The Wound Dresser

These wards are either lettered alphabetically, Ward G, Ward K, or else numerically, 1, 2, 3, etc. Each has its ward surgeon and corps of nurses. Of course there is, in the aggregate, quite a muster of employees, and over all the surgeon in charge. Any one of these hospitals is a little city in itself. Take, for instance, the Carver hospital, out a couple of miles, on a hill, northern part of Fourteenth street. It has more inmates than an ordinary country town. The same with the Lincoln hospital, east of the Capitol, or the Finley hospital, on high grounds northeast of the city; both large establishments. Armory-square hospital, under Dr. Bliss, in Seventh street (one of the best anywhere), is also temporarily enlarged this summer, with additional tents, sheds, etc. It must have nearly a hundred tents, wards, sheds, and structures of one kind and another. The worst cases are always to be found here. A wanderer like me about Washington pauses on some high land which commands the sweep of the city (one never tires of the noble and ample views presented here, in the generally fine, soft, peculiar air and light), and has his eyes attracted by these white clusters of barracks in almost every direction. They make a great show in the landscape, and I often use them as landmarks. Some of these clusters are very full of inmates. Counting the whole, with the convalescent camps (whose inmates are often worse off than the sick in the hospitals), they have numbered, in this quarter and just down the Potomac, as high as fifty thousand invalid, disabled, or sick and dying men.

My sketch has already filled up so much room that I shall have to omit any detailed account of the wounded of May and June, 1864, from the battles of the Wilderness, Spottsylvania, etc. That would be a long history in itself. The arrivals, the numbers, and the severity of the wounds, out-viewed anything that we have seen before. For days and weeks a melancholy tide set in upon us. The weather was very hot. The wounded had been delayed in coming, and much neglected. Very many of the wounds had worms in them. An unusual proportion mortified. It was among these that, for the first time in my life, I began to be prostrated with real sickness, and was, before the close of the summer, imperatively ordered North by the physician to recuperate and have an entire change of air.

What I know of first Fredericksburg, Chancellorsville, Wilderness, etc., makes clear to me that there has been, and is yet, a total lack of science in elastic adaptation to the needs of the wounded after a battle. The hospitals are long afterward filled with proofs of this.

I have seen many battles, their results, but never one where there was not, during the first few days, an unaccountable and almost total deficiency of everything for the wounded—appropriate sustenance, nursing, cleaning, medicines, stores, etc. (I do not say surgical attendance, because the surgeons cannot do more than human endurance permits.) Whatever pleasant accounts there may be in the papers of the North, this is the actual fact. No thorough previous preparation, no system, no foresight, no genius. Always plenty of stores, no doubt, but always miles away; never where they are needed, and never the proper application. Of all harrowing experiences, none is greater than that of the days following a heavy battle. Scores, hundreds, of the noblest young men on earth, uncomplaining, lie helpless, mangled, faint, alone, and so bleed to death, or die from exhaustion, either actually untouched at all, or with merely the laying of them down and leaving them, when there ought to be means provided to save them.

The reader has doubtless inferred the fact that my visits among the wounded and sick have been as an independent missionary, in my own style, and not as an agent of any commission. Several noble women and men of Brooklyn, Boston, Salem, and Providence, have voluntarily supplied funds at times. I only wish they could see a tithe of the actual work performed by their generous and benevolent assistance among the suffering men.

He who goes among the soldiers with gifts, etc., must beware how he proceeds. It is much more of an art than one would imagine. They are not charity-patients, but American young men, of pride and independence. The spirit in which you treat them, and bestow your donations, is just as important as the gifts themselves; sometimes more so. Then there is continual discrimination necessary. Each case requires some peculiar adaptation to itself. It is very important to slight nobody—not a single case. Some hospital visitors, especially the women, pick out the handsomest looking soldiers, or have a few for their pets. Of course some will attract you more than others, and some will need more attention than others; but be careful not to ignore any patient. A word, a friendly turn of the eye or touch of the hand in passing, if nothing more.

One hot day toward the middle of June I gave the inmates of Carver hospital a general ice-cream treat, purchasing a large quantity, and going around personally through the wards to see to its distribution.

Here is a characteristic scene in a ward: It is Sunday afternoon (middle of summer, 1864), hot and oppressive, and very silent through the ward. I am taking care of a critical case, now lying in a half lethargy. Near where I sit is a suffering Rebel from the Eighth Louisiana; his name is Irving. He has been here a long time, badly wounded, and lately had his leg amputated. It is not doing very well. Right opposite me is a sick soldier boy laid down with his clothes on, sleeping, looking much wasted, his pallid face on his arm. I see by the yellow trimming on his jacket that he is a cavalry boy. He looks so handsome as he sleeps, one must needs go nearer to him. I step softly over, and find by his card that he is named William Cone, of the First Maine Cavalry, and his folks live in Skowhegan.

Well, poor John Mahay is dead. He died yesterday. His was a painful and lingering case. I have been with him at times for the past fifteen months. He belonged to Company A, One Hundred and First New York, and was shot through the lower region of the abdomen at second Bull Run, August, 1862. One scene at his bedside will suffice for the agonies of nearly two years. The bladder had been perforated by a bullet going entirely through him. Not long since I sat a good part of the morning by his bedside, Ward E, Armory-square; the water ran out of his eyes from the intense pain, and the muscles of his face were distorted, but he utters nothing except a low groan now and then. Hot moist cloths were applied, and relieved him somewhat. Poor Mahay, a mere boy in age, but old in misfortune, he never knew the love of parents, was placed in his infancy in one of the New York charitable institutions, and subsequently bound out to a tyrannical master in Sullivan county (the scars of whose cowhide and club remained yet on his back). His wound here was a most disagreeable one, for he was a gentle, cleanly, and affectionate boy. He found friends in his hospital life, and, indeed, was a universal favorite. He had quite a funeral ceremony.

Through Fourteenth street to the river, and then over the long bridge and some three miles beyond, is the huge collection called the convalescent camp. It is a respectable sized army in itself, for these hospitals, tents, sheds, etc., at times contain from five to ten thousand men. Of course there are continual changes. Large squads are sent off to their regiments or elsewhere, and new men received. Sometimes I found large numbers of paroled returned prisoners here.

During October, November, and December, 1864, I have visited the military hospitals about New York City, but have not room in this article to describe these visits.

I have lately been (November 25) in the Central-park hospital, near One Hundred and Fourth street; it seems to be a well-managed institution. During September, and previously, went many times to the Brooklyn city hospital, in Raymond street, where I found (taken in by contract) a number of wounded and sick from the army. Most of the men were badly off, and without a cent of money, many wanting tobacco. I supplied them, and a few special cases with delicacies; also repeatedly with letter-paper, stamps, envelopes, etc., writing the addresses myself plainly—(a pleased crowd gathering around me as I directed for each one in turn.) This Brooklyn hospital is a bad place for soldiers, or anybody else. Cleanliness, proper nursing, watching, etc., are more deficient than in any hospital I know. For dinner on Sundays I invariably found nothing but rice and molasses. The men all speak well of Drs. Yale and Kissam for kindness, patience, etc., and I think, from what I saw, there are also young medical men. In its management otherwise, this is the poorest hospital I have been in, out of many hundreds.

Among places, apart from soldiers’, visited lately (December 7) I must specially mention the great Brooklyn general hospital and other public institutions at Flatbush, including the extensive lunatic asylum, under charge of Drs. Chapin and Reynolds. Of the latter (and I presume I might include these county establishments generally) I have deliberately to put on record about the profoundest satisfaction with professional capacity, completeness of house arrangements to ends required, and the right vital spirit animating all, that I have yet found in any public curative institution among civilians.

In Washington, in camp and everywhere, I was in the habit of reading to the men. They were very fond of it, and liked declamatory, poetical pieces. Miles O’Reilly’s pieces were also great favorites. I have had many happy evenings with the men. We would gather in a large group by ourselves, after supper, and spend the time in such readings, or in talking, and occasionally by an amusing game called the game of Twenty Questions.

For nurses, middle-aged women and mothers of families are best. I am compelled to say young ladies, however refined, educated, and benevolent, do not succeed as army nurses, though their motives are noble; neither do the Catholic nuns, among these home-born American young men. Mothers full of motherly feeling, and however illiterate, but bringing reminiscences of home, and with the magnetic touch of hands, are the true women nurses. Many of the wounded are between fifteen and twenty years of age.

I should say that the Government, from my observation, is always full of anxiety and liberality toward the sick and wounded. The system in operation in the permanent hospitals is good, and the money flows without stint. But the details have to be left to hundreds and thousands of subordinates and officials. Among these, laziness, heartlessness, gouging, and incompetency are more or less prevalent. Still, I consider the permanent hospitals, generally, well conducted.

A very large proportion of the wounded come up from the front without a cent of money in their pockets. I soon discovered that it was about the best thing I could do to raise their spirits and show them that somebody cared for them, and practically felt a fatherly or brotherly interest in them, to give them small sums, in such cases, using tact and discretion about it.

A large majority of the wounds are in the arms and legs. But there is every kind of wound in every part of the body. I should say of the sick, from my experience in the hospitals, that the prevailing maladies are typhoid fever and the camp fevers generally, diarrhœa, catarrhal affections and bronchitis, rheumatism and pneumonia. These forms of sickness lead, all the rest follow. There are twice as many sick as there are wounded. The deaths range from six to ten per cent of those under treatment.

I must bear my most emphatic testimony to the zeal, manliness, and professional spirit and capacity generally prevailing among the surgeons, many of them young men, in the hospitals and the army. I will not say much about the exceptions, for they are few (but I have met some of those few, and very foolish and airish they were). I never ceased to find the best young men, and the hardest and most disinterested workers, among these surgeons, in the hospitals. They are full of genius, too. I have seen many hundreds of them, and this is my testimony.

During my two years in the hospitals and upon the field, I have made over six hundred visits, and have been, as I estimate, among from eighty thousand to one hundred thousand of the wounded and sick, as sustainer of spirit and body in some slight degree, in their time of need. These visits varied from an hour or two, to all day or night; for with dear or critical cases I watched all night. Sometimes I took up my quarters in the hospital, and slept or watched there several nights in succession. I may add that I am now just resuming my occupation in the hospitals and camps for the winter of 1864-5, and probably to continue the seasons ensuing.

To many of the wounded and sick, especially the youngsters, there is something in personal love, caresses, and the magnetic flood of sympathy and friendship, that does, in its way, more good than all the medicine in the world. I have spoken of my regular gifts of delicacies, money, tobacco, special articles of food, knick-knacks, etc., etc. But I steadily found more and more that I could help, and turn the balance in favor of cure, by the means here alluded to, in a curiously large proportion of cases. The American soldier is full of affection and the yearning for affection. And it comes wonderfully grateful to him to have this yearning gratified when he is laid up with painful wounds or illness, far away from home, among strangers. Many will think this merely sentimentalism, but I know it is the most solid of facts. I believe that even the moving around among the men, or through the ward, of a hearty, healthy, clean, strong, generous-souled person, man or woman, full of humanity and love, sending out invisible, constant currents thereof, does immense good to the sick and wounded.

To those who might be interested in knowing it, I must add, in conclusion, that I have tried to do justice to all the suffering that fell in my way. While I have been with wounded and sick in thousands of cases from the New England States, and from New York, New Jersey, and Pennsylvania, and from Michigan, Wisconsin, Indiana, Illinois, and the Western States, I have been with more or less from all the States North and South, without exception. I have been with many from the border States, especially from Maryland and Virginia, and found far more Union Southerners than is supposed. I have been with many Rebel officers and men among our wounded, and given them always what I had, and tried to cheer them the same as any. I have been among the army teamsters considerably, and indeed always find myself drawn to them. Among the black soldiers, wounded or sick, and in the contraband camps, I also took my way whenever in their neighborhood, and I did what I could for them.

W. W.

From the New York Times, December 11, 1864.