of addresses which it fell to his duty to make upon all sorts of occasions. The great literary event of his administration was the production of the History of the Medical Department of the U. S. Army in the World War, begun with Colonel Charles Lynch as editor and finished under the editorship of Colonel Frank W. Weed. Since retirement General Ireland has lived in Washington, continuing active participation in the civic affairs of the com- munity. He has also kept up much of his former activities in the administration of local hospitals and in the affairs of va- rious medical societies. He has received offers of places of hon- or and profit but has preferred to remain in position to come 100 THE ARMY MEDICAL BULLETIN and go and do as he wishes. Much of the time of General and Mrs. Ireland is taken up by more or less prolonged trips away from Washington, to Florida in the winter and to Colorado in the summer, where at Pueblo lives their only son, Dr. Paul Mills Ireland, born in 1895, and a graduate of the University of Michigan in the class of 1920. L Who's Who in American Medicine (1925). P. M. Ashburn History of the Medical Department of the U.8. Army (1929). Mil. Surgeon Dec. 1926 and June 1931. Clin. Med. April 1925. J. A. M. A. Oct. 13, 1918. Mod. Med. Nov. 1919. N. York Med. J. Oct. 5, 1918. South. M. J. Nov. 1918. Med. Press, London Jan. 1919.] ROBERT URIE PATTERSON THE ARMY MEDICAL BULLETIN 101 XXIII. ROBERT URIE PATTERSON, The Surgeon General, June 1, 1931 - May 31, 1935, was born on June 16, 1877, at Montreal, Canada, the second of seven sons of an American family residing in Canada. His father, William James Ballantyne Patterson, was the son of Scotch parents, William Jeffrey and Janet Gal- braith Urie Patterson, who came to this country from Glasgow, near the middle of the last century. His mother was Eleanor Haight Lay, daughter of Robert Lay, direct descendant of the first Robert Lay who landed at Saybrook, Connecticut, with Lords Say and Seale, about 1635. Young Robert attended Ber- thier Grammar School and Bishop’s College School in Quebec, Canada, and later when the family moved to San Antonio, Texas, attended San Antonio Academy. Returning to Montreal he en- tered the Montreal Collegiate Institute and later McGill Uni- versity where he was graduated in 1898 with the degrees of M. D. and C. M. After a year of internship (1898-1899) in the Montreal General Hospital and another year (1899-1900) as resident ac- coucheur at the Montreal Maternity Hospital he went to Belt, Montana, for private practice. The next year, however, he took the examination for the army medical service and was com- missioned an assistant surgeon with the rank of first lieutenant on June 29, 1901, from the state of Maryland. His first station was Fort McHenry in Baltimore, where he remained until the opening of the Army Medical School in Washington in November. He completed the course the following April as an honor grad- uate and was immediately ordered to duty in the Philippine Is- lands. Arriving in Manila on May 12, 1902, he was sent to duty in Laguna province, serving several sub-stations from his post at Binan. This service was in the midst of an epidemic of cholera which was especially severe around the Laguna de Bay. After some months of this duty he was transferred to the Con- valescent Hospital on Corregidor Island where he served for three months. In December he was transferred to the Depart- ment of Mindanao, reporting at Zamboanga from whence he was 102 THE ARMY MEDICAL BULLETIN ordered to duty at Camp Vicars on Lake Lanao. Arriving at Camp Vicars on January 8, 1903, he saw a year of duty marked by desperate fighting with insurgent Moros in the center of Mindanao and on the island of Jolo. In these en- gagements he displayed not only professional skill under trying circumstances, but showed conspicuous gallantry under fire. Many years later he received from the War Department two Silver Star citations for gallantry in action in caring for the wounded throughout the hand to hand fighting incident to the attack on Fort Bacolod, Mindanao, April 8, 1903, and for gal- lantry in the action against hostile Moros at Fort Pitacus on Lake Lanao, May 4, 1903. The year of 1904 was spent largely at the post of Zamboan- ga on sanitary service with the municipality and in the post hospital. In December 1904 he was transferred, sick, to the First Reserve Hospital in Manila, from whence he went to duty in charge of the Quartermaster Dispensary, with additional duty as sanitary inspector at the Division headquarters. Returning to the United States in June 1905 he was assigned to the Presidio of San Francisco and placed on duty with Company “B” Hos- pital Corps under Captain Albert E. Truby, with additional duty as sanitary inspector. With the company he took an active part in the work incident to the earthquake and fire of April 18, 1906. When, in 1906, the Cuban Pacification was under- taken he went with Company “B” Hospital Corps from the Presidio of San Francisco to Newport News and embarked in October of that year for Havana where they took station at Camp Columbia. The company was here reorganized and named Field Hospital No. 10. He returned to the United States in April 1909 and was assigned to command of Company “C” Hos- pital Corps then at Walter Reed Hospital in Washington but soon transferred to Fort Niagara, New York, In April 1910 he went to Fort Banks, Mass., where he served until June 1913. This duty was interrupted by a term of service with the Ma- neuver Division assembled at Fort Sam Houston from March to July 1911, where he served first as commanding officer of a field hospital and then became director of ambulance companies of the Maneuver Division. In 1912 he took a course in medical field service at Fort Leavenworth. From Fort Banks he was THE ARMY MEDICAL BULLETIN 103 ordered to Washington in June 1913 for duty with the head- quarters of the American Red Cross in charge of its first-aid department. In 1916 he was director of the Bureau of Medi- cal Service, American Red Cross. In connection with his Red Cross duties he went to England, France, and Holland, sailing from New York on the Red Cross ship, September 13, 1914, in charge of American Red Cross sur- geons and nurses on their way to duty with the different belliger- ent powers in the care of their sick and wounded, and returning on October 24. He was still on duty with the Red Cross when the United States entered the World War. On May 11, 1917, he sailed again for England, this time in command of U. S. Army Base Hospital No. 5 (the Harvard Unit), and on May 30 arrived with it in France. While located at Dannes-Camiers with the British forces the hospital was bombed by a German plane on September 4, 1917, the first unit of the United States army to suffer casualties after the country entered the World War. Lieutenant Fitzsimons and Privates Tugo, Rubino, and Woods were killed, while three officers and five privates were seriously wounded. In February 1918 Colonel Patterson was appointed a member of the American Military Mission to Italy. He served as a general medical inspector in May and June 1918 and was on duty with the Second Division in June 1918 during the active operations leading up to Chateau Thierry, and with the “Paris Group” until July 2, 1918. In the following month he returned to the United States for duty in the office of The Surgeon General. For his service in the war he received a citation and the War Medal from the British War Office. The Italian government gave him the Fatiche di Guerra, the Medaglia del’ Unita, and made him an Officer of the Crown of Italy. He was also made an Officer of the Czechoslovak Order of the White Lion and re- ceived the Serbian Red Cross decoration. From his own gov- ernment he received the Distinguished Service Medal. Through the years he had been advancing in the military scale. From a captaincy, reached on June 29, 1906, he was promoted to major on January 1, 1910, to lieutenant colonel on May 15,1917, and to the temporary grade of colonel on December 17, 1917, which he held until June 30, 1920. Late in 1918 Col- 104 THE ARMY MEDICAL BULLETIN onel Patterson was assigned as instructor in the Army War Col- lege and later was transferred to the War Department General Staff in the Operations and War Plans divisions respectively. He graduated from the War College in June 1921 and returned to The Surgeon General’s office in the training division. He was placed upon the General Staff eligible list. In August 1921 he was detailed as Medical Director, U. S. Veterans’ Bureau, which post he filled until February 1923 when he was placed in charge of the medical section of the Washington General Intermediate Depot. After a few months of this duty he was brought again into the office of The Surgeon General as executive officer, where he served for two years. He was then assigned to the command of the Army and Navy General Hospital at Hot Springs, Arkansas. He spent five busy years (1925-1930) at this station, reaching the grade of colonel on June 29, 1927. In August 1930 he went to the Hawaiian Department as department surgeon at Honolulu. As the months of General Ireland’s term of office were draw- ing to a close in 1931 there was the usual number of active can- didates for the expected vacancy. Rumors and speculation were rife and were only partially stilled when orders were issued for Colonl Patterson to return to the United States. His return was followed by his appointment as The Surgeon General with the grade of major general from June 1, 1931. General Patterson came to the office at a very inauspicious time. It was a period of deep economic depression throughout the country and a time of economy and retrenchment in govern- ment business. Suspension of the Army School of Nursing was approved by the Secretary of War August 12, 1931, for reasons of economy, and the school was discontinued as of January 31, 1933. Indications were that effort was necessary to save past accomplishments from being undone rather than to undertake new ones. However, despite these handicaps, there were material achievements to be recorded for the years of his term. At the Army Medical Center the center and north wing of the school building were constructed, new buildings obtained for the utili- ties of the post and two wings added to Delano Hall, the nurses’ home. The entire rebuilding of the Army and Navy General Hospital at Hot Springs, Arkansas, was completed in October 1933. Among other new hospital construction, fine new build- THE ARMY MEDICAL BULLETIN 105 ings were built at Fort Jay, New York, and Fort Bragg, North Carolina. The inauguration of the Civilian Conservation Corps in 1933 placed a new load of responsibility upon the medical service and brought a greatly increased burden upon general and post hospitals. This was not without its advantages as it provided for increases in hospital personnel and made funds available for the thorough equipment of station hospitals. There was begun at this time a plan to make the equipment of the sta- tion hospitals as modern as that of the general hospitals and very material progress was made, upon this plan. In 1934 the third tropical disease board which had been established in Manila in the spring of 1922, was removed to Ancon in the Panama Canal Zone, where, by July it was established in the Board of Health Laboratory, Gorgas Hospital. Throughout his term of office General Patterson maintained close touch with the officer personnel and increased an already great popularity. Of fine figure and handsome face, of jovial manner and good address, with a gift of ready language, he was called upon for much public speaking during his term as The Surgeon General. Upon completion of his four years of office General Patter- son was relieved as Surgeon General May 31, 1935. Though six years short of the mandatory retirement age he chose to retire, and in doing so accepted the post of dean of the University of Oklahoma Medical School and that of superintendent of its two teaching hospitals at Oklahoma City. Closely following the ter- mination of his duty as The Surgeon General he was sent to Brus- sels, Belgium, as a representative of the United States at the Eighth International Congress of Military Medicine and Pharm- acy. His retirement with the rank of major general was effec- tive November 30, 1935. General Patterson is a fellow of the American College of Surgeons and of the American College of Physicians, a member of the American Medical Association, of the Association of Mili- tary Surgeons of the United States, of the Military Order of the World War, and of the Military Order of the Carabao. McGill University in 1932 awarded him the honorary degree of LL.D. Of his six brothers, the eldest entered the army in 1901, became one of its first aviators and was retired as a colonel of 106 THE ARMY MEDICAL BULLETIN The Adjutant General’s Department. Three other brothers were emergency officers during the World War, one each in the in- fantry, artillery, and air corps. Physical disabilities precluded the two remaining brothers from war service. General Patterson was married on March 28, 1905, at Zam- boanga, P. I., to Eda Beryl Lorraine Day of Dayton, Washing- ton, who died in April 1918. On August 14, 1920, he married Eleanor Reeve of Brandywine, Maryland. There are four child- ren of the two marriages. General and Mrs. Patterson have been residents of Oklahoma City since his retirement from the service in 1935. [Who's Who in the Nation's Capital, 1923-1924 (1923). Who's Who in American Medicine (1925). Army Medical Bulletin No. 34, January 1936. Clin. M. and S. Oct. 1931. Annual Reports of The Surgeon General, U. S. Army, 1931-1934.] CHARLES RANSOM REYNOLDS THE ARMY MEDICAL BULLETIN 107 XXIV. CHARLES RANSOM REYNOLDS, The Surgeon General, June 1, 1935 - May 31, 1939, was born in Elmira, New York, on July 28, 1877, the son of George Gardiner and Lucy (Pratt) Rey- nolds, both descended from English families who had come to the Chemung valley from Connecticut. After completing the public school courses in Elmira, Charles attended the medical depart- ment of the University of Michigan for two years (1895-1897), then transferred to the medical department of the University of Pennsylvania where he received his degree of M. D. in 1899. Fol- lowing an internship at Mercy Hospital at Pittsburgh and at the Philadelphia General Hospital (Blockley), he joined the medical department of the army on September 1, 1900, as a contract sur- geon. An elder brother, Frederick Pratt Reynolds, had entered the medical department in 1892 and at this time was a senior captain in the corps. Later a third brother, Royal Reynolds, continued the family tradition so that for many years the three Reynolds brothers were known as medical officers of note. Sent immediately to the Philippine Islands, Charles first served in the Second Reserve Hospital in Manila and later at Ormoc on Leyte island until June 1, 1901. In the meantime he had qualified for appointment as a first lieutenant and was com- missioned in that grade on February 11, 1901. While in Leyte he participated in two engagements with the insurgent natives. From Ormoc he was transferred to the military hospital at Cebu on the island of the same name, where he served until September 1902. Ordered to Manila, he served as transport surgeon on the transport Thomas during its homeward sailing on November 6, 1902, and continued on this duty until January 1903. His next station was Fort Washington, Maryland, where he served until July 1904. This service was broken by temporary duty at the Army General Hospital at Washington Barracks (forerunner of the Walter Reed General Hospital) from September to November 1903, and by a trip to West Point, Kentucky (later known as Fort Knox), and Fort Riley, Kansas, with Hospital Company No. 1 from Washington Barracks. The maneuvers at West Point, Ken- tucky, were the first in which the Regular Army and the Na- 108 THE ARMY MEDICAL BULLETIN tional Guard jointly took part. Transferred to Washington Bar- racks for duty in July 1904, Lieutenant Reynolds’ service was largely with the hospital company which he took to camps at Gettysburg, Pennsylvania, and Manassas, Virginia, during the ensuing summer. Ordered again to the Philippine Department, he arrived in Manila in December 1905 and was assigned to duty at Jolo. The following six months were busy and dangerous ones, taken up with almost constant field duty in which Reynolds, a captain since February 11, 1906, took an active part. For gallantry in action against the Moros at Mt. Dajo during this campaign, when he cared for the wounded despite enemy fire and hand to hand attack, he was later awarded a Silver Star citation. In August 1906 he was transferred to Cuartel de Espana in Manila and in March 1907 to Fort Wm. McKinley in the outskirts of the city. In January 1908, his second Philippine tour completed, he sailed for the United States by way of Europe, reaching New York in June after having spent some time studying at the Krankenhaus in Vienna. He was again assigned to the Army General Hospital at Washington Barracks and put in charge of Company “C” Hos- pital Corps, which he took to Chickamauga Park, Georgia; Fort Riley, Kansas; and St. Joseph, Missouri, during the summer of 1908. With the opening of the Walter Reed General Hospital in April 1909, Captain Reynolds became its first adjutant and served therein until August 1909, when he returned to his station at Washington Barracks, where a post hospital was in operation, and where he served until August 1913. He was instructor in medical department administration and field service at the Army Medical School from October 1908 until August 1913. In the meantime he had been promoted to the grade of major on March 13, 1909. While stationed at Washington Barracks he was married on December 26,1910, to Jane Boyd Hurd of Watkins Glen, New York. In October 1913 Major Reynolds was transferred to Fort Sam Houston, Texas, at which place the hospital was functioning to capacity on account of the concentration of troops on the Mexican border. At Fort Sam Houston he commanded the base hospital and conducted the surgical service until June 1915, when again he was ordered to foreign service, this time to the Department of THE ARMY MEDICAL BULLETIN 109 Hawaii, where he was assigned as chief of the surgical service at the Department Hospital at Honolulu. This duty was interrupted when the United States entered the World War, April 6, 1917. Major Reynolds was ordered home and assigned as instructor at the medical officers’ training camp at Fort Riley, Kansas. He was promoted to the grade of lieutenant colonel on May 15, 1917, and in August was transferred to Camp Upton, Yaphank, New York, as division surgeon of the 77th Division, National Army, commanded by Major General J. Franklin Bell. He was promot- ed to the grade of colonel in the National Army in June 1918 with rank from November 29, 1917, In April 1918 he arrived with the Division headquarters at Calais, France, by way of Liverpool and the English Channel. He participated with the Division in a period of training with the British army at Picardy and Artois, and in June accompanied it to the Baccarat sector in Lorraine where in June it replaced the 42d American Division and began the occupation of a sector of the first line. In August, Colonel Reynolds moved with the Division to the Champagne front where it took over its part of the Vesle sector and where later it participated in the Oise-Aisne operation. On August 14 Colonel Reynolds became surgeon of the VI Corps to which he had been previously assigned, and on September 29 he was transferred to the headquarters at Toul, as chief surgeon of the newly formed Second Army under the command of Lieutenant General Robert L. Bullard, As division, corps, and army sur- geon, Colonel Reynolds served with troops sustaining heavy cas- ualties, under conditions which made extremely difficult adequate front line treatment and evacuation. The manner in which he met these difficulties won for him not only the appreciation of his immediate commanders but ad- vancement in position and responsibilities and finally the award of the Distinguished Service Medal with the following citation: “For exceptionally meritorious and distinguished services as divi- sion surgeon of the 77th Division, as chief surgeon, VI Army Corps, and later as chief surgeon, Second Army, he displayed qualities of leader- ship, high professional attainments and rare judgment in energetically 110 THE ARMY MEDICAL BULLETIN directing the work of the sanitary units under his control. By his foresight in providing front line hospitalization and evacuation facilities for the sick and wounded in the field, he rendered services of signal merit to the A. E. F.” The Second Army was employed in the Meuse-Argonne opera- tions and the armistice on November 11, 1918, intervened to obvi- ate further fighting, but the Army functioned as a unit for admin- istration and training until April 1919, when it was disbanded. From Toul, Colonel Reynolds went to Tours and then to Bordeaux as surgeon of that base area, where he supervised the medical examination of returning troops and the closing of the numerous hospitals in that vicinity. He returned to the United States in July 1919 and was assigned to duty in the office of Surgeon Gen- eral Ireland, as head of the personnel division and later as execu- tive officer. During four years of duty in the office he was one of those closest in the confidence and esteem of The Surgeon Gen- eral. When in 1923 it became necessary to give him a change of station he was sent to the command of the Medical Field Service School at Carlisle Barracks, Pennsylvania. On February 28, 1927, he was promoted to the grade of colonel. Eight years as commandant at Carlisle Barracks, during which period this im- portant school developed into one of the most important agencies for the instruction of medical officers that our army has ever had, brought the year 1931 and the end of General Ireland’s term as The Surgeon General, when Colonel Reynolds was transferred to Governors Island, New York, as surgeon of the Second Corps Aera. In this choice post he continued his efficient administra- tion, with extra work in connection with the Civilian Conservation Corps, until again the post of Surgeon General was to be filled, and this time, in May 1935, the appointment by President Frank- lin D. Roosevelt went to Colonel Reynolds without apparent com- petition. The oath of office, making him Surgeon General with the grade of major general, was taken at Governors Island on June 1, 1935, and on June 3 General Reynolds greeted the person- nel in the office where he had served as personnel and executive officer. General Reynolds’ career as the twenty-fourth holder of this important office was entirely in keeping with his other ser- vice, for he was one of the most successful chiefs the medical de- partment had ever known. During his administration the follow- ing may be noted as of prime importance: THE ARMY MEDICAL BULLETIN 111 Changes in the organization of The Surgeon General’s Office were effected in 1935 to counteract over-centralization and to pro- vide for independent dental, veterinary, nursing, statistical, and Army Medical Library divisions. In 1936 reclassification sur- veys of civilian personnel were made in the Army Medical Museum and Library, and in 1938 these surveys were extended to cover the entire Surgeon General’s Office. The medical department of the army was increased by 200 medical and 100 dental officers. One additional brigadied gen- eral, medical, and one brigadier general, dental, were also added. Under the act of April 3, 1939 (53 Stat. 559), the authorized strength of the medical corps was increased to 1,424, and of the dental corps to 316, the increases to be attained by equal annual increments over a ten year period. The army nurse corps was increased from 600 to 700, and the medical administrative corps was reorganized by the act of June 24, 1936 (49 Stat. 1902), which provided for the addition of 16 pharmacists to the corps and the abandonment of the plan of commissioning enlisted men after a minimum service of two years. The enlisted force was increased from some 6,500 to more than 8,600, with correspond- ing increases in grades and ratings of noncommissioned officers and privates. In the field of training changes of importance occurred. The graduate or basic course at the Army Medical School was reestab- lished in 1935 so as to provide this valuable training in the auxili- ary subjects of medicine of special value in the military service. The advanced course consists almost entirely of preventive med- icine and health administration. Acts of Congress prior to 1935 abolished the medical, dental, and veterinary reserve officers’ training corps units. In 1936 the medical reserve officers’ train- ing corps units were reestablished, a matter of satisfaction to the service. The advanced course at the Medical Field Service School was increased from two to three months so as to give special train- ing to officers about to be assigned as instructors with the Na- tional Guard, the organized reserves, and the reserve officers’ training corps. The increased enlisted force allotted to the med- ical department are to receive training in provisional medical regi- ments attached to the general hospitals in the United States by a rotation of service in the hospital. With these training units it 112 THE ARMY MEDICAL BULLETIN will be possible to extend opportunity for field training to a much larger group than the small increase would indicate. The plan providing for the training of medical officers in the specialties at the general hospitals of the army and civilian institutions was con- siderably augmented. The medical department reserves rose from 20,685 in 1935 to 23,365 in the spring of 1939. In addition to the prescribed active duty training, medico-military courses on inactive duty status were held at the Mayo Clinic and in institutions in many of the larger cities. A policy of promoting desirable public con- tacts was adopted in April 1936, with the approval of the Secre- tary of War, and since that time many planned programs of de- monstration of the work of the army medical department before professional and scientific groups have stimulated a much wider public interest and appreciation and a closer individual and insti- tutional cooperation with the medical department. With the prospective increments for the medical corps, med- ical internships, which were discontinued during the year 1937-8, were reestablished. Dental internships were established at army general hospitals early in 1939 for the first time in the history of the medical department, and plans developed for the conduct of their training program. The program of modernizing the equipment in general and station hospitals, begun in 1933, was completed, enabling the medical service of the army to keep in step with the advances in medical science and practice. Substantial advances were also made in the procurement and distribution of modern equipment for the medical field service. Congressional appropriations for the medical and hospital department of the army were increased successively during the four years of his administration. The station hospital at Fort Sam Houston, Texas, was rebuilt, turned over to the medical department in November 1937, and occupied in February 1938. Rebuilding of the Fitzsimons General Hos- pital at Denver, Colorado, at an approximate cost of $4,000,000, was begun, and extensive construction of hospitals and barracks for medical enlisted men was effected at Fort Benjamin Har- rison, Jefferson Barracks, Plattsburg Barracks, Forts Douglas, Knox, McPherson, Monroe, Sill, Snelling, Warren, and many other posts. Additional nurses’ quarters were provided at sev- THE ARMY MEDICAL BULLETIN 113 eral posts. From funds appropriated by Congress for the re- lief of unemployment, nearly one million dollars were obtained for medical department construction in 1938. At Carlisle Bar- racks, Pennsylvania, barracks and quarters were constructed, and a bill was introduced in Congress in May 1939, and favor- ably reported by both houses, for the construction of a new school building at that station at a cost of $375,000. General Reynolds’ appearance before the Military Affairs Committee of the House in behalf of this bill was one of his last official acts. It is a favorable sign to note that in 1938 there were 32 army hospitals which met the approved minimum hospital standards of the American College of Surgeons, an increase of 27 over the number approved by that body in 1935. The biological laboratories at the Army Medical Center were completely reorganized and refurnished in 1935 and are gener- ally considered the most complete and best appointed biological laboratories in the United States. In October 1936 the strain and standardization of typhoid vaccine were changed and a new strain, known as Strain No. 58, with better antigenic and im- munizing properties than the Rawlings Strain, which had been used for many years in the manufacture of typhoid vaccine at the Army Medical School, was produced by that School and its use after March 1, 1937, directed. The evaluation of prophy- lactic immunization in pneumonia, which had been carried on since 1933, was extended in 1937-38 to include a pneumonia pro- phylaxis in all Civilian Conservation Corps camps throughout the country, the Army Medical School producing an immunizing substance isolated from pneumococci, using the Felton method. The large scale experimental test thus undertaken will in all probability further indicate the value of this vaccine in the pro- tection of the individual against types I and II of pneumonia. In 1939, the Army Veterinary School completed the manufacture and distribution of sufficient encephalomyelitis vaccine for the immunization of all horses and mules of the Regular Army, the National Guard, and the reserve officers’ training corps units. With the establishment in 1938 of five central dental lab- oratories and the designation of several sub-central laboratories at centrally located points, a means became available to all army stations for the fabrication of practically any type of prosthetic 114 THE ARMY MEDICAL BULLETIN appliance desired, creating for the army a service long available to the civilian dentist and his patients. The number of medical officers on duty with the Air Corps was increased to 93. By the act of April 26, 1939 (53 Stat. 596), the number of these medical officers entitled to flying pay was in- creased from 5 to 36. At the physiological aero medical labora- tory established at Wright Field, Dayton, Ohio, substantial stud- ies were made in cooperation with the Air Corps Materiel Divi- sion in the problems of flying at great speed and at high altitudes. On November 16, 1936, under General Reynolds’ direction, the Army Medical Library celebrated its one hundreth birthday, when Sir Humphry Rolleston, Regius Professor of Medicine at Cambridge University, came to the United States to deliver the oration. Most of the more important learned institutions of this and other lands were represented. On June 15, 1938 (52 Stat. 684), the Congress authorized the construction of a new building for the Army Medical Library and Museum at a cost not to exceed $3,750,000. Four additional registries of pa- thology, collections of great value in medical research and educa- tion, were added to the four already established in the Army Medical Museum. In May 1939 the George S. Huntington an- atomic collection was delivered to the Army Medical Museum, a gift from the Columbia University Medical School, New York City. This is the most comprehensive and probably the most valuable collection of comparative and human anatomic speci- mens in the world, illustrating practically every structure of the body, and of great value in medical research and education. During the 75th anniversary of the battle of Gettysburg, held June 29 to July 6, 1936, sanitary and medical arrangements of the medical department kept the mortality at Gettysburg down to two, an amazing low record considering the ages of the ap- proximately 200,000 participants which ranged from 20 to 108, with an average age of 94 for the 1,900 Civil War veterans in attendance. This accomplishment of the Medical Department won many favorable comments, including a splendid letter from the Chief of Staff. A constant improvement in the medical service of the Civi- lian Conservation Corps included the evolvement of a plan for the more thorough treatment of syphilis contracted by the en- THE ARMY MEDICAL BULLETIN 115 rollees. A complete serological survey of all enlisted men of the army was approved in principle by the War Department, May 16, 1939, and plans were made to place more definitely than formerly the responsibility for the prevention of venereal dis- eases upon the station commander, who would also be vested with more discretionary authority in prescribing punishment. On the last day of May 1939 official approval was given by the War Department to a revision of the clinical records used in military hospitals, the revised forms to be in accord with those in use in the better civilian hospitals and those approved by the American College of Surgeons. During the last few months of his administration, General Reynolds recommended the reestab- lishment of professional military units to be sponsored by civil hospitals and medical schools. From a survey of General Reynolds’ career it will be seen what a large proportion of his service had to do with medical department training and what an influence he was in that line of activity. His early service involved duty with a Hospital Corps company of instruction, with the frequent incident camp demonstrations. For five years he taught medical department administration and field service at the Army Medical School. The early months of the World War found him instructing civil- ian doctors in medico-military matters in a training camp. Eight years in command at Carlisle Barracks, devoted to the training of medical department officers and noncommissioned officers, not only of the regular establishment but also of the National Guard and the other civilian components of the army, climaxed a teaching career probably unequaled in the service. The corps area assignment at Governors Island was but a continuation of this career of instruction. In this detail the maintenance of interest of the officers of the civilian components is a prime es- sential to success, a duty involving a never-ending round of talks, formal or informal. For this work he was particularly gifted, always with definite ideas to which he lent freshness and an unusual command of language, making a highly effective public speaker. General Reynolds is a member of the American Medical As- sociation and the Association of Military Surgeons of the United States. On October 17, 1938, the American College of Surgeons 116 THE ARMY MEDICAL BULLETIN made him an Honorary Fellow. He is a Fellow of the American College of Physicians, and an Honorary Member of the Academy of Medicine of Washington, of the Association of Military Sur- geons of Mexico, and the Society of German Army Medical Of- ficers. Other distinctions include Honorary Fellowship in the International College of Dentists, the International College of Surgeons, and so forth. His alma mater made him a member of Alpha Omega Alpha, the honorary scholarship society in medical education, one founded after General Reynolds’ grad- uation. On June 8, 1936, Dickinson College, Carlisle, Penn- sylvania, made him a Doctor of Science, with the following cita- tion : “In a life entirely devoted to your Country since your graduation in medicine from the University of Pennsylvania you have consistently risen to higher positions of responsibility and larger spheres of in- fluence. A good soldier always, your efficient service as a physician, surgeon, teacher and administrator has been recognized by a discerning Government in your appointment as Surgeon General.” In addition to the honors given him by his own government which have been already noted, General Reynolds was made an Officer of the Legion of Honor of France, and a Commander of the French Order of Public Health. He is the author of a num- ber of articles on military medicine which have appeared in the periodical literature. In May 1939 he was elected president of the Association of Military Surgeons of the United States. General Reynolds’ active career in the army was closed by by one of his most important assignments and greatest honors. By the appointment of the President of the United States, he was President of the Tenth International Congress of Military Medicine and Pharmacy, which met in Washington and New York, May 7 to 19, 1939. Under his chairmanship the tenth con- gress was organized in Washington and thirty-five nations sent delegates, including some of their most important and senior medical officers. General Reynolds is a member for life of the International Committee of these Congresses, and will remain its president until the Congress of 1941. THE ARMY MEDICAL BULLETIN 117 General Reynolds reverted to the rank of colonel on June 1, 1939, upon the completion of his term as Surgeon General. Up- on his own application he retired on September 30, 1939, with the rank of major general. General and Mrs. Reynolds have two children, Charles R. Reynolds, Jr., now a practicing attorney in Washington, and a daughter, Hebe Louise, wife of Captain Conn L. Milburn, Jr., M. C., U. S. Army. The Reynolds family maintain a summer home in the Adirondacks at Keene Valley, New York. [ Who’s Who in American Medicine, 1925. Army Medical Bulletin No. 32, July 1935; No. 49, July 1939. Clin. M. and 8. 1935. Week. Roster, Phila., 1935, J. A. M. A., Chi., 1935.] 118 THE ARMY MEDICAL BULLETIN XXV. JAMES CARRE MAGEE, The Surgeon General, June 1, 1939, . The United States Senate, on April 27, 1939, received from the President the nomination of Colonel James Carre Magee, M. C. Executive Officer at the Walter Reed General Hospital, “to be The Surgeon General, with the rank of major general, for a period of four years from date of acceptance, with rank from June 1, 1939, vice Major General Charles R. Reynolds, The Sur- geon General, whose term of office expires May 31, 1939.” On May 17, 1939, the nomination was confirmed by that body. The fourth son of Edward Carre and Elizabeth Armstrong Magee, of Philadelphia, General Magee was born on January 23, 1883. He received his M. D. from the Jefferson Medical Col- lege in 1905, and entered the army medical service as a contract surgeon September 9, 1907. From September 1907 to July 1908 he served as an army contract surgeon and was then appointed first lieutenant in the medical reserve corps with which he served on active duty until May 27, 1909, when he was commissioned a first lieutenant in the medical corps of the Regular Army. General Magee was promoted to captain in June 1912; to major in May 1917; to lieutenant colonel (temporary) in Jan- uary 1918; and to colonel (temporary) in May 1919. He re- verted to his Regular Army rank of major in January 1920; was promoted to lieutenant colonel in May 1929; and to colonel in May 1935. General Magee’s early service included assignments at Fort Michie, New York (July 1908 - October 1908), in Washington, D. C., as a student officer at the Army Medical School (October 1908 - May 1909), at the Presidio of San Francisco, California (June 1909 - February 1910), and on the islands of Mindanao and Jolo in the Philippines (March 1910 - March 1913). From April 1913 to December 1915 he was stationed at Fort Leaven- worth, Kansas, and from January 1916 until April 1917 at El Paso, Texas. JAMES CARRE MAGEE THE ARMY MEDICAL BULLETIN 119 General Magee sailed for France in May 1917, serving over- seas for two years. While in France he served on varied med- ical assignments until August 1918 when he was detailed as assistant to the chief surgeon of the American First Army, in which capacity he participated in the St. Mihiel and Meuse- Argonne offensives. He was awarded the Purple Heart for meritorious services in those two actions. Returning to the United States in May 1919, General Magee was stationed at Camp Dix (now Fort Dix), New Jersey, until December 1919, when he was ordered to San Antonio, Texas, as instructor of the National Guard medical department troops of the Eighth Corps Area, He remained on that duty until the summer of 1922, when he was ordered to Washington, D.C., for a postgraduate course at the Army Medical School. Upon com- pletion of that course he was ordered to Fort Sam Houston, Texas, in January 1923, where he served for eight months as division surgeon of the second division and commanding officer of the second medical regiment. In September 1923 he was transferred to Atlanta, Georgia, where he served until June 1925 as corps area medical inspector of the Fourth Corps Area. For two years, beginning in August 1925, General Magee was commanding officer of the station hospital at Fort McPher- son, Georgia. In September 1927 he assumed the duties of post surgeon, Fort Myer, Virginia, serving in that capacity until August 1931, in the meantime taking the advanced course at the Medical Field Service School, Carlisle Barracks, Pennsyl- vania, which he attended as a student officer from October to December 1928. For over four years, beginning in September 1931, General Magee was on duty in Philadelphia, Pennsylvania, as an in- structor of all medical detachments of the Pennsylvania National Guard. In December 1935 he assumed the duties of executive officer at the Walter Reed General Hospital, Washington, D. C., in which capacity he was serving at the time of his recent ap- pointment. General Magee graduated from the Army Medical School in 1909, from the advanced course in preventive medicine at the Army Medical School in 1922, from the Medical Field Service School’s advanced course in 1928, and from the advanced grad- 120 THE ARMY MEDICAL BULLETIN uate course in preventive medicine at the Army Medical School in 1939. In 1908 he married Miss Irene MacKay of Pennsylvania. They have two sons, Mervyn MacKay Magee, now a first lieu- tenant, Field Artillery, and James C. Magee, Jr., a second lieu- tenant, U. S. Marine Corps. He is a Fellow of the American Medical Association, an Honorary Fellow of the American College of Surgeons, a member of the Association of Military Surgeons of the United States, and a member of the Military Order of the Carabao. Less than a year has elapsed since General Magee’s appoint- ment to The Surgeon Generalcy and no attempt is here made to record his official acts in that capacity. However, from his unusually varied experience in the field, in large army hospitals, and in service schools, General Magee has gained a wide know- ledge of medico-military affairs and his appointment as chief of the army medical department provides, and will undoubtedly prove, a unique opportunity for further service by this dis- tinguished member of the medical corps. (Army Medical Bulletin No. 49, July 1939). THE ARMY MEDICAL BULLETIN 121 INDEX A. E. F., assistant surgeon general, 96 ; chief surgeon, 96. Academy of Medicine of Rio Janeiro, Sternberg, 74. Academy of Medicine of Washington, Reynolds, 116. Academy, St. Johnsbury, Vt., attend- ed by Baxter, 62. Academy, South Woodstock, Vt,, attended by Baxter, 62. Administration, simplification of paper work recommended by Dodge Commission, 82. Aedes Aegypti carrier of yellow fever, 90; elimination of breeding places, 90. Air Corps, medical officers on duty with, 114. Alexandria, Va., burial place of Craik, 21; early hospitals, 55. Alison, Francis, Dr., conducted gram- mar school at New London, Pa., 14. Allentown, Pa., hospitals, 12. Alpha Omega Alpha, Reynolds, 116. Ambulance companies, demonstra- tions, See, Maneuvers. American Academy of Medicine, Forwood, 77; Sternberg, 74. American College of Physicians, Ireland, 99 ; Patterson, 105 ; Reynolds, 116. American College of Surgeons, clinical record forms approved by, 115; hospital standards met by army, 113 ; Ireland, 99 ; Magee, 120 ; Patterson, 105 ; Reynolds, 115 ; Torney, 86. American Medical Association, Forwood, 77 ; Gorgas, 93 ; Ireland, 99 ; Magee, 120 ; meeting 1850 Army Medical Corps represented, 36; meeting 1863 attended by Baxter, 65; Patterson, 105; prize 1857 to Hammond, 42 ; report 1905 on sani- tation work in Panama, 91; Reynolds, 115; Sternberg, 74; Torney, 86. American military mission to Italy, Patterson, 103. American National Red Cross, Patterson, 103; Torney, 87. American Philosophical Society, Morgan, 6; Shippen, Jr., 11; Tilton, 25. American Public Health Asso. and experiments in disinfection, 72 ; Sternberg, 72 ; 74. American textbook of surgery, 1903, by Keen, contributions by O’Reilly and Borden, 82. Amherst, Lord, headed force around Lake Champlain 1759 in which Cochran served, 14. Amputation, Tilton directed own, 25. An inquiry into the modus operandi of the yellow fever poison, 1875, by Sternberg, 71. Anderson, general, Murray’s service under, 55. Animal extracts, therapeutic use of, investigated by Hammond, 45. Annapolis, Aid., birthplace of Hammond, 42 ; Sutherland medical director of hospitals and parole camp, 67. Anemometer, Sternberg perfected, 71. Anthropometry discussed in Baxter’s report 1875, 64-65. 122 THE ARMY MEDICAL BULLETIN Antietam, battle of, Forwood, 75 ; Moore, 58. Antisepsis 1884, 56. Apache, Ariz., Fort, Ireland, 94. Apothecary General, discharge 1821, 30 ; duties 1813, 24 ; Lovell’s recommendation to make all purchases of medical supplies, 29. Appointment to Medical Corps, requisites for, 1832, 30; confirmed by Congress, 1834, 30. Appropriations increased, Reynolds, 112. Arlington cemetery, Baxter, 64; Gorgas, 93 ; Moore, 61; Sternberg, 73. Armstrong, John, general and Secretary of War, Tilton’s dedica- tion of treatise to, 24. Army and Navy General Hospital opened, 60 ; Patterson, 104 ; rebuilt, 104; Torney, 85. Army Dental School, new building,98. Army Medical Center, biological laboratories, 113; development, 97; new buildings, 104. Army Medical Library, building authorized 1938, 114 ; centenary, 114 ; development by Barnes, 50 ; genesis 1836 under Lovell, 32; supervision by Billings, 50. Army Medical Museum, building authorized 1938, 114; collections for, 49; Huntington collection, 114 ; organized 1862 by Hammond, 43 ; registries, 114 ; Woodward, curator, 49. Army Medical School, courses reestablished 1935, 111; establish- ed, 73 ; expanded, 86 ; Forwood professor of military surgery, 76, president of faculty, 77; Hammond recommended, 44; Magee, 118, 119, 120; new building, 98 ; Patterson, 101; pneumonia vaccine, 113 ; Reynolds instructor, 108; typhoid vaccine, 113. Army medical statistics, 1839, by- Samuel Ferry, assistant surgeon, 34; Vol. II, 1856, 35 ; Vol. Ill, 1860, 36, Army Nurse Corps, increased, 111. Army, organization of 1800, 20 ; of 1812, 27; of 1815, 25 ; 33 ; of 1821, 29-30 ; of 1847, 35 ; of 1866, 50 ; 53; 56; 68. Army School of Nursing, organized, 92 ; continued, 98 ; suspended, 104 ; discontinued, 104. Army Veterinary School, encephalomyelitis vaccine, 113; new building, 98. Array War College, Patterson graduated, 104, instructor, 103-104. Arthur, Chester, President, chose Murray as Surgeon General, 56 ; exploring expedition to northwest, Forwood surgeon, 76. Artois, France, Reynolds, 109. Association of Military Surgeons of Mexico, Reynolds, 116. Association of Military Surgeons of the U. S., Forwood, 77 ; Ireland president, 99 ; Magee,120 ; Patter- son, 105; Reynolds president, 115; 116; Torney president, 86; 87; Sternberg, 74. Atlanta, Ga., Magee corps area medical inspector, 119 ; General Sherman’s march upon, 59. Aztec Club, Crane, 54; Murray piesident, 57. BACCARAT sector, France, Reynolds, 109. Bacolod, Mindanao, Fort, Patterson, 102. Bacteriology in 1885, 56-57 ; Sternberg pioneer, 72; 73; 74; Baltimore Infirmary, Hammond, 43. THE ARMY MEDICAL BULLETIN 123 Baltimore, Md., Hammond organized Camden Street Hospital, 43 ; Murray practice, 55, death, 57 ; Torney birthplace, 84. Baltimore mob fired on defenders of Washington, 43. Banks, Mass., Fort, Patterson, 102. Barnes, Joseph, Judge, father of Joseph K. Barnes, 47. Barnes, Joseph K., birth, 47 ; educa- tion, 47 ; practice, 47 ; army service, 47; Seminole War, 47 ; Mexican War, 47 ; Civil War, 48 ; friendship with Sec. of War Stanton, 48 ; medical inspector general, 48 ; acting Surgeon General 44 ; 48 ; 53 ; Surgeon General, 49; aid of Sec. Stanton, 49 ; Crane assistant, 49 ; 53 ; material for Army Medical Museum, 49 ; military control of general hospitals, 49 ; of hospital transports and boats, 49; Medical and surgical history of the War of the Rebellion, 49; development of Army Medical Library under supervision of Billings, 50 ; Index catalogue, 50; reorganization of the army with proportionate number of medical officers, 50; attended Lincoln, Seward, Gar- field, 50; compulsory retirement for age, 50; 53 ; death, 50-51; sur- vived by wife, 51; character, 50. Barnes, Mary (Fauntleroy), wife of Joseph K. Barnes, 51. Barrancas, Fla., Fort, Confederate forces, 67 ; Gorgas, 89 ; Sternberg contracted yellow fever, 71. Barraud, Daniel C., Dr., Norfolk, Va., treated Lawson, 36. Base Hospital No. 5, first unit of U. S. Army to suffer casualties in World War, 103. Baton Eouge, La., Barnes, 48. Baxter, Ellen Janette (Harris), mother of Jedediah Hyde Baxter, 62. Baxter, Florence (Tryon), wife of Jedediah Hyde Baxter, 65. Baxter, Jedediah Hyde, bh*th, 62 ; education, 62; practice, 62 ; army service, 62; Civil War, 62; chief medical officer of Provost Marshal General’s Bureau, 62; army reorganization of 1866, 62; assistant medical purveyor, 62; chief medical purveyor, under Barnes, Crane, Murray, and Moore, 63 ; Medical statistics of the Provost Marshal General's Bureau, 1875, 64; marriage, 65; improve- ment of medical supplies, 63 ; increased supply of medical literature, 63 ; equipment for special research, 63 ; private practice, 63 ; physician to White House, 63 ; graduated in Law, 64 ; candidate for Surgeon General 1882, 53 ; 59 ; acting Surgeon General, 60 ; Surgeon General, 64 ; general shake-up, 64; societies and associations, 65 ; death, 64 ; 68. Baxter, Porter, father of Jedediah Hyde Baxter, 62. Bay State, medical department ship, transported O’Eeilly to Jamaica, 80. Bay View Hospital, Baltimore, Torney intern, 84. Bayard, New Mexico, Fort, tuberculosis hospital, 73. Beaujeu, routed English at Fort Duquesne, 18. Beaumont, William, surgeon, aided by Lovell in study of gastric physiology, 31-32. Bell, J. Franklin, major general, commanding 77th Division, N. A., 109. See also, Upton, Yaphank, N. Y. 124 THE ARMY MEDICAL BULLETIN Bellevue Hospital, New York City, Baxter, 62 ; Gorgas, 88 ; Moore, 58. Bellevue Hospital Medical College, Gorgas, M. D. (1879), 88; Hammond professor in nervous and mental diseases (1867), 44. Belt, Montana, Patterson practice, 101. Benecia Barracks, Calif., Ireland, 95 Benjamin Harrison, Ind., Fort, new buildings, 112. Beri-beri, elimination of, 86. Berthier Grammar School, Quebec, Canada, Patterson attended, 101. Bethlehem, Pa., hospitals, 12; 23. Billings, John Show, major, Army Medical Library, 50 ; Index catalogue, 50. Binan, P. I., Patterson, 101. Birmingham, Henry P., colonel, tentatively chosen to succeed Gorgas, 92. Bishop’s College School, Quebec, Canada, Patterson attended, 101. Black Hawk War, 30 ; cholera, 41; Finley 38 ; 41; Lawson, 34. Blackwell’s Island Hospital, Baxter, 62. Blockley Hospital, Barnes, 47. See also, Philadelphia General Hospital. Bloomington, Ind., birthplace of John Moore, 58. Board of War established, 16. Boards for the consideration of cases of disability, 1861, 40. Boards, see, Tropical diseases; Typhoid fever ; Yellow fever. Bordeaux, France, Reynolds, 110. Borden, William C., major, contribu- tion to Keen’s American textbook of surgery, 1903, 83. Boston Gynecological Society, Baxter, 65. Boston Latin School, Church attended, 1. Boston, Mass., blockade of port, protest against, 19 ; birthplace of Joseph Lovell, 27. Boston Massacre, Church active, 1. Braddock, General, attended by Craik, 18 ; death near Great Meadows, 18. Braddock’s army, Craik served, 18. Bradley, Alfred E., colonel, chief surgeon, A. E. F., 96 ; Ireland his first assistant, 96. Bradstreet, John, colonel, headed expedition in French Colonial War 1758, 14. Brady, Mich., Fort, Forwood, 76. Bragg, N. C., Fort, new hospital, 105. Brandy Station, battle of, Forwood wounded, 75 ; 78. Brandywine, battle of, 23 ; Lafayette's wounds atttended by Craik, 19. Brandywine Hundred, Del., birth- place of William Henry Forwood, 75. Bridger’s Pass, Rocky Mountains, Hammond, 42. Brierfield, Ala., home of Gorgas family, 88. Bristol, Pa., Forwood in command Whitehall General Hospital, 75. British army, Craik in medical service, 18 ; Morgan in the line, 5. See also, Hygiene, tropical. British evacuation of Boston, 6. Bronaugh, James C., hospital surgeon and assistant to Lovell, 28. Brown, Gustave R., Dr., consulted by Craik in Washington’s last illness, 20. Brown, Harvey, general, commended Sutherland, 67. Brown, Jacob, major general, department commander, Northern department, 28. THE ARMY MEDICAL BULLETIN 125 Brown, Texas, Fort, epidemic of yellow fever, 89 ; Gorgas, 89; Torney, 84. Brown University, Gorgas (Hon. degree), 93; Sternberg, Hon. LL.D. (1897), 74. Brown, William, nominated for Shippen’s place, 15. Buell, general, Murray served under on field of Shiloh, 55. Buffalo, New York, Finley, 39. Bull Run, second battle, Forwood, 75 ; Moore, 58 ; Sternberg captured, 70. Bullard, Robert L., lieut. general, commanding Second Army, 109. Bunker Hill, system of defending recommended by Church, 2. Burlington, Yt., Lovell commanded model general hospital, 27. Byles, Mather, Rev., minister to Hollis Street Congregation Church, Boston, 1. CADET, medical, O’Reilly, 79. Calais, France, Reynolds with Div. Hdqrs., 77th Div., 109. Calhoun, John C., Secretary of War, Lovell’s report and recommenda- tions to, 29. Cambridge, Mass., Morgan reported to Washington, 6; hospital, 7. Campbell General Hospital, Baxter commanding, 62. Canby, Florida, Fort, Torney, 84, Cane, major, and the cipher letter of Church, 2-3. Carlisle Barracks, Pa., barracks and quarters constructed, 113 ; Finley, 39. See also, Medical Field Service School. Carroll College, New Windsor, Md., Torney attended, 84. Cebu, P. I., Reynolds, 107. Center, Kansas, Camp (Fort Riley), Barnes, 48. Cerro Gordo, Barnes, 48. Chaille, Stanford, Dr., associate of Sternberg on Yellow Fever Com- mission, 71. Chamber music, O’Reilly, 83. Champagne, France, Reynolds, 109. Champion Hill, battle of, Suther- land, 67. Chancellorsville, battle of, Moore, 58. Chapultepec, Barnes, 48. Charcot, lectures of, basis for Hammond’s Treatise on diseases of the nervous system, 1871, 45. Charleston, S. C., O’Reilly, 80. Chateau Thierry, France, opera- tions leading to, 103. Chattanooga, Tenn., Moore, 59; O’Reilly, medical cadet, 79. Cherubusco, Barnes, 48. Chester Academy, Chester, Pa., Forwood attended, 75. Cheyenne Indians, hostile, Sternberg, 71. Chicago, 111., Forwood, 76; Murray, 56. Chicago World’s Fair, 1893, Ireland, 94. Chickamauga, battle of, Moore, 59. Chickamauga Park, Ga., Ireland, 95 ; Reynolds, 108. Chillicothe, Ohio, boyhood home of Finley, 38 ; birthplace of Ur. Martin Ireland, 94. Cholera in 1832, 30-31; among troops, 66; Hamburg epidemic, 1892, 72 ; Laguna de Bay epidemic, 101; Fort Riley, Kansas, 75. Church, Benjamin, colonel, grand- father of Benjamin Church, 1. Church, Benjamin, father of Benjamin Church, 1. Church, Benjamin, birth,1; educa- tion, 1; marriage,! ; supported Whig cause, 1; professional 126 THE ARMY MEDICAL BULLETIN skill, 1; Boston Massacre, 1; oration To commemorate the bloody tragedy of the fifth of May 1770, 1; accusation by Whigs, 1; Revolutionary War, 1; delegate to Mass. Provincial Congress, 1; member Committee of Safety, 1; committee to inventory and purchase medical supplies, 1; examining board for army surgeons, 1-2 ; committee on hospital personnel and supplies, 2 ; report on defensive works on Prospect and Bunker Hills, 2; conferred with General Gage, 2; consulted Continental Congress on defense of Mass, colony, 2; received General Washington at Cambridge, 2; appointed Director General and Chief Physician, 2; difficulties with regimental surgeons, 2; desire to leave army, 2; cipher letter to Major Cane, 2-4; court of inquiry, 3 ; Washington’s report, 3 ; confinement at Norwich, Conn., 3-4 ; expulsion from Mass. Provincial Congress, 4; conviction of communicating with enemy, 4; dismissed, 6; release under guard, 4 ; return to Mass., 4; sailed from Boston en route West Indies, 4 ; lost at sea, 4 ; family pensioned by British government, 4. Church, Hannah (Hill), wife of Benjamin Church, 1. Cincinnati, Ohio, Moore and Marine Hospital, 58. Civil War and American neurology, 46 ; Hammond, 43 ; Lawson, 36 ; Murray 55 ; 57 ; O’Reilly, 79 ; Sternberg, 70; Sutherland, 66. Civilian Conservation Corps, added responsibility upon medical department, 105 ; medical service, 114; pneumonia prophylaxis, 113. Cleveland, Grover, President, Moore, 60 ; O’Reilly attending- physician, 80; Sternberg, 73. Cleveland, Ohio, Sternberg, 70. Clinical records, plan for revision, 115. Clothing, hospital, for patients, 43. Cochran, Gertrude Schuyler, widow of Peter Schuyler, sister of Philip Schuyler, and wife of John Cochran, 14. Cochran, James, father of John Cochran, 14. Cochran, John, birth, 14; education, 14; in British army, 14; French Colonial War, 14; marriage, 14; practice, 14; New Jersey Medical Society, 14; medicine and surgery in New Jersey, 14; Revolutionary War, 14 ; Continental army, 14 ; reorganization of medical service, 1777, 14; physician and surgeon general of the army of the middle department, 15 ; relied upon by Shippen, 15 ; attended Lafayette, 15 ; reorganization of medical service, 1880, 15 ; chief physician and surgeon under Shippen, 11; 15 director general of the military hospitals, 15 ; 20 ; scarcity of medical supplies, 16; resignations of medical officers, 16; medical committee of Congress abolished, 16 ; Board of War, 16 ; promotion by seniority, 16; inspections of medical service by officers of I. G. D. instituted, 16; regulations for medical purveyor’s service, 16 ; relative rank of medical officers, 16 ; character and qualities, 16 ; THE ARMY MEDICAL BULLETIN 127 Cochran, John (continued) mustered out, 16 ; home burned by British, 16 ; resumed practice, 16-17 ; commissioner of loans for State of New York, 17 ; retirement, 17; death, 17. Cochran, Isabelle (Cochran), mother of John Cochran, 14. College of New Jersey, William Shippen, Jr., A. B. (1754), 10. College of Philadelphia, Adam Kuhn professor of botany and materia medica (1766), 6; medical depart- ment proposed by Morgan, 5 ; merged with Univ. of Penn. (1791) 10; John Morgan, B. A. (1757), 5; Morgan first professor in medicine (1765), 5; 9; Benjamin Bush pro- fessor of chemistry (1766), 6; William Shippen, Jr., professor of anatomy and surgery (1766), 6; James Tilton, B. M. (1768) and M. D. (1771), 22. College of Physicians of Edinburgh, Morgan, member, 5. College of of London, Morgan, licentiate, 5. College of Physicians of Philadelphia, William Shippen, Jr., professor of anatomy and surgery (1766), one of founders and later president, 10; 11. College of Physicians and Surgeons of New York, Hammond lecturer on nervous and mental diseases, 44 ; George M. Sternberg, M. D. (1860), 70. Colon, C. Z., improvement of city desired by Commissioners, 91; later model of sanitation, 91. Columbia, Cuba, Camp, Patterson, 102. Columbia, S. C., Forwood, 76. Columbia City, Indiana, birthplace of Merritte W. Ireland, 94. Columbia Hospital, Crane, 54; Ireland, 99. Columbia University, Jedediah Hyde Baxter, LL. B., 64. Columbia University Medical School, gift of Huntington anatomic collection, see, Army Medical Museum. Columbus, Fort, Moore, 59. Columbus, Ky., medical supply depot established, 67. Committee on Safety, Church a member (1774), 1; defensive works on Prospect Hill and Bunker Hill, 2. Confederate service, medical officers joined, 36. Confinement of Church, 3 ; at Norwich, Conn., 4; released under guard, 4; return to Mass, under bond, 4. Congress, tact and diplomacy of Crane, 53. Congressional committees, Gorgas, 92; Ireland, 98. Continental Congress, defense of Mass. Colony, Church, 2; James Lovell member, 27; Dr. William Shippen elected to, 10; James Tilton member, 23. “Continental druggists”, 7. Contreras, Barnes, 48. “Conway Cabal”, James Lovell, 27 ; George Washington warned by Craik, 19. Coppinger, John J., major general, O’Keilly chief surgeon under, 80. Corpus Christi, Texas, Barnes, 47 ; medical depot established, 35. Corregidor Island, Patterson at Convalescent Hospital, 101. Council of National Defense, Gorgas, 92. 128 THE ARMY MEDICAL BULLETIN Court-martial, Church, 2; Hammond, 44 (vindicated, 45) ; Shippen, Jr., 9 (acquitted, 12). Craig, New Mexico., Port, Suther- land, 66. Craig, P. H., surgeon and medical director, troops in Northern Mexico, 35. Craik, George Washington, son of James Craik and private secretary to George Washington, 21. Craik, James, birth, 18 ; education, 18 ; in British army, 18; West Indies, 18 ; practice in Virginia, 18 ; surgeon of the Virginia Provincial Regiment, 18 ; French Colonial War, 18; friendship with George Washington, 18 ; attended Braddock, 18 ; chief medical officer under Washington, 18 ; retirement and practice, 19; marriage, 19 ; with Washington in Ohio valley, 19 ; Revolutionary War, 19 ; assistant director general in the middle department, 19 ; “Conway Cabal”, 19 ; attended General Mercer, 19; attended Lafayette, 19; established hospital service for troops of Rochambeau, 19; nominated for director general, 15 ; chief physician and surgeon of the army, 15 ; 20 ; at Yorktown, 20 ; residence and practice in Alexandria, Va., 20; attended at Mount Vernon, 20 ; his son Washington’s private secretary, 21; physician general, 20 ; muster- ed out, 20 ; attendance in last illness of Washington, 20; A sermon occasioned by the death of General Washington * * * an appendix giving a particular account of the behavior of General Washington during his distressing illness, also of the nature of the complaint of which he died, 1800, 20-21; retirement to Vauclus, 21; death, 21. Craik, Marianne (Ewell), wife of James Craik, 19. Craik, Robert, member of British Parliament, father of James Craik, 18. Crane, Charles Henry, birth, 52; education, 52; army service, 52; Mexican War, 52; Seminole War, 52 ; Indian campaigns, 52 ; marriage, 54; medical director, 53 ; executive officer, S. G. O., 53 ; reorganization of the army, 1866, 53 ; assistant Surgeon General, 49 ; 53 ; dealings with Secretary Stanton, Congress, and the Sanitary Commission, 53; Civil War, 53 ; Surgeon General, 53 ; 56 ; Medical and Surgical history of the War of the Rebellion, 53-54; commissioner, U. S. Soldiers’ Home, 54; visiting staff, Govern- ment Hospital for the Insane, 54; visiting staff, Columbia Hospital, 54 ; Aztec Club, 54 ; death, 54 ; 56 ; character and personality, 53 ; 54. Crane, Ichabod Bennett, captain, father of Charles Henry Crane, 52. Crane, Sarah Payne (Nicoll), wife of Charles Henry Crane, 54. Croghan, Texas, Fort, Barnes, 48. Crown of Italy, Patterson an Officer, 103, Cuban Pacification, Patterson, 102. Cumberland, Port, retreat from, Craik, 18. Cuyler General Hospital, O’Reilly acting medical cadet, 79. THE ARMY MEDICAL BULLETIN 129 DADE, major, ambushed by Seminoles, 31. Dannes-Camiers, France, Patterson, see. Base Hospital No. 5 Darnall, Carl R., captain, assistant to O’Reilly, 81. Date Creek, Camp, O’Reilly, 79. Davis, Jefferson, brother-in-law of Robert C. Wood, 39. Davis, Texas, Fort, Sutherland, 66. Dearborn, 111., Fort, Finley, 38. Be Hydrope, 1771, by James Tilton, 22. De placentae cum utero nexu, 1761, by William Shippen, Jr., 10. De Langlade, commanding Indian allies of French, routed English at Fort Duquesne, 18. Delaware House of Representatives, Tilton, member, 23. Delaware Indians, hostile, 18. Dental Corps, creation, 86 ; increased (1939),111. Dental service, contract, 73. Detroit College of Medicine, Merritte W. Ireland, M. D. (1890), 94. DeWitt, colonel, and the Surgeon Generalcy, 81. Dick, Elisha C., Dr., of Alexandria, Va., consulted by Craik in last illness of Washington, 20. Dickinson College, Carlisle, Pa., Clement Alexander Finley graduated (1815), 38; 39; Charles R. Reynolds, Hon. D. S. (1936), 116. Diets for the sick, see Hospital fund. Dietz, captain, author of manual of drill and first aid, 60. Disability boards, see, Boards. Discourse upon the institution of medical schools in America, 1765, commencement address by John Morgan, 5-6. Disease, incidence and cause of, reports initiated by Lovell, 31. Disinfection and individual prophylaxis against infectious diseases, 1886, Lomb prize essay by George M. Sternberg, 72. Disinfection of ships, personnel, and cargo, Sternberg, 72. Disinfection, Sternberg the American pioneer, 72. Dismissed by Congress, Benjamin Church, 6 ; John Morgan, 8 ; Samuel Stringer, 8. Dissection, human, hostility to, 1762, 10. Distinguished Service Medal, Ireland, 99 ; Patterson, 103 ; Reynolds, 109. Dix, N. J., Camp, Magee, 119. Dodge Commission, 81; recommenda- tions, 81-82; accomplishments cited in O’Reilly’s report of 1908, 82. Dolan, Michael F., widow of, wife of John Moore, 61. Douglas, Utah, Fort, new buildings, 112. Dover, Del., home of Dr. Ridgely, teacher of Tilton, 22; practice of Tilton, 22; 23. Drum Barracks, Calif., O’Reilly, 79. Dudley, Mr., and cipher letter of Church, 3. Dumphries, Scotland, estate near, birthplace of James Craik, 18. Dumphries, Virginia, inoculation of Continental soldiers, 22. Duncan, Texas, Fort, Sutherland, 66, Duquesne, Fort, Craik participated in battle, 18 ; 19; Morgan, 5. Dysentery among troops, 1775-6, 6. 130 THE ARMY MEDICAL BULLETIN EARTHQUAKE and fire, see, San Francisco. Easton, Penn., hospitals, 12. Eaton, John H., Secretary of War, suggested abolition of office of Surgeon General, defeated by Lovell, 30. Economical observations on military hospitals and the prevention and cure of diseases incident to an army, 1813, by James Tilton, 24. El Paso, Texas, Magee, 118. Elizabeth, N. J., Sternberg residence and practice, 70. Elkridge, Md., birthplace of Robert Murry, 55, his retirement to, 57. Elmira, New York, birthplace of Charles Ransom Reynolds, 107. Enlisted force, medical department, increased, 111. Epidemiological Society of London, Sternberg an honorary member, 74, Ewell, Richard S., general of the Confederate army, great-nephew of Mrs. James Craik, 19. Examination of applicants for appointment, by board of three medical officers, 30. Examining board, Church a member, 1775, 2. Expeditions to the Northwest, Forwood surgeon and naturalist, under General Philip Sheridan, 7 6; with President Arthur and Secretary of War Robert Todd Lincoln, 76. Experimental research relative to the nutritive value and physiological effects of albumen starch and gum, when singly and exclusively used as a food, 1857, prize essay by William A. Hammond, 42. FAR WEST, Calif., Camp, Murray, 55. Fatiche de Guerra (Italy), Patterson, 103. Fauntleroy, Judge, father-in-law of Barnes, 51. Felton method, pneumonia prophylaxis, 113. Ferry, Samuel, assistant surgeon, author of Army medical statistics, 34. Field equipment for medical department, 68 ; procurement and distribution of modern, 112. Fillmore, New Mex., Fort, Sutherland, 66. Finlay, Carlos J., Dr., Gorgas and, 89 ; theory of mosquito transmission of yellow fever, 89-90 ; Sternberg and, 72. Finley, Clement Alexander, birth, 38 ; education, 38; army service, 35 ; 38-39 ; marriage, 41; Black Hawk War, 38 ; 41; Seminole War, 38 ; Mexican War, 39 ; medical director under both Taylor and Scott, 39 ; examining boards, 39 ; Surgeon General, 39 ; Sanitary Commission, 39-40 ; 41; employ- ment of medical cadets and female nurses, 40; reorganization of the medical department, 1862, 40 ; higher rank for medical officers, 40 ; quarrel with Stanton, 40 ; 43 ; retirement, 40; brevet rank of brigadier general, 40; estimate of service, 40-41. Finley, Elizabeth (Moore), wife of Clement Alexander Finley, 41. Finley, Samuel, father of Clement Alexander Finley, 38. Finley, Samuel, Rev., conducted Academy at Nottingham, Penn., 5 ; 10 ; 22. THE ARMY MEDICAL BULLETIN 131 First aid instruction throughout army, 1886, 60. Fishkill, N. Y., John Cochran attended Lafayette, 15. Fitzsimons General Hospital, Denver, Col., opened, 92; rebuilding commenced, 112. Fitzsimons, William Thomas, Lieutenant, M. C., see Base Hospital No. 5. Flight, great speed and high altitudes, research, 114. Flight surgeons, flying pay for, 114. Floyd, Utah, Camp, Moore, 58. Flying Camp, Shippen, Jr., medical director, 11. Foreign service roster inaugurated, 96, Forwood, Mary (Osbourne), wife of William Henry Forwood, 78. Forwood, Rachel WTay (Larkin), mother of William Henry Forwood, 75. Forwood, Robert, father of William Henry Forwood, 75. Forwood, William Henry, birth,75 ; education, 75 ; army service,7 5 ; Civil W’ar, 75; medical storeship Marcy C. Day, 75; cholera epidemic, 75 ; Indian campaigns, 75 ; marrage, 78 ; exploring expeditions to the Northwest, 76; Observations on flora, etc., during journey through portions of Wyoming and Montana, 1881, 76; Geologic and botanic reports of explorations of parts of Wyoming, Idaho, and Montana, 1882, 76; Labor among primitive peoples, 1904, 76; professor of military surgery, Army Medical School, 76; professor of surgery, surgical pathology, military surgery, Georgetown University, 76; contribution to System of surgery, 1895-96, 77 ; contribution to International textbook of surgery, 1900, 77 ; Spanish- American War, 76; in charge of “The Military Surgeon”, supple- ment of the National Medical Revue, 1898-99, 77 ; president of faculty, Army Medical School, 77; Surgeon General, 77; retirement, 77 ; 81; societies and associations, 77 ; character, 78 ; residence and death, 77. Foster, John G., general, Sutherland medical director under, 67. Fox Indians, troops employed against, 30. Frankford Arsenal, Pa., Finley, 39. Frederick, Md., Hammond medical purveyor, 43. Fredericksburg, battle of, Moore, 58. French Colonial War, Cochran, 14; Morgan, 5. French Society of Hygiene, Sternberg, 74. Frontenac, Fort, Cochran, 14. Fry, Joshua, colonel of Ya. Prov. Keg’t., Craik surgeon, 18. GAGE, general, conference with Church, 2. Gaines’ Mill, battle of, Forwood, 75; Sternberg, 70. Garbage disposal by incineration, 57. Garfield Hospital, Ireland, 99. Garfield, James A., President, assassination, attended by Barnes, 50 ; Baxter, White House physician, 63, Gates, Horatio, general, “Conway Cabal”, 19; 37. Gayle, John, Judge, former Governor of Alabama, father-in- law of Wiliam C. Gorgas, 88. 132 THE ARMY MEDICAL BULLETIN General Medical Board, Gorgas, 92. General Staff, Ireland, 98; Patterson, 104. Geneva Convention, revision of, O’Reilly represented U. S., 82. Geologic and botanic reports of explorations of parts of Wyoming, Idaho, and Montana, 1882, by William Henry Forwood, 76. Georgetown, D. C., Forwood service in Seminary Hospital, 75. Georgetown University, Forwood professor of surgery and surgical pathology, and military surgery, 76. Germantown, Pa., death of Shippen, Jr., 13. Gettysburg, battle of, Forwood, 75; 75th anniversary 1936, 114. Gettysburg, Pa., Reynolds, 108. Gibson, Ark., Fort, Finley, 38. Gibson, Indian Territory, Fort, Torney, 84. Glenman, James D., major and assistant to O’Reilly, 81. Goethals, George A., colonel, chair- man and chief engineer, Panama Canal Commission, 91; despotic control, 91; free in criticism and attacks on sanitary work, 91. Goodrich, Annie W., contract nurse, first Dean, Army School of Nurs- ing, 92. Gorgas, Amelia (Gayle), mother of William Crawford Gorgas, 88. Gorgas, Josiah, general, father of William Crawford Gorgas, 88; graduate of West Point M. A., 88 ; in Confederate army, 88 ; with General Lee in evacuation of Richmond, 88. Gorgas, Marie Cook (Doughty), wife of William Crawford Gorgas, 93, Gorgas, William Crawford, birth, 88; education, 88 ; army service, 88-89 ; contracted yellow fever, 89 ; marriage, 93 ; Spanish-American War, 89 ; in Cuba, 89 ; contracted typhoid fever, 89 ; Walter Reed and yellow fever, 89 ; return to Havana as chief sanitary officer, 89-90; visited Suez Canal, 90; sanitation in Panama, 90-91; efforts to discredit work, 91; removal recommended, 91; support of President Theodore Roosevelt, 91; world’s foremost sanitation expert, 91; commissioned to investigate pneumonia among negro mine workers in South Africa, 91; candidate for Surgeon General, 86; Surgeon General, 91- 92; Sanitation in Panama, 1915, 93 ; yellow fever investigation tour of South and Central America, 92 ; desire for retirement, 92 ; U. S. entered World W’ar, 92 ; Army School of Nursing established, 92; Fitzsimons General Hospital built, 92 ; retire- ment, 92 ; 97 ; commissioned to investigate yellow fever on west coast of Africa, 92 ; honors received, 93 ; death and funeral in London, England, 92-93 ; burial in Arlington, 93 ; character, 93. Governors Island, N. Y., Reynolds, 110; Sternberg, 71. Grant, U. S., general, favored Sutherland for medical purveyor, 68 ; siege of Vicksburg, 67 ; Sutherland with headquarters, 67. Grant, U. S. A. T., Ireland’s return from Philippines, 95. Gratiot, Mich., Fort, Murray, 55. Great Meadows, capture of French force, Craik, 18; death of Brad- dock, 18. THE ARMY MEDICAL BULLETIN 133 Greenleaf, Charles R., major and assistant to Moore, 60. Grunsky, Carl E., on Panama Canal Commission, obstruction to work of Gorgas, 91. Guiteras, Juan, Dr., associate of Sternberg on Yellow Fever Commission, 71. HALLECK, Camp, O’Reilly, 79. Halleck, general, at Corinth, Miss., 97. Hamilton, N. Y., Fort, O’Reilly, 80. Hammond, Esther T. (Chapin), second wife of William A. Hammond, 46. Hammond, Helen (Nisbet), first wife of William A. Hammond, 46. Hammond, John W., Dr., father of William A. Hammond, 42. Hammond, Sarah (Pinkney), mother of William A. Hammond, 42. Hammond, William Alexander, birth, 42 ; education, 42 ; intern- ship, 42 ; practice, 42 ; army service, 42; first marriage, 46 ; in Europe, 42 ; Sioux Indians, 42 ; Experimental research relative to the nutritive value and physiological effects of albumen starch and gum, when singly and exclusively used as a food, 1857, 42 ; resigned from army, 42; chair of anatomy and physiology, Univ. of Md., 42 ; surgeon to Baltimore Infirmary, 43 ; reentrance to army, 43 ; Civil War, 43 ; Sanitary Com- mission, 43 ; Surgeon General, 43 ; friction with assistant, 43 ; new medical supply table, 43 ; hospital clothing for patients, 43 ; increased standards for applicants and reor- ganized boards of examiners, 43; system of hospital reports, 43 ; genesis of Army Medical Museum, 43 ; program for construction and equipment of military hospitals, 43 ; constructive recommendations eventually fulfilled, 44 ; suggested Medical and surgical history of the War of the Rebellion, 40 ; Treatise on hygiene, with special reference to the military service, 1863, 45 ; quarrel with Stanton, 44; 48 ; relieved from charge of the Washington office, 44; court-martial and dismissal, 44; successful practice in New York, 44; On wakefulness: with an introductory chapter on the physiology of sleep, 1866, 45; lecturer in College of Physicians and Surgeons, 44; professorship in nervous and mental diseases, Bellevue Hospital Medical College, 44 ; founded and edited Quarterly Journal of Psychological Medicine and Medical Jurisprudence, 45; helped found and edit New York Medical Journal, 45; also Journal of Nervous and Mental Diseases, 45; Sleep and its derangements, 45; Physics and physiology of spiritualism 45 ; Treatise on diseases of the nervous system, 45; professorship in nervous and mental diseases, Univ. of the City of New York, 45 ; on faculty, Univ. of Vermont, 45; one of founders and faculty, Post Graduate Medical School of New York, 45 ; successful campaign for vindication, 45 ; second marriage, 46; removed to Washington, 45; established sani- 134 THE ARMY MEDICAL BULLETIN tarium, 45 ; interest in therapeutic use of animal extracts, 45; play- write and novelist, 45 ; genesis of American neurology, 45-46; personality, 46; death, 45. Barker, Kahs., Fort, Sternberg, 71. Harney, general, expedition through Everglades, Barnes, 47. Harney, B. F., surgeon and medical director, Mexican War, 35. Harris, Thomas, naval surgeon, later Surgeon General, U. S. Navy, taught Barnes, 47. Harrisburg, Pa., boyhood home of Hammond, 42. Harrison, Benjamin, President, friend of Baxter, 64; appointed Sutherland Surgeon General, 68. Harrison’s Landing, Sternberg, 70. Hartwick Seminary, Otsego Co., N. ¥., birthplace of, and attended by, George Miller Sternberg, 70. Harvard College, Benjamin Church attended (1734), 1; Lovell graduated (1807), 27. Harvard Medical School, Joseph Lovell, M. D. (1811), 27. “Harvard unit”, see Base Hospital No. 5. Harvard University, attended by Joseph K. Barnes, 47 ; Charles Henry Crane, M. D. (1847), 52; William C. Gorgas (Hon. degree), 93. Haslet, John, colonel, Tilton as regimental surgeon, 22 ; killed at battle of Princeton, 22. Havana, Cuba, Gorgas chief sanitary officer, 89. Havard, major, author of manual of drill and first aid, 60; as colonel, in line for Surgeon Generalcy, 86. Heat regulator, automatic, Stern- berg’s patent, 71. Heiskell, H. L., in charge of Surgeon General’s Office during absence of Lawson in Mexican War, 35. Heizmann, major and author of manual of drill and first aid, 60. History of the medical department of the U. 8. Army in the World War, 17 volumes, 1921-1929, produced under Ireland, 99. Hoff, John Van E., captain, organized first company of instruction for Hospital Corps and first applied the term, 68 ; as major, author of manual of drill and first aid, 60; friendship with Ireland, 94 ; at Fort Kiley, 94; as colonel, in line for Surgeon Generalcy, 86. Honolulu, T. H., Reynolds, 109 ; Patterson, 104. Horn, Cape, voyage around, Murray, 55. Hospital boats, control of, 49. Hospital buildings and sites in Washington, D. C., selection by Finley, 39. Hospital Corps, formation of, 60; Ireland and first company of instruction, 94; recommended originally by Hammond, 44; rules and regulations for, 60 ; Suther- land developed, 68 ; term applied by Hoff and later officially authorized, 68; volunteer Corps recommended by Dodge Commis- sion, 81. Hospital Corps division, S. G. O., later personnel division, 95. Hospital, floating, near Vicksburg, 67. Hospital fund, articles of special diets for the sick, recommended by Dodge Commission, 81-82. THE ARMY MEDICAL BULLETIN 135 Hospital, general, in Washington, D. C., originally recommended by Hammond, 44; 82. Hospital plan of James Tilton, 23. See also, Economical observations, etc. Hospital ships, see, Relief. Hospital stewards authorized in 1856, 34; 36. Hospital structures, replacement with permanent constructions, 97. Hospital transports, control of, 49. Hospitals, civil, and medical schools, professional military units to be sponsored, 115. Hospitals, construction of, autonomy of medical department, recom- mended by Hammond, 44; definite program by Hammond, 43. Hospitals, field, demonstration, see, Maneuvers. Hospitals, general, control of, 49 ; nine fitted out by Sutherland, 67. See also, Army and Navy; Camp- bell ; Cuyler ; Fitzsimons ; Letter- man ; Montauk Point; Plattsburg, N. Y.; St. Augustine, Fla.; San Francisco ; Satterlee ; Savannah, Ga.; Stamford, Conn.; Walter Reed; Washington Barracks ; Whitehall; Wickoff, Camp ; William Beaumont. Hospitals, modernizing equipment, Patterson, 105; Reynolds, 112. Hospitals, regimental, abolished, 7. Hospitals, tuberculosis, see, Bayard; Fitzsimons. Howard, Wis., Fort, Finley, 38. Hunter, David, general, Barnes medical director under, 48. Hunter, John, of London, taught anatomy to William Shippen, Jr., 10, Hunter, William, of London, brother of John Hunter, taught midwifery to William Shippen, Jr., 10. Huntingdon, D. L., major, work on the Medical and surgical history of the War of the Rebellion, 54; 59-60; candidate for Surgeon Generalcy, 59. Huntington, George S., anatomic collection, see, Army Medical Museum. Huntt, Henry, Dr., considered for Surgeon General in 1836, 34; refused offer from President Jackson, 34. Hygiene, attention given by army medical corps, 1885, 56-57. Hygiene, tropical, experience of British army, O’Reilly studied in Jamaica, 80 ; report on, 80. IMMUNIZATION, see, Typhoid fever. Independence, Boston Harbor, Fort, Moore, 58 ; Murray, 55. Index catalogue, edited by John Shaw Billings, 50; first volume issued in 1880, 50. Indian campaigns, Crane, 52; For- wood, 75; Ireland, 94; O’Reilly, 79; Torney, 84. Indiana State University, John Moore, A. B. (1845), 58. Ingalls, William, Dr., taught Lovell, 27. Inoculations, see, Smallpox. Insane, Government Hospital for the, Crane on visiting staff, 54. Insanity in its medical relations, 1883, by William A. Hammond, 45. Inspections of medical service by officers of the I. G. D., instituted in 1782, 16. Inspectors, medical, 40, International College of Dentists, Reynolds, Hon. Fellowship, 116. 136 THE ARMY MEDICAL BULLETIN International College of Surgeons, Eeynolds, Hon. Fellowship, 116. International Congress of Military Medicine and Pharmacy, Eighth, Patterson, 105; Tenth, Eeynolds, president, and member for life of international committee, 116. International Health Board, Gorgas advisor, 92; Gorgas on tour of South and Central America to con- tinue fight on yellow fever, 92; Gorgas to investigate yellow fever on African west coast, 92. International Hygiene Congress, 1920, attended by Gorgas, 92. International Medical Congress, Ninth, 1887, in Washington, 61. International Sanitary Conference, 1885, in Eome, 57. International textbook of surgery, 1900, by J. C. Warren and A. P. Gould, contribution by Forwood, 77. Internships, dental, established, 112; medical, discontinued, 112; medi- cal, reestablished, 112. Ireland, Elizabeth (Liggett), wife of Merritte W. Ireland, 94. Ireland, Martin, Dr., father of Merritte W. Ireland, 94. Ireland, Merritte Weber, birth, 94; education, 94; army service, 94; first company of instruction of the Hospital Corps, 94; Chicago World’s Fair, 94 ; marriage, 94 ; Indian campaigns, 94; Spanish- American War, 95 ; assistant to O’Eeilly, 81; foreign service roster, 96; Mexican border, 96; World War, 96; chief surgeon, A. E F., 96; assistant Surgeon General, A. E. F., 96; Surgeon General, 97; construction of permanent hospital buildings, 97; Walter Eeed and Letterman General Hospitals re- built, 97 ; William Beaumont Gen- eral Hospital built, 97; develop- ment of Army Medical Center, 97- 98; Medical Field Service School created, 98 ; third tropical disease board established in Manila, 98; disposal of surplus supplies, 98; reappointed three times, 98; His- tory of the Medical Department of the U. 8. Army in the World War, 99 ; retirement, 98 ; 104 ; tribute from General Pershing, 98-99 ; hon- ors received, 99; societies and as- sociations, 99. Ireland, Paul Mills, Dr., son of Merritte W. Ireland, 100. Ireland, Sarah (Fellers), mother of Merritte W. Ireland, 94. JACKSON, Andrew, President, ac- companied to his home by Lawson, 34; offered Surgeon Generalcy to Dr. Henry Huntt, 34 (refused, 34). Jackson Hill, battle of, Sutherland, 67. Jamaica, see, Hygiene, tropical. Jay, N. Y., Fort, new hospital, 105. Jefferson Barracks, Mo., Finley, 38; 39 ; Ireland, 94; new buildings, 112 ; Sternberg, 71; Sutherland, 66. Jefferson Medical College, Merritte W. Ireland, M. D. (1891), 94; James Carre Magee, M. D. (1905), 118; Charles Sutherland, M. D. (1849), 66. Jesup, La., Fort, Barnes, 47. Johns Hopkins Hospital, Sternberg experiments in, 72. Johns Hopkins University, W. C. Gorgas (Hon. degree), 93. THE ARMY MEDICAL BULLETIN 137 Johnson, Andrew, President, appoint- ed Baxter assistant medical pur- veyor, 62. Jolo, P. I., Magee, 118; Reyonlds, 108. Jones, John Paul, son of John Paul, gardener for Robert Craik, 18. Journal of Nervous and Mental Dis- eases, Hammond cooperated in founding and editing, 45. KEAN, Jefferson R., major and ex- ecutive officer for O’Reilly, 81. Keen, William W., and neurology in the U. S., 46. Keene Valley, N. Y., summer home of Reynolds family, 117. Kent County, Delaware, birthplace of James Titlon, 22. Key West, Fla., Crane, 52; 53. Key West Barracks, Fla., Torney, 84. King, Benjamin, assistant surgeon in charge of S. G. O. during absence of Lawson in Seminole War, 34. King George V, of England, knighted Gorgas, 93. King Philip of the Narragansetts, 1. Klebs, Arnold Karl, and malaria, 72. Knighthood of Gorgas by King George V, 93. Knox, Ky., Fort, new buildings, 112. See also, West Point, Ky. Koch, Sternberg contemporary, 74. Kuhn, Adam, professor in botany and materia medica in College of Philadelphia (1776), 6. LABOR among primitive peoples, 1904, by William Henry Forword, 76. Labor disturbances in Pennsylvania, O’Reilly 80. Laboratories, Army Medical School, 73 ; biological, 113 ; central dental established, 113; department, es- tablished by Torney, 86; supplies for larger military hospitals, 73. Laboratory, military medical, recom- mended by Hammond, 44. Lafayette, Marquis de, Cochran at- tended 15; Craik attended, 19. La Garde, Louis A., major, command- ed Reserve Divisional Hospital at Siboney, Cuba, 89; 95. Lancaster, Pa., hospital, 23 Laramie, Wyo., O’Reilly, 79. Lamed, Kans., Fort, Forwood, 76. Lathrop, Horace, Dr., taught Stern- berg, 70. Laveran, Alphonse, and malaria, 72. Lawson, Anthony, of Londonderry, Ireland, forebear of Thomas Law- son, 33. Lawson, Anthony, colonel, grand- father of Thomas Lawson 33. Lawson, Sarah (Robinson), mother of Thomas Lawson, 33. Lawson, Thomas, father of Thomas Lawson, 33. Lawson, Thomas, birth, 33; educa- tion not of record, 33 ; naval ser- vice, 33 ; army service, 33 ; War of 1812, 33; visited practically every army post as president of board of medical examiners, 33; Seminole War, 34; medical director, 34; army almost unanimous for, 34; Surgeon General 33; 34; accom- panied ex-President Jackson, 34; improvements in the medical corps, 34; Mexican War, 35; military rank for medical officers, 34; 35; 37 ; hospital stewards, 34 ; 35 ; pub- lication of Medical statistics, and Meteorological register, 35 ; 36 ; outbreak of Civil War, 36; medical officers and Confederate service, 36; illness, 36; death, 36; char- acter, 36-37. Lay, Robert, grandfather of Robert U. Patterson, 101. 138 THE ARMY MEDICAL BULLETIN Leavenworth, Ivans., Fort, instruc- tion of medical officers in field work and medical tactics, 86; Barnes, 48; Finley, 38; Magee, 118; Patterson, 102; Torney in- structor in hygiene in general service schools 85. Le Barron, Francis, Dr., apothecary general (1813), 24; retained under reorganization of 1818, 28. See also Apothecary general. Lee, Arthur, brother-in-law of Wil- liam Shippen, Jr., 13. Lee, Francis Lightfoot, brother-in- law of William Shippen, Jr., 13. Lee, Richard Henry, brother-in-law of William Shippen, Jr., 13. Lee, Robert E., general, at evacua- tion of Richmond, accompanied by General Josiah Gorgas, 88. Lee, William, brother-in-law of Wil- liam Shippen, Jr., 13. Legion of Honor of France, Ireland commander, 99; Reynolds officer, 116. Letterman General Hospital, named, 85 ; rebuilt, 97. Lincoln, Abraham, President, assas- sination, attended by Barnes, 50; chose Finley as Surgeon General, 39. Lincoln, Robert Todd, on exploring expedition to the Northwest, For- wood, surgeon, 76. Lippincott, colonel, in line for the Surgeon Generalcy, 81. Lister, ridiculed in London while an- tiseptic technique was employed in army hospitals (1883), 56. Literature, professional, supply of, 63. Logan, Colo., Fort, O’Reilly, 80. Long Island, battle of, Morgan, 7; Tilton, 22. Lookout Mountain, battle of, Moore, 59. Lorraine, France, Reynolds, 109. Los Angeles, Calif., Murray, 55. Lovell, Deborah (Gorham), mother of Joseph Lovell, 27. Lovell, James, grandfather of Joseph Lovell, 27 ; active Whig, 27 ; mem- ber of Continental Congress, 27; “Conway Cabal”, 27; Society of the Cincinnati, 27. Lovell, James S., father of Joseph Lovell, 27; major in Continental army, 27. Lovell, Joseph, birth, 27; education, 27; increase of the army, 1812, 27; army service, 27 ; War of 1812, 27; chief medical officer of the North- ern department, 28; Sick report of the Northern Division for the year ending June 30, 1817, 28; re- organization of the staff of the army, 1818, 28; Surgeon General, 28; first permanent medical de- partment organization, 28; Regu- lations of the medical department, September, 1818, 29; recommenda- tions for improvement of the medi- cal service, 29; reduction of the army, 1821, 29-30; new titles for medical officers, 30 ; medical board to examine applicants for appoint- ment, 30; requisites for appoint- ment, 1832, 30; defeated attempt to abolish the office of Surgeon General 30 ; Black Hawk War, 30 ; Seminole War, 31; improvement of service and officer’s status, 31; abolition of whiskey ration, 31; elimination of inefficient officers, 31; improvement of ration and clothing, 31; weather reports, 31; reports of incidence and cause of disease, 31; assistance to William Beaumont, 31-32; genesis of Army Medical Library, 32; death of wife, 31; 32; character and personality, 37; death, 31; 32; 34; erection of monument by officers of the medi- cal corps, 32. THE ARMY MEDICAL BULLETIN 139 Lovell, Mansfield, son of Joseph Lov- ell, 32; graduate of West Point, 32; major general and corps com- mander in Confederate army, 32. Lovell, Margaret Mansfield, wife of Joseph Lovell, 32. Lynch, Charles, captain and assist- ant to O’Reilly, 81; colonel and editor of History of the Medical Department of the U. 8. Army in the World War, 99. See also, Weed, Frank W. Lynn, Mass., home of early family of Tiltons, 22. Lyon, Colo., Fort, Torney, 84. McCAW, Walter D., major and as- sistant to O’Reilly, 81. McDowell, camp, O’Reilly, 79. McGill University, Robert U. Patter- son, M.D. and C.M. (1898), 101 ; Hon. LL. D. (1932), 105. McHenry Md., Fort, Barnes, 48 ; O’Reilly, 80; Patterson, 101. McKinley, William, P. I., Fort, Ire- land, 96; Reynolds, 108. McKinley, William, President, ap- pointed Dodge Commission, 81. McPherson, Ga., Fort, new buildings, 112; Forwood, 76; Magee, 119; O’Reilly, 80. McRee, Fla., Fort, Confederate forces, 67. Mackinac, Mich., Fort, Hammond, 42. Magee, Edward Carre, father of James Carre Magee, 118. Magee, Elizabeth (Armstrong), mother of James Carre Magee, 118. Magee, Irene (MacKay), wife of James Carre Magee, 120. Magee, James Carre, birth, 118; education, 118; 119-120; army service, 118; marriage, 120; World War, 119; societies and associa- tions, 120 ; —— • Magee, James C., Jr., second lieu- tenant, U. S. Marine Corps, son of James Carre Magee, 120. Magee, Mervyn MacKay, first lieu- tenant, F. A., son of James Carre Magee, 120. Malaria among troops, 1775-6, 6; Sternburg demonstrated plasmodi- um of, 72; Sternberg’s report, 72. See also, Klebs; Laveran; Toma ssi-Caudeli. Malvern Hill, battle of, Forwood, 75 ; Sternberg, 70. Manassas, Ya., Reynolds, 108. Maneuvers, test of medical depart- ment equipment and typhoid pro- phylaxis, 86; first joint Regular Army and National Guard, 107- 108. Manila, P. I., Ireland in charge of medical supply depot, 95; Patter- son sanitary inspector and in charge Quartermaster dispensary, 102; Reynolds at Cuartel de Es- pana, 108, and Second Reserve Hospital, 107 ; Torney commanding First Reserve Hospital, 85. Mann, James, hospital surgeon and medical director, commended Law- son, 33. Manual of bacteriology, 1892, by George M. Sternberg, 74. Manuals, drill, 60. Manuals, first aid, 60. Maple Grove Academy, Middletown, Conn., attended by Crane, 52. Marcy C. Day, medical storeship, Forwood, 75. Maryland and Virginia Journal, edit- ed by Hammond, 45. Mason, Charles F., major and as- sistant to O’Reilly, 81. Massachusetts Provincial Congress, Church a delegate, 1; expelled, 4. Matamoras, bombardment from, 35. 140 THE ARMY MEDICAL BULLETIN Mayo Clinic, Rochester, Minn., courses for medical officers, 112. Meade, Fla., Fort, Hammond, 42. Medale de Independencia (Italy), Patterson, 103. Medical administrative corps reor- ganized, 1936, 111. Medical and surgical history of the War of the Rebellion, 49; Ham- mond suggested, 49; report on material available, 49 ; Major Joseph J. Woodward, 49 ; Major George A. Otis, 50 ; progress under Crane, 53-54; Major D. L. Hunting- ton, 54 ; 59 ; 60 ; Major Charles Smart, 54. Medical cadets, employment of, 1861, 40. Medical Committee of Congress abolished, 16. Medical Corps, increased 1830, 30; 1835, 31; 1939, 111; standards for applicants increased, 43. See also, Appointment; Medical depart- ment ; Medical examining boards. Medical department establishment authorized 1775 by Continental Congress, 2; reorganized 1777, plan by Shippen and Cochran, 11; 14; in 1780, 12; 15; 19; 23; in 1818, first permanent, 28; in 1821, 33; in 1862, 40; in 1908, including the medical reserve corps, 82. Medical examiners, Lawson president of board, 1832, 33. Medical examining boards, Finley member, 39 ; Hammond reorgan- ized, 43. Medical Field Service School, cre- ated, 98 ; curriculum changes, 111; Magee, 119; Reynolds, command- ant, 110 ; plans for new school building, 113. Medical inspectors, see. Inspectors. Medical reserve corps, see. Medical department. Medical reserve officers’ training corps units reestablished 1936, 111. Medical school plan proposed by Morgan to College of Philadelphia, 5. Medical statistics of the Provost Marshal General’s Bureau, 1875, by Jedediah Hyde Baxter, 64. Medical supply table, see, Supply table. Medicine and surgery in New Jer- sey, Cochran, 14. Memphis, Tenn., Sutherland estab- lished medical supply depot, 67. Mercer, general, attended by Craik, 19. Mercy Hospital, Pittsburg, Pa., Eey- nolds intern, 107. Meteorological register, 1822-1825, published by Lovell, 35 ; 1826-1830, and 1831-1842, published by Law- son 35-36. Meuse-Argonne, Prance, Magee, as- sistant to chief surgeon, First Army, 119; Reynolds, 110. Mexican War, Barnes, 47; Crane, 52; Finley, 39; Lawson, 35; Murray’s death left but three medical offi- cers on retired list who had served therein, 57. Mexico City, Barnes chief surgeon of cavalry brigade, 47-48 ; Lawson, 35. Michie, N. Y., Fort, Magee, 118. Milburn, Conn L., Jr, captain, M.C., son-in-law of Charles R. Reynolds, 117. Milburn, Hebe Louise (Reynolds), daughter of Charles R. Reynolds, 117. Military Order of the Carabao, Ma- gee, 120 ; Patterson, 105. Military Order of the World War, Patterson, 105. Military Surgeon, a supplement to the National Medical Review, For- ward, 77. THE ARMY MEDICAL BULLETIN 141 Miller, George B., father-in-law of George M. Sternberg, 70. Mindanao, P. I., Magee, 118. Mingo Indians, hostile, 18. Mitchell, Ala., Fort, Lawson, 34. Mitchell, S. Weir, and neurology in the U. S., 46. Mobile, Ala., O’Reilly, 80. Molina del Rey, Barnes, 48. Monroe, Ya., Fort, new buildings, 112; Finley, 38; 39; O’Reilly com- manded Josiah Simpson Hospital, 80-81; Sutherland, 66; Torney, 84. Montauk Point, N. Y., Forwood chief medical officer of convalescent camp, 76; General Shafter’s army landed, 95. Monterey, Calif., Barnes, 47; Mui'- ray, 55. Montreal, Canada, birthplace of Robert U. Patterson, 101. Montreal Collegiate Institute attend- ed by Robert U. Patterson, 101. Montreal General Hospital, Patter- son intern, 101. Montreal Maternity Hospital, Patter- son resident accoucheur, 101. Monument to Lovell, 32. Moore, Catherine (English), mother of John Moore, 58. Moore, Garrett, father of John Moore 58. , Moore John, birth, 58 ; education, 58 ; internship, 58; army service, 58; Indian depredations, 58; Mormon troubles in Utah, 58; Civil War, 58; medical director, 58; in Europe, 59; marriage, 61; assist- ant medical purveyor, 59; Surgeon General, 59; precedent broken in his selection as chief, 68; able assistants, 60 ; inauguration of in- struction in first aid, 60; Hospital Corps authorized, 1887, 60; seines of drill and first aid manuals, 60; Army and Navy General Hospital opened, 60; monthly sanitary re- ports, 61; high regard of medical profession, 61; retirement, 61; 64 ; physical appearance, 61; death, 61. Moore, Mary Jane (Dolan), widow of Michael F. Dolan, and wife of John Moore, 61. Moore, Samuel, Dr., father-in-law of Clement Alexander Finley, 41; director of U. S. Mint at Phila., 41; former member of Congress, 41. Morgan, E.an, father of John Morgan, 5. Morgan, Joanna (Miles), mother of John Morgan, 5. Morgan, John, birth, 5; education, 5; in British army, 5; plan for medical school in College of Phila., 5 ; marriage, 9; first medical pro- fessorship in America, 5; com- mencement address A discourse upon the institution of medical schools in America, 5-6; recogni- tion of pharmacists, 6 ; profes- sional, literary, and social stand- ing, 6 ; one of founders of Ameri- can Philosophical Society and contributor to its Transactions, 6; physician to Pennsylvania Hosp- ital, 6; The reciprocal advantage of a prepetual union betiveen Great Britain and her American Colonies, 6 ; Revolutionary War, 6 ; nominat- ed for director general, 15 ; elected director general and physician-in- chief, 3 ; 6 ; remedied chaotic med- ical situation, 6-7; Recommenda- tions of inoculation according to Baron Dimsdale’s method, 6; med- ical chests supplied regimental sur- geons, 6; difficulties with regi- 142 THE ARMY MEDICAL BULLETIN mental surgeons, 7; supply by “Continental druggists” unsuccess- ful, 7 ; abolition of regimental hos- pitals, 7; medical officers with troops and in hospitals, duties not interchangeable, 7; jurisdic- tion over army hospitals divided between Morgan and Shippen, 7; praise from General Washington, 8 ; appeal to Congress, 8, dismiss- ed, 8 ; his high character, 8 ; re- tirement, 8; Vindication of his public character in the station of director general of the military hospitals and physician-in-chief to the American Army, 8 ; vindication by Congress, 8-9 ; Shippen’s court- martial, 9 ; 12 ; resumption of prac- tice and teaching, 9; resigned as physician to the Pennsylvania Hos- pital, 9; death, 9. Morgan, Mary (Hopkinson), wife of John Morgan, 9. Mormon troubles in Utah, Moore, 58. Moros, insurgent, Patterson, 102. Morristown, N. J., hospital, 23; Shippen, Jr., court-martialed, 12. Moultrie, S. C., Fort, Sutherland, 65. Mt. Dajo, P. I., Reynolds, 108. Mount Vernon, Craik attended sick, 20, and frequent visitor, 20. Mud Springs, Calif., Camp, 0’Reilljr wounded, 79. Murray, Adelaide (Atwood), wife of Robert Murray, 55. Murray, Daniel, father of Robert Murray, 55. Murray, Mary (Dorsey), mother of Robert Murray, 55. Murray, Robert, birth, 55 ; education, 55 ; army service, 55 ; marriage, 55 ; Civil War 55 ; medical director, 55 ; 56 ; medical purveyor, 55-56 ; reorganization of the army, 1866, 56 ; assistant Surgeon General, 56 ; Surgeon General, 56; antisepsis and antiseptic surgery, 1884, 56; attention to bacteriology and hy- giene, 1885, 56-57 ; International Sanitary Conference at Rome, 57; retirement 57; in Europe, 57; president of Aztec Club, 57 ; death, 57; candidates for succession, 59. Myer, Va., Fort, Magee, 119. Myers, Fla., Fort, Moore, 58. NARRAGANSET Indian War, 1. National Board of Medical Ex- aminers, Ireland president, 99. Necessity, Fort, surrender to the French, Craik, 18. Nervous and mental diseases, Ham- mond a pioneer in the U. S., 45-46. New Brunswick, N. J., Cochran prac- ticed “physic and surgery”, 14; his home burned by the British, 16. New Castle, troops encamped, 25. New Jersey State Medical Society, Cochran one of founders and presi- dent, 14; Tilton president, 25. New London Grammar School, at- tended by Cochran, 14. New Orleans, La., Hammond’s head- quarters prior to court-martial, 44; medical supply depot estab- lished 1845, 35 ; Sternberg investi- gated malaria, 72. New Windsor, N. Y., hospital, 23. New York City, Crane assistant to medical purveyor (1856) and at- tending surgeon, 52 ; Murray, 55 ; 56; stock of supplies and hospital established by Morgan, 7; purvey- ing depot under Sutherland, 68. New York Dispensary, Moore, 58. New York Medical Journal, Ham- mond cooperated in founding and editing, 45. New York Practitioners’ Society, dinner to Moore, 61. THE ARMY MEDICAL BULLETIN 143 New York quarantine station, Sternberg, 72. Newport, R. I., birthplace of Ben- jamin Church, 1; Craik established hospital service for Rochambeau's troops, 19; birthplace of Charles Henry Crane, 52. Newport Barracks Ky., Finley, 39. Newville, Pa., birthplace of Clement Alexander Finley, 38. Nez Perce Indian campaign, Sternberg, 71. Niagara, New York, Fort, Patterson, 102. Nicaragua, O’Reilly’s passage with reeruts en route to California, 79. Nisbet, Michael, father-in-law of William A. Hammond, 46. Noble, Robert E., colonel, handled details of S. G. O., 92 ; 97. Nonquitt, Mass., O’Reilly attended General Philip Sheridan, 80. Norfolk, Va., Craik practiced, 18. Norfolk County, Va., birthplace (?) of Lawson, 33. North Castle hospital moved from New York City, 8. Nottingham Academy, Nottingham, Pa., attended by Morgan, 5; Ship- pen, Jr., 10; Tilton, 22. Novelist, Hammond, 45. Nurse Corps, Dodge Commission recommended, 81-82; organization of, 73. Niirses, female, employment of 1861, 40; reserves built up by Torney, 86. Nurses’ quarters, new buildings, 112. OBSERVATIONS on flora, etc., dur- ing journey through portions of Wyoming and Montana, 1881, by William Henry Forwood, 76. Obstetrics, first systematic instruc- tion in America, 1765, 10. Officers, elimination of inefficient by board, 31. Officers, medical, additional recom- mended by Dodge Commission 81; command of general hospitals, 49; increase 1847, 35; increase 1856, 36; increase 1861, 40; personal equipment abolished, 68; propor- tionate numbers retained after Civil War, 50; reserves built up, 86; resignations 1781-83, pay in arrears, 16; uniform improved, 34. See also, Medical department; Pay; Promotion ; Rank; Titles. Officers, retirement for age com- pulsory, 1882, 50. Oise-Aisne, France, Eeyonlds, 109. Omaha, Neb., Fort, Forwood, 76. On wakefulness: with an introduc- tory chapter on the physiology of sleep, 1866, by William A. Ham- mond, 45. Ontario, N. Y., Fort, O’Reilly, 80. Order of the Bath, Great Britain, Ireland companion, 99. Order of Polonia Eestituta, Ireland grand officer, 99. Order of Public Health, French, Reynolds commander, 116. Order of the White Lion (Czecho- slovakia), Patterson, 103. O’Reilly, Alexander, general, captain general of Cuba, one of Spanish governors of Louisiana, and fore- bear of Robert Maitland O’Reilly, 79. O’Reilly, Ellen (Maitland), mother of Robert M. O’Reilly, 79. O’Reilly, Frances L. (Pardee), wife of Robert M. O’Reilly, 83. O’Reilly, John, father of Robert M. O’Reilly, 79. 144 THE ARMY MEDICAL BULLETIN O’Reilly, Robert Maitland, birth, 79; education, 79; Civil War, 79; act- ing medical cadet, and medical cadet, 79 ; resumed education, 79; army service, 79; Sioux Indian campaign, 79; labor disturbances in Pennsylvania, 1877, 80; mar- riage, 83 ; attending physician, White House, 80; attended General Sheridan, 80; Spanesh-American War, 80 ; chief surgeon, 80 ; 81; investigated in Jamaica British army experience in tropical hy- giene, 80; regulation on term of Surgeon Generalcy and require- ment of four years to serve be- fore retirement, 81; Surgeon Gen- eral, 81; brought in young assist- ants 81; 95 ; contributed to Ameri- can textbook of surgery, 1903, 83; Dodge Commission recommenda- tions, 81-82, and their realization, 82; appropriation for construction of a general hospital in Washing- ton, 82 ; reappointed, 82; second tropical research board estab- lished in Manila, 82; reorganiza- tion and increase of medical corps and hospital corps, 1908, 82; change in titles of officers and noncommissioned officers, 82; creation of medical reserve corps, 82; typhoid prophylaxis for the army, 82 ; international conference at Geneva for revision of the Geneva Convention, 82 ; retirement, 82 ; 85-86 ; semi-invalidism, 82-83 ; personality and character, 83; musical tastes and accomplish- ment, 83; death, 83. Ormoc, Leyte, P. I., Reynolds, 107. Osceola, of the Seminoles, 31. Osbourne, Antrim, father-in-law of William Henry Forwood, 78. Otis, George A., major and editor of Medical and surgical history of the War of the Rebellion, 50; death, 54. Oxford University, Gorgas (Hon. De- gree), 93. PALATINE, N. Y., retirement and death of Cochran, 17. Panama Canal, plans for digging, 90 ; first Commission with Admiral John C. Walker at head, 90 (his discharge, 91) ; second Commission with Theodore P. Shonts at head, 91; Gorgas made member, 91; reorganization of 1908 with Col- onel George A. Goethals chairman and chief engineer, 91. Panama City, Gorgas and assistants, 90 ; improvement desired by Com- missioners, 91; model of sanita- tion, 91. “Paris Group”, Patterson, 103. Parker, B., assistant and inspector general, 29. Pasteur, Louis, discovered the pneu- mococcus, 72; Sternberg contem- porary, 74. Patterson, Eda Beryl Lorraine (Day), first wife of Robert U. Patterson, 106. Patterson, Eleanor Haight (Lay), mother of Robert U. Patterson, 101. Patterson, Eleanor (Reeve), second wife of Robert U. Patterson, 106. Patterson, Janet Galbraith Urie, grandmother of Robert U. Patter- son, 101. Patterson, Robert Urie, birth, 101; education, 101; internship, 101; army service, 101; insurgent Moros, 102 ; first marriage, 106; earthquake and fire at San Fran- THE ARMY MEDICAL BULLETIN 145 Patterson, Robert Urie (continued) cisco, 102; Cuban Pacification, 102 ; American National Red Cross, 103; W’orld War, 103; Base Hos- pital No. 5, 103; second marriage, 106; honors received, 103; U. S. Veterans’ Bureau, 104; executive officer, S. G. O., 104; Surgeon Gen- eral, 104; Army School of Nursing discontinued, 104; new buildings at Army Medical Center and else- where, 104-105; Army and Navy General Hospital rebuilt, 104 ; Civilian Conservation Corps, 105; tropical disease board moved to Ancon, C. Z., 105 ; retirement, 105 ; Eighth International Congress of Military Medicine and Pharmacy, 105; societies and associations, 105. Patterson, William James Ballan- tyne, father of Robert U. Patter- son 101. Patterson, William Jeffrey, grand- father of Robert U. Patterson, 101. Pattison, Thomas T. N., father-in-law of George M. Sternberg, 71. Paul, John, father of John Paul Jones, and gardener for Robert Craik, 18. Pay and allowances for medical offi- cers 1834, 30. Pay for soldiers detailed for duty in hospitals, increased, 34; 36. Pay, retired, provided in 1781, 16. Peekskill, N. ¥., hospital moved to after battle of White Plains, 8. Pennsylvania Hospital, Hammond in- tern, 2; Morgan physician to, 6 (resigned, 9) ; Dr. William Ship- pen one of founders, 10 ; Shippen, Jr., on staff, 10-11. Pershing, John J., general, estimate of Ireland, 98-99; choice of Ire- land for chief surgeon, A. E. F., not heeded, 96; punitive expedition to Mexico, 96; sailed for France, 96; recommendation of Ireland for Surgeon General, 97. Personal equipment for medical of- ficers, see, Officers, medical. Pharmacists, see, Medical adminis- trative corps. Pharmacy recognized first by Morgan, 6. Philadelphia Academy of Natural Sciences, Baxter, 65 ; Forwood, 77, Philadelphia General Hospital (Blockley), Reynolds intern, 107. Philadelphia, Pa., birthplace of Jos- eph K. Barnes, 47; Cuvier General Hospital, 79 ; hospital in 1777, 12; boyhood home of James C. Magee, 118; Magee instructor of Penn. National Guard, 119; birthplace of John Morgan, his practice and teaching, his death, 5; 9; Murray medical purveyor, 55-56; principal purchasing agency in country for medical supplies, 56; birthplace of Robert Maitland O’Reilly, 79; birthplace of William Shippen, Jr,, his practice and teaching, 10; 12; birthplace of Charles Sutherland, 66; Torney attending surgeon, 84; study of yellow fever at quaran- tine station by Forwood, 76. See also, West Philadelphia. Philosophical Society of the Dis- trict of Columbia, Sternberg, 74, Photomicography, Sternberg, 72. Physical examinations following World War, 97. Physician and surgeon general, du- ties, 24; office abolished, 25. Physics and physiology of spiritual- ism, by William A. Hammond, 45. Picardy, France, Reynolds, 109. 146 THE ARMY MEDICAL BULLETIN Pickens, Fla., Fort, Confederate forces assault, 67; Crane, 52; Sutherland, 66-67. Pilcher, J. E., lieutenant and author of manual of drill and first aid, 60; comment on administration of Sutherland, 68. Pitacus, Fort, Lake Lanao, Patter- son, 102. Pittsburgh, Pa., Washington and Craik en route into the Ohio valley, 19. Plattsburg, N. Y., general hospital 1812, 27; Lawson, 33. Plattsburg Barracks, N. Y., new buildings, 112. Playwrite, Hammond, 45. Pneumococcus, Sternberg’s and Pasteur’s discovery, 72. Pneumonia immunization, prophy- lactic, experimental test by medi- cal department of the army, 113. Pneumonia, lobar, pneumococcus as pathogenic agent, 72. Port Tampa, Fla., Ireland, 95. Port Tobacco, Md., home, practice, and retirement of Craik, 19; pre- Revolutionary War activity, 19. Portsmouth Grove, R. I., Sternberg, 70. Post Graduate Medical School of New York, Hammond one of founders and on faculty, 45. Presidio of San Francisco, Calif., Ireland, 95; Magee, 118; Patter- son with Co. “B” Hospital Corps, and sanitary inspector, 101. Princess Anne County, Va., birth- X3lace (?) of Thomas Lawson, 33. Princeton, battle of, Craik attended General Mercer, 19; Tilton, 22; Tilton commanded hospital, 23. Princeton College, Dr. William Ship- pen trustee 10. Princeton university, see. College of New Jersey; Princeton College. Prison camp at Fort Warren, Mass., for Confederate officers, Suther- land, 67. Proctor, Redfield, Secretary of War, friend of Baxter, 64. Professional and scientific groups, demonstrations by medical de- partment of the army, 112. Promotion by seniority, established 1781, 16; Tilton and the act of 1781, 23. Prospect Hill, Church recommended system of defensive works, 2. Prosthetic appliances, see, Labora- tories, dental. Provost Marshal General’s Bureau, Baxter chief medical officer, 62; 64. Public Civil Fund, P I., Ireland dis- bursing- officer, 95. Public contacts by medical depart- ment, see, Professional and scien- tific groups. Public Health Association, Baxter, 65. Purchasing officers, bonding, recom- mended by Lovell, 29. Pui-ple Heart, Order of the, Magee, 119. Purveyors, medical, 1862, 40. Pynchon, Joseph, Dr., teacher of Benjamin Church, 1. QUAKERS, Morgan’s family, 5. Quarterly Journal of Psychological Medicine and Medical Jurispru- dence, established and edited by Hammond, 45. Queen Alexandria Military Hospital, Milbank, England, Gorgas’ death, 93. RALEIGH, N. Y., Forwood, 76. Rank above major first bestowed on medical officers 1862, 40; military for medical officers, 34; 35; rela- THE ARMY MEDICAL BULLETIN 147 Rank (continued) : tive fixed for medical officers, 1781, 16; and military titles for medical officers, 1847, 30. Reading, Pa., hospital, 23. Reciprocal advantage of a perpetual union between Great Britain and her American colonies, 1766, by John Morgan, 6. Reclassification of civilian person- nel in the S. G. O., 111. Reconstruction of injured, 97. Recommendations of inoculation ac- cording to Baron Dimsdale's meth- od, 1776, by John Morgan, 6. Red Cross building at Army Medical Center, 98. Red Cross Medal (Serbia), Patter- son, 103. Red Cross ship, Patterson accom- panied nurses and surgeons to Europe, 103. Redman, John, Dr., taught John Morgan, 5. Reduction of medical department facilities following Armistice, 97. Reduction in personnel, 1842, 35. Reed, Charles A. L., Dr., report to the American Medical Association, 1905, on the sanitation work in Panama, 91. Reed, Walter, major, see Walter Reed. Registries, see, Army Medical Museum. Regulations for the guidance of the medical service, submitted to Con- gress by John Morgan, 7. Regulations of the medical depart- ment, December 1814, 25 ; 29 ; April 1816, 29 ; September 1818, 29; 1825, 30. Regulations for medical purveyor’s service, 16. Regulations, recruiting, foreign gov- ernments, in Baxter’s report, 65. Relief, hospital ship, Torney com- manded, 85. Renon, Camp, O’Reilly, 79. Reports, hospital, system installed by Hammond, 43. Reports, monthly sanitary, made of practical value by Moore, 61. Research instruments and appli- ances, 63. Reserve officers, medical, increased, 112. Respiration, physiology of, thesis by James Tilton, 1768, 22. Retirement, see, Officers. Revolutionary War, Church, 1; Cochran, 14 ; Craik, 19; Morgan, 6; Shippen, Jr., 11; Tilton, 22, Reyonlds, Charles Ransom, birth, 107 ; education, 107; army service, 107; insurgent Philippine natives, 107 ; marriage, 108 ; Mexican bor- der, 108 ; World War, 109 ; division surgeon, 109; Corps surgeon, 109; Army surgeon 109; Sux-geon Gen- eral, 110; achievements in office, 111; personnel increases, 111; 112; medical administrative corps re- organzied, 111; training program, 111-112; medical and dental in- terns, 112; modernized hospital and field equipment 112; hospital at Fort Sam Houston, Texas, re- built, 112 ; Fitzsimons general hos- pital reconstruction begun 112; other construction, 112-113; biol- ogical laboratories at Army Med- ical Center, 113 ; typhoid vaccine Strain No. 58, 113 ; pneumonia im- munization 113; encephalomyelitis vaccine, 113; central dental lab- oratories, 113; centenary of Army Medical Library, 114; new build- 148 THE ARMY MEDICAL BULLETIN ing authorized for Army Medical Library and Museum. 114; 75th anniversary of battle of Gettys- burg, 114; venereal disease con- trol, 114-115; societies and as- sociations 115-116; honors received, 108 ; 109 ; 116 ; Tenth International Congress of Military Medicine and Pharmacy, 116; retirement, 117; 118. Eeynolds, Charles E., Jr., son of Charles E. Eeynolds, 117. Eeynolds Frederick Pratt, colonel M. C., brother of Charles E. Eey- nolds, 107. Eeynolds, George Gardiner, father of Charles E. Eeynolds, 107. Eeynolds, Jane Boyd (Hurd), wife of Charles E. Eeynolds, 108. Eeynolds, Lucy (Pratt), mother of Charles E. Eeynolds, 107. Eeynolds Eoyal, colonel, M. C., brother of Charles E. Eeynolds, 107. Eichard, Charles, brigadier general, acting Surgeon General, 97. Eichard son, Texas, Fort, Forwood, 76. Eichmond, Va., Moore, 59. Eidgely, Dr., taught James Tilton, 22. Eiley, Kans., Fort, Forwood and cholera, 75 ; Hammond, 42; Ire- land served under Major Hoff, 94; Ireland in charge first company of Instruction of Hospital Corps, 94; Eeynolds, 107; 108; Eeynolds in- structor M. O. T. C., 109; Stern- berg, 71; site located by exploring party, Sutherland member, 66. Eobinson, Tully, colonel, grandfather of Thomas Lawson, 33, Eochambeau, Craik established hos- pital service for troops, 19. Eogue Eiver, Oregon, Crane, 52. Eolleston, Sir Humphry, orator at centenary of Army Medical Li- brary, 114. Eoosevelt, Franklin D., President, appointed Eeynolds Surgeon Gen- eral, 110. Eoosevelt Theodore, President, sup- port of Gorgas in Panama, 91. Eosecrans, general, Hammond in- spector of camps and hospitals, 43 ; Moore, medical director, 58- 59 ; Murray, 55. Eound Hill School, Northampton, Mass., attended by Barnes, 47. Eowe, George, and cipher letter of Church, 3. Eoyal Academy of Eome, Sternberg hon. member, 74. Eoyal College of Surgeons, Edin- burgh, Ireland, 99. Eojml Society, London, Morgan, 5. Eubino, private, see, Base Hospital No. 5. Rules and regulations for the army, 1813, 24. Eush, Benjamin, professor in chemis- try, College of Philadelphia, 1766, 6; resignation from army laid to Shippen, Jr., 12 ; supported Morgan against Shippen, Jr., 9; 12. Eussell, D. A., Wyo., Fort, O’Eeilly, 80. SAC Indians, troops employed against, 30. Saco, Maine, home and practice of William A. Hammond, 42. Sadsburyville, Pa., birthplace of John Cochran, 14. St. Augustine Fla., general hospital, 31. THE ARMY MEDICAL BULLETIN 149 Satterlee, E. S., surgeon, Mexican War, 35. Savannah, Ga., general hospital, Forwood, 76-77. Say, Lord, and forebears of Patter- son, 101. Schuyler, Peter, widow of, wife of John Cochran, 14. Schuyler, Philip, major, friendship with Cochran, 14. Scientific awakening in the medical corps, 56. Scott, Fort, Barnes, 48. Scott, Winfield, general, Barnes, 47 ; Crane and trip to Pacific Coast, 52; Finley chief medical of- ficer in Black Hawk War, 38; Fin- ley medical director in Mexican War, 39 ; Lawson and Mexican cam- paign, 35. Seal, Lord, and forebears of Patter- son, 101. Seasickness, Torney’s intractable, 84. Secretary of War (Newton D. Baker) and Gorgas, 92. Seminole War, 30 ; 31; Barnes, 47 ; Crane, 52; Finley, 38 ; Lawson, medical director, 34. Sermon occasioned by the death of General Washington * * * an ap- pendix giving a particular account of the behavior of General Wash- ington during his distressing ill- ness, also of the nature of the complaint of which he died, 1800, James Craik and Elisha C. Dick, 20-21. Serological survey, see Venereal dis- ease. Seward, William H., Secretary of State, attempted assassination, at- tended by Barnes, 50. Shatter, general, Ireland, 95. St. Joseph, Mo., Eeynolds, 108. St. Louis, Mo., Ireland, 95; Moore, 59. St. Mihiel, France, Magee assistant to chief surgeon, First Army, 119. Sam Houston, Texas, Fort, hospital rebuilt, 112 ; hospital center for punitive expedition to Mexico, 96; Ireland sanitary inspector and surgeon, 96; Magee division sur- geon and commanding officer of medical regiment, 119 ; Patterson, 102; Eeynolds commanded base hospital, 108. San Antonio Academy attended by Patterson, 101. San Antonio, Texas, Magee instruc- tor of National Guard troops, 119. Sanatorium for nervous and mental cases established by Hammond, 45. San Francisco, Calif., earthquake and fire of 1906, Patterson, 102 ; Torney, 85; Forwood, 77; Moore assistant medical purveyor, 59; Murrary, medical purveyor, 56; O’Eeilly, 81; Torney commanded general hospital, 85. See also, Presidio of San Francisco. Sanitary Commission, Crane, 53 ; in- fluential, 39-40; recommendations, 40; termed meddlesome, 41; favor- able to Hammond, 43. Sanitation in Panama, 1915, by William C. Gorgas, 93. Santa Fe, New Mexico, overland trail developed by exploring party, with Sutherland, 66. Santiago, Cuba, negotiations for capitulation, 89; epidemic of yel- low fever, 89. Saratoga, U.S.A.T., Ireland’s trip to Cuba, 95. Satterlee General Hospital, For- wood, 75. 150 THE ARMY MEDICAL BULLETIN Shakespeare, Edward O., major, and and typhoid fever board, 73. Shawnee Indians, hostile, 18. Shelter Island, L. I., N. Y., burial of Crane, 54. Sheridan, Philip, general, O’Reilly attended, 80 ; expedition to North- west, 76. Sherman, William T., general, Moore medical director during march up- on Atlanta, 59; Murray, 55. Shiloh, field of, Murray medical director, 55. Shippen, Alice (Lee), wife of William Shippen, Jr., 13. Shippen, Susannah (Harrison), mother of William Shippen, Jr., 10. Shippen, William, Dr., father of Wil- liam Shippen, Jr., 10; one of founders of Penn. Hospital, and Univ. of Penn., 10; trustee of Princeton College, 10 ; member Con- tinental Congress, 10. Shippen, William, Jr., birth, 10; education, 10 ; marriage, 13 ; lec- tures on anatomy, 10; first sys- tematic instruction in obstetrics (midwifery) in America, 10; pro- fessor of anatomy and surgery, College of Phila., 6; 10; chair of anatomy, surgery, and midwifery in Univ. of Penn., 10; on staff of Penn. Hosp., 10-11; member Am. Philosophical Society, 11; one of founders of College of Physicians of Phila. and its president, 11; Revolutionary War, 11; medical director of the Flying Camp, 7; 11; supervision of all military hos- pitals west of Hudson river, 7 ; 11; break with Morgan, 11; dissatis- faction of regimental surgeons un- checked, 11; plan for reorganiza- tion of medical service, 11; 14 ; director general, 11; care of sick criticized 12 ; charges preferred to Congress, 12; court-martial and acquittal, 12; re-elected medical director, 12 ; resigned, 12 ; resumed practice and teaching, 12; death of only son, 12; death, 13 ; character and professional influence, 13. Shonts, Theodore P., head of second Panama Canal Commission, 91. Siboney, Cuba, Gorgas, 89; LaGarde commanded Siboney hospital, 89' Gorgas commanded Siboney hos- pital, 89; hospitals ordered burn- ed, 89; Ireland and Reserve Divi- sional Hospital under LaGarde, 95. Sick report of the Northern Division for the year ending June 30, 1817, by Joseph Lovell, 28. Sill, Okla., Fort, new buildings, 112. Silver Star citation Patterson, 102 ; Reynolds, 108. Sioux Indians, Hammond, 42; O’Reilly, 79. Sleep and its derangements, 1869, by William A. Hammond, 45. Smallpox among troops, 1775-76, 6: inoculation of Continental soldiers, 22; Morgan’s campaign for vac- cination, 1776, 6. Smart, Charles, major, work on Medical and surgical history of the War of the Rebellion, 54; in S.G. O. under Moore, 60; colonel and Surgeon Generalcy, 81. Smith, Ark., Fort, Finley, 38. Smith, Joseph R., major, in S.G.O., 43. Smith, P. F., colonel in Seminole War, 34. Snelling, Minn., Fort, Forwood, 76; new buildings, 112. THE ARMY MEDICAL BULLETIN 151 Society of the Cincinnati, Craik, 21; James Lovell, 27; Tilton, 25. Society of German Army Medical Officers, Eeynolds hon. member, 116. Society of the War of 1812, Joel Barlow Sutherland first president, 66 ; Charles Sutherland, historian, 66. Spanish-American War, Forwood, 76 ; Gorgas, 89 ; Ireland, 95 ; O’Eeilly, 80 ; Sternberg, 73 ; Torney, 85. Staff reorganization 1813, 24; 1818, 28; 1821, 29-30. Stamford, Conn., branch of the gen- eral hospital, 8. Stanton, Edwin M., Secretary of War, candidate 1862 for Surgeon Generalcy, 43; friendship with Barnes, 48 ; 49; quarrel with Fin- ley, 40 ; break with Hammond, 44 ; favored medical department, 49; tact and diplomacy of Crane, 53. Stanton, New Mex., Fort, Ireland, 94; Sutherland, 66. Staunton, Va., Craik, 19. Stegomyia mosquito, see, Aedes Aegypti. Sternberg, George Miller, birth, 70; work, 70; teaching, 70; education, 70 ; practice, 70 ; army service, 70 ; Civil War, 70; marriage, 71; wife’s death, 71; re-marriage, 71; An inquiry into the modus oper- andi of the yellow fever poison, 1875, 71; A study of the natural hitsory of yellow fever, 1877, 71; Nez Perce Indian campaign, 71; anemometer, 71; automatic heat regulator, 71; Havana Yellow7 Fever Commission, 71-72; develop- ment of photomicography, 72; as- sociation with Dr. Carlos Finlay, 72; malaria investigation, 72; discovery of the pneumococcus, 72 ; demonstration of the plasmodium of malaria and the bacilli of tuber- culosis and typhoid fever, 72; American pioneer in disinfection, 72; T omb prize essay, Disinfection and individual prophylaxis against infectious diseases, 1866, 72; In- ternational Sanitary Conference in Home, 1885, 57; Manual of Bacter- iology, 1892, 74; Surgeon General, 73 ; Spanish-American War, 73 ; Army Medical School established, 73; contract dental service, 73; army nurse corps, 73; general tuberculosis hospital at Fort Ba}7- ard, 73; special surgical hospital at Washington Barracks, 73 ; lab- oratory supplies for medical school and larger hospitals, 73 ; epidemic of typhoid fever, 73 ; Typhoid fever board, 73 ; Yellow fever commis- sion, 73 ; first tropical disease board established in Manila, 73; retire- ment, 73 ; 77 ; death, 73 ; honors conferred, 74; character and in- fluence, 74. Sternberg, Levi, father of George M. Sternberg, 70. Sternberg, Louisa (Bussell), first wife of George M. Sternberg, 71; death from cholera, 71. Sternberg, Margaret Levering (Miller), mother of George M. Sternberg, 70. Sternberg, Martha L. (Pattison), second wife of George M. Sternberg, 71. Stoneman’s cavalry division, Forwood surgeon, 75. Storeships see, Marcy C. Day. Stratford, Vermont, birthplace of Jedediah Hyde Baxter, 62. 152 THE ARMY MEDICAL BULLETIN Stringer, Samuel, denied authority of Morgan, 8; dismissed, 8. Study of the natural history of yel- low fever, 1877, by George M. Sternberg, 71. Suez Canal, visited by Gorgas, 90. Sumter, S. C., Fort, fall of, 36. Supplies, medical, appropriation for purchase 1775, 1; Committee of Mass. Provincial Congress to in- ventory and purchase, 1; Com- mitte to provide medicine and other necessaries and surgeons, 2; “Continental druggists”, 7 ; ex- penditures by Sutherland, 68; quality and quantity, 63; for regimental surgeons, 7; reserves built up, 86; scarce, 1781-83, 16; surplus, 98 ; transportation of, autonomy of medical department recommended by Hammond, 44; year’s supply for army four times normal strength recommended by Dodge Commission, 81-82. Supply depots, medical, see, Colum- bus, Ky.; Corpus Christi, Tex.; Manila, P. I.; Memphis, Tenn.; New Orleans, La.; New York, N. Y.; Philadelphia, Pa.; San Fran- cisco, Calif.; Washington, D. C. Supply table, medical, Hammond, 43. Surgeon General, abolition of office defeated by Lovell, 30; appointee to have four years to serve before retirement, 81; assistant to created in 1862 ; 40; term of office four years, 81. Surgeon General’s Office: Barnes, 44 ; Baxter 63 ; Birmingham, H. P., 92 ; Bronaugh, James C., 28 ; Crane 53 ; Darnall, C. R., 81; Forwood, 75; 77; Glennan, James D., 81; Goodrich, Annie W., 92; Greenleaf, Charles R., 60; Heiskell, H. L., 35; Ireland, 81; 95 ; 96; Kean, J. R., 81; LeBaron, Francis, 24; 28; 30; Lynch, Charles, 81; McCaw, Walter D., 81; Mason, Charles F., 81; Noble, Robert E., 92; 97; Pat- terson, 103 ; 104 ; Reynolds, 110 ; 111; Richard, Charles, 97; Smart, Charles, 60; Smith, J. R., 43; Watkins, Tobias, 28 ; Winter, Fran- cis T., 81; Wood, R. C., 39 ; 40 ; 43 ; 53. Surgeons for hospitals, committee to provide medicines and, Drs. Church, Taylor, and Whiting, members, 2. Surgeons, regimental, Morgan’s ad- ministration dissatisfies, 11, dif- ficulties with, 7 ; 8 ; individual medical chests for, 6; undermined by, 7 ; relative rank, 23; trouble- some to chief of medical depart- ment, 2. Surgery antiseptic, 1884, 56. Sutherland, Charles, birth 66 ; educa- tion, 66 ; army service, 66; Indian campaigns 66; first marriage, 69; Civil War, 66; medical purveyor, 67; 68; established supply depots, 67; army reorganization of 1866, 68 ; second marriage, 69 ; medical director, 68 ; candidate for Sur- geon General, 59; Surgeon Gen- eral, 68 ; new field equipment for medical department, 68; personal equipment for medical officer abolished, 68; Hospital Corps de- veloped, 68 ; retirement, 69 ; 72 ; historian, Society of the War of 1812, 66 ; death, 69 ; personality, 69. Sutherland, Elizabeth Wirt (Brewer), second wife of Charles Sutherland, 69. THE ARMY MEDICAL BULLETIN 153 Sutherland, Joel Barlow, father of Charles Sutherland; Univ. of Penn., War of 1812, studied law, State legislature, member of Con- gress Judge of Court of Common Pleas, first president of Society of | the War of 1812, 66. Sutherland, Kate (Brewer) ,first wife: of Charles Sutherland, 69. Sutherland, Mary (Read), mother of Charles Sutherland, 66. Sykes, George, general, Forwood act-! ing medical director, 75; Stern- berg, 70. Syphilis, enrollees C. C. C., 114. System of surgery, 1895-96, by William H. Dennis, contribution by Forwood, 77. TAMPA, Fla., medical supply depot established, 31. Taylor, Dr., on committee on hos- pital personnel and supplies, 2. Taylor, Zachary, general and Presi- dent, Barnes, 47; Finley, medical director, 39; Robert C. Wood, son- in-law, 39. Thacher, medical historian of Revolutionary days, on John Cochran, 16. Thomas, U. S. A. T., Reynolds sur- geon, 107. Thompson, Dr., Lancaster, Pa., taught medicine to John Cochran, 14. Thompson, W. A., son-in-law of John Moore, 61. Tilton, James, birth, 22, education, 22; graduation thesis on physi- ology of respiration, 22; practice, 22 ; Be Hydrope, 22 ; Revolutionary War, 22; inoculation of all Con- tinental soldiers, 22-23; tour of hospitals, 23; trial of small log huts for 6 or 8 patients each, 23 ; reorganization of medical depart- ment, 1780, 23 ; promotion by seniority of medical officers, 23; practice, 23; in Continental Con- gress, 23; Society of the Cincin- nati, 25; Delaware House of Rep- resentatives, 23 ; Commissioner of loans for Delaware, 23; Economic- al observations on military hos- pitals and the prevention and cure of diseases incident to an army, 1813, 24; War of 1812, 24; reorgan- ization of staff departments, 24; physician and surgeon general 24; tour of inspection, 24; Regulations for the medical department, 1814, 25 ; reduction of army, 25 ; his of- fice terminated, 25 ; directed own thigh amputation, 25 ; societies, 25 ; appearance and character, 26; death at Wilmington, 25. Tilton, John, forebear of James Tilton, 22. Tilton, Thomas, father of James Tilton, 22. Titles: chief hospital physician abolished, 16; medical and non- commissioned officers changed, 1908, 82; medical personnel, 1777, 11; new system, 1821, 30; old sys- tem abolished, 30 ; and military rank for medical officers, 1847, 30. To commemorate the bloody tragedy of the fifth of May 1770, oration by Benjamin Church, 1. Tomassi-Caudeli, Carrado, and malaria, 72. Topography included in Baxter’s report, 65. 154 THE ARMY MEDICAL BULLETIN Torney, George Henry, birth, 84; education, 84; internship, 84; en- tered navy, 84; married, 87 ; resig- nation, 84 ; army service, 84 ; hos- tile Indians, 84 ; Spanish-Ameri- can War, 85; hospital ship Relief, 85 ; instructor in hygiene, general service schools, 85 ; earthquake and fire at San Francisco, 85; Surgeon General, 86; his assist- ants, 86; reserves of officers, nurses, and supplies, 86; Walter Reed General Hospital opened, 86; immunization against typhoid fev- er made universal, 86; venereal prophylaxis extended, 86; Army Medical School built up, 86; de- partment laboratories estabilshed, 86; sanitary measures improved, 86; Dental Corps created, 86; tac- tical training of medical officers, 86 ; test maneuvers, 86 ; beri-beri, 86 ; reappointed, 86 ; death, 86 ; societies and associations, 86-87. Torney, John P., father of George Henry Torney, 84. Torney, Mary A. (Johnston), wife of George Henry Torney, 87. Torney, Mary M. (Peacock), mother of George Henry Torney, 84. Tory sympathizer, Church, 1. Toul, France, Reynolds chief surgeon of Second Army, 109. Toulminville, Ala., birthplace of William C. Gorgas, 88. Tours, France, Reynolds, 110. Training, field, and tactics, see Leavenworth. Transactions, American Philosophical Society, Morgan contributor, 6. Transportation of medical supplies, medical department supervision recommended by Dodge Commis- sion, 81-82. Transports, U. S. Army, see, Grant; Saratoga; Thomas. Transvaal Chamber of Mines, Gorgas invited to visit South Africa, 1913, 91. Treason, Church, 2; convicted of communicating with the enemy, 4. Treatise on diseases of the nervous system, 1871, by William A. Hammond, 45. Treatise on hygiene, with special reference to the military service, 1863, by William A. Hammond, 45. Trenton, battle of, Tilton, 22. Trenton, N. J., hdqrs. of the Flying Camp, 11; hospital, 23. Tripler, C. S., surgeon, attended meeting of the A. M. A., 1850, 36; Mexican War, 35. Tropical disease board, first recommended by Sternberg, 73 ; reconstituted by O’Reilly, 82; third established by Ireland, 98 ; removed to Ancon, C. Z., by Patterson, 105. Truby, Albert E., captain, relief work after earthquake and fire at San Francisco, 102. Trumbull, Conn., Fort, O’Reilly, 79. Tryon, William, father-in-law of Jedediah Hyde Baxter, 65. Tuberculosis, bacilli of, demonstrated by Sternberg, 72. Tugo, private, see, Base Hospital No. 5. Typhoid fever among troops, 1775-76, 6; bacilli demonstrated by Stern- berg, 72; epidemic during Spanish- American War, 73. Typhoid fever board, organized by Sternberg, 73. Typhoid prohylaxis for army, 82; demonstration, see Maneuvers; made universal in army, 86. THE ARMY MEDICAL BULLETIN 155 Typhoid vaccine, new Strain No. 58, 113 ; Rawlings strain discontinued 113. Typhus contracted by James Tilton, 23. UNION, Fort, O’Reilly, 79. U. S. Soldiers’ Home, Crane, 54; Ireland, 99. U. S. Veterans’ Bureau, Patterson, 104. University of Alabama, Gorgas offered presidency, 93. University of the City of New York, William A. Hammond, M. D. (1848), 42; Hammond professor in nervous and mental diseases, 44-45; John Moore, M. D. (1850), 58. University of Edinburgh, Craik received academic and medical training, 18.; John Morgan, M. D. (1763), 5; William Shippen, Jr., M. D. (1761),10. University of Louisville, medical department, attended by John Moore, 58. University of Maryland, medical school, William A. Hammond chair of anatomy and physiology, 42 ; attended by Robert Murray, 55. University of Michigan, Paul Mills Ireland, M. D. (192C), 100; attended by Charles R. Reynolds, 107 ; George M. Sternberg Hon. LL. D. (1894), 74. University of Oklahoma, medical school, Patterson dean, 105; Patterson superintendent of two teaching hospitals, 105. University of Penn., Joseph K. Barnes, M. D. (1838), 47 ; Clement Alexander Finley, M. D. (1818), 38; Henry Forwood, M. D. (1861), 75; William C. Gorgas (Hon. degree), 93; Robert Murray, M. D. (1843), 55; Robert M. O’Reilly M. D. (1866), 79; Charles R. Reynolds, M. D. (1899), 107; Dr. William Shippen one of founders, 10; William Shippen, Jr., professor of anatomy, surgery, and midwifery (1791), 10; chair of materia medica declined by James Tilton (1791), 23. University of the South, Sewanee, Tenn., opened 1869 with General Josiah Gorgas head of junior department, 88 ; William C. Gorgas, B. A. (1875), 88; William C. Gorgas (Hon. degree), 93; William C. Gorgas offered presidency, 93. University of Vermont, Burlington, Vt., Jedediah Hyde Baxter, B. S. (1859), M. D. (1860), 62; William A. Hammond on faculty, 45. University of Virginia, George Henry Torney, M. D. (1870), 84. Upton, Yaphank, N. Y., Camp, Reynolds division surgeon, 77th Division, N. A., 109. VACCINE, encephalomyelitis, see, Army Veterinary School. Vaccination, see, Smallpox. Valley Forge, Shippen director general, Cochran physician and surgeon general, 15. Vancouver, Wash., Fort, Barnes, 48 ; Moore, 59. Vaucluse, estate of Craik, retirement and death, 21. Vaughan, Victor C., major, Typhoid fever board, 73. Venereal prophylaxis extended under Torney, 86; serological survey all army enlisted men, 114-115. 156 THE ARMY MEDICAL BULLETIN Vera Cruz, Mexico, preparations for attack upon, 35 ; Barnes, 47 ; Crane, 52; Finley medical director of Scott’s army, 39. Vesle sector, France, Reynolds, 109. Vicars, Camp, Lake Lanao, P.I., Patterson, 101-102. Vicksburg, Miss., Moore medical director, 59 ; Sutherland at Grant’s hdqrs., 67 ; fall of, 67. Vienna, Austria, Reynolds studied at Krankenhaus, 108. Vindication of his public character in the station of director general of the military hospital and physician-in-chief to the American Army, 1777, by John Morgan, 8. Vindication of Hammond, 45 ; of Morgan, 8-9. Violinist, O’Reilly, 83. WADE, James F., major general, O’Reilly chief surgeon on staff, 80. Wadsworth, N. Y., Fort, Moore, 59. Wainwood, of Newport, and cipher letter of Church, 3. Walker, John C., admiral, head of first Panama Canal Commission, 90. Walla Walla, Wash., Fort, Sternberg, 71. Wallace, captain, and cipher letter of Church, 3. Walter Reed, major, Typhoid fever board, 73 ; Yellow fever commis- sion, 73 ; 90. Walter Reed General Hospital, Hammond recommended, 44 ; site secured and construction begun under O’Reilly, 82 ; opened, 86 ; 108 ; rebuilt, 97 ; Array School of Nurs- ing, 98; Magee, 119; Patterson, 102; Reynolds, 108. War of 1812, Lawson, 33 ; Lovell, 27 ; Tilton, 24. War Medal with citation, Great Britain, to Patterson, 103. Ward, of Providence, and cipher letter of Church, 3. Warren, Francis E., Wyo., Fort, new buildings, 112. Warren, Joseph, Dr., on committee of Mass. Provincial Congress, 1. Warren, Mass., Fort, Sutherland and prison camp for Confederate officers, 67. Washington Biological Society, Sternberg, 74. Washington, D. C., Barnes, 48 ; Crane, 54; Forwood, 76; Gorgas, 90; Hammond, 45 ; Murray, 55 ; O’Eeilly, 80 ; Sternberg, 70 ; Sutherland, 67. Washington Barracks, D. C., hospital discontinued, 86; Reynolds, 107 ; 108 ; surgical hospital, 73. Washington, George, Cochran appointed commissioner of loans for State of New York, 17 ; received by Church at Cambridge, 2 ; court of inquiry on Church, and report to Congress, 3 ; com- mended certain medical officers, 15 ; “Conway Cabal”, 27 ; choice of Craik for chief of medical depart- ment 1781 not heeded, 19-20; Craik chosen for chief medical officer 1798, 20; Craik warned of “Conway Cabal”, 19 ; friendship for Craik, 18 ; trip into Ohio valley with Craik, 19; and to Winchester, Va., 18 ; urged Craik to reside at Alexandria, Va., 20; Craik’s son his private secretary, 21 ; attended by Craik, 1799, 20; Finley appoint- ed receiver of public moneys in the Northwest, 38 ; investigation of medical department, 2; Morgan THE ARMY MEDICAL BULLETIN 157 Washington, George (continued) reported at Cambridge, 6; praise for Morgan, 7-8 ; plan of Shippen, Jr., and Cochran, for reorganiza- tion of medical service, 11; 14-15 ; summoned from retirement to command army, 1798, 20; Virginia Provincial Regiment, 18. Washington, Md., Fort, Reynolds, 107. Washington General Intermediate Depot, Patterson, 104. Washington purveying depot, Sutherland, 68. Water supplies as carriers of disease germs, 1885, 57. Watkins, Tobias, hospital surgeon and assistant to Lovell, 28. Wayne, Mich., Fort, Ireland, 95 ; O’Reilly, 80. Waynesboro, Va., home of Sarah (Fellers) Ireland, 94. Weather reports initiated by Lovell, 31. Webster, New Mex., Fort, Suther- land, 66. Weed, Frank W., colonel and editor History of the Medical Depart- ment of the U. S. Army in the World War, 99. See also, Lynch, Charles. West Indies, Craik as British army surgeon, 18. West Philadelphia, Pa., Forwood at Satterlee General Hospital, 75. West Point, Ky., Reynolds, 107. West Point, N. Y., Barnes, 47 ; 48 ; Cochran remained with Northern forces, 16; Josiah Gorgas graduated from Military Academy (1841), 88; failure of efforts to enroll William C. Gorgas in Military Academy, 88 ; Hammond, 42 ; Torney, 85. Westchester, N. Y., Morgan, 7. Whigs supported by Church, 1. Whipple, Fort, O’Reilly, 79. Whipple Barracks, Ariz., O’Reilly, 79. Whiskey ration, Lovell abolished, 31. White House, Baxter physician to, 63 ; Lawson resided near, 37 ; O’Reilly attending physician, 80. White Plains, battle of, Morgan, 8 ; Tilton, 22. Whitehall General Hospital, Forwood, 75. Whiting, Dr., on committee on hospital personnel and supplies, 1775, 2. Wickoff, Camp, Ireland executive officer of general hospital, 95. William Beaumont General Hospital, opened, 97. Williamsburg, Va., hospital, 23. Williamsville, N. Y., hospital, 28. Wilmington, Del., Tilton, 22; 23 ; 25. Winchester, Va., Craik and Washing- ton, 18 ; home of Craik, 18. Wingate, New Mex., Fort, Torney, 84. Winter, Francis T., captain and assistant to O’Reilly, 81. Wood, Leonard, general, military governor of Cuba, 89. Wood, N. Y., Fort, Torney, 84. Wood, Robert C., surgeon, in charge of S. G. O. during Lawson’s absence, 39 ; son-in-law President Taylor, 39; brother-in-law Jeffer- son Davis, 39 ; assistant to Finley, 39 ; acting surgeon general, 40 ; highly able, 41; claims for Surgeon Generalcy, 43 ; relieved from duty in S. G. O., 43. Woodhull, major, author of manual of drill and first aid, 60. Woods, private, see, Base Hospital No. 5. 158 THE ARMY MEDICAL BULLETIN Woodward, Joseph J., major and editor Medical and surgical history of the War of the Rebellion, 49 ; 50 ; curator Army Medical Museum, 49; death, 54. World War, Gorgas, 92 ; Ireland, 96; Magee, 119; Patterson, 103; Eeynolds, 109. Worth’s division, Barnes, 47. Wright, J. J. B., surgeon, Mexican War, 35. YALE University, Charles Henry Crane, B. A. (1844), 52; M. A. (1847), 52. Yates, N. D., Fort, Ireland, 94. r Yellow fever, Fort Brown epidemic, 89 ; Canal Zone epidemic, 90 ; Cuba epidemic, 89; Commission organized by Sternberg, 71; 73 ; proof of mosquito transmission, 90 ; Gorgas contracted, 89 ; Gorg-as’ tour of South and Central America, 1916, 92; theory of Dr. Carlos Finley, 72 ; 89-90 ; not accepted by Gorgas, 90; Sternberg authority, 71. See also, Chaille; Guiteras. Yorktown, battle of, 16; Forwood, 75 ; hospitals, 23. Yosemite National Park, Ireland, 95. ZAMBOANGA, P. I., Patterson, 102.