\\\ .,-' "Vic-' Library of Medicine Bethesda, Md. U.S. Department of Health, Education, and Welfare PUBLIC HEALTH SERVICE 73 jd~a~^-*.*A~OJ\Aji C-o-, n Hospital Transports. A MEMOIR of the Embarkation of the Sick and Wounded from the Peninsula of Virginia in the Summer of 1862. Compiled and Published at the request of the Sanitary Commission. Boston: TICKNOR AND FIELDS 1863. UH IS63 Entered, according to Act of Congress, in the year 1863, by TICKNOR AND FIELDS, the Clerk's Office of the District Court for the District of Massa- chusetts. University Press: Welch, Bigelow, and Company, Cambridge. DEDICA TION. To the Memories of J. M. GRYMES, M. D., sometime Surgeon in charge of the Hospital Transport Daniel Webster, and, at the time of his death, Surgeon to the temporary Home for disabled soldiers, of the Sanitary Commission at Washington; — WILLIAM PLATT, Junior, Esq., late a Relief A^cnt of the S ...itary Commission, who died from the effect of prolonged exposure and excessive 'aulding. An order had been obtained from the Quar- termaster for the planks and boards of some rebel platforms, with which to put up bunks, etc., and a gang of contrabands were set at the business. While this was going on, a visit was Hospital Transports. 53 made to the surgeon in charge of the shore hos- pitals, with whom, after debate, it was agreed that the Elm City should be made ready by two o'clock to take on the sick who were waiting transport near the shore. The State of Maine was at the same time to be supplied and made ready to follow without delay. Going on board the Small again to carry out these arrangements, A. was met by a note from the Quartermaster enclosing a telegram from the Medical Direc- tor of the army at Williamsburg, demanding a boat provided with " straw and water to be ready to take on two hundred sick and wounded within two hours at Queerts Creek." The despatch con- cluded, " This is of the utmost urgency. See the Sanitary Commission." The only boat in the fleet that had a fair supply of water on board was the Elm City, already assigned for other duty, and she had no stores of food. There was about one day's supply of provis- ions for two hundred men on the Small, and A. wrote at once to the surgeon in charge of the shore hospitals, that, to meet an order of the Medical Director, it had become necessary to change the arrangements just before made with him. He would have to withdraw the Elm City, but as supplies could be sent immedi- ately to the State of Maine, she could be got 54 Hospital Transports. ready before night to take her place. The Small was then put in motion, and first the Elm City was hailed in passing, with orders to " fire up and heave short, and be all ready to move in half an hour," thence to the Alida, which was sent with the supplies to the State of Maine, and then back past the Elm City, ordering her to follow, and so in good time up to the mouth of Queen's Creek, by the side of the Kenne- bec, loading with wounded Secession prisoners, brought out of the creek by light-draft stem- wheelers. The process of embarkation, witnessed at a point some distance up the creek, was rude, careless, and quite unnecessarily painful; the mis- erable wretches of rebels being made to climb a plank, set up at an angle of forty-five degrees, which they could only do by the aid of a rope thrown to them from the deck. Strange to say, they themselves made no complaint, but ap- peared to think that they were well treated. So much for habit. The only assistance the Com- mission could render was to make the pathway less slippery by nailing cleats closely together across the steep planks. To do this, nails were bought of an old man near by, who at first asserted decidedly that not a nail could be found on his premises, until he was offered one dollar for twenty-five, when an abundant supply was discovered. Hospital Transports. 55 Notwithstanding the Medical Director's tele- gram, that the case was one of the " utmost urgency," no sick men were found at the place of embarkation on the creek, nor could any be heard of nearer than at Williamsburg. Proceeding thither, with great difficulty, — pass- ing on the way directly through the field of the late battle,—A. inquired of the first man he met after entering the town, " Where is the hos- pital %" " The hospital, sir 1 Every house in the town is a hospital; you cannot go amiss for one." And this seemed to be literally true. Finding the Medical Director, he learned that he thought it important to relieve the hos- pitals by transportation as fast as he, in any way, could; but not supposing it possible that the telegraphic order could be literally complied with, he had taken no measures as yet to send the two hundred patients in question to the place appointed for embarkation. It was agreed, however, that a convoy of ambulances should be started at daylight, and A. returned to the mouth of Queen's Creek, and despatched B. with the Small to Yorktown to bring up ad- ditional stores from the Elm City, upon which the half-completed work of filling bed-sacks and other preparations also continued through the night. With the first boat-load of the wounded 56 Hospital Transports. brought off in the morning, arose one of those conflicts of authority which so often embarrassed the Commission at this time in its work. (A.) At the first step I was met by a Brigade Surgeon coming on board from the Kennebec, who went about giving orders over my head, chan- ging my arrangements. As he persisted, and refused to compromise after I showed my writ- ten authority from the Medical Director, I told him that I should allow no sick to come on board until I was satisfied with the arrange- ments. He then declared that he should go to the Medical Director. " The very thing I want, and I will go with you. Meantime the sick, if any arrive, shall come on board, and Dr. Ware, here, will see to their disposition, if you please." He assented, and we then went to the landing and saw the lighter again loaded with sick, in the same manner as yesterday. When she was full, the surgeon said he should return upon her to the Elm City. " But I thought we were to go together to the Medical Director, sir !" "I have concluded not to do so, but have written to inform him that my authority is questioned." I deemed it best, after this, to go again to the Medical Director myself, and, after a tedious delay, got passage on a forage-wagon loaded Hospital Transports. with oats. What with the continuous atmos- phere of thick yellow dust, and the jar of the heavy wagon over execrable roads, this was a hard ride. I found the Medical Director, got a copy of an order which the Brigade Surgeon should have received yesterday, but which had failed of trans- mission to him, which failure justified officially his assertion of authority over any transport coming at that time to that anchorage. Returned to the landing, and, the lighters having grounded, waited there, on the bank of the creek, with a hundred sick men, being devoured by mosquitoes and sand-flies. On reaching the Elm City, found that, owing to the conflict of authority, and consequent im- perfect system, as well as to the insufficient number of attendants, the sick were but slowly and with difficulty taken care of. Including the hundred coming off with me, the number on board was already over four hundred, or twice as many as the Medical Director had estimated, or I had had reason to calculate on in the sup- ply of water, medicine, and stores. After sunset I went again up the creek, and found eight men on the beach, left there sick, without a single attendant or friend within four miles, while, only the night before, two of our 58 Hospital Transports. teamsters had been waylaid and murdered, as was supposed, by the farmers of the vicinity, (guerilla fighting as they call it,) in the edge of the neighboring woods. After taking them on board the small boat, I asked who had charge of the party, wishing to make sure that no stragglers were left. A man was pointed out, who, because he was stronger or more helpful than the rest, seemed to have been regarded by them as their leader, though he had no appoint- ment. He was able to answer my inquiries satisfactorily, and then as he sat by my side, while I steered the boat, he told me about him- self. His name was Corcoran. After the battle of Williamsburg he felt sick. There was an or- der to march, but his Captain said, " Good God! Corcoran, you are not fit to march. Go into the town and get into a hospital." He walked three miles carrying his knapsack, and when he came to a hospital the surgeon told him he must bring a note from his Captain, and refused to receive him. He went out, and, as he was now very ill, he crawled into something like a milk-wagon and fell asleep. He was awakened by a man who pulled him out by his feet, so that he fell heavily on the ground and was hurt. He begged the man — a Secessionist, he sup- posed — for some water, and he gave him Hospital Transports. 59 some; and when he saw how sick he was, he said he would not have pulled him out only that he wanted to use his wagon. Corcoran then tried to walk away, but had not gone far when he fell, and probably fainted. By and by a negro man woke him up, and asked if he should not help him to a hospital. The negro man was very kind, but when they came to a hospital the doctor said he could not take him in, because he " had n't a bit of a note." Cor- coran said, "For God's sake, Doctor, do give me room to lie down here somewhere ; it's not much room I '11 take anyhow, and I can't go about any longer !" It was then three days since he had tasted food. The doctor told him he could lie down, and he had not been up since till to-day. I have repeated the whole of this story as I heard it, while we were floating slowly down the river, because the poor man who told it me died soon after we got on board, kindly attended in his last moments by our Sisters of Mercy. A letter to his mother was found in his pocket, and one of the ladies is writing to her. This morning we returned to Yorktown, and took on the Elm City thirty more sick from a steamboat which had brought them from Cumberland on the Pamunkey. 60 Hospital Transports. At ten o'clock the Elm City left for Wash- ington with 440 patients.....After noon I went ashore, called on the surgeon in charge of the hospitals and the Military Governor, made our arrangements for a trip up the river to collect scattered sick, and to tow our Wilson Small up to West Point for repairs. She has been knocked into and run against by all the big boats till she is completely disabled. Re- turning on board for this purpose, was met by an officer with a telegram, begging that a boat might be immediately despatched to Bigelow's Landing, where an ambulance-train master had reported that " a hundred sick had been left on the ground in the rain, without attendance or food, to die." Bigelow's Landing being up a narrow, shoal, crooked creek, we ran about the harbor looking in vain for a boat of sufficiently light draught to send there. At length we de- termined to take our whole Sanitary fleet to the mouth of the creek, and, leaving the Alida and Knickerbocker outside, try to get up with the Elizabeth, for we had no single vessel, large or small, in itself, suitably provided. We ran to the Knickerbocker, but before we could get her under way a steamboat, in charge of a military surgeon, came along-side, and a letter was handed me, begging that I would take Hospital Transports. 61 care of one hundred and fifty sick men who had been taken on at West Point early in the morn- ing, and who had had no nourishment during the day. It was sunset, stormy and cold. I at first hesitated, on account of the greater need of those at Bigelow's Landing, but the surgeon in charge having induced me to take a look into the cabin, I changed my mind. The little room was as full as it could be crammed of sick soldiers, sitting on the floor; there was not room to lie down. Only two or three were at full length ; one of these was dying, — was dead the next time I looked in. It was frightfully dirty, and the air suffocating. We immediately began taking them on board the Knickerbocker......It is now midnight. B. and Dr. Ware started with a part of our company and the two supply-boats, five hours ago, for Queen's Creek, with the intention of getting them to the sick at Bigelow's Landing, if possible; if not, to go up in the yawl and canoe with supplies and firewood, and do what- ever should be found possible for their relief. Two of the ladies went with them. The rest are giving beef-tea and brandy and water to the sick on the Knickerbocker, now numbering three hundred. 62 Hospital Transports. (M.) The floors of lower and upper decks are covered with beds. The men all have tremendous appetites, lazily sleeping and eat- ing, — never miss a meal three times a day. If it were possible to have great eating-houses and wayside places, where volunteers could break down and sleep and doze for ten days or so, the men forced upon us by the medical authorities here and sent North would be doing good work in their regiments, — a good bath, seven days' rest, and twenty-one good meals are all they need. ---- is housekeeper on this boat, and great pails of tea and trays of bread and butter, and rice and sugar, go all around the decks for breakfast. Good thick soup and bread for dinner, and breakfast repeated, at tea-time. "Peter," with six long-shore Maryland oyster- men (darkeys) runs the hospital kitchen, and has a daily struggle for the daily bread with the incorrigible fellows who shirk work, and for each meal protest against everything, and have three times a day to be brought round by highly col- ored blandishments. The sickest men, especially the one hundred and fifty last taken on, have plenty of beef-tea and cool drinks, made in the ladies' pantry, and all of them are now un- dressed and in clean, comfortable beds. Hospital Transports. 63 (A.) I am quite at a loss to know what I shall do to-morrow. Unless additional force arrives we certainly cannot meet another emer- gency. It will not be surprising if this letter is found somewhat incoherent, for I have fallen asleep several times while writing it, hoping all the time that B. might arrive. We have a cold northeast storm and thick weather, and I conclude that his expedition is unable to get down, and I may go to sleep for the night. I have just been through the vessel, and find nearly all the patients sleeping quietly, and with every indication of comfort. May 16th. I fell so soundly asleep, that, fifteen minutes after I finished writing the above last night, it had to be several times repeated to me before I could understand where I was and what it all meant when the officer of the watch came to tell me that the supply boats were making fast to us, with over a hundred more sick. Anchoring the Alida at the mouth, B. had attempted to get up the creek with the Elizabeth, but, as I had feared, she went aground. Going on with the yawl, he found one of the steam- lighters at anchor with over a hundred sick and wounded men lying on the deck, who were soaked, not merely with rain, but from having been obliged to wade out to her in water knee- 64 Hospital Transports. deep. He learned that, further up the creek, a few men, too badly wounded to stand, or too weak to wade off to the boat, had been left be- hind. No persuasion could induce the captain to return for them, but a threat to report him at head-quarters, at length made him fire up and go back. Eight were found just where I found eight on my night trip up the same creek a few nights before, some in a nearly dying condition. Having brought them off to the lighter, and served stimulants to them, she was run down the creek to the supply-boats, the freight-rooms of which had, in the mean time, been as well as possible arranged to accommodate the patients. One of the ladies engaged in this night expe- dition of the Elizabeth gives the following ac- count of it in a letter to a friend. (N.) Not a moment is lost, — Mr. B. would not even let me go for a shawl, — and the tug is off. The Elizabeth is our store-tender or supply- boat ; her main deck is piled from deck to deck with boxes. The first thing done is to pick out six cases of pillows, six of quilts, one of brandy, and one cask of bread. Then all the rest is lowered into the hold. Meantime I make for the kitchen, where I find a remarkable old aunty and a fire. I dive into her pots and pans, Hospital Transports. 65 I wheedle her out of her green tea (the black having given out), and soon I have eight buckets full of tea, and pyramids of bread and butter. The cleared main-deck is spread with two layers of quilts, and rows of pillows a man's length apart......The poor fellows are led or car- ried on board, and stowed side by side as close as can be. We feed them with spoonfuls of brandy and water ; they are utterly broken down, wet through, some of them raving with fever. All are without food for one day, some for two days. After all are laid down, Miss G. and I give them their supper, and they sink down again. Any one who looks over such a deck as that, and sees the suffering, despondent attitudes of the men, and their worn frames and faces, knows what war is better than the sight of wounds can teach it. We could only take ninety; more had to go in a small tug-boat which accompanied us. Mr. B. and the doctor went on board of her, to give sustenance to the men, and in the mean time the Elizabeth started on the homeward trip. So the care of her men came to me. Fortunately only a dozen or two were very ill, and none died. Still I felt anx- ious ; six of them were out of their mind, one had tried to destroy himself three times that day, and was drenched through, having been 5 66 Hospital Transports. dragged out of the water, into which he had thrown himself just before we reached him. When we reached the Knickerbocker, Dr. Ware came on board, and gave me some general directions, after which I got along very well; my only disaster had been that I gave mor- phine to a man who actually screamed with rheumatism and cramp. I supposed morphine would not hurt him, and it was a mercy to others to stop the noise, instead of which I made him perfectly crazy, and had the greatest trouble in soothing him. We did not move them that night, and the next morning, after getting them all washed, I went off guard, and Mrs. M. and Mrs. N. came on board with their breakfast from the Knickerbocker, where the one hundred and eighty men were stowed and cared for. Soon afterwards my men were transferred to her. She still lies along-side, and we take care of her. She is beautifully in order; every- thing right and orderly. It is a real pleasure to give the men their meals. The ward-masters are all appointed, and the orderlies know their duty. She will probably leave to-morrow...... As for the ladies, they are just what they should be, efficient, wise, active as cats, merry, light- hearted, thoroughbred, and without the fearful tone of self-devotedness about them that sad Hospital Transports. 67 experience makes one expect in benevolent women. We all know in our hearts that it is thorough enjoyment to be down here ; it is life, in short, and we would n't be anywhere else (in view of our enjoyment) for anything in the world. I hope people will continue to sustain this great work. Hundreds of lives are being saved by it. I have seen with my own eyes, in one week, fifty men who must have died any- where but here, and many more who probably would have done so. I speak of lives saved only; the amount of suffering saved is incalculable. The Commission keep up the work at great expense. It has six large vessels now running from here. Government furnishes these, and the bare rations of the men, (or is supposed to do so,) but the real expenses of supply fall on the Commission; in fact, everything that makes the power and excellence of the work is supplied by the Commission. If people ask what they shall send, say, " Money, money, stimulants, and articles of sick-food." (A.) I went through the Elizabeth soon after she came along-side, and all who were awake were very ready to say they wanted for nothing. We concluded to let them remain where they were for the rest of the night. They had been on 68 Hospital Transports. the creek shore from ten to fourteen hours, with- out a physician or a single attendant, a particle of food or a drop of drink, and this on a cold, foggy day, with rain and mist after nightfall. With half a dozen exceptions, they are marvel- lously well this morning, and profoundly grate- ful for the kindness which, I need not say, the ladies are extending to them. I am as yet unable to make up my mind what to do with them. The cold northeasterly storm continues. May I'jth. Our poor little Wilson Small since her first patching has been run into again and again, and for some days has been so broken up, that the poor little thing can't raise steam even. We have been towed about by our sup- ply-boats, and to-day shall quit her while she goes to Baltimore for repairs. We can't leave her without real regret, even to go temporarily on board the Spaulding, one of the finest ves- sels of her size that I ever saw. We go on slowly with our fittings, having but poor lumber and only four carpenters. We have had, however, a detail, ordered by the military governor, of the " Infant Purdys," as the boys call the Enfans Perdus, to fetch and carry, and shall have the Spaulding after next filling the Daniel Webster and the Elm City, both which should be here before to-morrow night. We sent off the Knickerbocker Hospital Transports. 69 this morning at daylight to Washington, with two hundred and seventy sick and wounded. There are two ladies for each watch, and the value of their service in the minor superintend- ence is incalculable. The twenty ladies who came from New York were really a great godsend, although at first, with no boat to assign them to, we did not know what to do with them. They have all worked like heroes night and day, and though the duty required of them is frequently of the most disagreeable and trying character, I have never seen one of them flinch for a moment. Yesterday, I chanced to observe, apropos to an excessively hard night's work, that all our hard- ships would be very satisfactory to recall by and by, when Miss M. said earnestly, " Recall! why, I never had half the present satisfaction in any week of my life before ! " and there was a general murmur of concurrence. If you could see the difference between the men on our transports, and those on the vessels managed directly by government, — mde as the means at our command are, and although we do all we can to aid the latter, — you would better under- stand the incentive and the reward of exertion. .... The conduct of the patients is always fine; — patient, brave, patriotic. I am surprised 70 Hospital Transports. and delighted by it. We have sent details of the ladies with every vessel, and have now re- maining with us only four, besides the hired Crimean nurse, Mrs.----. Captain----, whom I spoke of as mortally wounded, and whom we had kept in the cabin of the Wilson Small since our visit to West Point, we sent off this morning on the Knick- erbocker feeling quite jolly and with a fair pros- pect of speedy recovery. I don't doubt he would have died but for good nursing and surgery, as he had exhausting internal hemor- rhages. We had two deaths on board last night,— one a fine fellow of sixteen, of pneumonia, in the lower deck ward, and a convalescent in the upper after ward. The latter came out of his room, saying he was faint, and wanted water, and, while the attendant turned for it, sprang over the guards into the water below. A boat was lowered, and efforts made to find him, but he must have stmck his head, and, being stunned, did not rise. CHAPTER IV. (A.) We are lying in the Spaulding just below a burnt railroad-bridge, on the Pamunkey River, and, as usual, in the middle of the fleet of forage boats. The shores are at once wooded and wonderful to the water's edge, the fulness of midsummer with the vivid and tender green of Southern spring. Up the banks, where the trees will let us look between them, lie great fields of wheat, tall and fresh, and taking the sunshine for miles. The river winds constantly, — returning upon itself every half-mile or so, and we seem sometimes lying in a little wooded lake without inlet or outlet. It is startling to find, so far from the sea, a river whose name we hardly knew two weeks ago, where our anchor drops in three fathoms of water and our great ship turns freely either way with the tide. Our smoke-stacks are almost swept by the hanging branches as we move, and great schooners are drawn up under the banks, tied to the trees; the Spaulding herself lies in the shade of an elm- tree which is a landmark for miles up and down. 72 Hospital Transports. The army is in camp close at hand, resting, this Sunday, and eating its six pies to a man, and so getting ready for a move, which is planning in ----'s tent. Half a mile above us is the White House, naming the place, — a modem cottage, if ever white, now drabbed over, standing where the early home of Mrs. Wash- ington stood. We went ashore this morning with General----, and strolled about the grounds, — an unpretending, sweet little place, with old trees shading the cottage, a green lawn sloping to the river, and an old-time garden full of roses. The house has been emptied, but there are some pieces of quaint furniture, brass fire-dogs, &c, and just inside the door this notice is post- ed : " Northern soldiers who profess to rever- ence the name of Washington, forbear to dese- crate the home of his early married life, the property of his wife, and now the home of his descendants " ; signed, " A Granddaughter of Mrs. Washington"; confronted by Gen. McClel- lan's order of protection. (M.) We were going up to head-quarters, but refrained, on consideration, and came back to the Spaulding, through army-wagons and pie- pedlers, and rewarded the three Generals who had come over to meet us with much-needed Hospital Transports. "J2> towels, handkerchiefs, and cologne. The river above us to the burnt railroad-bridge is crowded with steamboats and schooners. Four gunboats are our next-door neighbors. Beyond the bridge, round the corner, and out of sight, winds the Pamunkey, trees crowding down to the brink and dipping their feet in the water. The Har- bor-Master wanting the room in the evening, we dropped down the stream and anchored by a feathery elm-tree. (A.) The next morning I saw the Medical Director at head-quarters. He seems to be in a worse boggle than ever as to the disposition of his sick. There are a great many still at Yorktown to be removed, but the work is now fairly systematized there, and the sick begin to collect here by hundreds, with a prospect of thousands, and no thought of system in dispos- ing of them, as far as I can see. The Director has ordered us to take on men at once, but our bunks are not up, and I have promised him the Daniel Webster and Elm City, which should be here to-morrow, and can take six hundred. B. has gone down to bring up our boats from Yorktown, with all the stores that can be spared from our supply-ship. I shall try my best here to carry out the plan I have always wished 74 Hospital Transports. to have pursued, — namely, the establishment of a large receiving hospital, from which those who really need to be sent away may be deliberately selected and transferred to proper vessels, prop- erly equipped. During my visit this morning to the Medical Director's tent, four persons reported their arrival with sick, and were in- formed that there were no accommodations for them. Tents had been received, but there was no detail on hand to pitch them, and if they were pitched, there were no beds to put in them. Sickness was increasing rapidly, every case show- ing the influence of malaria. "The Medical Di- rector said, apparently with justice, that he had anticipated all this waste and confusion, and had made ample provision against it, but that almost none of his ordered supplies had reached him. By night the Daniel Webster and Elm City had come up from Yorktown, and I went up with the first, securing with some difficulty a berth for her, and began taking on the sick at once, the Medical Director being present and superintending the embarkation. He seemed to have entirely lost sight of the plan about determined upon the day before, to establish the shore receiving hospital, and was only anx- ious to get the sick off his hands as rapidly as possible, being appalled by their accumulation Hospital Transports. 75 and the entire absence of provision for them. Just at this time B. got back from Yorktown, bringing a cheering account of the hospitals there, and at the same time the arrival of large medical supplies and hospital furniture was re- ported, so that I had little difficulty in bringing about a return to the plan of yesterday. The substance of the plan was this. The Elm City, able to accommodate four hundred patients, was to remain at White House as a receiving hospital; the Spaulding as a reserve transport in case of a battle; on the occurrence of a battle, the serious cases of sickness to be transferred to the Spaulding, and the Elm City used as receiving hospital for surgical cases; the Knickerbocker to remain as a surgical trans- port. If an engagement should occur at the close of the week, the Spaulding would take to sea three or four hundred sick, freeing the shore hospitals to that extent, making about six hun- dred with what the Webster would take; the Webster to return and take two hundred more the next week; the Knickerbocker to take two hundred and fifty every twenty-four hours to Fortress Monroe ; thus relieving the shore hos- pitals to the extent of two thousand by the end of the next week, which would probably be all that was necessary. The Webster and Spaulding, 76 Hospital Transports. being low between decks, crowded with berths, and deficient in ventilation, were not suited to the reception of sick and wounded for any other purpose than that of immediate transportation. (A.) To relieve myself of further responsi- bility in case of another change of plan, I wrote a memorandum of what we expected to be able to do, and got the Director to sign his approval of it. He told me yesterday that he meant to have those who were to take ship carefully selected, and that he did not believe there were half a dozen who ought to go from here. I how- ever saw being put on board the usual propor- tion of sick-in-quarters men, and told him. He attributed it to disregard of his orders by volun- teer surgeons, a difficulty for which he declared that there was no remedy short of an act of Congress. I found Dr.----, his chief execu- tive officer, and got him to go to the sick camp, from which the men were being brought, when he discovered, as he afterwards told me, that the surgeon in charge had heard a report that the Sanitary Commission intended to have a receiv- ing-ship here, and on his own responsibility (assuming that the Webster was to be used for this purpose) was sending men on board at ran- dom, and without reference to the gravity of Hospital Transports. 77 their cases, his object being merely to get room. He also found that ambulances coming in from the advance had entered the train after it left the hospital, and the men thus brought to the shore were allowed to go on board with those brought from the hospital, as if assigned for sea transportation by the surgeon in charge. I begged him to go on board and send off such as he found of these interlopers, but he thought it impracticable ; and finally, instead of the half- dozen proposed by the Medical Director yester- day, I found that he had passed two hundred and fifty on board. Meantime the tents before spoken of had been finally pitched on a large field near the White House. They were bare of everything but shelter for the sick flocking in from the different regiments. A thousand men will probably be in them before to-morrow night. All day long to-day the surgeons and young men of the Commission have been working over there, and we have sent over bed-sacks, straw, blankets, and supplies for several hundred. After much sanitary poking, pushing, and oiling, the tents are some of them floored, and five great pig-kettles are started boiling, and kept always full of food for the sick. The patients will, however, greatly overbalance the provision made for them. It is hard work to galvanize the 78 Hospital Transports. proper authorities into action. The post hospital record certifies now to sixteen hundred. There are five surgeons and assistants, one steward, no apothecary, and no nurses, except those selected from among the patients. Two wells have been dug, but the water of neither has as yet been fit for using. Water is brought from the White House well, nearly a quarter of a mile distant, and until yesterday the whole supply was brought by hand. It is now wagoned in casks. We sent up three casks of ice from the Webster's stock, which was found of great value. The greater part of the men are not very ill, and, with nice nourishment, comfortable rest, and good nursing, would be got ready to join their regiments in a week or two ; but this is just what they are not likely to have. The weather is growing excessively hot, and the army is pushing forward in a malarious country in the face of the enemy. We have re- ceived a few wounded men from the skirmishes of yesterday. There is obviously great danger that we shall be altogether overwhelmed with sick and wounded in a few days. If the recom- mendation of my telegram of Sunday is adopted by the Surgeon-General, and a complete hospital for six thousand sent here from Washington, there will be reasonable provision for what is to Hospital Transports. 79 be expected; otherwise it is dreadful to think of it. There is no doubt that we might take care of a few hundred on our boats, — probably save the lives of some of them ; but consider- ing what a week, or, for that matter, a day, may bring forth, I think it right to throw the authori- ties still on their resources as much as we can, and, if possible, force them to enlarge their shore accommodations.....Nor, when ready, shall I be inclined to hasten the removal of the sick. I shall do my best to avoid taking any but serious cases. It is plain that the facilities so far offered in this respect have been abused, and that serious evils have come of it. Those responsible for the care of the sick here — I mean the military administrative as well as medical officers — have made the presence of the transports near them an excuse for neglecting all proper local provision, and evidently have the idea that, in hurrying patients on board ves- sels, they relieve themselves of responsibility.* I saw this danger from the first, and have (I * The reader must constantly remember that the Com- mission did not supply vessels, but merely furnished a few vessels already held by government with proper hospital arrangements, and that these were at the command of the medical authorities of the army, the Commission being responsible only for their internal administration. 80 Hospital Transports. wish the Surgeon-General and our friends to be sure of this) constantly done all that I could to counteract it, not only by verbal protest, but by a habit of action which I know that B. and other friends here, who have not had the duty of looking at the matter as comprehensively as I have, have not been able always to regard as justifiable...... But this is not all. Of this hundred thousand men, I suppose not ten thousand were ever en- tirely without a mother's, a sister's, or a wife's do- mestic care before. They are wonderfully like school-boys. Then this is really the first experi- ence of nearly all our officers (who are their schoolmasters and housekeepers) in active cam- paigning. They are learning to take care of their men as a matter of self-interest. The men need to learn to make themselves content — of contented habit — away from home, to understand that this is in the bargain. It is obvious from the remarks we hear, that the ru- mor that sick men are to be sent home has a disturbing influence upon the education of the army in both these respects...... The Knickerbocker has arrived while I have been writing; thus I have all the elements of my plan approved by the Medical Director on Mon- day. But the question still troubles me greatly, Hospital Transports. 81 If they should have several hundred more pa- e tients on shore than they have tents or beds for, and among them all several hundreds seriously ill, such as would properly be sent North, shall I break up my reserve, and have no provision for the avalanche of suffering which a great battle before Richmond would send down upon us 1 I am afraid that I stand alone in my re- sistance to the demands of the present.* As it has been publicly reported that the Commission removed forty thousand men from the Peninsula, it should be here stated that the total number of soldiers, sick and wounded, con- veyed on the vessels in charge of the Commis- sion, during the summer, was eight thousand. Except under positive orders, which it was not at liberty to disregard, the Commission took no pa- tient on board its vessels until the opinion of a medical officer was had that his wound or illness was of such a character that he could not be fit for duty within thirty days. This was a standing order of the service, and was strictly enforced. It is impossible to give in small compass an adequate idea of the difficulties of the duty which the Commission had taken upon itself; * The wisdom of this resistance was satisfactorily estab- lished a few days later, as will be seen. 6 82 Hospital Transports. difficulties which, though seeming small in themselves, were terrible, because the lives of men frequently hung on their being overcome, and that instantly. To present a full picture, in true and living colors, we must be qualified to throw over the whole the atmosphere of sympa- thy and enthusiasm which animated every heart in presence of our suffering soldiers. On a fixed and recognized basis we can do almost anything; grooves are soon formed, in which affairs ran smoothly. But to build with infinite toil on shifting sands ; to be called upon to fill leaky cisterns and keep them full; to give our best strength to labors, the results of which often fade while we work, — these things re- quire a great and good cause, and a certainty of being sustained. (A.) All our vessels are, from the nature of engagement and intentions of those on board, in a constant state of pre-organization and disor- ganization. Our relations to the crews (seamen, firemen, &c), upon whom we are dependent, differ in every vessel. Scarcely a day passes in which there is not a real mutiny among them, in which we have no right to interfere, but which it is necessary we should manage to con- trol. We have scarcely any established rights, Hospital Transports. 83 and are carrying on a very large business by the favor of a multitude of agents, whose favor in each case hangs upon a separate string. Every hour brings its own difficulty, which must be met by itself......Except in the results ac- complished, I need not say that the whole duty is exceedingly unpleasant, from the amount of dependence without rights, and of command without authority. No two individuals have the same under- standing of our duty or of our rights ; no two expect the same thing of us; no two look in the same direction for the remedy of any abuse, or the supply of any organic deficiency to which attention is called. I must caution you again not to form theories of what we are to do, and expect us to do it. We are liable to occurrences every day which make a new disposition of all the forces necessary. In fact, new and previously unexpected arrangements are made daily, and these involve a continual modification of all plans. All that can be done is to be as fully prepared as possible for whatever can occur. .....I must act a little blindly, sometimes, — at all events, cannot always give you my rea- sons readily for what I determine upon. Twice I have come up the river from hardly anything more than a crude notion that it would be pru- 84 Hospital Transports. dent to be feeling that way, and would cost but little ; and in each case it proved to be what ---- calls " a grand good providence," leading to a complete change in our tactics, and to the saving of many lives......The ladies are all, in every way, far beyond anything I could have been induced to expect of them. The dressers (two-years medical students) are gen- erally ready for whatever may be required, and work heroically. The male nurses are of all sorts. The convalescent soldiers have been the most satisfactory, because there was not among them the slightest taint of the prevailing sentiment of the volunteer nurses, that they were going upon an indiscriminate holiday scramble of Good-Samaritanism. There cannot be too much care in future that whoever comes here on any business comes, not to do such work as he thinks himself fit for, but such as he will be assigned to, and under such authority as will be assigned him. He or she must come as dis- tinctly under an obligation of duty in this respect as if under pay, and must expect to submit to the same discipline......But, in truth, I have had comparatively little trouble of this sort as yet, and in all respects am surprised at the good sense and working qualities of com- panies made up as ours have been. Hospital Transports. 85 As an illustration of the sudden changes of arrangement often found necessary at a mo- ment's notice, a report is found, in which it is stated that on one occasion, after overcoming great difficulties in preparing the Spaulding for the conveyance of the sick,—having procured a party of thirty persons, including four surgeons and four ladies from New York, to go on board of her—on the 26th of May, while taking sick on board, an order was received immediately to remove all the Sanitary Commission's people and effects, and send her to Fortress Monroe to convey troops. The process of embarkation was at once arrested ; but by permission of Colonel Ingalls, the post commander, the re- moval of those on board was delayed until an answer could be received to the following tele- gram, which was immediately despatched to the Assistant Secretary of War, Mr. Tucker, then at Fortress Monroe. (Telegram.) "The Spaulding was assigned to the Sanitary Commission after the Ocean Queen had been taken from them. The Spauld- ing was not well adapted to the duty, but was the only vessel then on York River which I would accept. There was no other, and there is none now here in which I would consent that a sick man should be sent outside. The hospitals at 86 Hospital Transports. Washington and Alexandria are over-full, and I suppose the sick must go outside if they are to be taken away. There is here no hospital but a few tents pitched by the sick themselves, in which robust men could not spend a night, crowded as they are, with impunity. There is not the first step taken to provide for the wound- ed in case a battle should occur. We have been two weeks trying, under great difficulties, to get the Spaulding tolerably fitted for the business ; have a hospital corps of thirty, sent for her from New York ; one hundred very sick men on board, one hundred more along-side ; shall we go on, or quit 1" After waiting an hour, the Harbor-master's boat came past, hailing with " Mr. Tucker says, ' Go ahead,' sir!" — and the transshipment of the sick to the Spaulding from the Elm City was recommenced. The same night, as it ap- pears from letters, just after dusk, the Harbor- master's boat appeared again, and Captain Saw- telle, the Master of Transportation, hailed with — "I am ordered to have the Elm City and every other available vessel ready to leave here, with water and coal enough for eighteen hours' steaming, by break of day. You will oblige me very much if you will get the Elm City ready for me. How much coal has she on board 1" Hospital Transports. 87 " Not half enough for eighteen hours' steam- ing ! " " That is bad. I have to coal half a dozen others to-night ; there '11 not be time for all." " Very well, sir; then we '11 manage it, by clubbing that which is on the Knickerbocker and the Elizabeth." " If you can do that I shall be very glad, for the order is urgent." (B.) We had just got through with a very long and hard day's work loading the Spaulding, and were sitting at supper when this order came; but there was no help for it, so "All hands !" it was again for a hard night's work. All the hospital fittings and furnishings of the Elm City, including the bedding, commis- sary and small stores, medical stores, and what not, required for the hospital treatment of four hundred and fifty sick men and the mainte- nance of their attendants, had to be unshipped, packed, and conveyed to the store-boats, and ninety sick men, some of them very sick indeed, — two died during the night,—to be trans- ferred and put to bed again on the Spaulding and Knickerbocker. It was a very dark night, and most of those who were engaged in this work were men of sedentary occupations, — 88 Hospital Transports. students and clerks, — and women accustomed to a quiet and refined domestic life, and, as I said, all had just gone through with an extraor- dinarily fatiguing day's work. Some few broke down before morning. At the same time twenty tons of coal were to be got on board the Elm City from the Elizabeth and the Ktiickerbocker, and wheeled to her deck-bunkers. Then quar- ters had to be found for her whole hospital com- pany, as well as provisions, on the other boats of the fleet, and to accommodate this necessity a general reorganization was found to be neces- sary. This was our Sunday's night-work after our Sunday's day-work. It was all done, every- body in place, and, except those required to watch the sick, asleep by four o'clock, and the Spaulding (with 350 sick in bed) and the Elm City (stripped for battle) both reported ready to sail with the morning tide. One day later, B. writes : — " Here we are at work again upon the Elm City. Sunday, we spent all night in stripping her, and now we have a day and night's work at least before us in handling over again the very same articles, refitting her for hospital service. It is an exercise of patience, but it must be done without delay. After we had got her all Hospital Transports. 89 ready for transporting troops, a change in the plans of government occurred, and on applica- tion she was again assigned to the Commission." (M.) The Spaulding is bunked in every hole and comer, and is a most inconvenient ship for carrying sick men, everything above decks running to first-classing, and everything below to steerage. The last hundred patients were put on board, to relieve the over-crowded shore hospital, late last night. Though these night scenes on the hospital ships are part of our daily living, a fresh eye would find them dra- matic. We are awakened in the dead of night by a sharp steam-whistle, and soon after feel ourselves clawed by the little tugs on either side our big ship, — and at once the process of taking on hundreds of men, many of them crazed with fever, begins. There's the bringing of the stretchers up the side ladder between the two boats, the stopping at the head of it, where the names and home addresses of all who can speak are written down, and their knapsacks and little treasures numbered and stacked; — then the placing of the stretchers on the plat- form, the row of anxious faces above and be- low decks, the lantern held over the hold, the word given to " Lower ! " the slow-moving ropes 90 Hospital Transports. and pulleys, the arrival at the bottom, the turn- ing down of the anxious faces, the lifting out of the sick man, and the lifting him into his bed ; — and then the sudden change from cold, hunger, and friendlessness, to positive comfort and satisfaction, winding up with his invariable verdict, — if he can speak, — " This is just like home !" " Jimmy," eleven years old, one of the strange little city boys who are always drifting about, ran away from home last summer, after a dram, finally turning up on our stem-wheeler as char- boy, where he recognized a friend among the sick men, and devoted himself to him in the prettiest way. His runaway fever over, he longed for his mother; so we tucked him into the Spaulding and sent him home. The aston- ishing lack of common sense among men strikes us very forcibly......Those who came down here have hearts, plenty of them, but not more than a head to four, and so they ran round the wards, wondering where the best tea is, and the ice-water, which they are probably looking at, at the time, and ask questions about everything under the sun. (B.) The Spaulding, being all in order, with her sick men, corps of nine surgeons, ladies, and Hospital Transports. 91 nurses, was started off, and the reserve force went on board the Knickerbocker. (A.) I have just bought what is left of a small cargo of ice, probably sixty tons, at twelve dollars, sent here on speculation for sale to sut- lers. We are now fairly well supplied at all points, I think. (A.) We began taking sick on the Elm City this afternoon. I telegraphed you about the crowded state of the post hospital. We had fed this morning sixty men who had been turned away from it on the ground that there was no room. I wrote to the surgeon in charge about this, and B. called on him with my note. He merely said that he thought there could not have been as many as sixty turned away ! These sixty men we heard of as lying upon the rail- road, without food, and with no one to look after them. So some of the ladies got at once into the stern-wheeler Wissahickon, which is the Commission's carriage, and with provisions, basins, towels, soap, blankets, etc., went up to the railroad-bridge, cooking tea and spreading bread as they went. After twenty minutes' steaming, the men were found, put on freight- cars, and pushed down to the landing, fed, 92 Hospital Transports. washed, and taken on the tug to the Elm City. Dr. Ware, in his hard-working on shore, had found fifteen other sick men, without food, and miserable ; there being " no room " for them in the tent hospital. He had studied the neigh- borhood extensively for shanties, found one, and put his men into it. The floor of the one room up-stairs was six inches deep in beans, and made a good bed for them, and in the morn- ing the same party ran up on the tug, cooking breakfast for them as they ran, scrambling eggs in a wash-basin over a spirit-lamp. (A.) The army stmck its tents one night last week, and silently stole away up the river. Bot- tom Bridge is ours, and no enemy met; the rail- road is repaired at White House, and trains will be running to-morrow ; barges, loaded with roll- ing stock and cannon, have been passing us on the river all day. The sick brought on board the Elm City this afternoon had been lying in a puddle, which nearly covered them. The water stood several inches deep in some of the tents. These men were selected by Dr. Ware, as the worst cases out of sixteen hundred in the shore hospital. (Several died before they reached the mouth of the river.) Dr. Ware himself laid hold to put Hospital Transports. 93 up tents to protect men before the storm, and said that,he saw half a dozen tents yet remain- ing, not put up at nightfall, though men were constantly arriving, and were left out in the ambulances. If an engagement occurs this side of Rich- mond, my opinion is that we shall have all the horrors of Pittsburg Landing in an aggravated form. I have tried in vain to awaken some of the Head-quarters officers to a sense of the danger; but while they admit all I say, they re- gard it as a part of war, and say, " After all, there never was a war in which the sick were as well taken care of. England does no better by her wounded ; true, they will suffer a good deal for a time, but that is inevitable in war," &c. What ought to be done 1 The Surgeon-Gen- eral cannot at once do our sea-transport business as well as we. By recruiting deficiencies at each trip, we can for the present continue to employ the Webster and the Spaulding for this purpose advantageously. We can maintain the distribu- tion of supplies. We want also a depot at this end for our sea-transports. For the rest, the Surgeon-General can at once have it done a" great deal better than we, if he can place two steamboats under the Medical Director's orders, in addition to the Commodore and Vanderbilt, 94 Hospital Transports. equip them, or take them equipped from us; put one good authoritative surgeon on board each, with two to four assistant surgeons, and six to ten dressers and stewards, and twenty to thirty privates for nurses, and require certain mles, to secure decent provision for the sick, to be maintained on them. It is ludicrous to see the enthusiasm of some of the surgeons at the outset about details ; the cleansing of patients, numbering, records of disease, pure water, &c, and their entire for- getfulness and inaptness to provide for more essential matters, — food, buckets, cups, vessels of any sort, and water of any sort. Doctors, nurses, and philosophers are much easier to be had, it seems, than men who would be able to keep an oyster-cellar or a barber-shop with credit. Dr. T. says that he is pestered by volunteer surgeons, who leave their business at home to have a short holiday professional excursion, and who always expect to be put in the " imminent deadly breach" at once. He has not tents, horses, forage, nor table-room for them. Don't let any more surgeons come here, if you can help it. We try to treat them civilly, but all, ashore and afloat, feel anything but civilly to a man when he graciously proposes to be enter- tained and sent to the front as an honored guest, Hospital Transports. 95 because, you understand, he is not one of your " physicians," but a " surgeon," and not at all unwilling to take an interesting gunshot case in hand, though everybody else declines it! If there is anything the regimental surgeons hate, it is to let these magnanimous surgical pretenders (it is of the pretenders I speak) get hold of their pet cases. For this reason I hope ----, who has a name, will assume the responsibility of our surgical hospital. CHAPTER V. (A.) May 2,1st. — Sick men arriving Friday night by the railroad could not be provided for in the crowded field-hospital ashore, which still remained of but one fifth the capacity in tent- room which I urged it should be made three weeks ago. To make more room, on Saturday morning, 31st, we were ordered to take off four hundred upon the Elm City. They were sent to her by smaller steamboats, and the last load, which brought the number up to four hundred and fifty, arrived so late Saturday night that she could not leave till daylight Sunday morning. The orders were to deliver the men at Yorktown and return immediately. I urged Dr.----, who was the surgeon in charge, and the captain and engineer to do their best, and telegraphed to have every preparation made at Yorktown. June 1st.—We had sent out two parties to look for straggling sick, and visit the hospitals in the rear of the left wing. One of these returned at noon, having been by Cumberland to New Kent Court-House. From Dr.----, who was Hospital Transports. 97 in charge of the other, I received a despatch about sunset, stating that his party were assisting the surgeons in a field-hospital, to which wound- ed were crowding from a battle then in progress. Soon after midnight this party arrived on board, having come from the front with a train of wounded, and we then had our first authentic information of the fierce battle in which our whole left wing had been engaged. On that Sabbath day, after the departure of the Elm City, the wounded of the battle of Fair Oaks began to arrive in large numbers by rail- road. After energetic remonstrances, with the responsible medical officer, on the part of the Commission, and a vain straggle to secure an ad- herence to some plan by which care and method in their shipment could be expected, a frightful scene of confusion and misery ensued at the landing, in the midst of which three government boats and two of those assigned to the Commis- sion were loaded with wounded. We omit the painful particulars, because they could not be given without casting the gravest censure where censure would now be useless.* To understand * Some idea of the causes of the confusion at White House at this time may be formed from a communication 7 98 Hospital Transports. the extracts which follow, it is only necessary to know, that so well were things managed on the Elm City (which, it will be remembered, left, loaded with sick, in the morning), that she had proceeded to Yorktown, discharged her sick, and returned with beds made, reporting ready to receive wounded at White House before sun- set the same day. (M.) The Commission boats were all here, and ready to remove the wounded of the bat- tle of the 1 st and 2d of June. They filled and left with their accustomed order and promp- titude. After that, other boats, detailed by government for hospital service, were brought up. These boats were not in the control of the Commission. There was no one specially ap- pointed to take charge of them, no one to receive the wounded at the station, no one to ship them properly, no one to see that the boats were supplied with proper stores. Of course the Commission came forward to do all it could addressed by the representative of the Commission to the Medical Director, of which a copy is given in the Appen- dix (C), together with a memorandum of arrangements suggested subsequently, to provide against its recurrence. The officer who seems to have been most palpably at fault at White House has since been publicly disgraced for a similar offence. Hospital Transports. 99 at a moment's notice, but it had no power; only the right of charity. It could neither con- trol nor check the fearful confusion that ensued, as train after train came in, and the wounded were brought and thrust upon the various boats. But it did nobly what it could. Night and day its members worked, not, you must remember, in its own well-organized service, but in the hard duty of making the best of a bad case. Not the smallest preparation was found, in at least three of the boats, for the common food of the men. As for sick-food, stimulants, drinks, &c, such things scarcely exist in the medical mind of the army, and there was not even a pail or a cup to distribute food, had there been any. (N.) June $th.....We had been helping the ladies on the Elm City all night, had returned to our quarters, and just washed and dressed, when Captain----came on board, to say that several hundred wounded men were lying at the landing, — that the Daniel Webster No. 2 had been filled, and the surplus was being sent on board the Vanderbilt, — that the confusion was terrible; there were no stores on board either vessel. Of course the best in our power had to be done. Our supply-boat Elizabeth came up. ioo Hospital Transports. We begged Mr.----not to refrain from send- ing us because we had been up all night; he said that he would n't send us, but if, in view of so much misery, we chose to offer our services to the United States surgeon in charge, he thought it would be merciful. We went on board, and such a scene as we entered and lived in for two days I trust never to see again. Men in every condition of horror, shattered and shrieking, were being brought in on stretchers, borne by contrabands, who dumped them anywhere, banged the stretchers against pillars and posts, and walked over the men without compassion. There was no one to direct what ward or what beds they were to go into. The men had mostly been without food since Saturday, but there was nothing on board for them, and the cook was only engaged to cook for the ship, and not for the hospital. The first thing wounded men want is lemon- ade and ice (with the sick, stimulants are the first thing); after that, we give them tea and bread. Imagine a boat like the Bay State, filled on every deck, every berth, — and every square inch of room covered with wounded men, — even the stairs and gangways and guards filled with those who are less badly wounded, — and then imagine fifty well men, on every kind of Hospital Transports. 101 errand, hurried and impatient, rushing to and fro over them, every touch bringing agony to the poor fellows, — while stretcher after stretcher still comes along, hoping to find an empty place ; and then imagine what it was to keep calm ourselves, and make sure that each man on our own boat, the Elm City, and then on this, was properly refreshed and fed. We got through about one o'clock at night, Mrs. ---- and Miss----having come off other duty, and reinforced us. We were sitting for a few mo- ments resting and talking it over, and bitterly asking why a government, so lavish and so per- fect in its other departments, should leave its wounded almost literally to take care of them- selves, when a message came that one hundred and fifty men were just arriving by the cars. It was raining in torrents, and both boats were full. We went on shore again ; the same scene re- peated. The Kennebec was brought up, and the one hundred and fifty men carried across the Daniel Webster No. 2 to her, with the exception of some fearfully wounded ones who could not be touched in the darkness and rain, and were, therefore, left in the cars. We gave refresh- ments to all; a detail of young men from the Spaulding coming up in time to assist, and the officers of the Sebago (gunboat), who had seen 102 Hospital Transports. how hard pressed we were in the afternoon, volunteering for the night-watch. Add to this sundry members of Congress, who, if they talked much, at least worked well. We went to bed at daylight with breakfast on our minds. At half past six we were all on board the Web- ster No. 2, and the breakfast of six hundred men was got through with before our own. (A lady on the Knickerbocker?) Sunday. — " Three hundred wounded to come on board !" I wish you could see the three hundred white beds, with a clean shut and drawers laid ready for each man......They began to bring them in about noon. Many of them were shockingly hurt; but the men were proud of their wounds, and one of them, an artist, private of a New York regiment, was thankful that he had only lost a leg, — " so glad it was n't his arm !" We went directly at work washing them, doing what we could, too, at dressing wounds which had been hastily bandaged on the battle-field thirty- six hours before. Men very patient and grateful always. (A.) Sunday Night. — The Knickerbocker'had, by estimate, three hundred and fifty on board. The night being fine, many were disposed of on Hospital Transports. 103 the outer decks, and before I left, at eleven o'clock, nearly all had been washed, dressed, and put to bed decently, and were as comfortable as circumstances would admit of our making them. All had received needed nourishment, and such surgical and medical attention as was immedi- ately demanded. Leaving the Knickerbocker in this satisfactory condition, I came back in a small boat, at midnight, to the landing, where I found that the Elm City already had five hun- dred wounded on board. I ordered her to ran down and anchor near the Knickerbocker. There had been a special order in her case from the Medical Director to go to Washington. (I judge that this was given under the misapprehension that she had failed to go to Yorktown, and had her sick still on board.) She was unable to go at once for want of coal, which could not be furnished her till the evening of the next day (Monday). This finished the Commission's boats for the present. The State of Maine had been ordered to the landing by the Har- bor-master, and the wounded remaining on shore, excluded from the Elm City, were flock- ing on board of her. Our ladies on the Elm City sent them some food, and we put on board from our supply-boat bedding and various stores, of which there was evident need, without wait- 104 Hospital Transports. ing to be asked, and without finding any one to receive them, the surgeons being fully engrossed in performing operations of pressing necessity. The battle had been renewed in the morning of this day (Sunday), and we had sent a relief party, composed of medical students and male nurses, with supplies of stimulants, lint, etc., to the battle-field hospitals. A portion of this party returned about midnight, with another large train of wounded. All our force that could possibly be withdrawn from duty on the boats was immediately employed in distributing drink, and in carrying the wounded from the railroad to the boat. Some men died on the cars. I made another visit to the Knickerbocker in the morning, and on my return (Monday), found that a train had just arrived, and the wounded men were walking in a throng across the scow to the Webster No. 2, Government Hos- pital, the only boat remaining at the landing. I knew that she was not prepared for them, and sent for Dr. S., the representative of the Medical Director. Dr. S. could not be found. I asked for the medical officer in charge of the Webster No. 2. The Captain said there was none, and that he had no orders except to bring his boat to the landing. I inquired for the surgeon in charge of the railroad train, but could find none. Hospital Transports. 105 There was no one in charge of the wounded. Meantime they were taken out of the cars, and assisted towards the landing by volunteer by- standers, until the gang-planks of the boat, the landing-scow, and the adjoining river-banks were crowded. I finally concluded that Dr. S. must have intended them to go on board the Webster No. 2. I could find no one in the crowd who professed to have received his or- ders, but, as many were nearly fainting in the sun, I advised the Captain to let them come on board. He did so, and they hobbled on, till the boat was crowded in all parts. The Small was outside the Webster No. 2, and our ladies ad- ministered as far as possible to their relief. Going on shore, I found still a great number, including the worst cases, lying on litters, gasp- ing in the fervid sun. I do not describe such a scene. The worst cases I had brought upon the Small. Two died on the forward deck, under the shade of the awning, within half an hour. One was senseless when brought on; the other revived for a moment, while Mrs. G. bathed his head with ice-water, just long enough to whisper the address of his father, and to smile gratefully, then passed away, holding her hand. .....At the time of which I am now writ- 106 Hospital Transports. ing (Monday afternoon), wounded men were arriving by every train, entirely unattended, or with at most a detail of two soldiers, two hun- dred or more of them in a train. They were packed as closely as they could be stowed in the common freight-cars, without beds, without straw, at most with a wisp of hay under their heads. Many of the lighter cases came on the roof of the cars. They arrived, dead and living together, in the same close box, many with awful wounds festering and swarming with maggots. Recollect it was midsummer in Virginia, clear and calm. The stench was such as to produce vomiting with some of our strong men, habitu- ated to the duty of attending the sick. How close they were packed, you may infer from a fact reported by my messenger to Dr. Tripler, who, on his return from Head-quarters, was pres- ent at the loading of a car. A surgeon was told that it was not possible to get another man upon the floor of the car. " Then," said he, " these three men must be laid in across the others, for they have got to be cleared out from here by this train!" This outrage was avoided, however. Need I tell you that the women were always ready to press into these places of horror, going to them in torrents of rain, groping their way by dim lantern-light, at all hours of night, carry- Hospital Transports. 107 ing spirits and ice-water; calling back to life those in despair from utter exhaustion, or again and again catching for mother or wife the last faint whispers of the dying 1 One Dr.----was at this time the only man on the ground who claimed to act as a medical officer of the United States. He was without instructions and without authority, and, though miraculously active, could do nothing toward bringing about the one thing wanted, orderly responsibility, and while he was there,----, who might otherwise have done something, would not interfere. Dr. Ware, of our party, was at one time the only other medical man on the ground. The Spaulding, Dr.----in charge, arrived Monday night, but not in a condition to be made directly useful, being laden with government stores, which could not at once be removed by the quarter- master. Her physicians and students, however, could never have been more welcome. I put one half her eager company at once at work on the Webster No. 2. Captain Sawtelle, at my re- quest, pitched a hospital tent for the ladies at the river-bank by the railroad, behind which a common camp-kitchen was established. To this tent quantities of stores have now been con- veyed, and soup and tea in camp-kettles are kept constantly hot there. Before this arrange- 108 Hospital Transports. ment was complete, and until other stores ar- rived, we were for a time very hard put to it to find food of any kind to meet the extraordinary demand upon us. Just as everything was about giving out, B. found a sutler, who told him that he had five hundred loaves of bread on board of a boat which had just arrived at Cumberland, but he had no way of getting it immediately up. A conditional bargain was immediately struck, and the Elizabeth hastened off to Cumberland to bring up the bread. When it arrived, to our horror, it proved to be so mouldy it could not be used. B., almost crying with disappointment, started again to make a search through the ex- hausted sutlers' stores of the post. While doing so, he came upon a heap of boxes and barrels unopened and " unaccounted for." " What's all this ?" " Sutlers' goods." " Who owns them \" " I do. I am the sutler of the----New York, up to the front. I want to get them up there, but I can't get transportation." "What's in here 1" said B. in great excitement. " Mack'rel in them barrels." "What's in the boxes?" " That's wine biscuit. There's two barrels of molasses and a barrel of vinegar. I 've got forty barrels of soft tack, too." "Where's that 1" " That's one of 'em " ; and B., hardly waiting for leave, seized a musket, and jammed Hospital Transports. 109 a head off. It was aerated bread, and not a speck of mould upon it! He bought the sut- ler's whole stock on the spot, and in half an hour the ladies were dealing out bread spread with molasses, and iced vinegar and water..... The trains with wounded and sick arrive at all hours of the night; the last one before day- light, generally getting in between twelve and one. As soon as the whistle is heard, Dr. Ware is on hand, (he has all the hard work of this kind to do,) and the ladies are ready in their tent; blazing trench-fires, and kettles all of a row, bright lights and savory supplies, piles of fresh bread and pots of coffee, — the tent door opened wide, — the road leading to it from the cars dotted all along the side with little fires or lighted candles. Then, the first procession of slightly wounded, who stop at the tent-door on their way to the boat, and get cups of hot coffee with as much milk (condensed) as they want, followed by the slow-moving line of bearers and stretchers, halted by our Zouave, while the poor fellows on them have brandy, or wine, or iced lemonade given them. It makes but a minute's delay to pour something down their throats, and put oranges in their hands, and saves them from exhaustion and thirst before, in the confusion which reigns on most of the crowded govern- no Hospital Transports. ment transports, food can be served them. When the worst cases have been sent on board, those which are to go to the shore hospital the next day are put into the twenty Sibley tents, pitched for the Commission, along the railroad, and our detail of five men start, each with his own pail of hot coffee or hot milk, and crackers and soft bread, with lemonade and ice-water, and feed them from tent to tent, a hundred men every night; sometimes one hundred and fifty are thus taken care of, for whom no provision has been made by government. Dr. Ware sees them all, and knows that they have blankets attendants, stimulants, &c. for the night. When the morning comes, ambulances are generally sent for them from the shore hospital, but occasionally they are left on the Commission's hands for three days at a time. They would fare badly but for the sleepless devotion of Dr. Ware, who, night after night, works among them, often not leaving them till two or three o'clock in the morning. The ladies from the Webster, and other Commission boats, visit the shore hos- pital between their voyages, and carry to the sick properly prepared soups and gruels. June 2,d. I cannot disentangle now the events of the last few days, nor have I a very exact idea of the numbers we have taken care of. Hospital Transports. 111 We put two hundred and fifty on Webster No. i on Monday, among them General Devens and Colonel Briggs of Massachusetts, and, fearing that all intermediate hospitals would be full, and the weather continuing very hot, sent her, in the absence of orders, to Boston. The same day the Vanderbilt and Knickerbocker were filled, and to-day the Spaulding. Between two and three thousand wounded have been sent here this week, and at least nine tenths of them have been fed and cared for, as long as they re- mained, exclusively by the Commission. (M.) Generally the government hospital boats are ready and glad to accept our assistance, but now and then one will stand off in the stream " all ready," needing no help, till finally, and when the sick are coming on board, at the last moment, not a pound of bread or ounce of meat will be found ready for them. The men are expected to bring rations for a day or so, in their haversacks, haversacks meanwhile being lost at the front, and men being too badly hurt to think of any such provision...... This is where the Commission comes in, and kettles of soup and tea, with fresh soft bread, gruel, and stimulants, are sent to all these boats from the tent kitchen, and with them go cups 112 Hospital Transports. and spoons, and attendants to distribute the food. Many hundreds of men have been helped in this way, who, without such a provision, would, to say the least, have greatly suffered. Two days ago there was a hospital transport near us, " all ready," according to their own account, and after the wounded men came on board, before the first surgical case could be attended to, they had to rush over to our boat for lint, bandages, rags, pins, towels, and stimulants. One man had been without the slightest nourishment all day until an hour before his shoulder was taken off; then, when it was too late, the surgeon hurried over to ask us to take him beef-tea and egg-nog, and we crossed the coal-barges and administered it; all this after the Doctor had himself told me that morning that they needed no help. It is just the same with lint and bandages, sponges and splints, all which the Commission supplies freely. There was another boat near us with a good staff and plenty of assistants, and every- thing looking so fair that we supposed it all right, particularly as we were assured that she had been "preparing" for some weeks, and had "all that was necessary." All day last Sun- day they were putting men on board, selecting four hundred from the five hundred sick and wounded who came down on Friday to the Hospital Transports. 113 post hospital, and who were all received on ar- rival and taken care of by Dr. Ware and his assistants. When they had been put on board, and wanted food at the moment, it was not ready, — plenty of it in the rough, but nothing cooked in anticipation ; and at six o'clock in the evening, as we were crossing the boat from the Small, which lay outside, we found the boat full of very sick men, feverish and thirsty, and calling for water, and no help at hand. We asked for basins ; there were none on board; and to add to the rest, the forty " Sisters," who had come down unexpectedly, by some one's order, had all struck for keys to their state- rooms, and sat about on their large trunks, forbidden to stir by the Padre, who was in a high state of ecclesiastical disgust on the deck of the Knickerbocker, at not finding provision made for them, including a chapel. ---- la- bored with the indignant old gentleman upon the unreasonableness of expecting to find con- fessionals, &c. erected on the battle-field, but to no purpose. There sat the forty " Sisters," clean and peaceful, with their forty umbrellas and their forty baskets, fastened to their places by the Padre's eye, and not one of them was allowed to come over and help us. So our boat's company went to work, Dr. Ware getting 8 ii4 Hospital Transports. for us all we needed from the Commission's sup- plies, and before the boat left, the sickest men were washed and fed; large pails of beef-tea, milk-punch, and arrow-root were made, enough to last for the worst cases until they reached Fortress Monroe, and at half past seven we climbed over the guards to the deck of the Small, and the boat cast off. We wrote all the names and home-addresses of the sickest men, who might be speechless on their arrival, and fastened the papers into their pockets. It was hard to have the " Sisters," who would have been so faithful, and who were so much needed, shut away from the sick men by the etiquette of their confessor. It is unpleasant to abuse people for inefficiency. Possibly they have all that is necessary on these government boats, stowed away in boxes somewhere, but at the precise moment when it is needed no one knows any- thing about it. Such boats either have no one at their head, or where there is one there are many, which is worse than none. We have, up to this time, sent away on the Commission's boats, since Sunday, 1,770 pa- tients. These, after having once been got upon beds, have been all methodically and tenderly cared for. The difficulties to be overcome in accomplishing it were enormous, and the great- Hospital Transports. 115 est of them of a nature which it would now be ungrateful to describe. We have also distributed to government boats and hospitals an immense quantity of clothing and hospital stores. (A.) Rustic Sidneys are so common we have ceased to think of it. " I guess that next fel- low wants it more 'n I do," — " Won't you jus' go to that man over there first, if you please, marm; I hearn him kind o' groan jus' now; must be pretty bad hurt, I guess : I ha'n't got anythin' only a flesh-wound ! " You may always hear such phrases as these repeated by one after another, as the ladies are moving on their first rounds. There is not the slightest appearance of a conscious purpose to play the hero or the Spar- tan. Groans, and even yells and shrieks, are not always restrained, but complaint is never uttered, though the Irish, especially when not very severe- ly wounded, are sometimes pathetically despond- ent and lachrymose, and the Frenchmen look unutterable things. But gratitude and a spirit of patience never fails, a cheerful disposition seldom......In this republic of suffering, individuals do not often become very strongly marked in one's mind, but now and then one does so unaccountably. I am haunted by the 116 Hospital Transports. laughing eye of a brave New Hampshire man, — laughing I am sure in agony, — whom I saw on the----. [This was one of the worst of the government transports, badly managed, hastily loaded, and densely crowded.] He was lying closely packed among some badly wounded rebels, and in giving them some little attention I had passed him by, because he looked as if he wanted nothing, — so differently from the others. Afterwards returning that way, they seemed to have all fallen asleep ; but this man's strange, cheerful eye met mine as I was careful- ly stepping over his feet. " Do you want any- thing, my man 1" " Well, now you are there, I don't care if you h'ist that blanket off my leg a piece; the heft on 't kind o' irks my wound." " Certainly," I said ; drawing it down, and know- ing at once that he must be painfully wounded; " is there nothing else I can do for you ] would n't you like a cup of water 1" "If you 've got some cool water handy, I should be obliged to you. I 've got some in my can- teen they give me this morning, but it's got warm." I brought him some, as soon as I could. "That tastes good," says he. " Do you know where this boat's goin' 1" " She goes first to Fortress Monroe; whether they will send her on from there to New York, or take Hospital Transports. 117 you ashore there, I don't know. It will be decided when you get there." " They must n't keep me there. I must go home." " Where is your home 1" " It's a place called Keene, up in New Hampshire." " What's the matter with you 1" " Got a ball through my thigh." " Did it touch the bone 1" " Yes, broke it snap off." " Rather high up the thigh, is n't it ?" " Just about as high as it can be ; the doctors, they tell me, — well, first they told me that't would kill me if they did n't take it off, and then they told me 't would kill me if they did take it off, it's so high up, they say they can't do it. So, accordin' to their account, I 've got to go anyhow. That's what the doctors make out; but I '11 tell you what I think : I think God Almighty 's got something to say about that. If he says so, well and good, I ha'n't got nothin' to say. But I'd like to get back to Keene. They must send me. I know I '11 die if they don't. They must." " I 'm afraid it would hardly do to send you out to sea, — the motion of the vessel—" " O, I a'n't a bit afraid of that, I don't mind the hurt on 't. The old doctor, he was n't a goin' to send me; he said 't wan't no use, and there was n't no room. But after they 'd got about load- ed up, the young doctor came along, and I 118 Hospital Transports. got hold o' him, and I told him they must send me, and finally he told 'em they must get me in somehow. That did hurt, that 'are. Fact is, I fainted away when they put me in, it hurt so. I never felt anything like that. But I tell you, when I come to, and found I was rat- tlin' along down here, I did n't mind how much it hurt." " Is it painful now 1" " Well, when they step round here, and when the engine goes, it's kinder like a jumping toothache, down there. Well, yes, it does hurt pretty bad, but I don't mind, if they '11 only let me go home. I guess if they '11 let me go home, I can pull through it somehow ; and if I don't, — that's God Al- mighty's business, too; I a'n't consarned about that." And he smiled again, that brave, man to man, knowing New England smile. I found that his wound had not been dressed in three days; fortunately there was time for me to get Ware to dress it before the boat left. (N.).....We lie here just outside some other vessels at the railroad wharf. The one nearest the wharf is the Knickerbocker (one of our own boats, a refreshing sight to sick and well). On it we are placing the wounded as they now come in, somewhat slowly.* Since last * This refers to the second loading of the Knicker- bocker after the battle. Hospital Transports. 119 night at ten o'clock there have been one hun- dred and sixty-five brought on board. This nearly completes the list of the wounded by the Saturday and Sunday engagements, excepting some two or three hundred who are in a hos- pital on the extreme right, some ten miles from the railroad. There have now been brought in to the hospital boats about three thousand seven hundred men, of whom six or eight hun- dred were rebels. It has been touching to hear the expressions of surprise and gratitude from some of these young, fresh-looking Southerners, as they received tender care from the hands of those who were ministering to them in their sad suffering. Of course our own wounded were carried off the field first, and this left the others with wounds for some time not dressed. (M.) Among the sick and wounded who came on board last night were several Seces- sionists. One whom I was attending took my hand, with tears in his eyes : " God bless you, Miss." Another, who was near death, — he had the most terrible wound I ever saw,— said, gently: " God forgive me, honey, if it was wrong. I thought it was right, but I don't like it, that's the truth. I would rather have died for the old flag, but —I thought it was right. 120 Hospital Transports. There, let them bury that with me" (showing me a bracelet of hair on his arm). " It's my wife's, honey ; it is. My watch you may keep, and if ever the time should come when you can send it to her, please do so." (A.) Naturally enough, the prisoners do not " bear up " as well as our own men. There is not only more whimpering, but more fretful- ness and bitterness of spirit, evinced chiefly in want of regard one for another. (N.) On board the Commission's boats we see the unavoidable miseries of war, and none other. So soon as the men come on board, all suffering except that of illness ceases, and we know and see that every comfort and every chance for recovery is freely supplied. I have a long his- tory to tell, one of these days, of the gratefulness of the men......I often wish, — as I give a comfort to some poor fellow, and see the sense of rest it gives him, and hear the favorite speech, " O, that's good! it's just as if mother was here," — that the man or woman who supplied the means for the comfort were present to see how blessed it is. Believe me, you may all give and work in the earnest hope that you alleviate suffering, but none of you realize what you do, Hospital Transports. 121 — perhaps you can't even conceive of it unless you could see your gifts in use. I often think of the money and supplies which, by the good- ness of others, passed through my hands be- fore I left home. How little I then knew their value ! How little I then imagined that each article was to be a life-giving comfort to some one sufferer! The object of the Commission is not clearly understood. Those who admire its noble, wise work naturally feel the wish that larger power should be given to it. But the object of the Commission itself is not this. It seeks to bring the government to do what the government should do for its sick and wounded. Until that object is accomplished, the Commission stands ready to throw itself into the breach, as it did during that dreadful battle-week, and as it does, more or less, all the time. The thing it asks for is not the gift of power, but that the govern- ment should come forward and take the work away from it......There are rumors that this much-desired change will be effected. I am not afraid to say that no enterprise ever deserved better of the country than this undertaken by the Sanitary Commission. Alive to the true state of things, ever aiming at the best thing to be done, and striving to bring everything to bear 122 Hospital Transports. upon that, it has already fulfilled a great work, — let those who have reaped its benefits say how great and how indispensable. Since yesterday morning we have been lead- ing a life which Mr.----feels to be one of such utter discomfort that we all try to make the best of it for his sake, though I will admit to you that it is very wearing to have no proper place to eat, sit, or sleep. No matter! our Wilson Small will be back soon, and we shall resume our happy home life on the top of the old stove. We had luxury which did not please us on board the----, and piggishness which pleased us still less on board the----, and yet we are the most cheerful set of people to be found anywhere. This morning, just as Mr.----was sitting with his head on his hand, sighing over the horrid breakfast to which we ladies had been subject- ed, some one looked up and spied the Daniel Webster coming up. Such vitality as seized us ! The good Webster! always perfect, prompt, and true. In a moment, Dr. Grymes and Captain Bletham were on board, and did n't we shake hands all round! I suppose you know the Webster had to put into New York in conse- quence of a storm, which would have perilled the lives of many of the sick if they had pursued the voyage to Boston. Hospital Transports. 123 I often feel the pleasantness of our (the ladies') footing amongst all these people, official, military, naval, and medical. They clearly re- spect our work, and rightly appreciate it; they strengthen our hands when they can, they make no foolish speeches, but are direct and sen- sible in their acts and words, and when work is over, they do not feel toward us as " women with a mission," but as ladies, to be with whom is a grateful relaxation. I must say our position here is particularly proper and pleasant...... I suppose from eight to ten thousand troops have arrived here within a week. At first, I scarcely noticed their coming. I heard their gay bands, and the loud cheering of the men as the transports rounded the last bend in the river, and came in sight of the landing, but such sounds of the dreadful other side of war filled my ears, that, if I heard, I heeded not. For the last night or two, the arrivals by moonlight, with the cheers and the gay music, have been really enlivening. We see the dark side of all. You must not, however, gather only gloomy ideas from me. I see the worst — short of the actual battle-field — that can be seen. You must not allow yourself to think there is no brightness because I do not speak of it. 124 Hospital Transports. (M.) We have on two of our boats nine con- traband women, from the Lee estate, — real Vir- ginia " darkies," and excellent workers, — who all " wish on their souls and bodies " that the Rebels could be " put in a house together and burned up." " Mary Susan," the blackest of them, yielded at once to the allurements of free- dom and fashion, and begged Mr. K. to take a little commission for her the next time he went to Washington. " I wants you for to get me, sar, if you please, a lawn dress and hoop-skirt, sar." The women not working on our boats do the hospital washing for us in their cabins on the Lee estate, and I have been up to-day to hurry them with the Knickerbocker's eleven hun- dred pieces. The negro quarters are decent and comfortable little houses, with a wide road between them and the bank which slopes to the river. Any number of little darkey babies are rushing about, and tipping into the wash-tubs, and in one cottage we found two absurdly small babies taken care of by an antique bronze, calling itself grandmother. Babies had the mea- sles, which would n't " come out" on one of them. So she had laid him tenderly in the open clay oven, and, with hot sage-tea and an unusually large brick put to his morsels of feet, was proceeding to develop the disease. Two Hospital Transports. 125 of the colored women and their husbands work for us at the tent kitchen, close by the shore, and entertain us by their singing. The other night Molly and Nellie collected all their friends behind their tent and commenced, in a sort of monotonous recitativo, a condensed narrative of the creation of the world ; one giving out a line and all the others joining in. They went straight through from Genesis to Revelation, following with a confession of sin and exhorta- tion to do better, — till suddenly their deep hu- mility seemed to strike them as uncalled for, and they rose at once into the " assurance of the saints," and each one instructed her neighbor at the top of her voice to " Go tell all the holy angels, I done, done all I ever can." Just as they came to a pause the train arrived; midnight, as usual, and the work of feeding and caring for the sick began again. Dr. Ware was busy with his nightly work of seeing that the men were properly lifted from the platform cars and put into the Sibley tents ; H. was " process- ing " his detail with additional blankets and quilts; and Wagner, our Zouave, and his five men, were going the rounds with hot tea and fresh bread, while we were getting ready beef- tea and punch for the use of the sickest through 126 Hospital Transports. the night. By two o'clock we could cross the gang-plank to the Small again, feeling that all the men were quiet and comfortable. We women constantly receive noble and pa- triotic letters from the parents and friends of the soldiers who have died here among us, one of our duties being to write to the families of those we have had care of. Mrs.----had sent her the other day, from one of the----Regiment, a little poem in such delicate acknowledgment of kindness received that I must copy it: — " From old St. Paul till now, Of honorable women not a few Have left their golden ease in love to do The saintly work that Christlike hearts pursue. "And such an one art thou, — God's fair apostle, Bearing his love in war's horrific train; Thy blessed feet follow its ghastly pain, And misery, and death, without disdain. " To one borne from the sullen battle's roar, Dearer the greeting of thy gentle eyes, When he aweary, torn, and bleeding lies, Than all the glory that the victors prize. " When peace shall come, and homes shall smile again, A thousand soldier-hearts in Northern climes Shall tell their little children, with their rhymes, Of the sweet saint who blessed the old war-times." CHAPTER VI. (A.) We were " stampeded" last night. A train arrived, and the ladies were at the kitchen ashore getting tea ready. Dr. Ware went to the cars, as usual, and two or three wounded men were brought down on litters, to be put on the Elm City. The doctor coming along with them said, " These men were shot on the train, just before arriving here." After they had been taken on board, M. said to me, " Do you know they are getting ready to take in the gang-plank, and are firing up on the Elm City ?" I went on board ; could not see the captain ; the engi- neer was having the fires pushed, and said the orders had come from Colonel Ingalls, com- mander of the post, to fire up and get away as quickly as possible. All our boats had received the same. I went out, and with difficulty got the ladies to go on board. M., who had gone up to head-quarters to see if there was no mistake, came back with the message, " Drop down below the gunboats, at once, and look out to keep clear of vessels floating down on fire." 128 Hospital Transports. We of course obeyed orders, knowing nothing of the reasons for them, and in half an hour all our boats were anchored a mile below, with steam up. As soon as this was accomplished, I took a yawl, and pulled back to the railroad landing, where I found everything quiet, Ware and H. taking care of the sick who had been left in the tents. Walking on to the post head- quarters, I found all the camp-followers, team- sters, sutlers, railroad and barge men, organ- izing in companies, and arms and ammunition serving to them. M., who had volunteered for this duty, had a company. I found the Provost- Marshal, who told me that the enemy had sud- denly appeared, apparently in considerable force, about three miles from here, simultaneously on the river and the railroad. A wagon train had been captured, two or three schooners burned, the telegraph cut. It was presumed that it was an expedition designed to play havoc with this post, where there is an immense amount of army supplies of all kinds, with a force absurdly inadequate to its protection,—in fact, but a weak regiment of infantry, and a weaker one of horse; but some artillery was landing, and before day- light they would have two capital batteries of Napoleons ready, and were gathering supports. I got permission to send for the Small, which is Hospital Transports. 129 short enough to be quickly handled at the land- ing, and to put on her the sickest of the men who had been brought down during the day to be sent to the post hospital, and who were still in tents near the landing, as it seemed to me they would suffer less disturbance afloat than ashore in case the attack was made. It was daybreak before I got them at anchor below again. At sunrise I was allowed to bring all the boats up ; but as there was a standing order against the shipment of sick at this time, (in or- der to reserve the transports for the wounded,) we kept our patients on the Small for some days, the post surgeon not being able to receive them. The women were greatly annoyed and indignant at being sent, with the boats, out of harm's way. (N.) We sat on deck.....watching the fleet of transports, hospital-ships, and supply- boats hurrying after and past us, and the signal- ing from gunboat to gunboat, which seemed done by a lantern at the end of a long pole, dashed up and down through the darkness. It was midnight when a messenger came in the yawl, with orders to bring the Small back to the railroad. All the way up we worked, getting ready for as many sick as could be taken on her. Forty-five beds filled every corner of the boat, 9 130 Hospital Transports. and beef-tea, punch, and gruel were ready by the time we reached the railroad-bridge. Dr. Ware and H, who had not ran away, had selected the sickest of the men in the tents, and had them all ready to put on board, and with the help of the Spaulding's nurses, whom we called for on the way up, we took them on board that night, and the next day and the next we had them in our little boat, — some of the sickest men I ever saw, — crazy and noisy, soaked, body and mind, with swamp-poison, and in a sort of delirious remembrance of the days before the fever came, — days of mortal chill and hunger, — screaming for food, for something "hot," for "lucifer matches" even. Two of these men died on board, not able to give their names. The fright about the raid having somewhat subsided, we settled down again, as we sup- posed, into our daily routine of fitting up trans- ports, and of receiving and feeding the sick who arrive on the trains. All sorts of messages and people are constantly coming to our tent; — surgeons from the front, to have requisitions filled for lemons and onions,* beef-stock, and * As scorbutic symptoms had been reported in certain regiments, the Commission was sending small quantities of fruit and vegetables by every returning hospital trans- port. It afterwards sent whole cargoes, as will be seen by reference to Appendix D. Hospital Transports. 131 brandy; orderlies, for officers sick, and just ar- rived to take the mail-boat, needing refresh- ment ; and miscellaneous crowds, who have constantly to be instructed that we are not free sutlers. Captain ---- had kindly pro- vided a wall tent for our use, and Dr. Ware, in thought for our comfort, has it pitched close by our kitchen, and the sickest men arriving by train are put into it, and we are able to care for them without hurrying across the railroad track with our hot gruel. Here I found myself the other day, spoon-feeding, with a napkin under his chin, the pleasant chaplain who came down on the Daniel Webster to join his regiment on the first day we started as a hospital company. His turn had arrived, poor fellow, and he came back to us with a blister on each temple, and symptoms of typhoid. We had in the tent at the same time five or six officers, all sick. Our little comforts, fans, slippers, mosquito-netting, napkins, cologne, are great comforts to the sick men, though to be sure one man did say to me to-day, when I put a few drops from my bottle, "Gegeniiber dem Julichs Platz," on his handker- chief, " O my ! how bad that smells ! I don't mind it much, but perhaps you have spilt some of that medicine you have in your bottle !" My cologne of cologne! 132 Hospital Transports. The St. Mark arrived about this time, a splendid clipper East-Indiaman, and, after her, the Euterpe, both first-class new sailing vessels, entirely reconstructed interiorly by the Commis- sion, as model hospital-ships, and having their own corps of surgeons, dressers, &c. Drawing too much water to come up the Pamunkey, they anchored at Yorktown, and the sick were taken down on steamboats to them, and they made the voyage round to New York in tow of steamers. (A.) June 2ph, 1862. I was intending to go down to the St. Mark last night. We had had some rumors the day before that Stonewall Jackson was making a dash to get in our rear, and take this post. I did not mind them, but about three o'clock," P. M., yesterday, Captain S., the active executive here, came to me, and said, privately : " Get away from this as soon as you can ; the enemy is here again ; our pickets are driven in, and I think we shall be obliged, within three hours, to burn everything that can't be run down the river. Give what help you conveniently can to the vessels on the river as you go down, but don't stop this side of Cumberland." I called in our men and women, found that our machinery, which had been repairing for two days, was in such disor- Hospital Transports. 133 der that it could only be used at all by the exertions of three men supplying the place of certain fractured iron, with their arms; and then but very slowly, and with great care, of course. We were in no condition to help anybody else. I pushed off, however, in quarter of an hour, taking the Wissahickon and Elizabeth in com- pany. One or two boats started before us, and several immediately after. As we passed down, we found the gunboats with their boarding-net- tings up, and all ready for action, and the skirt of wood along the shore of the White House grounds cut. away to allow a sweep to their guns. We left our consorts at Cumberland to take forage vessels in tow down, and went on slowly to West Point, where we anchored. Soon after noon to-day the Captain reported his machinery repaired, and we started to return to White House. The river was full of vessels coming down. We could learn nothing from them except that everything had been ordered to " clear out." We got here about sunset, and found almost everything gone, — a remarkably orderly and successsful ^removal of a vast amount of stores. Among what remained, whis- key and hay were distributed, and everything was ready for firing. Stonewall Jackson had not come down upon 134 Hospital Transports. us as we had supposed, but our right wing had been turned, and the enemy was hourly expect- ed to be pushing into White House. The au- thorities at "Head-quarters" were by no means as much surprised as we were at it all. Every preparation had been quietly making for several days for the arrival of the enemy, and the evac- uation and repossession were effected in as neat and complete a manner as if the affair had been arranged between the parties by the penny-post. The Knickerbocker, and other of our boats, just as they were, were used as retreats for rail- road-men and straggling Northerners, exclusive of sutlers. The government boats, with the Commodore, Daniel Webster, &c, were ordered up, and the fifteen hundred sick men from the shore hospital put on board. The Sisters of Charity, who had been for a few days occupy- ing the White House, were distributed through the different government craft, glad now to do what they could ; and so, all in good order, the hospital ships, one after another, departed, the Wilson Small lingering as long as possible, till the telegraph wires had been cut, and the enemy announced by mounted messenger to be at "Tunstall's," worried constantly in his advance by Stoneman with his cavalry, till all should have got safely off, when he would fall back Hospital Transports. 135 towards Williamsburg, and the rebels would walk into our deserted places. So we came away, — watching the moving off of the last transports and barges, and of the Canonicus, head-quarters' boat, with Colonel Ingalls and Captain Sawtelle and General Casey and staff......But by far the most inter- esting incident was the spontaneous movement of the slaves, who, when it was known that the Yankees were running away, came flocking from all the country about, bringing their little mov- ables, frying-pans and old hats and bundles, to the river-side. There was no more appearance of anxiety or excitement among them than among the soldiers themselves. Fortunately there was plenty of deck-room for them on the forage boats, one of which, as we passed it, seemed filled with women only, in their gayest dresses and brightest turbans, like a whole load of tulips for a horticultural show. The black smoke began to rise from the burning stores left on shore, and now and then the roar of the battle came to us, but they were quietly nursing their children and singing hymns. The day of their deliverance had come, and they accepted this most wonderful change in absolute placidity. 136 Hospital Transports. All night we sat on the deck of the Small, slowly moving away, watching the constantly increasing cloud, and the fire-flashes over the trees toward White House ; watching the fading out of what had been to us, through these strange weeks, a sort of home where we had all worked together and been happy, — a place which is sacred to some of us now, from its intense, living remembrances, and for the hal- lowing of them all by the memory of one who through months of death and darkness lived and worked in self-abnegation, — lived in, and for, the sufferings of others, and finally gave himself a sacrifice for them. Appendix. APPENDIX A. See page 23. "The Commission is at this time actually distributing daily, of hospital supplies, much more than the govern- ment. " This refers to a temporary emergency alone, for, not- withstanding the recognized necessity for volunteer aid, it is believed that the aggregate of all hospital supplies voluntarily furnished by the people through the Sanitary Commission and otherwise, great and unparalleled as this gratuitous supply is, is but about one tenth as much as is furnished by government. This fact ought to be kept in mind, as there is a natural tendency on the part of those who are rendering volunteer aid to exaggerate the relative magnitude of their own labors, while the permanent and vastly larger provisions of government are underrated, and a habit of unjust censure indulged in, in speaking of deficiencies which have to be supplied. The character of this censure generally indicates complete ignorance of the failures of other governments when engaged in war, and a careless estimate of the immense labors involved, and difficulties which invariably have to be overcome, in providing for the constant necessities and exigencies of a great army. It is the opinion of those whose sympathies with the suffering of the soldiers on the one hand, and whose careful study of facts on the other, ought to give 140 Appendix. weight to their judgments, that never before, in the world's history, was an army so well cared for in all its departments, Quartermaster's, Commissary, and Medical, and that never before, when deficiencies were discovered, were they, on an average, as speedily remedied. In every great trial, by war, of a nation, it has been found necessary to employ a very large number of men in posi- tions of the gravest responsibility, for which they were not adapted by nature or by training. This involves, of course, not only incompetency for duties assumed, but necessarily opens a door to continued neglect of trusts, frauds, and peculations, which, under ordinary circumstan- ces, would seem to be of stupendous magnitude. This is always a part of the cost of war, and, so far from being the peculiarity of a republican form of government, or of the present occasion, in no modern war have frauds and in- efficiency of administrative service been anything like as slightly manifested in the condition and efficiency, under all circumstances, of the troops in the field; and this, whether we have regard to their food, clothing, equip- ments, transportation, or, finally, to the provision which has existed for the sick and wounded. The sustained average health, vigor, and good spirits of our several grand armies, in the great variety of circumstances in which they have been placed, tells of a virtue and a vital force in our people and in our institutions, which, rightly understood, should put to shame much customary cavilling of flippant critics. The writer of this note has recently travelled through a region larger than the whole of England, which a year before his visit was held by one hundred and fifty thou- sand rebels in arms, and with advantages for defensive warfare such as no country of equal extent in Europe possesses. In every mile of this road he saw traces of Appendix. 141 the desperate fanaticism of personal ambition and pride, reckless of the life and property of others, with which its defence had been conducted. And beyond it he found those who were re-establishing the supremacy of republi- can law in this land. He spent more than a week with them, and in that time he heard no complaint so frequent or so bitter as that against the whimperers and mischief- makers they had left behind. The health and patience of the men was a matter of profound astonishment to him. That the officers were many of them exceedingly unfit for their responsibility cannot be denied. In what army are not many of the officers found to be so ? But even this was chiefly to be attributed to the very influence which, in its worst form, was made the cloak of the con- spiracy which brought about the rebellion, and was com- monly felt and said to be so. And thus the army, fighting the open, fights also with the insidious enemies of the country, and when it returns both will have been con- quered. But if incompetency is common among State- appointed officers, what evidence does the condition of the army give of the action of great talent, integrity, in- dustry, and patriotic zeal, in the manner in which it is provided for! Nowhere did the writer fail to find the men clothed and fed as never were soldiers clothed and fed in the pettiest frontier war before. He reached a division in the extreme advance; bivouacked in a swamp, its wounded picket-guardsmen were being brought in and cared for, methodically, and well; not with the refine- ment of a civilized home, but as wounded soldiers sel- dom have been in the history of wars, under the most favorable circumstances, before in the world. There was nothing which, thus situated, the surgeon could wish to have with him, which he had not. This division, since it 142 Appendix. came to the war, had marched over four thousand miles, and fought six great battles, and now here in the swamp, wading from hammock to hammock, the enemy in force in the next really dry land, the men looked as well in health, and as cheerful in spirits, as a company of har- vesters at their nooning. They were carefully examined. Were they in want of clothing? No. Were they well shod? Yes. Were they well fed? They had full ra- tions, and could ask for nothing better. What did they want? "To finish up the business they came here for, and go home." Nothing else. It was actually so there at the advanced post in the swamp, and it was so — it is so at this moment — wherever, on sea or ashore, the seven hundred thousand men now employed by our gov- ernment are scattered at their work. By what despotic power was a machine ever made that could have accom- plished this, in two years? F. L. O. APPENDIX B. See page 42. REGULATIONS FOR FLOATING HOSPITAL SERVICE OF THE SANITARY COMMISSION, for the campaign in virginia. Terms of Service. The Sanitary Commission, being itself under military authority, in order to meet its responsibilities, must require of all persons who engage in the hospital service of the army under its direction, that they place themselves, for the time being, entirely at its disposal. Those who volunteer their services gratuitously being supposed to do so fully and in good faith, no distinction can be known between them and those who may be paid for their services, it being understood that these services, in both cases, once engaged or accepted, are to be claimed equally of right by the Commission. Administration. An agent of administration for the Commission will be appointed for each hospital vessel, who will be regarded by those on board as responsible for her fittings and sup- plies. Wards. Each vessel will be divided into hospital wards, de- 144 Appendix. signed each for the accommodation of from fifty to one hundred and fifty patients. In case of convalescents, a larger number will be properly included in a ward. Surgeons. A surgeon in charge will be appointed to each vessel, who will be responsible for the reception, classification, and distribution of patients in the wards. He will sign any necessary official medical reports of the vessel. Each ward will be placed under the especial charge of one sur- geon, and, if practicable, there will be a surgeon for each ward. Assistants to Surgeons. An assistant to the surgeon (with the title of Ward- master) is to be constantly on duty in each ward. Under instructions from the surgeon of the ward, he will superin- tend and be responsible for the entire treatment of the patients of the ward, during the hours in which he is ap- pointed to be on duty. Nurses. Two or more nurses are to be constantly on duty in each ward. They will perform any and all duties neces- sary in the care of the patients, under instructions from the surgeons received through the ward-masters. Dispensary. A dispensary will be established on each vessel, and one or more apothecaries will be placed in charge of it. They will be responsible for the medical stores, and for their proper compounding and issue upon requisitions of the surgeons through the ward-masters. Appendix. 145 HosprrAL Pantry and Linen Closet. These will be in charge of ladies, who will issue to ward-masters or nurses, or themselves administer and dis- pense, under proper control of the surgeons, special diet and drink, and articles of bed and personal clothing for the patients. Watches. Ward-masters and nurses, and all who have part in duty of a constant character, will be divided into two watches, which will be on duty alternately, as follows : — A B (dog watch.) A " B From 7 A. M. to i P. M. 1 P. M. to 4 P. M. 4 P. M. to 7 P. M. 7 P. M. to 1 A. M. 1 A. M. to 7 A. 7 A. M. to 1 P. M. M. (second day.) Time of Meals. One watch at 6.40 A. M. (being then off duty.) The other at 7 A. M. One watch at 12.30 P. M. The other at 1.15 P. M. One watch at 6.40 P. M. The other at 7 P. M. House Diet. BREAKFAST. To be ready afjA.M. Bread (or Toast) with Butter. Coffee or Tea. 10 146 Appendix. DINNER. To be ready ati.i$P.M. Beef Soup and Boiled Beef or Beef Stew. Boiled Rice or Hominy. Bread or Crackers. TEA. To be ready at 7 P. M. Bread or Toast or Crackers, with Butter. Coffee or Tea. When practicable, the house diet will be served at tables to such patients as are able to come to them. When not practicable to arrange tables, such patients as may be designated by the surgeons will be divided into squads of forty, and a squad-master appointed to each, who will re- ceive and distribute to the rest the prepared diet, as may be found most convenient. Patients not able to leave their beds will not be included in these squads, but house diet will be served to them by the nurses of their wards, if ordered by the surgeon. Special Diet. The surgeons will ascertain from the administrative agent, or from the ladies, what articles of diet are availa- ble on the vessel, and in their morning rounds direct what choice shall be made from these for the diet of each pa- tient, for whom the house diet would not be suitable, during the succeeding twenty-four hours. The ward- master on duty at the hour for surgeons' morning rounds will, in regular order, be on duty at each meal-time during the following twenty-four hours, and will consequently be able to direct the entire diet of each patient from verbal instructions. He should, as soon as possible, notify the proper person (no rule in this respect being practicable for Appendix. 147 all vessels) of the quantity of each article of special diet which will be required at each meal in his ward, and at the proper time should (if necessary) send the nurses for it, and see it properly distributed. Surgeons' Rounds. Surgeons' rounds should commence at 9 A. M-, and at 6 P. M. The ward-master on duty will closely attend the surgeon, and receive his instructions as he passes through his ward. The ward-master off duty may also attend the surgeon at this time, for the benefit of receiv- ing instructions directly. The surgeon may ifake this a duty, otherwise it will be optional. All Hands. In receiving and discharging patients, or in any emer- gency which makes it necessary, ward-masters and nurses may be required to do duty in their watches off. In cleaning, fitting, or repairing the vessel for hospital pur- poses, they will act under orders of the administrative agent Receiving and Distributing Patients. Before patients are taken on board, the vessel should be properly moored or placed, gangways or other means of entrance arranged, and, if possible, all duties com- pleted, for the time being, in the performance of which the crew of the vessel are required. The surgeon, who should have previously informed himself of the character of the accommodations for patients in all parts of each ward, should detail a sufficient number of guides and bearers to convey the patients, and of all necessary attend- ants at the gangway, and within the wards. These should 148 Appendix. remove their boots, and each squad of bearers should be instructed that all orders will be given them by their guide alone, and that no one else is to speak aloud while carry- ing a patient, or passing through the wards. All persons not having a specified duty to perform in receiving pa- tients, should be put where they will not be in the way or disturb the patients, but where they can be readily called on if the force engaged is found insufficient As each patient is brought on board, he will be exam- ined by the surgeon in charge, who will direct where he shall be taken ; at the same time notes will be taken, as follows: —b Number, Name, Company, Regiment, Residence, Remarks. The administrative agent will, at the same time, cause a corresponding number to be placed on the effects of the patient, which he will take care of, to be returned to the patient on his leaving the vessel. If practicable, the patients may, before being taken to their berths or cots, be washed and supplied with clean clothing. It will not usually be in the power of the surgeon in charge to select patients for his vessel. It may, however, be proper for him to protest against taking patients whose illness is not of a sufficiently serious character to warrant their withdrawal from the seat of war, or those for whose cases there is less suitable provision on the vessel than in the hospitals they are leaving, or those already in a dying condition, whose end will have been accelerated or whose suffering aggravated by their removal; also, when going to sea, against taking cases of compound fracture of the lower extremities. FRED. LAW OLMSTED, GenH Secy. White House, Virginia, May 20, 1862. Appendix. 149 SANITARY COMMISSION. Atlantic Hospital Transport Service. THE REGULATION OF DIET FOR PATIENTS. The simplest possible arrangements should be made for the diet of patients which will be consistent with their proper treatment. At the outset, the cook may be ordered to prepare daily for breakfast, to be ready at 7 A. M., ten gallons of tea and fifteen loaves of bread in slices, with butter, for every hundred patients on board; for dinner, ten gallons of beef-stew made with vegetables, and fifteen loaves of bread, for every hundred patients on board; for tea, the same as for breakfast. Orders for special diet should, as far as possible, be confined to beef-tea, arrow-root or farina gruel, milk-por- ridge, and milk-punch. Quantities of each of these articles, except the punch, may be prepared by the cook once a day, and delivered to the matron, under whose care they should be warmed in portions over spirit-lamps, as required at any time dur- ing the day or night. As a general rule, for each hundred patients on board, there should be prepared, for twenty-four hours, — z\ gallons of beef-tea, 4 gallons of gruel, \ gallon of milk-porridge. Where the patients are chiefly suffering from illness, especially if from fevers, the above quantities will be found larger than is necessaiy. Where a large proportion 150 Appendix. of them are severely wounded, they may need to be slightly increased. By estimating the quantity of each article which will be required for the twenty-four hours, as thus instructed, the surgeon in charge will find it best to give his orders to the cook for everything at once, one day in advance. If the quantities ordered prove too small, the deficiency can be made good by the matron with crackers, tea, canned meats, or meat essence, &c., in the pantry; it be- ing best, if possible, to avoid any call upon the cook or the ship's kitchen for this purpose. If the quantities prove too large for one day, the saving can be used the next Whether too large or too small, a proper modification can be readily made in the order to the cook for the remainder of the trip. The surgeon in charge will in this way be relieved of the necessity of giv- ing further consideration to this department of administra- tion, which, if not thus simplified, will be found to be a source of much trouble and anxiety, greatly withdrawing his attention from surgical and medical duties proper. Associated surgeons should be careful to make no de- mands for diet, inconsistent with this arrangement Milk-punch is best made with cold water in the pantry. This and all other cold drinks can be made under the superintendence of the matron, without any call upon the cook. The cook should, however, be required to keep a supply, as large as convenient, of hot water, constantly ready to meet any demand from a surgeon or the matron. APPENDIX C. See page 97. Copy of Letter to the Medical Director of the Army of the Potomac. White House, Va., June 3, 1862. My dear Sir : —There must be some frightful mis- understanding at the bottom of what is occurring here, in your department It is obvious from the tenor of your telegraphic communications to me, that you are altogether wrongly informed about it The Sanitary Commission, let me say at once, has not only obeyed every order, no matter how irregular or disrespectful the mode of its transmission, but has in good faith endeavored to carry out, at every point it could reach, what was judged to be your intention, supplying the absence or neglect of other agents on whom you appeared to depend, as it best could. Till night before last it made itself subordinate to the Surgeon-General of Pennsylvania, who assumed to act as your aid, and, under positive orders given by him in your name, it refrained from pursuing a plan previously ap- proved by you, and by following which it is now obvious that a much greater and safer transport of the wounded would have occurred. From Sunday night to the present time, the Surgeon-General of Pennsylvania has not been seen here; a thousand wounded men have, in the mean 15 2 Appendix. time, arrived, and, as far as I am informed, not the slight- est provision of any kind has been made for them under order from you, or by any one whom you have regarded as under your orders, except the Sanitary Commission. After waiting some hours yesterday morning for the Sur- geon-General of Pennsylvania (who till then had been in charge of the railroad wharf) to act, finding men fainting in the sun ashore, I assumed the responsibility of taking eighty of them upon our little boat, and of having the remainder brought on the Daniel Webster No. 2. After doing so, I found one Dr. ----, very hard at work dress- ing wounded, &c. By advice of Captain Sawtelle and myself, he took provisional medical charge, and I then telegraphed you, advising that Dr. ---- or Dr. ---- should be placed in general charge, with discretionary powers. We were doing what we could with men and women who could be spared from our boats, which were all full of wounded, to provide for those on' the Webster and ashore. Before night, the Spaulding having arrived, I brought up fourteen fresh men and the ladies, with two physicians, and they have been steadily at work, and up to this time (noon of Tuesday) operating, dressing, feed- ing, and, with the assistance of other volunteers, bringing the wounded from the cars to the boat The Vanderbilt came more than a week ago, empty, and assigned to hospital service. She came to the wharf that had been built, at my request, for the use of the Sanitary Commission, refused to leave at my request, and has occu- pied it to our exclusion ever since. She has had surgeons and a large detail of soldiers on board, and I had been informed that she was reserved for the transportation of wounded, by your orders. Neither those on board of her Appendix. 153 nor thoK at the camp hospital appeared at the railroad, or lent any assistance, to my knowledge, to the care of the wounded, until, under advice from Captain Sawtelle and myself, Dr. ----, who had received your telegram disacknowledging him as having any official position, re- quested the surgeon in charge to bring the Vanderbilt to the railroad wharf. Having our boats and the removal of the wounded in ambulance trains to attend to, I did not think it necessary to inquire if she were prepared for hos- pital duty, knowing that she had been a week idle, and previously in hospital service ; but late this morning I was informed that she had not any commissary, or even neces- sary medical stores on board, and nothing whatever was being prepared for the sustenance of the patients. We have provided bread and molasses, for the want of anything else ready. We have been also called upon for, and are providing, lint and bandages, &c, &c. The Elm City and Knickerbocker are both off, the Spaulding is yet to discharge the commissary stores with which she came loaded, and there is not a boat here now which can carry wounded, nor is there a tent pitched for them. I have no time to be more full and exact. I have called on Colonel Ingalls to establish a cooking arrangement on shore, and shall try to get beef for soup. I hear that more wounded are arriving. God knows what will be done with them. As the telegraph refuses to send any messages to you to-day, being fully occupied with the General's business, I shall, if possible, send this to you this evening by a special messenger. I am very faithfully, &c. 154 Appendix. Copy of a Letter to the Surgeon-General. Steamboat Wilson Small, Off White House, Va., June 17, 1862. (A.) My dear General : —Your prompt action, of which I am notified by your telegram of this date, in securing the shipment of large supplies of anti-scorbutics to the Army of the Potomac, without waiting for the Medical Director to assume the responsibility Of ordering them, leads me to hope that you may think it right in like manner to interpose for the protection of the army from other evils, for which the remedies are equally obvi- ous, and more readily attainable. I therefore urge that tarpaulings, old sails, felt, or can- vas in bolts, with means of putting it together, be sent here immediately, in quantities sufficient to form a shelter for ten thousand wounded men. The materials for extend- ing and supporting it in the form of sheds can be found in the woods immediately in the rear of the line of opera- tions, where the shelters should be placed. I should pro- pose that at least one depot for wounded should in this way be prepared for each army corps. Water should be secured in its vicinity, and means for providing large quantities of beef-tea or soup. I know that such an arrangement would have saved many hundred lives after the battle of Fair Oaks. Nearly all of those with whom I conversed, of the first three thousand wounded men who received aid at this point from the Sanitary Commission, assured me that they had been without shelter from sun or rain, and with- out nourishment, from the time they fell until they came into our hands. This would be a period of from one to Appendix. 155 four days. The men seemed sincere, and their appear- ance was such as to lead me to the conclusion that, in many cases, at least, they asserted no more than the truth. If, without waiting for a demand from the Medical Di- rector, or the convenience of the Quartermaster's staff of this army, it would be in your power to order it, it seems to me that a provision of the kind I have indicated should be made within a single week. Everything neces- sary should be sent here; canvas, nails, tools, laborers, kettles, beef, pans, spoons, cooks. The smallest service for hospital purposes cannot be procured here now by the most energetic and persistent surgeons in less than a fortnight from the time they undertake to secure it I have called three times a day, for ten days, for a detail of ten men to police the landing-place of the hospital boats; and though constantly promised me, and though the need for the work is acknowledged to be very great, I do not yet succeed in getting them. Memorandum of Arrangements proposed by the Secretary of the Commission, to prevent a recurrence of the confu- sion in the Transport Service which occurred after the Battle of Fair Oaks. The following is a list of Transports understood to he at present available for hospital service for the Army of the Potomac: — Sea Steamers, fitted for long passages outside. S. R. Spaulding. Daniel Webster No. I. 156 Appendix. Coast-Steamers, which must make a harbor on the ap- proach of bad weather, and which should not be sent be- yond Philadelphia, unless the necessity is urgent. Elm City, Commodore, State of Maine, Kennebeck, John Brooks, Daniel Webster No. 2. Coast-Steamers which should not be run outside. Vanderbilt, Louisiana, Whilldin, Knickerbocker. Sailing vessels adapted to be used as Stationary Hospitals, or to be towed outside. St. Mark. Euterpe. The aggregate capacity of these vessels is equal to the accommodation of four thousand (4,000) patients, and may be increased to five thousand (5,000) if the necessity is urgent. From the time a boat leaves, until she can be prepared to leave again,— will be, if she runs to New York, 7 days, " " " to Philadelphia, 6 days, " " " to Washington, 4 days, " " " to Annapolis, 4 days, " " " to Baltimore, 4 days, " " " to Old Point, 2 days. If, in the event of a general engagement, all the wounded sent from White House are taken to the near- est hospitals, until these are full, there will be occupation for but few of the boats; four of them, for instance, would take seven hundred (700) a day to Fortress Monroe continuously. Having filled the nearer hospitals, how- Appendix. 157 ever, all the vessels would be insufficient to sustain a con- tinuous movement to those more distant Moreover, most of the transports are unfit to convey patients to the most distant hospitals. It is, therefore, necessary that the business should be so arranged that transports may, from the beginning, run both to the nearer and the more distant hospitals, and that the limited number of sea-going ves- sels should be run only to the distant seaports. To accomplish this, I suggest that the different trans- ports be formed into lines, as follows : — I. For Virginia hospitals. (Fortress Monroe, Newport's News, Portsmouth, and Point Lookout.) 2. For Maryland hospitals. (Washington, Alexandria, Annapolis, and Baltimore.) 3. For Pennsylvania hospitals. 4. For New York hospitals. As two of the sea-going vessels cannot come up to White House, and these, to be used effectively, must be towed by the other two, the New York line would be best employed in preventing too great an accumulation at Fortress Monroe,—running only from Fortress Monroe to New York. If it be assumed that seven hundred (700) will arrive daily at White House, they may be disposed of according to the accompanying schedule with regularity, and with no necessity for crowding. 158 Appendix. Plan for the Disposition of Patients to be sent in Hospital Transports from White House. Days. Host pital Men. Md. Va. Penn. N. Y. 1st day Va. 300 300 << a Md. 400 400 1st day, 700 2d " Penn. 400 " " Va. 300 600 600 2d " 1,400 3d ;; Md. 400 800 Va. 300 300 3d " 2,100 4th " Md. 400 1,200 " " Va. 300 J35 v 4th " 2,800 sa ;; Md. 400 1,600 Va. 300 435 5th " 3,500 6th " Md. 400 2,000 " " Va. 300 735 i,66S 6th " 4,200 7th " Va. Penn. 300 400 1.035 7th " 4,900 8th " Va. 300 735 " " Md. 400 2,400 800 8th " 5,600 9th " Va. 300 i,°35 " " Md. 400 2,800 gth " 6,300 10th " Va. 300 j^s " " Md. 400 3,200 10th " 7,000 nth " Va. 300 1,170 2,130 " " Md. 400 3,600 nth " 7,700 12th " Va. 300 1,470 " " Md. 400 4,000 12th " 8,400 13th " Va. 300 1,770 " " Md. 400 4,400 13th " 9,100 14th " Penn. 400 1,200 Va. 300 2,070 14th " 9,800 15th " Md. 400 4,800 " " Va. 300 2i37° 15th " 10,500 16th " Md. 400 5,200 2>730 T Va. otal, 300 2,070 16th " 11,200 11,200 5,300 2,070 1,200 2.730 11,200 To carry out the foregoing plan, the Kennebeck and Daniel Webster No. 2 should be run exclusively to the Virginia hospitals, — one daily, each carrying three hun- dred (300) patients at a trip. The Commodore, Vanderbilt, State of Maine, and Lou- isiana should be run exclusively to the Maryland hospitals, Appendix. 159 each carrying four hundred (400) patients at a trip, one daily, the round trip being four days. The Elm City, being the best of the coast boats for out- side work, would run to the nearest outside post, Phila- delphia, once every six days, conveying four hundred (400) at each trip. The John Brooks, the Whilldin, and the Knickerbocker would be surgical receiving hospitals, or reserve boats, to take the place of any detained by grounding or other accident The vessels of the New York line can be diverted to Philadelphia as often as it is thought desirable. After the wounded have ceased coming to White House, the vessels of the New York line can be ran to other more Northern and Eastern ports, until the nearer hospitals are emptied. The above presumes that cases of light wounds and of extremely severe wounds will not be allowed to come to White House at all. Respectfully, (Signed,) Fred. Law Olmsted, Gen'I Sec'y San. Com. APPENDIX D. See page 130. Shortly after the battle of Fair Oaks, the new and vastly more provident, liberal, and wisely economical policy introduced into the medical service, with the ap- pointment of Dr. Hammond as Surgeon-General, and of the new corps of Medical Inspectors, began to be felt in the army of the Potomac, — and although many of the agents necessary to the perfect success of that policy were unable at once to accommodate their habits to the re- quired change, the Commission, scrupulously adhering to its purpose to do nothing which the properly responsible officials in any department evinced any readiness to do without its assistance, had the satisfaction of seeing the necessity for its special service, in connection with the hospital transports, grow gradually smaller and smaller. Under the dry, taciturn, and impenetrable manner, prom- ising nothing, of the new Medical Director of the Army of the Potomac, who, just after the battle of the Seven Days, relieved a predecessor of precisely the opposite qualities, was found to be concealed some influence by means of which whatever had before been impossible began to be thought possible, and to be tried for, after a few judicious dismissals had been made ; and, after a few visits of influ- ential friends to Governors and Senators in behalf of the dismissed had resulted in nothing but an incomprehensible Appendix. 161 failure of their purpose, the Commission's occupation was more than half gone with that army. But where so many agents are to be depended on, and such sudden new dispo- sitions and reorganizations must be made, as after those terrible seven days, it is impossible that any demand of a large army should always be promptly and fully met. Anxiety for the well, that they might be saved from disease, soon outweighed anxiety lest the sick should not be tenderly cared for, and in more than one direction an opportunity was found to supply temporary deficiencies, which otherwise would have told severely upon the health of many thousand men. During the month after the army reached and intrenched itself on the James River, the vessels managed by the Commission probably did a better service in what they brought to the army, than in the comfort they secured to the sick who were sent away upon them. The following extracts will serve to give the reader a more complete understanding of its ruling spirit and purpose, and show its continued action to the time of the withdrawal of the army of the Potomac from the Peninsula. (A.) Norfolk, June 30, 1862.—We were driven from White House Friday P. M.; arrived at Old Point yesterday. Being unable to get coal there, came here this evening. Shall coal to-night and leave at daybreak for Harrison's Bar, on James River, where the gunboats are said to be. We hope to get further up, but are ad- vised by General Dix that we cannot safely attempt it at present. (A.) Off Berkeley, James River, July 1, 1862.— We felt our way up the river slowly, and with some 11 162 Appendix. difficulty, having no pilot, and seeing no vessel under way after passing out of sight of Newport's News until we reached this point Here there was a gunboat and three small steam-transports, each of which afterwards left, so that for a short time we were alone. Transports soon began to come up, however, and to-night there are a dozen or more about us. We have Colonel----, Colonel----, and a few other wounded officers on board. They were sent to us by General McClellan's own ambulance, half an hour after we arrived. The General had been here, and left only as we were coming to the wharf. The officers he saw here converse with us freely, and we have had officers on board from most of the army corps, who have also talked, appar- ently without reserve, with us. Yet reports and opinions are so contradictory, that we are in singular uncertainty as to what has happened and as to what we have to expect The officers and soldiers all show the influence of in- tense excitement; they acknowledge the gravest anxiety ; they are terribly fatigued, yet generally seem in good spirits. They speak much of the bravery of the men. (A.) Chesapeake Bay, July 4, 1862.—I left our an- chorage off Head-quarters of the Army of the Potomac, where I wrote you last, about four o'clock yesterday afternoon, and am running to Washington, by request of the Medical Director, to advise the Surgeon-General of the sanitary condition of the army, and to secure the immediate supply, as far as possible, of its most urgent surgical and medical wants. As the rebels have put out the lights, and we could get no pilot, we were all night feeling our way down the river, and shall not be able, with all we can do, to get to Washington till late to-night Appendix. 163 I hope to get what is most necessary, and leave on our return before night to-morrow. I telegraphed from Old Point to have everything advanced. I have seen and conversed freely with many staff offi- cers, and been among the men, wounded and well — if any can be called well, where all are feverish with seven days and nights of fatigue and exhaustion and starvation and excitement. One, a Major-General, said, " I have not been asleep, nor have I tasted food, in five days. I have only sustained myself with coffee and cigars." As to the men, the following is a fair sample of statements com- monly made: "My regiment has had, for the last five days before arriving here, two days' rations; what has been eaten of this has been uncooked ; during that time it has made five hard marches, and fought five battles ; one third of it has fallen in killed or wounded, and not one man has been shot in the back. One third of what remains is now on picket duty in the woods, which the enemy is shelling; the other lies yonder, in the mud, sleeping on its arms." This was during the rain, which fell in such torrents day before yesterday. Yesterday the enemy was attacking again, and the whole army in the line of battle up to the time we left The exultant confidence of the army in itself is beyond all verbal expression. It has grown out of the experience of its ability to resist and foil and terribly punish des- perate assaults made upon it, as is supposed with forces greatly superior in number. It says, proudly, "All that men can do, we can do." But there is also the conscious- ness of a terrible strain upon its energies, of an unnatural strength, and the reflection is frequent that there must be a limit to every man's endurance. Rest and recuperation, — how are they to be had ? The 164 Appendix. first only by the relief of reinforcements ; the second only by good diet and favorable hygienic circumstances. East- ern Virginia is all malarious, — the banks of James River notoriously so ; the army is chiefly upon a moderately elevated, slightly undulating table-land ; the river on the south side ; swampy ground at no great distance on the other sides. It is open, airy, dry, — a healthful point, upon the whole, as any that could be selected east of Richmond. But the sun will lie exceedingly fierce upon it, and it is supposed the army has lost two thirds of its tents. Probably a majority of the men have lost also their knapsacks and blankets. Many were without caps or shoes. The area held is small, and will be crowded. If the enemy is active, as it would appear his policy to be, the officers will be too much occupied with the immediate military necessities of the position to give much attention to police duties. Even if they should be well disposed, the excessively fatigued and exhausted condition of the men, and the necessity of reserving their strength from day to day for the struggle with the enemy, will forbid the constant labor which would be necessary to prevent a terrible accumulation of nuisances, until at least reinforce- ments shall arrive so large that no more than the ordinary quotas will be required for guard and picket duty. After such tension and trial, a rapid reduction of force must also occur from sickness, and those not on the sick-list will suffer from the lassitude of reaction from excitement Under these circumstances, all our experience shows that it will be hardly possible to enforce requirements, the ob- servance of which must be essential to a healthy camp. Unless large reinforcements speedily arrive, then, not only must the army feel that its heroism is unappreciated, and the object for which it struggled is to be lost by the Appendix. 165 neglect of others, and thus become dejected, dispirited, and morally resistless to the dangers of disease ; but it will be physically impossible to establish such guards against these dangers as are most obviously and directly called for. There is, in general, a large degree of confidence that, with the aid of the gunboats, which are throwing shell on the flanks at frequent intervals, we can hold the position till sufficient reinforcements come to place it beyond ques- tion ; but no one speaks with entire confidence, and the nearer to the head the graver seems the apprehension, — though with all there is that strange exultation — ready to break out in laughter, like a crazy man's. There are some few who are utterly despondent and fault-finding. But there is less of this than ever before, and fewer strag- glers and obvious cowards, — nothing like what was seen after Pittsburg Landing. Of what we saw after Bull Run there is not the slightest symptom. In short, we have then a real grand army, tried, enduring, heroic, — worth all we can give to save it. (C.) On Saturday we commenced the distribution ol the cargo, and it has been going steadily on since in a very gratifying manner, every one concerned throwing off his coat, and working with a will, these intensely hot days, — surgeons, quartermasters, and other officers, always giving us every possible assistance in their eager- ness to get this agreeable addition to their fare into the camp-kettles as soon as possible. The salted fish was a grand hit It seems to have a peculiar attraction for languid appetites this hot weather. We have met, thus far, with but one man inclined to throw any obstruction in the way of the distribution, — a brigade commis- sary, who seemed to think any unusual indulgence of a 166 Appendix. soldier's whims of appetite must be demoralizing. Word of our intention had gone through the brigade, however, before he interfered, and the eagerness of the surgeons and of the soldiers took him very quickly out of the way without any efforts on our part. Regimental transporta- tion was quickly at the wharf, with the thanks and com- pliments of the colonels, and each received its quota. .....The promptness with which the cargo — nearly a thousand barrels — would have been discharged, will be somewhat affected by the inability of some of the regiments of Heintzelman's corps to send transportation, on account of a movement for which they are ordered to stand in readiness to-day......The sudden orders given yesterday for the immediate transportation of several thousand sick, have caused an influx of sick to the landing, overrunning all that the exertions of the Medical Director could do to provide for them.....; This morning we found five hundred and sixty convales- cents on board the transport Cahawba, with, to use the language of the ----, "not a bit of a thing aboard for 'em to chaw upon." As the poor fellows, many of them just getting up from fever, had been, in most cases, finding their way from the camps to the landing on foot, during the night, their want was urgent. Fortunately, we had a good supply of the concentrated beef of Martinez's preparation, and were not long in getting ready an excel- lent breakfast for them. It is in just such cases as this, where misery is massed, and where what is done tells not only for the relief of misery, but for the strength of the army and the putting down of the rebellion, that we find the greatest satisfaction in stepping in with the gifts of the people. Many of these men were in just the condition in which a set-back would be likely to lead to a relapse and Appendix. 167 lingering illness, and in which again, if they were well cared for, they might be built up rapidly, and soon be sent back to their muskets. On account of the movements to-day, I shall ride out to the camps this afternoon, and make some change of arrangements for the further distribution of the anti-scor- butics. The gunboats were playing very lively at sunrise, a little way down the river. This is as much as I should say to-day, but you will hear of something that you hardly expect by the next mail-boat Cambridge : Stereotyped and Printed by Welch, Bigelow, & Co. f .» *» > *• .>• »» *">>'"✓> >'w. #■ w vVV yvywx . N. N X A X V V N V. S ,^.,.„..N S..X X X \ NX*, -v (X S X S. S.S s r - v ^