August, September, October, etc.—I continue among the hospitals in the same manner, getting still more experience, and daily and nightly meeting with most interesting cases. Through the winter of 1863-4, the same. The work of the army hospital visitor is indeed a trade, an art, requiring both experience and natural gifts, and the greatest judgment. A large number of the visitors to the hospitals do no good at all, while many do harm. The surgeons have great trouble from them. Some visitors go from curiosity—as to a show of animals. Others give the men improper things. Then there are always some poor fellows, in the crises of sickness or wounds, that imperatively need perfect quiet—not to be talked to by strangers. Few realize that it is not the mere giving of gifts that does good; it is the proper adaption. Nothing is of any avail among the soldiers except conscientious personal investigation of cases, each for itself; with sharp, critical faculties, but in the fullest spirit of human sympathy and boundless love. The men feel such love more than anything else. I have met very few persons who realize the importance of humoring the yearnings for love and friendship of these American young men, prostrated by sickness and wounds.
February, 1864.—I am down at Culpepper and Brandy station, among the camp of First, Second, and Third Corps, and going through the division hospitals. The condition of the camps here this winter is immensely improved from last winter near Falmouth. All the army is now in huts of logs and mud, with fireplaces; and the food is plentiful and tolerably good. In the camp hospitals I find diarrhœa more and more prevalent, and in chronic form. It is at present the great disease of the army. I think the doctors generally give too much medicine, oftener making things worse. Then they hold on to the cases in camp too long. When the disease is almost fixed beyond remedy, they send it up to Washington. Alas! how many such wrecks have I seen landed from boat and railroad and deposited in the Washington hospitals, mostly but to linger awhile and die, after being kept at the front too long.
The hospitals in front, this winter, are also much improved. The men have cots, and often wooden floors, and the tents are well warmed.
March and April, 1864.—Back again in Washington. They are breaking up the camp hospitals in Meade’s army, preparing for a move. As I write this, in March, there are all the signs. Yesterday and last night the sick were arriving here in long trains, all day and night. I was among the new-comers most of the night. One train of a thousand came into the depot, and others followed. The ambulances were going all night, distributing them to the various hospitals here. When they come in, some literally in a dying condition, you may well imagine it is a lamentable sight. I hardly know which is worse, to see the wounded after a battle, or these wasted wrecks.
I remain in capital health and strength, and go every day, as before, among the men, in my own way, enjoying my life and occupation more than I can tell.
Of the army hospitals now in and around Washington, there are thirty or forty. I am in the habit of going to all, and to Fairfax seminary, Alexandria, and over Long Bridge to the convalescent camp, etc. As a specimen of almost any one of these hospitals, fancy to yourself a space of three to twenty acres of ground, on which are grouped ten or twelve very large wooden barracks, with, perhaps, a dozen or twenty, and sometimes more than that number, of small buildings, capable all together of accommodating from five hundred to a thousand or fifteen hundred persons. Sometimes these large wooden barracks, or wards, each of them, perhaps, from a hundred to a hundred and fifty feet long, are arranged in a straight row, evenly fronting the street; others are planned so as to form an immense V; and others again arranged around a hollow square. They make all together a huge cluster, with the additional tents, extra wards for contagious diseases, guard-houses, sutler’s stores, chaplain’s house, etc. In the middle will probably be an edifice devoted to the offices of the surgeon in charge and the ward surgeons, principal attachés, clerks, etc. Then around this centre radiate or are gathered the wards for the wounded and sick.
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