Civil War Hospital Ship

The U.S.S. Red Rover, a captured Confederate vessel, was refitted as a hospital ship.

Evolution of Civil War Nursing

The evolution of the nursing profession in America was accelerated by the Civil War.

The Practice of Surgery

Amputations were the most common surgery performed during the Civil War.

Army Medical Museum and Library

Surgeon-General William Hammond established The Army Medical Museum in 1862. It was the first federal medical research facility.

Civil War Amputation Kit

Many Civil War surgical instruments had handles of bone, wood or ivory. They were never sterilized.

Showing posts with label African American Doctors and Nurses. Show all posts
Showing posts with label African American Doctors and Nurses. Show all posts

Tuesday, September 12, 2017

Ann Bradford Stokes

From: s3.amazonaws.com

Stokes (1830-1903), an illiterate African American woman born into slavery in Tennessee, served as a “contraband” (escaped slave) nurse on the hospital ship USS Red Rover, the first Union Naval
ship, from January 1863 to October 1864. She also received regular wages of a “first-class boy.”

Notably, she was among the first women to serve as a nurse in the United States Navy and the first to serve on a U.S. military vessel. In 1890, after years of unsuccessful petitions for a pension, Stokes reapplied for a pension based on her 18 months of service in the Navy instead of as a widow of a deceased soldier. Since she was listed as a “boy” while serving on the USS Red Rover, Stokes was granted her a pension of $12 per month (the usual amount awarded to nurses at this time) by the Navy.

Tuesday, January 3, 2017

Brief History of Black Women in the Military (Excerpt)

Written by: Kathryn Sheldon, former Curator,Women In Military Service For America Memorial Foundation, Inc.

American women have participated in defense of this nation in both war and peacetime. Their contributions, however, have gone largely unrecognized and unrewarded. While women in the United States Armed Forces share a history of discrimination based on gender, black women have faced both race and gender discrimination. Initially barred from official military status, black women persistently pursued their right to serve.

No documented records have been discovered of black women’s military service in the American Revolution. They may well have served alongside black men.

During the Civil War, black women’s services included nursing or domestic chores in medical settings, laundering and cooking for the soldiers. Indeed, as the Union Army marched through the South and large numbers of freed black men enlisted, their female family members often obtained employment with the unit. The Union Army paid black women to raise cotton on plantations for the northern government to sell.

Five black nurses served under the direction of Catholic nuns aboard the Navy hospital ship Red Rover. Four of their names—Alice Kennedy, Sarah Kinno, Ellen Campbell and Betsy Young—have been recorded. Black nurses are in the record books of both Union and Confederate hospitals. As many as 181 black nurses—both female and male—served in convalescent and US government hospitals in Maryland, Virginia, and North Carolina during the war.

Susie King Taylor, Civil War nurse, cook, and laundress, was raised a slave on an island off the coast of Georgia. In April of 1861, Major General Hunter assaulted Fort Pulaski and freed all the slaves in the area, including Mrs. King. When Union officers raised the First South Carolina Volunteers (an all-black unit), Mrs. King signed on as laundress and nurse. Able to read and write, she also set up a school for black children and soldiers.

Mrs. King’s experiences as a black employee of the Union Army are recounted in her diary. She wrote of the unequal treatment:

"The first colored troops did not receive any pay for eighteen months, and the men had to depend wholly on what they received from the commissary…their wives were obliged to support themselves and children by washing for the officers, and making cakes and pies which they sold to the boys in camp. Finally, in 1863, the government decided to give them half pay, but the men would accept none of this… They preferred rather to give their services to the state, which they did until 1864, when the government granted them full pay, with all back due pay."

Susie King was never paid for her service.

"I was very happy to know my efforts were successful in camp, and also felt grateful for the appreciation of my service. I gave my services willingly for four years and three months without receiving a dollar. I was glad, however, to be allowed to go with the regiment, to care for the sick and afflicted comrades."

Following the war, Mrs. King established another school for freed slaves. When her husband, Sergeant Edward King of the First South Carolina Volunteers, died in 1866, she collected a widow’s pension. In 1879, she married Russell Taylor. For the remainder of her life, she continued her advocacy for black Civil War troops.

Immediately following the Civil War, William Cathey enlisted in the United States Regular Army in St. Louis, Missouri. William Cathey, intending to serve three years with the 38th US Infantry, was described by the recruiting officer as 5’9” with black eyes, black hair, and a black complexion. The cursory examination by an Army physician missed the fact that William was actually Cathay Williams, a woman.

“William Cathey” served from November 15, 1866, until her discharge with a surgeon’s certificate of disability on October 14, 1868. Despite numerous and often lengthy hospital stays during her service, her sex was not revealed until June 1891, when Cathay Williams applied for an invalid pension and disclosed her true identity. She did not receive the pension, not because she was a woman, but because her disabilities were not service related. Cathay was probably the first black woman to serve in the US Regular Army.

From: womensmemorial.org



Sunday, July 10, 2016

African American Nurses in the Civil War

By Maggie MacLean, 11-14-14

Nursing was not a woman's job before the Civil War, but by 1865, there were over 3,000 nurses serving the Union and Confederacy. In the North, most women nurses worked in military hospitals.

Image: Black nurses with the 13th Massachusetts Infantry
The 13th Mass fought in numerous battles, from the Shenandoah Valley to Bull Run to Antietam

So many women volunteered as Union nurses that the U.S. government hired Dorothea Dix to serve as the superintendent of women nurses. African American nurses were not included in those numbers, nor were they recognized for their service for decades to come. Some were paid; many volunteered.

During the Civil War, black women did serve as nurses - in convalescent homes and U.S. government hospitals. The United States Navy also enlisted several African American women as first class boys, five of whom served as nurses on the hospital ship USS Red Rover: Alice Kennedy, Sarah Kinno, Ellen Campbell, Betsy Young and Ann Bradford Stokes.

Ann Bradford Stokes
Ann Bradford Stokes is the best known of the African American women who served as nurses on the hospital ship USS Red Rover, the first Union Naval hospital ship. She was enlisted in the Navy in January 1863 and served until October 1864, during which time she was paid regular wages. Stokes became the first African American woman to serve on board a U.S. military vessel, and she was among the first women to serve as a nurse in the Navy.

The USS Red Rover, a converted former Confederate paddle wheel steamer, was the first U.S. Navy hospital ship, and nearly 3000 patients were treated on board during the Civil War. Ann worked under the direction of the Sisters of the Holy Cross nuns aboard the USS Red Rover. After leaving the Navy, Ann married Gilbert Stokes.

In 1890 Ann Bradford Stokes applied for a disability pension for her service during the Civil War and was certified by the Navy as having served on active duty for eighteen months. She was awarded a pension that same year and is the first woman in the United States to receive a pension for her own military service. Stokes died in Illinois in 1903.

Harriet Tubman
Born into slavery, in eastern Maryland, Harriet Tubman received a severe head wound by an overseer when she was fifteen. From this injury she suffered disabling epileptic-type seizures, headaches, and powerful visionary experiences throughout her life. As a young woman, Tubman escaped from slavery in eastern Maryland with the help of conductors on the Underground Railroad.

Tubman then bravely returned to the South nineteen times and escorted more than three hundred slaves to freedom, becoming the most famous Underground Railroad conductor of all. She expressed her philosophy:

"There was one of two things I had a right to, liberty or death; if I could not have one, I would have the other; for no man should take me alive...."

During the Civil War, Tubman served in numerous military hospitals. In 1865 she was appointed matron of the Colored Hospital at Fort Monroe in Virginia in 1865, and began caring for sick and wounded black soldiers there. Tubman worked tirelessly, trying to heal the sick. Many in the hospital were dying from dysentery, a disease associated with fever, severe abdominal pain and terrible diarrhea.

Tubman remembered home remedies from her childhood, and she was sure she could help these men if she could find some of the same roots and herbs that grew in Maryland. One night she searched the woods until she found water lilies and crane's bill (geranium). She boiled the water lily roots and the herbs and made a bitter-tasting brew that she gave to a man who was dying, and he slowly recovered.

Living past ninety, Harriet Tubman continued to serve mankind in numerous capacities throughout her long life. In 1896, she took up the suffragist cause and was a delegate to the National Association of Colored Women's first annual convention, believing that the right to vote was vital to preserving their freedom. In 1944, Eleanor Roosevelt christened the Liberty Ship Harriet Tubman.

Sojourner Truth
Isabella Baumfree, better known by her self-given name Sojourner Truth, was born into slavery in Ulster County, New York in 1797. Although she would later gain fame as an abolitionist and women's rights activist, Truth was originally a nurse who served a family named the Dumonts. She was promised her freedom a year before the 1827 Emancipation Act, but when her owner changed his mind, she fled with her young daughter Sophia in 1826.

During the Civil War, Sojourner Truth walked the roads of Michigan, where she had settled, collecting food and clothing for black regiments. Moving to Washington, DC in 1863, she worked in Union hospitals nursing the sick and wounded and teaching domestic skills to freed slaves, and immersed herself in relief work for the freed people. During this time, Truth also protested and brought about congressional action in banning segregation on streetcars in Washington, DC.

With the passage in 1867 of the Fourteenth Amendment giving black men the vote, white suffragists were outraged at the lack of reference to women, and most black activists believed that the suffering of black male slaves entitled them to receive the vote first. Again, Truth was the only voice for black women, and for recognizing the link between racism and sexism:

"There is a great deal of stir about colored men getting their rights but not a word about the colored women's theirs, you see, the colored man will be masters over the women, and it will be just as bad as it was before. So I am for keeping the thing going while things are stirring, because if we wait 'till it is still, it will take a great while to get it going again."

Susie King Taylor
A slave raised on an island off the coast of Georgia, Susie King Taylor became famous for her volunteer service during the Civil War. In April 1861, General David Hunter assaulted Fort Pulaski and freed all of the slaves in the area, including Susie. As a young slave girl, Susie had been secretly taught to read and write, and those abilities proved invaluable to the Union Army as they began to form regiments of African American soldiers.

When Union officers raised the First South Carolina Volunteers of African American soldiers, Susie King Taylor signed on as a nurse, and soon started a school for black children and soldiers. She married Sergeant Edward King of the First South Carolina Volunteers and served for more than three years traveling with her husband's unit, the 33rd U.S. Colored Troops.

King's experiences as a black employee of the Union Army are recounted in her diary. She describes numerous battles and intersperses these accounts with personal stories and commentary on life in the South, and the unequal treatment of the African American soldiers:

"The first colored troops did not receive any pay for 18 months and the men had to depend wholly on what they received from the commissary... their wives were obliged to support themselves and their children by washing for the officers and making cakes and pies which they sold to the boys in the camp. Finally in 1863, the government decided to give them half pay, but the men would accept none of this. They preferred rather to give their services to the state, which they did until 1864, when the government granted them full pay, with all back due pay."

Though she was never paid for her service, King wrote:

"I was very happy to know my efforts were successful in camp, and also felt grateful for the appreciation of my service. I gave my services willingly for four years and three months without receiving a dollar. I was glad, however, to be allowed to go with the regiment to care for the sick and afflicted comrades."

Following the Civil War, King established a school for freed slaves. When her husband Sergeant Edward King of the First South Carolina Volunteers died in 1866, she collected a widow's pension. She then settled in Savannah, Georgia with her husband, who was killed in an accident shortly before the birth of their son. Taylor spent much of the remainder of her life in the North, serving as a teacher, domestic servant and cook. In 1879, Taylor married Russell L. Taylor; he died in 1901.

Susie King Taylor's memoirs, "Reminiscences of My Life in Camp with the 33rd United States Colored Troops Late 1st S.C. Volunteers (1902)", is the only known published recollection of the experiences of an African American nurse during the Civil War. Despite her work during the Civil War and her subsequent dedication to political and social reform, Taylor died in relative obscurity in 1912.

In the South, many upper class women refused to lower themselves by working in hospitals, but they did open up their homes to wounded soldiers and nursed them there. A few put aside their distaste for hospitals and went to work. Lower class women, both black and white, were not so fortunate. They spent hours, weeks, months and even years nursing patients, cleaning and preparing food in southern hospitals.

Image: African American Civil War Nurses

From: civilwarwomenblog.com

Tuesday, May 17, 2016

Susan McKinney Steward: First African American Woman Doctor in New York

By Maggie MacLean, 5-16-15

Only five years after the Thirteenth Amendment to the Constitution abolished slavery in the United States, Susan McKinney Steward graduated from medical school and became the first African American woman physician in New York and only the third black female doctor in the country. She practiced medicine in Brooklyn and Manhattan most of her life.

EARLY YEARS
Susan Maria Smith was born in Brooklyn, New York in the year 1847. She was the seventh of ten children born to Sylvanus and Anne Springstead Smith, who were both multi-racial. Her mother was the daughter of a Shinnecock Indian woman and a French colonel. Her father's ancestors included a Montauk Indian and an African who escaped from a slave ship. Her parents were successful farmers, and were among the elite of Brooklyn's Black community.

As a child she learned to play the organ performed as organist for Siloam Presbyterian Church and the Bridge Street African Methodist Church for many years. Her early education qualified her for teaching positions and she taught school in Washington, DC and New York City.

MEDICAL EDUCATION
Medicine was an unusual career choice for any woman in the mid-nineteenth century, but especially for an African American woman. Steward might have decided to become a physician after the death of two of her brothers during the Civil War. In 1866, she witnessed a cholera epidemic in Brooklyn, in which more than 1,200 people died. During her youth, Steward also cared for a sick niece. Any of these experiences could have influenced her to become a doctor.

Because women were not welcome in existing male medical schools, all-female institutions began to open up. In 1867 Steward enrolled in the New York Medical College for Women in Manhattan, where Steward was living with one of her sisters. The College had been founded in 1863 by Dr. Clemence Sophia Lozier, a wealthy physician who was sympathetic to African Americans. Lozier became Steward's mentor and the two remained close friends until Lozier's death in 1888.

Students at the New York Medical College for Women were required to study anatomy, physiology, chemistry, materia medica (medicines), surgery, obstetrics and medical jurisprudence. Clinical lectures were given at the New York Homeopathic Dispensary and the New York Ophthalmic Hospital. When a lack of funds forced the college to send students to Bellevue Hospital for clinical work, male students frequently taunted their female classmates.

Although her prosperous parents could have afforded to pay for her medical school education, Steward paid her own tuition with money she had earned teaching music in an African American school in Washington DC for two years.

CAREER IN MEDICINE
When Steward graduated from medical school as valedictorian of her class in 1870, she became the first African-American female physician in New York and only the third in the country. She established a medical practice in her Brooklyn home, which she ran from 1870 to 1895. Her patients were a diverse group: young and old, black and white, poor and rich - and they affectionately called her Dr. Susan.

Before long, Dr. Steward became widely known, and she opened another office in Manhattan. She achieved wealth and a local reputation as a successful physician with an interracial clientele. Dr. Steward excelled, especially in prenatal and pediatric care and the treatment of childhood diseases, which became her specialty. She maintained her offices in Brooklyn and Manhattan for many years and treated a variety of patients regardless of income or ethnicity.

MARRIAGE AND FAMILY
In 1871, Susan married William G. McKinney, an Episcopal minister from South Carolina who was 17 years older than she. The couple lived in Steward's parents' home until 1874, when they moved to a predominantly white area of Brooklyn. The couple had two children: Anna, who became a schoolteacher, and William Sylvanus, who became an Episcopal priest. The family lived comfortably in Brooklyn.

In 1890, William McKinney suffered a cerebral hemorrhage and was unable to maintain his normal work schedule. Susan supported the family, as well as six of her relatives who lived in the McKinney home. William McKinney died in 1892.

MEDICAL AND SOCIAL REFORM
Steward was active in Kings County Homeopathic Medical Society and Homeopathic Medical Society of the State of New York. During the 1880s, she presented two important papers to the New York group - the first about a pregnant woman who was incorrectly treated; the second about childhood diseases. She was a founding member of the Alumni Association of the New York Medical College for Women and taught at the school in 1882-1883.

During the 1880s and early 1890s, in addition to her medical practice, Dr. Steward was very active in establishing medical facilities for African Americans and the aged. She was one of the founders of the Brooklyn Women's Homeopathic Hospital and Dispensary (1881), which served the African American community, and she served as a surgeon on the staff. During these years, Dr. Steward also continued her medical education; she was the only woman in a post-graduate class at Long Island College Hospital in Brooklyn (1887-1888).

In addition to surgical rounds at the Brooklyn Women's Homeopathic Hospital and Dispensary, Dr. Steward was a physician for the elderly at the Brooklyn Home for Aged Colored People, where she also served as a board member (1892-1895). She also found time in her busy schedule to practice at New York Medical College and Hospital for Women in Manhattan (1892-1896).

Participating in social reform issues of the day, Dr. Steward became a member of the Women's Local Union of New York (a leading black women's club) and the Equal Suffrage League of Brooklyn. She was active in Bridge Street's missionary work and was president of the Women's Christian Temperance Union Number 6. At the Brooklyn Literary Union, she organized musical programs and sold tickets to musical events.

Steward had a love of music throughout her life. As a child, she took organ lessons from famed organists John Zundel and Henry Eyre Brown. Since her youth, she served as the organist and choir director for the Siloam Presbyterian and Bridge Street AME churches. She also contributed to many of the Brooklyn Literary Union's musical programs, often accompanied by her children, who shared her talent.

SECOND MARRIAGE
Susan married Theophilus Gould Steward November 26, 1896; he was an ordained minister and chaplain of the 25th U.S. Colored Infantry, who were known as the Buffalo Soldiers, the nickname was given to them by the Native American tribes they were fighting. This unit was established by Congress as the first peace-time all-black regiments in the regular U.S. Army.

After having spent her entire life in Brooklyn, Dr. Steward moved several times as Reverend Steward was stationed at various army posts in the West, earning medical licenses and practicing medicine in Montana and Wyoming. The Stewards also traveled extensively. In 1897, Dr. Susan Steward traveled to Haiti to deliver her first grandson.

From 1898 to 1902, Reverend Steward was working in Cuba and the Philippines. In 1898 Wilberforce University in Ohio hired Dr. Steward as a resident physician and a health and nutrition teacher. In 1902, the reverend was stationed at Fort Niobrara, Nebraska and Susan joined him there. In 1906, the Stewards moved to Fort McIntosh, near Laredo, Texas. After leaving Texas, Dr. Steward returned to her job at Wilberforce University, and Reverend Steward joined the faculty as a history teacher.

LATE YEARS
In 1911, the Stewards attended a Universal Race Congress in London. The meeting brought together Africans, Asians, Americans and Europeans seeking to improve relationships and cooperation between the East and West. Dr. Steward, an accomplished public speaker, presented a paper at the conference, titled "Colored American Women," which dealt with achievements of famous African American women including Phyllis Wheatley, Ida Wells Barnett, and Mary Church Terrell.

In 1914, Dr. Steward delivered a speech "Women in Medicine" before the National Association of Colored Women's Clubs in Wilberforce, Ohio. In this speech she examined the history of women in medicine from Biblical times to 1914. Steward concluded that there was no need for separate medical schools for women, but that they should have equal opportunity for internships. She stated:

"Fortunate are the men who marry these [black] women [doctors] from an economic standpoint ... They are blessed in a three-fold measure ... [taking] unto themselves a wife, a trained nurse, and a doctor. ... [I caution such women] to avoid becoming unevenly yoked ... such a companion will prove to be a millstone hanged around her neck."

Dr. Susan McKinney Steward died suddenly on March 7, 1918 at Wilberforce University at age 71. Her body was returned to Brooklyn, New York for burial in Green-Wood Cemetery. At her funeral, Hallie Quinn Brown delivered the eulogy. Dr. William S. Scarborough, president of Wilberforce University, and author Dr. W.E.B. DuBois also spoke at the funeral.

Hallie Quinn Brown's eulogy included this description of Steward:

"She was great in the estimation of those who knew her capacity, her ability, her real worth. She was not a spectacular woman. She was modest. A woman absolutely self-reliant, honest to herself and to her friends. ... She was one of those generous natures that love peace, order, and harmony. But she could strike, and strike hard, in what she believed to be a righteous cause. With her it was justice on the one side, and injustice on the other."

In 1974, the New York Board of Education named a Brooklyn school the Dr. Susan Smith McKinney Junior High School. During the 1980s, African-American women doctors in New York, New Jersey and Connecticut named their medical society after Steward.

SOURCES
Susan M. Steward: Pioneer in Medicine
Encyclopedia.com: Susan McKinney Steward
BlackPast.org: Susan Smith McKinney Steward
Women in History: Susan McKinney Steward

From: civilwarwomenblog.com

Monday, May 2, 2016

Scurvy: By the End, Death is a Mercy

By Annetta Black, 5-1-12

Identified by Hippocrates and by the Egyptians as early as 1550 BC, Scurvy was originally a relatively rare and mysterious ailment which struck on land during long campaigns and overland journeys when fresh provisions failed.

Caused by a lack of Vitamin C in the diet, with the notable exception of humans and the guinea pig, most plant and animal species synthesize vitamin C, and do not require it in the diet, but we do. Which, as it turns out, is a real problem.

But let's begin at the beginning, and meet that strange beast known as:

“Land Scurvy” Curse of the Crusaders!
Dec 1217 - While the Crusaders trudged through in Egypt: “..Soldiers with violent pains in the feet and ankles, their gums became swollen, their teeth loose and useless, while their hips and shin bones first turn black and putrefied. Finally, an easy and peaceful death, like a gentle sleep, put an end to their suffering.”

Later between 1249 and 1254, while Jean de Joinville traveled with the 7th Crusade he wrote: “the disorder I spoke of very soon increased so much in the army that the barbers were forced to cut away very large pieces of flesh from the gums to enable their patients to eat..”

But while the "land scurvy" of the crusades was bad, Scurvy's true golden age was about to begin...

“Purpura Nautica:” An Age of Discovery - and not all of them good.
Scurvy, once rare, flourished with the advent of long sea voyages of trade, discovery & conquest. Scurvy takes approximately six weeks to set it, and on month long voyages, it struck down entire crews. There are stories of Spanish galleons found floating, staffed only by the dead. The disease was nicknamed “purpura nautica” for the purplish bruises that served as the first indication of the disease. An estimated two million sailors died of scurvy between 1500-1800.

Among those lose to scurvy were Vasco de Gama in 1499 claiming 116 to 170 men. In 1520, Magellan’s round the world journey was wracked by scurvy, claiming most of the men not left to fend for themselves on a distant shore or killed by natives in the final battle. His voyage returned with only 18 out of the 230 men who originally set sail. Score one for scurvy.

This of course, was a big problem. Not just for the sailors but for the monarchs who were bankrolling them. Exploration is expensive, and governments, military and individual physicians began exploring the possible causes and cures. Luckily as early as 1593, Admiral Richard Hawkins recommended the use of citrus as an preventative measure! Score one for sailors!

In 1614, The East India Company published a pamphlet titled “The Surgeon’s Mate” which also prescribed fresh food, citrus.... and sulfuric acid. By the early 1700s saw a general increase in the knowledge that fresh foods & citrus... or possibly acids, helped the situation, but the specific cause was still a mystery and hotly contested.

In 1747 the Scottish physician James Lind conducted what is widely considered to be the first example of a clinical trial wherein he tested alleged cures on 12 scurvy-ridden sailors. They were divided into teams of two and each given a course of one of the following :

• cider  • sulfuric acid  • vinegar  • seawater  • oranges & lemons   • spices and barley water

The ambitious program was cut a bit short when they ran out of fruit in just 6 days, but by then the indications of success were clear for Team Orange/lemon. Less so for Team Seawater and Team Sulfuric Acid.

Lind published his findings in 1753 in “A Treatise on Scurvy”, but died before he could see his advice widely adopted. Following this discovery, the British military slowly began to invest in antiscorbutics. James Cook packed watercress seeds for his second epic voyage of 1772-1775 and suffered virtually no scurvy. In 1794 the Suffolk administered rations of lemon juice and had no scurvy. This was no small thing: During the preceding century scurvy had caused more losses in the British navy than were suffered in ALL enemy action.

In 1953, the British Navy Surgeon & Vace Admiral Sir Sheldon Dudley said: “The application of Lind’s recommendations suddenly killed naval scurvy in 1795...intelligent naval senior executive officers asserted that this event was the aquivelent of doubling the fighting force of the navy... it is no idle fancy to assert that Lind, as much as Nelson, broke the power of Napoleon.” Success! No more scurvy forever...right?

Limeys: When it all started to go downhill:
The British establishment grasped onto the concept of citrus, and then did it really really wrong. First, they substituted cheap and easy to get limes - readily available from British holdings in the Caribbean - for the more effective lemons or oranges. Then they further boiled the limes in copper vessels, which had the non-helpful side effect of reducing the (thus far unknown) Vitamin C content even further.

People began to suspect that perhaps this whole citrus thing was not as effective as it had been claimed. Of course by then steam engines in ships brought the age of sail and voyages of longer than 6 weeks to an end. Semi-success-via-roundabout-ways!

Of course, there was still a few very long sea voyages that those Victorians had left to make...

The Arctic: At least the blood freezes?
By the time the Race for the Poles began at the turn of the 19th/20th centuries, scurvy became a deadly problem once more. Despite all of the work of previous generations, Arctic & Antarctic expeditions set out to the icy wasteland armed with poorly tinned food, pemmican, hard tack, tea and whiskey.

The complete failure of John Franklin’s ill-fated third arctic expedition in 1847 has been partially blamed on scurvy.

Robert Falcon Scott’s 1903 and 1911 expeditions were both struck with the disease. His description: “The symptoms of scurvy do not necessarily occur in a regular order, but generally the first sign is an inflamed, swollen condition of the gums. The whitish pink tinge next the teeth is replaced by an angry red; as the disease gains ground the gums become more spongy and turn to a purplish colour, the teeth become loose and the gums sore. Spots appear on the legs, and pain is felt in old wounds and bruises; later, from a slight oedema, the legs, and then the arms, swell to a great size and become blackened behind the joints. After this the patient is soon incapacitated, and the last horrible stages of the disease set in, from which death is a merciful release.“

Arctic explorer Vilhjalmur Stefansson noted that native Inuits did not suffer from scurvy, despite a lack of access to citrus and other similar known cures. It turned out that raw seal meat and blubber provide enough Vitamin C to prevent scurvy. A good day for arctic explorers.

VICTORY
It wasn't until 1927 that the cause and cure were finally discovered by Hungarian biochemist Szent-Györgyi (who won the 1937 Nobel Prize for Medicine), and the conclusive proof of ascorbic acid’s efficiency was not proven conclusively until 1932.

Modern Day
Now that the cause and cure are understood, and the cure readily available to most humans, scurvy should be firmly a thing of the past. But unfortunately it’s not - in inner cities and third world countries alike, scurvy continues to strike, particularly amongst poor children. Because scurvy is now so rare, and the effects in mild cases are confusable with other disorders, it is often misunderstood and ignored. More education and access to healthy foods for poor children is needed.

But finally you must ask yourself this, is that really gum disease you have...or is it SCURVY?

From: atlasobscura.com

Monday, January 18, 2016

Exhibit Highlighted Accomplishments of African-American Surgeons, Nurses During the Civil War

by Pamela Young, Published June 04, 2012

More than 650,000 Americans died of disease or were killed in battle during the Civil War that lasted from 1861-1865. More might have died if not for the skills of African- American surgeons and nurses.

The National Library of Medicine exhibit on African-American Civil War medical personnel was on display at EMU's Halle Library.

The Bruce T. Halle Library at Eastern Michigan University honors African-American medical personnel in its new exhibit, "Binding Wounds, Pushing Boundaries: African Americans in Civil War Medicine," which ran through June 23, [2012] on EMU's main campus in Ypsilanti.

Developed by the National Library of Medicine, the exhibit explored the roles of African-American men and women, both free and formerly enslaved, who provided medical care to black soldiers and civilians.

The exhibit was very moving, says Eastern Michigan professor Heather Neff, an expert in African-American literature.

"It was a wonderful exhibit," Neff said. "I never knew this information."

The six panels, with period documents and historic images, bring a voice to those who have remained silent for nearly 150 years, said Elizabeth Bucciarelli, EMU's health sciences and medical librarian, who arranged for the exhibit to travel to Eastern.

Complementing the display were replicas of several Civil War flags, including an early yellow flag symbolizing a hospital site, and a 7th Michigan Cavalry regimental guidon (pronounced guy dun) that belonged to Gen. George Custer's Michigan Calvary Brigade from Grand Rapids. A guidon is a smaller notched flag used to mark the location of military units.

Said Bucciarelli, "The library staff also selected a series of books that provide more in-depth information about the contributions of black medical staff. These are available for check-out."
There were only 13 African American doctors in the union army and not many people are aware of these physicians' contribution to the war effort, she says.
Among the soldiers and nurses featured are:

    * Alexander T. Augusta who served from 1863 - 65. A free-born citizen from Norfolk, Virginia, he attended medical school in Canada. August became the first African-American surgeon-in-charge at the Contraband Hospital in Washington, D.C., which served former slaves.

    * Ann Stokes, a former slave, was hired as a nurse and worked under the director of nurses aboard the USS Red Rover. Stokes was the first African-American woman to serve on board a U.S. military hospital and the only one to draw a Navy pension

    * John Van Surly De Grasse, was the only African American physician to serve on the field with his regiment, the 35th U.S. Colored Infantry. De Grasse was one of only two black physicians to receive a commission.

The traditional display was supplemented by a web site that contained information for teachers; the history of civil war medicine; African Americans who fought in the war; and a look at the flags on display.

The traveling exhibit was developed and produced by the National Library of Medicine, National Institutes of Health, with assistance from The Historical Society of Washington D.C.

From: emich.edu

Sunday, January 10, 2016

Freedmen’s Hospital

By Yanglu Chen, Princeton University, New Jersey, United States

The name itself, Freedmen’s Hospital, betrays a sense of bitter conflict: that there existed men unfreed, and they were not treated here – and that even the freed men had only this hospital. In fact, Freedmen’s Hospital in Washington D.C. was the first of its kind because it provided medical care to former slaves, eventually becoming the major hospital for neighboring African American communities.1 It opened in 1862, in the midst of the American Civil War, as thousands of African Americans rushed toward the North for freedom.

The next year, Freedmen’s Hospital was briefly headed by Lieutenant Colonel Alexander T. Augusta, MD, making Augusta the first African American hospital administrator in U.S. history.2 Augusta had also made history in other ways: as the first commissioned African American surgeon in the military during the Civil War and as the first African American to serve on the faculty of a U.S. medical school, Howard University.1 Just a couple years later, in 1868, the hospital became a teaching hospital for the Howard University Medical School, although the U.S. government continued to manage it. It was not until much later, in 1961, that John F. Kennedy officially transferred the hospital to Howard University.1

In 1909 Freedmen’s Hospital was relocated to a new building at Bryant and 6th street.3 It was this 278-bed state-of-the-art building that attracted famous figures such as Charles R. Drew, M.D., a surgeon, hospital administrator, and professor at Howard University, known for research that led to the development of blood banks.2 Drew was an activist who protested the Red Cross’s segregation of blood donations and petitioned the American Medical Association to revise membership requirements, knowing that this prejudice barred qualified African Americans from receiving specialty training and advancement in the medical field.4 Even so, his greatest ambition was to train young African American surgeons according to rigorous standards of excellence; he saw surgery as a “discipleship.”5

In one speech, Dr. Drew reported that between 1932 and 1942, the number of African American graduates from medical schools was cut by half even as the African American population increased.6 He attributed this disparity to the unaffordable cost of medical school for poor African Americans and “the widespread policy of exclusion” at medical schools and clinical facilities.6 The Freedman’s Hospital, besides providing much-needed healthcare for many African Americans, was a major training ground for young and aspiring African American doctors. Freedmen’s paved the way for later hospitals and medical colleges such as George W. Hubbard Hospital (Nashville), Provident Hospital (Chicago), and Frederick Douglass Memorial Hospital (Philadelphia).

While much progress has been made, even in the modern era the proportion of African Americans represented among M.D.’s is reported to be about half the proportion of African Americans represented in the U.S. population.7 Many argue that having more minority doctors would enhance the field of medicine because underrepresented minorities are more likely to return to and serve underserved communities.7 Minority doctors can also encourage cultural understanding and patient-physician connection, since research shows that race and ethnicity play a role in patient comfort and participation.8 The denial of care to African American men in the Tuskegee Syphilis Study is just one example of how cultural distrust of physicians has been bred.9 Other studies have shown that African Americans generally receive less treatment than white Americans, especially for conditions with fewer objective measures,10 although it is difficult to attribute these disparities to cultural differences or biases in the healthcare system alone.

In the history of hospitals, there are many “firsts”: the first hospital, first pediatric hospital, first hospital with anesthesia, and so on. However, Freedmen’s hospital should be thought of as more than just a “first.” All things considered, Freedmen’s should not be a glorified example, for many of its white and black hospital administrators were engaged in misconduct and malpractice scandals between 1872 and 1910.2 Ultimately, Freedmen’s is significant because it forces us to ask ourselves difficult questions: questions that touch on the representation of all minorities in our medical schools and hospitals, as well as racial disparities in physician-patient interactions. True, they have been asked for generations, but neither have they been fully resolved.

In 1975, yet another reincarnation of the hospital was built on Georgia Avenue, which continues Freedmen’s Hospital’s legacy today as Howard University Hospital.1 The older two buildings now house the School of Communications, College of Nursing, and College of Allied Health Services of Howard University.2

References
“Pioneers in Academic Surgery - Opening Doors: Contemporary African American Academic Surgeons.” Exhibitions. Accessed December 26, 2014. http://www.nlm.nih.gov/exhibition/aframsurgeons/pioneers.html#freedmen.
“Freedmen’s Hospital/Howard University Hospital (1862) | The Black Past: Remembered and Reclaimed.” Accessed December 26, 2014. http://www.blackpast.org/aah/freedmen-s-hospital-howard-university-hospital-1862.
“Historic Medical Sites in the Washington, DC Area - Howard University Hospital.” Digital Library Collections. Accessed December 26, 2014. http://www.nlm.nih.gov/hmd/medtour/howard.html.
“ ‘My Chief Interest Was and Is Surgery’ –Howard University, 1941-1950” The Charles R. Drew Papers. U.S. National Library of Medicine, accessed December 26, 2014. http://profiles.nlm.nih.gov/ps/retrieve/Narrative/BG/p-nid/339
Drew, Lenore R. “Address given by Lenore (Robbins) Drew to medical students.” Speech, Howard University. Moorland-Spingarn Research Center. Charles R. Drew Papers, After 1950. U.S. National Library of Medicine. last modified December 8, 2010. Accessed December 26, 2014. http://profiles.nlm.nih.gov/ps/retrieve/ResourceMetadata/BGBBDH
Drew, Charles R. “Scholarship, Named in Honor of Dr. Drew, Presented to Student Eligible to Study Medicine at Tufts, Boston University, or Harvard.” Speech, Temple of Israel Brotherhood, Boston, Massachusetts, March 21, 1946. U.S. National Library of Medicine, last modified December 15, 2010. Accessed December 26, 2014. http://profiles.nlm.nih.gov/ps/retrieve/ResourceMetadata/BGBBJR
“Why We Need More Minority Doctors.” Commonhealth, February 9, 2012. http://commonhealth.wbur.org/2012/02/minority-doctors-diversity.
Cooper-Patrick L, Gallo JJ, Gonzales JJ, and et al. “Race, Gender, and Partnership in the Patient-Physician Relationship.” JAMA 282, no. 6 (August 11, 1999): 583–89. doi:10.1001/jama.282.6.583.
Grace, Darrell L. “Overcoming barriers in treating African-Americans.” AOA Health Watch. January 2011. 10.
Tamayo-Sarver, Joshua H., Susan W. Hinze, Rita K. Cydulka, and David W. Baker. “Racial and Ethnic Disparities in Emergency Department Analgesic Prescription.” American Journal of Public Health 93, no. 12 (December 2003): 2067–73.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448154/.
Saha S, Komaromy M, Koepsell TD, and Bindman AB. “Patient-Physician Racial Concordance and the Perceived Quality and Use of Health Care.” Archives of Internal Medicine 159, no. 9 (May 10, 1999): 997–1004. doi:10.1001/archinte.159.9.997.
Todd, K. H., C. Deaton, A. P. D’Adamo, and L. Goe. “Ethnicity and Analgesic Practice.” Annals of Emergency Medicine 35, no. 1 (January 2000): 11–16.

YANGLU CHEN is an undergraduate studying Chemistry at Princeton University. She has interned in virology, oncology, immunology, and genomics at Fox Chase Cancer Center, Rockefeller University, and the National Institutes of Health.

From: hektoeninternational.org

Monday, September 7, 2015

African American Nurses in the Civil War

By Maggie MacLean, 11-14-14

Nursing was not a woman's job before the Civil War, but by 1865, there were over 3,000 nurses serving the Union and Confederacy. In the North, most women nurses worked in military hospitals.,

So many women volunteered as Union nurses that the U.S. government hired Dorothea Dix to serve as the superintendent of women nurses. African American nurses were not included in those numbers, nor were they recognized for their service for decades to come. Some were paid; many volunteered.

During the Civil War, black women did serve as nurses - in convalescent homes and U.S. government hospitals. The United States Navy also enlisted several African American women as first class boys, five of whom served as nurses on the hospital ship USS Red Rover: Alice Kennedy, Sarah Kinno, Ellen Campbell, Betsy Young and Ann Bradford Stokes.

Ann Bradford Stokes
Ann Bradford Stokes is the best known of the African American women who served as nurses on the hospital ship USS Red Rover, the first Union Naval hospital ship. She was enlisted in the Navy in January 1863 and served until October 1864, during which time she was paid regular wages. Stokes became the first African American woman to serve on board a U.S. military vessel, and she was among the first women to serve as a nurse in the Navy.

The USS Red Rover, a converted former Confederate paddle wheel steamer, was the first U.S. Navy hospital ship, and nearly 3000 patients were treated on board during the Civil War. Ann worked under the direction of the Sisters of the Holy Cross nuns aboard the USS Red Rover. After leaving the Navy, Ann married Gilbert Stokes.

In 1890 Ann Bradford Stokes applied for a disability pension for her service during the Civil War and was certified by the Navy as having served on active duty for eighteen months. She was awarded a pension that same year and is the first woman in the United States to receive a pension for her own military service. Stokes died in Illinois in 1903.

Harriet Tubman
Born into slavery, in eastern Maryland, Harriet Tubman received a severe head wound by an overseer when she was fifteen. From this injury she suffered disabling epileptic-type seizures, headaches, and powerful visionary experiences throughout her life. As a young woman, Tubman escaped from slavery in eastern Maryland with the help of conductors on the Underground Railroad.

Tubman then bravely returned to the South nineteen times and escorted more than three hundred slaves to freedom, becoming the most famous Underground Railroad conductor of all. She expressed her philosophy:

"There was one of two things I had a right to, liberty or death; if I could not have one, I would have the other; for no man should take me alive...."

During the Civil War, Tubman served in numerous military hospitals. In 1865 she was appointed matron of the Colored Hospital at Fort Monroe in Virginia in 1865, and began caring for sick and wounded black soldiers there. Tubman worked tirelessly, trying to heal the sick. Many in the hospital were dying from dysentery, a disease associated with fever, severe abdominal pain and terrible diarrhea.

Tubman remembered home remedies from her childhood, and she was sure she could help these men if she could find some of the same roots and herbs that grew in Maryland. One night she searched the woods until she found water lilies and crane's bill (geranium). She boiled the water lily roots and the herbs and made a bitter-tasting brew that she gave to a man who was dying, and he slowly recovered.

Living past ninety, Harriet Tubman continued to serve mankind in numerous capacities throughout her long life. In 1896, she took up the suffragist cause and was a delegate to the National Association of Colored Women's first annual convention, believing that the right to vote was vital to preserving their freedom. In 1944, Eleanor Roosevelt christened the Liberty Ship Harriet Tubman.

Sojourner Truth
Isabella Baumfree, better known by her self-given name Sojourner Truth, was born into slavery in Ulster County, New York in 1797. Although she would later gain fame as an abolitionist and women's rights activist, Truth was originally a nurse who served a family named the Dumonts. She was promised her freedom a year before the 1827 Emancipation Act, but when her owner changed his mind, she fled with her young daughter Sophia in 1826.

During the Civil War, Sojourner Truth walked the roads of Michigan, where she had settled, collecting food and clothing for black regiments. Moving to Washington, DC in 1863, she worked in Union hospitals nursing the sick and wounded and teaching domestic skills to freed slaves, and immersed herself in relief work for the freed people. During this time, Truth also protested and brought about congressional action in banning segregation on streetcars in Washington, DC.

With the passage in 1867 of the Fourteenth Amendment giving black men the vote, white suffragists were outraged at the lack of reference to women, and most black activists believed that the suffering of black male slaves entitled them to receive the vote first. Again, Truth was the only voice for black women, and for recognizing the link between racism and sexism:

"There is a great deal of stir about colored men getting their rights but not a word about the colored women's theirs, you see, the colored man will be masters over the women, and it will be just as bad as it was before. So I am for keeping the thing going while things are stirring, because if we wait 'till it is still, it will take a great while to get it going again."

Susie King Taylor
A slave raised on an island off the coast of Georgia, Susie King Taylor became famous for her volunteer service during the Civil War. In April 1861, General David Hunter assaulted Fort Pulaski and freed all of the slaves in the area, including Susie. As a young slave girl, Susie had been secretly taught to read and write, and those abilities proved invaluable to the Union Army as they began to form regiments of African American soldiers.

When Union officers raised the First South Carolina Volunteers of African American soldiers, Susie King Taylor signed on as a nurse, and soon started a school for black children and soldiers. She married Sergeant Edward King of the First South Carolina Volunteers and served for more than three years traveling with her husband's unit, the 33rd U.S. Colored Troops.

King's experiences as a black employee of the Union Army are recounted in her diary. She describes numerous battles and intersperses these accounts with personal stories and commentary on life in the South, and the unequal treatment of the African American soldiers:

"The first colored troops did not receive any pay for 18 months and the men had to depend wholly on what they received from the commissary... their wives were obliged to support themselves and their children by washing for the officers and making cakes and pies which they sold to the boys in the camp. Finally in 1863, the government decided to give them half pay, but the men would accept none of this. They preferred rather to give their services to the state, which they did until 1864, when the government granted them full pay, with all back due pay."

Though she was never paid for her service, King wrote:

"I was very happy to know my efforts were successful in camp, and also felt grateful for the appreciation of my service. I gave my services willingly for four years and three months without receiving a dollar. I was glad, however, to be allowed to go with the regiment to care for the sick and afflicted comrades."

Following the Civil War, King established a school for freed slaves. When her husband Sergeant Edward King of the First South Carolina Volunteers died in 1866, she collected a widow's pension. She then settled in Savannah, Georgia with her husband, who was killed in an accident shortly before the birth of their son. Taylor spent much of the remainder of her life in the North, serving as a teacher, domestic servant and cook. In 1879, Taylor married Russell L. Taylor; he died in 1901.

Susie King Taylor's memoirs, Reminiscences of My Life in Camp with the 33rd United States Colored Troops Late 1st S.C. Volunteers (1902), is the only known published recollection of the experiences of an African American nurse during the Civil War. Despite her work during the Civil War and her subsequent dedication to political and social reform, Taylor died in relative obscurity in 1912.

In the South, many upper class women refused to lower themselves by working in hospitals, but they did open up their homes to wounded soldiers and nursed them there. A few put aside their distaste for hospitals and went to work. Lower class women, both black and white, were not so fortunate. They spent hours, weeks, months and even years nursing patients, cleaning and preparing food in southern hospitals.

Image: Black nurses with the 13th Massachusetts Infantry. The 13th Mass fought in numerous battles, from the Shenandoah Valley to Bull Run to Antietam

From: civilwarwomenblog.com


Sunday, August 30, 2015

Civil War Nurses on Hospital Ships in the Eastern Theater

By Maggie MacLean, 12-29-13

During the Civil War, the Union Army often used ships to move sick and wounded soldiers from Southern battlefields to general hospitals in Northern cities. Initially, government-run hospital transport ships performed poorly. The need for improvement was especially demonstrated during the Peninsula Campaign when well-run volunteer hospital transport ships assisted the government ships to evacuate patients.

The Peninsula Campaign was a major Union operation in southeastern Virginia that lasted from March through July 1862. The plan was to travel up the Virginia peninsula by land and by river and capture the Confederate capitol at Richmond. USA General George B. McClellan was initially successful against the equally cautious CSA General Joseph E. Johnston, who was replaced by the aggressive General Robert E. Lee on June 1. Lee turned the subsequent Seven Days Battles (June 25 to July 1, 1862) into a humiliating Union defeat.

Hospital Transport Service
Early in April 1862, Frederick Law Olmstead, Secretary of the United States Sanitary Commission (USSC) asked the Quartermaster General to allow the Commission to use some of the transport steamboats of his department for the care of sick and wounded men. The USSC, a private agency that cooperated closely with the U.S. Army, would provide surgeons and supplies without any cost to the government.

The first such ship, the USS Daniel Webster, was assigned to the Commission, and after retrofitting the vessel, assembling supplies and hospital personnel, it reached the York River in Virginia on April 30, 1862. By mid-May, the Hospital Transport Service had seven ships working out of White House Landing on the York River and Harrison's Landing on the James River, transporting casualties from General McClellan's army of 100,000 men during a series of major battles.

Several women were assigned to each of these hospital transports by the Commission to care for the soldiers while they were being transported to large military hospitals in Washington, Philadelphia and New York. They took charge of the patients' comfort and welfare - feeding the patients, dressing wounds, and ensuring that all had clean beds and clothing. Among the dozens of women who were in charge of the Hospital Transports for one or more of these trips were Amy Morris Bradley, Annie Etheridge and Helen Gilson.

The Sanitary Commission quickly created a system of waterways by which the wounded steadily traveled further North. Ships were assigned schedules and maximum patient allowances so as not to overtask the medical staff and place an unexpected burden on the receiving hospital. Thus a very predictable and organized system grew.

For example, on the Pamunkey River, a tributary of the York River, 19 hospital transports working on a fixed schedule could move 700 wounded a day. Thus, some 20,000 wounded per month could be moved from Virginia to hospitals in five states as far North as New York. A second inland force of about 16 hospital ships moved patients along riverways north to Missouri, Ohio, and Kentucky.

The Peninsula Campaign of 1862 ended in a Union retreat. One of the last duties of the USSC Hospital Transport Service was when three of their ships were permitted to return under a flag of truce to City Point, Virginia and load 800 wounded men who had been taken prisoner in Richmond. Afterward, the Quartermaster Corps reclaimed the ships loaned to the Sanitary Commission. Improvements were made in the functioning of the government hospital transports, providing more care and comfort to the soldiers.

Four women remained at the headquarters of the Commission on the Peninsula until the final transfer of troops to Acquia Creek and Alexandria late in August 1862. Their duties consisted of nursing, preparing food for the patients, and dressing wounds in connection with the surgeons and medical students. Among these were Katharine Prescott Wormeley, Eliza Woolsey Howland, wife of Colonel Joseph Howland, and her sister Georgeanna Woolsey.

In her book The U. S. Sanitary Commission (1863), Katharine Prescott Wormeley recorded one of her experiences:

"This was the general state of things at the time when the battle of Fair Oaks was fought, June 1, 1862. All the vessels of the Commission... were on the spot, and ready... No one, it is believed, can tell the story, as it occurred, of the next three days; no one can tell distinctly what boats they were, on which they lived and worked through those days and nights. They remember scenes and sounds, but they remember nothing as a whole; and, to this day, if they are feverish and weary, comes back the sight of men in every condition of horror, borne, shattered and shrieking, by thoughtless hands, who banged the stretchers against pillars and posts, dumped them anywhere, and walked over the men without compassion.

"Imagine an immense river-steamboat filled on every deck: every berth, every square inch of room, covered with wounded men, even the stairs and gangways and guards filled with those who were less badly wounded; and then imagine fifty well men, on every kind of errand, hurried and impatient, rushing to and fro, every touch bringing agony to the poor fellows, whilst stretcher after stretcher comes along, hoping to find an empty place; and then imagine what it was for these people of the Commission to keep calm themselves, and make sure that each man, on such a boat as that, was properly refreshed and fed. Sometimes two or even three such boats were lying side by side, full of suffering and horrors."

Mary Morris Husband
During the Seven Days Battles on the Virginia Peninsula, Mary Morris Husband's son in the Union Army fell ill with malaria, and she was notified that he was near death. She hurried to his side, and after a great struggle and frequent relapses, he began to recover. In her thankfulness that his life had been spared, she devoted herself to the care of the sick and wounded of the army.

Mrs. Husband was on one of the hospital transports off Harrison's Landing, when the Confederates bombarded it, but she stood her ground like a veteran and continued her work of caring for the sick as calmly as if in perfect safety. She was appointed Lady Superintendent of one of the hospital transports which bore the wounded and sick to New York. She made four trips on these vessels, and her faithful attention to the sick won for her the esteem of all on board.

Eleanor C. Ransom of Indiana was nicknamed Mother because she was old enough to be the mother of most of the wounded boys she cared for, which makes her service all the more admirable. Her first assignment was in a Union hospital in Tennessee, and then to New Orleans where she went aboard the Government Transport Ship North America to nurse the wounded and sick Union soldiers during their voyage to hospitals in the North by sea.

The hospital ship North America sank in heavy seas in the midst of a violent storm off the Florida coast on December 22, 1864. Ransom was summarily placed in a lifeboat, from which she witnessed many of her beloved patients drown during the sinking and could do nothing to save them. Of the 203 Union soldiers on board, mostly from Illinois and New York regiments, many were too sick to move without aid; 194 died.

The lifeboat she was a passenger on was nearly swamped several times by huge waves, but she and a few others made it to the ship Libby and were rescued. Ransom was then sent to a hospital in New York City to recover from her ordeal.

While there, she received visits from relatives and friends of the soldiers who were lost on the North America who begged her for details about their loved ones who went down with the ship. Though it was difficult, Ransom never refused to tell what she recalled as mercifully as possible. She believed that it was her duty to ease the sorrows of those families as best she could.

On July 25, 1866, the United States Congress authorized a payment of $400 - which would be nearly $6000 today - to Ransom for her wartime services aboard the North America.

The Red Rover, a Confederate paddlewheel riverboat captured by the Union Army, was commissioned on December 26, 1862, and became the first hospital ship of the U. S. Navy. A side-wheel steamer of 786 tons, the Red Rover was converted into a hospital ship shortly after her capture. With the advice and assistance of the Western Sanitary Commission, the Red Rover had these conveniences:

"bathrooms, laundry, elevator for the sick from the lower to the upper deck, amputating rooms, nine different water closets, gauze blinds to the windows to keep the cinders and smoke from annoying the sick, two separate kitchens for the sick and well, and two water closets on every deck."

Operating from Cairo, Illinois to New Orleans during 1863 and most of 1864, the Red Rover supported the Mississippi Squadron along the entire Mississippi River and played a major role in evacuating the wounded from such notable operations as the Yazoo River operations, the Siege of Vicksburg, the Fort Pillow attack and the Red River expedition.

Flag Officer Charles H. Davis of the Western Gunboat Flotilla wrote:

"No one but those who have witnessed it can comprehend the sufferings to which our sick have been exposed by the absence of proper accommodations on board the gunboats and by the necessity for frequent and sometimes hasty change of place... When the ship was cleared for action... it was necessary to take down their cots and hammocks more than quickly into out of way and uncomfortable places. This must have been attended with pain and distress, if not positive injury. The arrival of the Red Rover will put a stop to all this..."

During January 1863, she served with an expedition up the White River in Arkansas. During the battle that captured Fort Hindman, the Red Rover remained at the mouth of the river to receive the wounded. On her departure, she was fired on by Confederates and several large shots penetrated into the hospital area, but no one was hurt.

From February to the fall of Vicksburg on July 4, 1863, she cared for the sick and wounded of that campaign and supplemented her medical support of Union forces by provisioning other ships of the Mississippi Squadron with ice and fresh meat. She also provided burial details and sent medical personnel ashore when and where needed.

Red Rover continued her service along the Mississippi River, taking on sick and wounded and delivering medicine and supplies, until the fall of 1864. Although the nurses on board initially consisted of males, Sister Angela and three other Sisters of the Holy Cross offered their assistance and were transferred to the ship from an army hospital at Mound City, Illinois. Other female nurses served on the ship as well.

As with the white population, many African Americans served as nursing personnel during the war in both paid and volunteer capacities. The Navy enlisted five African American women as first class boys (and paid accordingly) and used them as nurses. The best known of these is Ann Bradford, an escaped slave from Tennessee who was enlisted in January 1863 and served until October 1864.

Stokes worked under the direction of the Sisters of the Holy Cross nuns aboard the USS Red Rover, becoming the first African American woman to serve on board a U.S. military vessel and one of the first women to serve as a nurse in the Navy. She stayed on active duty until October 1864 when she became totally exhausted and resigned her position.

Shortly after leaving the Navy in 1864, Ann married Gilbert Stokes, an African American man who had also been employed on the Red Rover. They moved to Illinois where Gilbert Stokes died in 1866. She remarried a man named George Bowman in 1867 and lived on a farm in Illinois. In the 1880s she applied unsuccessfully for a disability pension based on her marriage to Stokes.

She reapplied for a pension in 1890, stating that she had was suffering from heart disease. By this time she had learned to read and write and presented her own history, emphasizing that she was basing her claim on her own military service, not that of a husband. This was unique. The Navy certified that she had served eighteen months on the Red Rover and that she had a pensionable disability.

In 1890 Stokes was granted a pension of $12 a month, the amount awarded to former nurses at that time. She was the first woman in the United States to receive a pension for her own military service.

In December 1864, as the war on the Western waters waned, the Red Rover was assigned to her final station at Mound City, Illinois. When she was mustered out of naval service, her log showed that the Navy's first hospital ship had provided treatment for 2,947 patients during her career.

Image 1: Sisters Georgeanna Woolsey and Eliza Woolsey Howland: Served on hospital ships during the Peninsula Campaign in Virginia (March-July 1862)

Image 2: Eleanor Mother Ransom

Image 3: USS Red Rover

From: civilwarwomenblog.com


Monday, August 24, 2015

Civil War Diseases

From: civilwaracademy.com

There were a whole host of Civil War diseases during the war. The worst disease was Dysentery.
This one disease accounted for around 45,000 deaths in the Union army and around 50,000 deaths in the Confederate army.

The reason Dysentery and so many other diseases were able to spread so rapidly through both armies was primarily because of a lack of sanitation practices and contaminated water.

Sanitation and hygiene were not a big issue when it came to healthcare during this time.

This was not because doctors and nurses were negligent. They just did not know any better.

Civil War Medicine was not yet advanced enough to connect a lack of hygiene with disease.

For example, during a typical Civil War surgery cleanliness was a mere afterthought.

Surgeons would often use the same tools continuously on patient after patient never cleaning them.

They might wipe them off on their apron, but that was about as much cleaning as any piece of equipment received.

Cross contamination was not known, so there was no thought of washing and sanitizing instruments after they had been used.

Unfortunately for people back then they didn’t realize that there was a link between hygiene and health.

Civil War nurses also helped to tend to sick soldiers. Often they put themselves at risk for disease in doing so.

Disease and Contaminated Water
Simple things such as placing a latrine downstream and away from the clean water supply were often overlooked. This foul water would quickly lead to water contamination which made the development and spread of disease much more frequent.

An interesting book that provides a great deal of information about Civil War diseases is "Nature’s Civil War". It describes what the soldiers really had to endure just to keep themselves healthy in such an unhealthy environment.

There were many diseases during the Civil War. Here is a brief look at some of the major Civil War diseases that people had to contend with:

Civil War Diseases: Typhoid
Typhoid was another major killer. This disease was a result of contaminated water or food. Typhoid killed around 30,000 Confederate and 35,000 Union troops during the war. 1 out of every 3 people who contracted this disease died of it.

Civil War Diseases: Pneumonia
Pneumonia was responsible for the deaths of 20,000 Union and 17,000 Confederate troops. 1 in 6 people who got this disease died from it. Stonewall Jackson died from Pneumonia after being shot during the battle of Chancellorsville by his own men.

Pneumonia was more of an opportunistic type of disease. It looked for weak people to inject itself into. If you became wounded on the battlefield or became sick with something else there was a good chance Pneumonia was going to find you.

Civil War Diseases: Measles
Measles killed a lot of people during the Civil War around 11,000 soldiers in total. Not as many as other diseases did but it had its fair share. With so many people gathered in such small areas this disease was able to spread rapidly. About 1 in 20 people who got this disease died as a result of it.

Civil War Diseases: Tuberculosis
Tuberculosis killed about 14,000 soldiers during the war. There was no known cure for it during the war. Even today there is no real cure, it can be treated but never cured. Once you get this disease you get it for life.

Civil War Diseases: Malaria
Malaria was also prevalent during the war killing roughly 30,000 soldiers. This number is high but considering around 3 million people contracted the disease it was not often fatal. This was due in large part to the readily available supply of quinine, which was used to successfully prevent and treat the disease.

The biggest thing that all of these Civil War diseases had in common was that nobody had any idea how to cure them. With the exception of Malaria.

This spelled bad news if you were one of the unfortunate ones to come down with any of these diseases.

Image: Surgeons and Stewards at Harewood Hospital, Washington, D.C.


Monday, July 13, 2015

A Civil War Surgeon's Books Rediscovered

By Jill L. Newmark, 4-4-14

“…the sight of his uniform stirred the faintest heart to faith in the new destiny of the race, for Dr. Augusta wore the oak leaves of a major on his shoulders.”

On the eve of the anniversary celebration of the signing of the D.C. Emancipation Act, April 16, 1863, the crowd that gathered at the Fifteenth Street Presbyterian Church in Washington, D.C. could not help but notice the presence of a distinguished black soldier wearing a military officer’s uniform.

The oak leaves on the epaulettes of Alexander T. Augusta’s uniform were newly received as he had been given an appointment as surgeon in the Union Army earlier in the month, on April 4th, becoming the first African American commissioned medical officer in the U.S. Army. His appearance at the anniversary gathering was cause for celebration and was acknowledged in the next issue of Washington, D.C.’s daily newspaper, The Evening Star describing Dr. Augusta’s appearance as an “occasion of much applause and gratulation.”

Alexander T. Augusta is among 13 known African Americans that served as surgeons during the American Civil War and one of only two that were commissioned officers in the U.S. Army.

Augusta was free born in Norfolk, Virginia in 1825 and became interested in a medical education and career as a physician.  His desire and determination to become a physician was not deterred by the prevailing prejudice and discrimination in the United States that created obstacles for blacks pursuing careers as professionals.  Augusta was forced to leave his native country and immigrate to Canada to obtain a medical degree which he received from Trinity Medical College, Toronto in 1856.  He established a medical practice and was the proprietor of a drug store in Toronto before applying for a position as surgeon with the United States Colored Troops (U.S.C.T.) through a letter of application to President Abraham Lincoln and Secretary of War Edwin Stanton in January 1863.

Augusta’s application was accepted and after successfully passing the Army Medical Board’s rigorous three-day examination, Augusta was appointed surgeon with the U.S. Army and given the rank of Major.  He was assigned duty at the Contraband Hospital in Washington, D.C. in May 1863, before mustering in with the 7th Regiment of the U.S.C.T. at Camp Stanton in Benedict, Maryland in October as its regimental surgeon and the ranking medical officer among four U.S.C.T. regiments there.

Surgeons serving during the war, including Augusta, owned a copy of the Handbook for the Military Surgeon, a compendium of all aspects of the duties of a medical officer including hospital administration, sanitary management, food preparation, and war surgery.  Augusta’s personal copy of this important military publication is a treasure among the Civil War collections in the History of Medicine Division of the National Library of Medicine.  Uncovered recently during the ongoing digitization project of library materials, Augusta’s copy of the Handbook was identified among four books from his personal collection donated to the Surgeon General’s Library by Augusta’s wife, Mary O. Augusta, after her husband’s death in 1890.  Hidden within one of these books was a rare page from Augusta’s prescription pad used in his private medical practice while living and working in Washington, D.C.  It was likely slipped into the book by Augusta after he drew an illustration of a pelvis, perhaps as part of a teaching moment with a student or to provide a description of anatomy to a patient.

The significance of these personal possessions of Alexander T. Augusta is made more noteworthy not only by the fact that Augusta was one of only a handful of African Americans that served as surgeons during the Civil War, but by the rarity of identifying and locating personal possessions from these African American Civil War surgeons.

Jill L. Newmark is an Exhibition Specialist for the Exhibition Program in the History of Medicine Division at the National Library of Medicine.

Image 1: Lt. Colonel Alexander T. Augusta, Civil War Surgeon

Image 2: Ad for Augusta’s drug store from The Provincial Freedmen, October 13, 1855

Image 3: Howard University Medical College faculty, 1869-1870 (Augusta seated at far left)

From: circulatingnow.nlm.nih.gov

Monday, July 6, 2015

Dr. Rebecca Lee Crumpler (1831-1895): First Negro Female to Earn a Medical Degree, 1863

 From: blackdoctorscolumbusohio.cm

Rebecca Lee Crumpler, M.D. was born in Delaware in 1831. Dr. Crumpler is recognized frequently in history books as the first African American woman to earn a doctor of science degree. According to National Library of Medicine (NLM), she graduated in 1863 from the New England Female Medical College.

Crumpler in her published writing entitled, “Book of Medical Discourses,” mentioned observing the aunt who raised her, skillfully care for the sick and credits that experience for awakening a passion for the field of medicine. Additionally, she cared for newly freed slaves after the Civil War while living in Richmond, Virginia. After several years there, she relocated to Boston with her husband, where according to Partners of the Heart, “Crumpler established a practice at 67 Joy Street dedicated to serving women and children, especially through nutrition and preventative medicine.” (SOURCE: National Medical Association)


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