Thursday, October 28, 2010

Medical Department #37 - Civil War Chemical Weapons

Below you will find my "Medical Department" from the November 2010 issue of The Civil War News. Enjoy!

THE ARTS OF DEATH
By James M. Schmidt
The Civil War News – “Medical Department” – November 2010

“It is well known that there are some chemicals so poisonous that an atmosphere impregnated with them, makes it impossible to remain where they are…by filling larges shells of extraordinary capacity with poisonous gases and throwing them very rapidly into [Fort Pickens], every living soul would have to leave in double quick time — it would be impossible to breathe there.”

- “A novel Method of taking Pickens” – Richmond Daily Dispatch – June 4, 1861

It is impossible to separate weaponry from medicine in the Civil War, as ordnance of many types were responsible for hundreds of thousands of deaths and many more thousands of wounds on the battlefield. While patent activity actually decreased in the first two years of the war before picking back up in 1863, there was an early and unmistakable increase in the proportion of inventions in the military arts during the war years.

Many of these inventions were improvements on conventional weapons, but the war also unleashed some unconventional – even “mad” – genius among inventors, North and South. “The attachment of knives to cannon balls in such manner as to be closed when the ball is placed in the gun, and thrown out when the ball is discharged” (actually an old notion) or an “arrangement of reflectors and lenses which would send a focus of light and heat two or three miles…so that it would set objects on fire with the same facility as an ordinary sunglass,” were but two such ideas proposed during the war.

Of special note is the emergence of ideas for chemical weapons from the minds of aspiring inventors. Examples of those ideas – many described for the first time in the historical literature - are the subject of the excellent article, “Proposals for Chemical Weapons during the American Civil War,” Military Medicine, May 2008, pp. 499-506, by Guy R. Hasegawa, Pharm. D. He describes weapons based on plant-based irritants, chloroform, chlorine, hydrogen cyanide, arsenicals, sulfur, acids, and other compositions. He also describes the medical implications – effects and treatment - if such weapons had been employed as well as the era’s conventional wisdom on the ethics of using chemical weapons.

Readers of this column are no stranger to Guy, as his work has been the subject of several “Medical Department” columns over the years, including Civil War pharmacy (Dec 2000), medical cadets (Oct 2001), and quinine substitutes in the Confederacy (Sept 2007), and with good reason: his scholarship is always marked by an interesting subject, impeccable primary research, and an engaging writing style, and his chemical weapons article is no different in this regard.

Guy is a senior editor at the American Journal of Health-System Pharmacy and is on the board of the National Museum of Civil War Medicine and the Society of Civil War Surgeons. Recently, Guy was co-editor of and contributor to the book Years of Change and Suffering: Modern Perspectives on Civil War Medicine (Edinborough Press, 2009), a collection of invited expert essays. All royalties from the book are being donated to Civil War medical heritage preservation.
Guy was kind enough to answer some questions about his interesting research on chemical weapons during the Civil War and the medical implications of their use.

“This is another example of stumbling across something that leads to a research idea,” Guy told me, describing how serendipity inspired his Military Medicine article. “I was looking at the service record of Confederate Surgeon Joseph Jones for information about quinine substitutes and came across a letter in which he recommended using prussic acid (hydrogen cyanide) against enemy vessels.” Guy had heard of people suggesting cayenne pepper and chlorine as chemical weapons but not prussic acid, so he started looking for other ideas for chemical weapons that had not been described before in the Civil War literature.

In addition to the Official Records, period newspapers, and classic works such as Robert Bruce’s Lincoln and the Tools of War, Guy made extensive use of primary records, especially those of the Office of the Chief of Ordnance, kept at the National Archives in Washington, DC.
He found letters from aspiring inventors proposing the use of everything from scalding water as a means of defense, cayenne pepper fired from artillery shells to irritate and blind the enemy (“and make them sneeze so as they can’t steady their musket), chloroform to “produce insensibility,” chlorine gas as a deadly poison, to mortar shells and “stink-balls” containing “odiferous matter.”
As interesting as the ideas are the people who proposed them, some of whom must have been clinically maniacal; one claimed “As a Field General or Officer you Will not find my Superior in the World.”

“My favorite ‘find’ was the hydrogen cyanide idea of Jones,” Guy told me. “He was certainly correct about the lethality of the poison, and his method of producing it - by mixing two safer chemicals - duplicates the technique used in gas chambers.” Jones proposed putting two chemicals (hydrochloric acid and potassium cyanide) in separate glass containers in artillery shells. “The concussion caused by firing the shell would break the containers and allow the chemicals to mix and form the lethal compound in flight,” Guy explained. The same idea has been used in modern artillery projectiles meant to deliver nerve agents.

Still, Guy was surprised at how utterly impractical some of the ideas were. “There was a suggestion to release cayenne pepper from kites or balloons that were flying over enemy positions,” Guy told me. “The pepper was to be released by pulling a string from afar, which would remove a stopper from the pepper-containing bag, and all this was to be done at night so the enemy would not be able to tell what was happening. It's hard to imagine any of this working, yet someone was absolutely serious in proposing it.”

While some of the ideas may seem futuristic and far-fetched — even comical — some, such as using cyanide or arsenic, would certainly have had serious medical consequences if put into play. Civil War surgeons — faced with treating victims of chemical warfare — would have been mostly empty-handed. Added to the battlefield casualties would be the inherently dangerous industrial environment as laboratories and manufactories engaged in production.

Aspiring inventors and advocates of these types of weapons “described the toxic effects of the agents fairly accurately,” Guy declares in his article, but adds that “physicians were ill-prepared to treat them effectively.” Indeed, even today, “treating toxic exposure to most of the agents would consist primarily of supportive care,” he writes.

That the weapons were not used can be attributed to several factors, including practical and ethical considerations. “Most of the ideas in my research came from people who had no concept of how to develop a weapons system that would allow the safe production and effective use of their ideas,” Guy told me. He also notes that the aspiring inventors rarely mentioned how to protect friendly troops. (Although not mentioned in the article, Civil War soldiers might have been able to take advantage of the era’s growing arsenal of respirators and artificial breathing apparatus to protect themselves from the weapons).

“I doubt that ethics would be much of a concern with the weapons meant for temporarily disabling the enemy, but for the lethal agents, I think the ethical issue would have been raised.” Guy told me. “It was widely considered dishonorable to use land mines, for example, so I suspect that employing deadly chemical agents - another situation in which the targeted combatant cannot fight back - would have met with resistance,” he added.

In the article, Guy points out that the Union's “Lieber Code” of 1863 barred the use of poisons, yet notes that this opinion was by no means unanimous. During the Crimean War, Britain’s Lord Playfair objected to the prohibition against chemical weapons, declaring “It is considered a legitimate mode of warfare to fill shells with molten metal which scatters among the enemy, and produced the most frightful modes of death. Why a poisonous vapor which would kill men without suffering is to be considered illegitimate warfare is incomprehensible.”

In his research, Guy discovered wartime correspondence that demonstrates that the belligerents during the Civil War held similar opinions as Playfair. A Vermont man declared that “any mode of Warfare is honorable in putting down open rebellion,” and a Mississippian wrote that using poisons was justified against a foe “whose whole and sole aim is our destruction.”

Though some of the ideas described above were not yet practical in the 1860s, they did anticipate some of the weapons used in later wars, including World War I, also known as the “chemists’ war.”

George Bernard Shaw’s oft-quoted lament that “In the arts of life man invents nothing; but in the arts of death he outdoes Nature herself, and produces by chemistry and machinery all the slaughter of plague, pestilence, and famine,” certainly held true during the Civil War.

Tuesday, October 26, 2010

"Bulletin of the History of Medicine" Reviews "Years of Change and Suffering"!

I'm pleased to announce that The Bulletin of the History of Medicine - the official journal of the American Association for the History of Medicine - published a very kind review of my second book (co-edited with Guy R. Hasegawa, Pharm.D.), Years of Change and Suffering: Modern Perspectives on Civil War Medicine (Edinborough Press, 2009)!

The review - in the Fall 2010 issue - was penned by Margaret Humphreys, MD, PhD, Josiah Charles Trent Professor of the History of Medicine, Professor of History, and Associate Professor of Medicine at Duke University. Dr. Humphreys is a distinguished historian and a specialist in the history of science and medicine; she has focused her research and publications primarily on infectious disease in the U.S. and the American south, while her current research explores the history of medicine during the American Civil War.

Dr. Humphreys is author of several books, including Yellow Fever and the South, Malaria: Poverty, Race, and Public Health in the United States, and Intensely Human: The Health of Black Soldiers in the American Civil War. You can read my interviews with Dr. Humphreys about her interesting research on typhus and the Civil War and Intensely Human here and here.

My two books - (Lincoln's Labels: America's Best Known Brands and the Civil War (Edinborough Press, 2008) and Years of Change have received wonderful support in the Civil War blogosphere and from popular history publications such as America's Civil War, Civil War Times, and Civil War News, and I am so appreciative and humbled by that support. The reviews of Years of Change in the Bulletin and in JAMA are special in their own way because they are professional and/or academic publications.

REMEMBER THAT ALL ROYALTIES FROM YEARS OF CHANGE ARE BEING DONATED TO CIVIL WAR MEDICAL HERITAGE PRESERVATION!

Excerpts:

Taking their title from Emily Bronte's poem, "Remembrance," James Schmidt and Guy Hasegawa have collected eight essays that indeed recall the horrors and the triumphs that characterized medicine in the American Civil War...

Jodi Koste leads off, with a useful and informative paper on Richmond's Medical College of Virginia (MCV) and its extraordinary growth during the war. With all other southern medical schools either closed or in cities under Union control, MCV remained the only school producing the physicians so urgently needed by the Confederate army...

James Schmidt's essay offers something completely different, a look at Yankee [medical] ingenuity as reflected in the pages of the Scientific American during the war...

Jay Bollet takes up the subject of Civil War amputations and refutes the charge that surgeons were too quick to amputate...

Terry Hambrecht explicates two newly. discovered letter books written by major Confederate surgeon J.J. Chisolm. In addition to providing much detail regarding Confederate medical practice, these letters reveal that Chisolm acquired much of his knowledge from observations of European military surgeons in the decade leading up to the Civil War...


Harry Herr describes the horror of urological injuries...while admitting that surgeons at the time had little to offer such men, he does find that [more] men recovered from gunshot wounds to the pelvis in the last two years of the war...and attributes this to surgeons learning the proper use of catheters...

Guy Hasegawa explores the southern fascination with indigenous remedies...[and] points out the tension in promoting such botanic drugs at a time when regular medicine was waging sectarian fights against botanical practitioners...

D.J. Canale reviews the story of neurology and the war, one specialty that clearly benefited from a specialized hospital and an unfortunately large number of cases with every imaginable nerve injury available for study...

The last essay, by Judith Andersen, adds to the growing literature on the emotional toll the war took on some men...

A useful bibliography ends the text, revealing how rich the body of literature about the war and medicine has become.


Thanks, Bulletin of the History of Medicine and Dr. Humphreys!

Read more reviews of Years of Change here:

*JAMA - Journal of the American Medical Association
*Civil War News

*America's Civil War Magazine!
*Featured on "Civil War Talk Radio"

*Review by Drew Wagenhoffer at "Civil War Books and Authors"

*Review by James Durney at "TOCWOC"

*Review by Robert Redd at "Confederate Book Review"
*Reviews (here and here) by Rea Andrew Redd at "Civil War Librarian"
*Advance Praise

The hardcover and softcover are still available!

Monday, October 25, 2010

Judging a Book by its Cover

Hey, I know you aren't supposed to judge a book by its cover, but don't you think this is a pretty good start for my forthcoming book, Notre Dame and the Civil War: Marching Onward to Victory (The History Press, 2010)?!

THANKS SO MUCH to the great folks at The History Press for the hard work they put into crafting this lovely cover! Please let me know what you think!

We're almost there - we are shooting for a first-week-of-December 2010 publication date!

Stay tuned to this blog and to my "Notre Dame in the Civil War" blog for more details and updates!




Wednesday, October 20, 2010

Shadows-on-the-Teche Civil War Encampment!

Shadows-on-the-Teche is an historic house and garden owned and operated by the National Trust for Historic Preservation. It was built in 1831-1834 for sugarcane planter David Weeks and his wife Mary C. Weeks. A National Historic Landmark, the house is located in New Iberia, Louisiana.
You can learn more about the history of the home at the Shadows' wonderful history website.
Here is information about the great Civil War living history weekend they have planned for Nov 6-7, 2010...I'll be there to talk about Civil War medicine!

FOR IMMEDIATE RELEASE
FOR MORE INFORMATION: CONTACT CATHERINE SCHRAMM AT 337.369-6446
WHO SHADOWS-ON-THE-TECHE
WHAT Shadows Civil War Encampment
WHEN Saturday, November 6 and Sunday, November 7, 2010
WHERE 317 E. MAIN STREET, NEW IBERIA, LA 70560

(BEGIN): During the weekend of November 6 and 7, 2010, visitors who enter the Shadows gardens can experience the thundering sounds of cannons and the scent of wood smoke lingering in the air as Civil War soldiers march toward battle along the oak lined Bayou Teche. Southwestern Louisiana witnessed a parade of Union troops marching west in 1863. Fewer Confederate troops battled to slow this inevitable advance. Scenarios performed by re-enactors during the weekend event reflect the military actions and civilian reactions to war in Louisiana. Portraying history through realistic scenarios, re-enactors will address both the impact of the War and its far-reaching effects during Reconstruction. Visitors can observe soldiers lives between battles as they played music and cards or attended to their equipment.

Also this year, Mr. James Schmidt, a chemist and an expert on Civil War medicine will acquaint visitors with issues related to this topic in two different presentations on Saturday. Demonstrations will include information about cavalry, flags, uniforms, weapons and other general topics about life during the war years. In addition to the living history, the Shadows guided tour will focus on specific information from letters written by the Weeks family in the Civil War years. A special tour focusing on Reconstruction is also scheduled at specific times during the weekend.

Visitors can select from a couple of options for their visit. Available that weekend are adult and children’s rates for admission to the entire site including a guided Civil War tour of the Shadows or grounds only admission for the living history program. Site hours are 9-5 on Saturday and Sunday with camps closing at 4 p.m. on Sunday. The last tour of the Shadows will begin at 4:15 each day. For additional information, call the Shadows at (337) 369-6446. :(END)

Now that's the first time I've ever been mentioned in a press release! Seriously, though, I am so excited and honored to be a part of this event! Catherine Schramm - Director of Education at The Shadows - has already shared some wonderful primary material with me regarding period medical care at the Shadows. Indeed - one could hardly ask for a more amazing nexus of civilian, African-American slave, and soldier medicine all in ONE place during the 1860s.

I will post photos and more when I return. I also found out I will be joining some reenactors in talking to some Cub Scouts and Boy Scouts on the Friday night before...As a former Scout, I'm just as excited about that as I am the Shadows weekend itself!

If you read this blog and you are at the weekend, please say "Hi"!

Monday, October 11, 2010

Medical Department #36 - Medical Cadets

Readers of this blog or my "Medical Department" column in The Civil War News should be no stranger to Guy R. Hasegawa, Pharm.D., as his work has been the subject of several columns and posts over the years, including Civil War pharmacy and quinine substitutes in the Confederacy , his contributions as co-editor and author of Years of Change and Suffering, or his presentations at history conferences.

This is all with good reason: first - he is a dear friend; second - his scholarship is always marked by an interesting subject, impeccable primary research, and an engaging writing style.

Below, find a (really) old "Medical Department" column (October 2001) based on Guy's research and start to look forward to the November 2010 column which is also an interview with Guy about the medical implications of chemical weapons in the Civil War. I"ll post that one on the blog in late October after it appears in print.

Enjoy!


“Medical Cadets”
"Medical Department" - October 2001 - The Civil War News
by James M. Schmidt

We’re the Med. Cads gay and happy
Summoned from our homes to save
By the Surgeon’s holy mission
Wounded warriors from the grave.
So went a song describing the mission of the Civil War’s “medical cadets,” as penned by one (Edward Curtis) in 1863. Their story, generally ignored in histories of Civil War medicine, is the subject of an excellent article, “The Civil War’s Medical Cadets: Medical Students Serving the Union,” in a recent issue of the Journal of the American College of Surgeons (Vol. 193, No. 1, July 2001, pp. 81-89). The article was written by Guy R. Hasegawa, Pharm.D., whose first-rate research on pharmacy in the Civil War was the subject of my December 2000 column.

Indeed, it was while doing his Civil War pharmacy research that Dr. Hasegawa learned about the contributions of this dedicated cadre of men. “When I was working on the pharmacy project, I decided to see what the National Library of Medicine had in its manuscript collection that related to the Civil War,” he told me. “The listing for the F. A. Castle papers mentioned something about the cadets, and so I requested them.” It was there that he discovered a treasure of information, including documents, rosters, and photographs.

The U.S. Army medical cadet corps was composed of medical students, with the aim of providing a cadre of ambulance attendants and wound dressers. However, as surgeons became overwhelmed with increasing casualties, the cadets soon found themselves taking on increased responsibility and independence.

Congress approved creation of a corps of fifty cadets in August 1861, to act under the control of medical officers. Applicants were to be 18- to 23-year-old men of liberal education who had studied medicine for two years and completed at least one course of lectures at a medical college. Applicants who passed the initial examination were enlisted for a one-year term in the Army, with a rank equivalent to that of a West Point cadet (between a sergeant major and a second lieutenant). They were initially given pay of $30 a month, along with quarters, fuel, and transportation, as well as the opportunity to reenlist.

Given the fact that by August 1861, a handful of major battles had already been fought, a corps of only fifty cadets seemed rather small to me. Dr. Hasegawa told me that he suspects that penny-pinching was not the reason why: “I think the number was kept small as the concept was new and untried. Also, the scope of the human and material cost of the war may not have been fully appreciated,” he said.

Of a great number of applicants for the initial positions, 66 were found qualified and invited to appear before the examining board. Of those, 48 were approved and enlisted; others either failed to appear for the examination, or were rejected. In April 1862, Congress approved twenty additional positions. Dr. Hasegawa discovered that by the end of the war, 273 men had enlisted for 300 1-year terms. The article also discusses civilian personnel who performed similar duties, including “acting medical cadets” and contract surgical dressers.

Most of the cadets served the majority of their time in Army general hospitals. They were generally paired with a medical officer caring for a specific ward. And their activities included dressing wounds, assisting in postmortem examinations, and helping with administrative duties. When workloads overwhelmed the surgeons, cadets took charge of the wards themselves. They also assisted surgeons in operations and may have eventually performed some procedures themselves.

Though it may seem somewhat morbid, the medical cadets relished the opportunities to learn from anatomical specimens, either amputated limbs or cadavers. In the article, Dr. Hasegawa quotes from a letter by a British observer disgusted at the “enthusiasm” with which the cadets sought such opportunities: “I saw one of these Cadets seize a leg almost before it was off and holding it by the toe run away with it…”

While most of the cadets remain little known, a handful truly distinguished themselves. Medical cadet Charles Rivers Ellet was assigned to the Union steam ram fleet on the Mississippi, commanded by his father, Col. Charles Ellet, Jr., and his uncle, Lt. Col. Alfred Ellet. After the Battle of Memphis in June 1862, cadet Ellet accepted the surrender of the city, carried messages, and even commanded a portion of the fleet!

Medical cadet Charles Leale was trusted with responsibility of taking charge of two wards at the general hospital in Elmira, New York. Only a month after his term as a cadet ended, Leale, as an army surgeon, was the first physician to examine President Lincoln after the shooting at Ford’s Theater.

Despite their valuable service, the cadets did have to fight for what they thought was due them. Though by rank they were in the “no man’s land” between being officers and enlisted men, much of their professional and social interaction was with the officer corps. Yet, until they pressed the authorities on their own behalf, they were not given some of the perks the officer had, most notably a food allowance.

Surgeon General Hammond was pleased with the demonstrated success of the cops, and pressed Congress to approve more positions. He also recommended the founding of an “army medical school” to give medical cadets and other applicants instruction which could not be obtained at civilian schools. One rumored plan had the cadets (who had already completed at least one term of lectures) completing their training with another 6 months of lectures, followed by service in the army’s hospitals. Unfortunately, nothing ever came of the suggestion. Indeed, it was 1976 before the Uniformed Services University was established to specifically educate and train military physicians.

As with his Civil War pharmacy research, the medical cadet article is meticulously documented. The paper includes photographs of two notable cadets, a roster listing the nearly 300 enlisted cadets, and nearly seventy footnotes drawing on mostly primary and archival sources.

Indeed, Dr. Hasegawa, senior editor with the American Journal of Health-System Pharmacy (based in Maryland), made extensive use of the National Archives (NA) and other collections. Though he considers himself a novice user, he does have some good advice for other potential users of the NA. “First, do your homework, and be as specific as possible in stating your research interest,” he told me. He suggests consulting the NA website and reading useful books, like Munden and Beers’ The Union: A Guide to Federal Archives Relating to the Civil War and Beer’s companion book on Confederate archives.

His second suggestion is to allow plenty of time: “It takes time to locate microfilm or have paper records retrieved,” he said. He also noted that Civil War documents are generally handwritten and are difficult to read quickly. In short, he concludes: “Don’t fool yourself into thinking that any sizable project can be done in one day.” He is also quite certain that there are “undiscovered gems” of Civil War medical information in the archives for the researcher who is diligent and patient enough to find them.

In conclusion, Dr. Hasegawa feels there were at least two major benefits from the medical cadet “experiment.” First, the cadets provided competent medical care at a low cost to the government. Indeed, their training surpassed that of most nurses or hospital stewards. Second the cadets represented a convenient and experienced pool of candidates for positions as commissioned or contract Army and Navy surgeons. In turn, the cadets appreciated the opportunity to learn more medicine in one year than they might otherwise learn in five.

Despite the hardships of dangerous work and a lack of pay equal to his contributions, cadet Edward Curtis was able to finish his song on a stoic, if not upbeat, note:


Thus though life be hard and weary
Philosophic Med. Cads. we:
Thick may crowd the dead and dying
Still we’ll gay and happy be

Sunday, October 10, 2010

"Poor Man's Friend" - An Invaluable and Unfailing Remedy

One of the great benefits of attending the National Conference on Civil War Medicine or on of the conferences put on by the Society of Civil War Surgeons is that you will almost always see and meet John Gimesh, M.D., proprietor of Stein's Antiques and an expert on antique medical instruments, which he always has for display and sale at the meetings.

I am usually a window-shopper, but I could not resist two purchases at the recent meeting in Baltimore, MD, as they were 19th-century ointment pots for two very well-known British patent medicines: Holloway's Ointment and "Poor Man's Friend."

I have written before about Holloway's pills and ointment, and you can find that post here.

"Dr. Roberts's Poor Man's Friend Ointment" was developed by Dr. Giles L. Roberts in Bridport, Dorset, UK, in the 1790s. Roberts tried a number of trades before studying medicine and established his own pharmacy in 1788, at age 23. His "Poor Man's Friend" ointment was said to be the second-best selling patent medicine in Britain in the early 1800s. Roberts also developed "Scrofula Pills." He died in 1834, age 69, and left his business to his two apprentices - Thomas Beach and John Barnicott - who carried on the trade as partners. The company stayed in the family until the 1970s. There are several cool things about Poor Man's Friend that resonate to this day:

The "Beach & Barnicott" pharmacy is now a popular restaurant and nightspot The original formula was discovered in Roberts's original shop in 2003 and sold at auction to the Bridport Museum, which disclosed the recipe as composed of lard, fine English beeswax, calomel (mecurous chloride), sugar of lead, salts of mercury, zinc oxide, bismuth oxide, Venetian red, oils of rose, bergamot, and lavender.

It is hard too place an exact date on the ointment pot I've added to my collection, although it is certainly mid- to late-1800s based on a guide I found:

The ointment was sold in distinct earthenware pots, each about 4cm high and 4.5 cm in diameter. The pot would be covered with a parchment cover as its lid. The earliest ones had blue transferred text with "Poor Man's Friend, price 1/1 1/2" on the front and "Prepared only by Dr Roberts, Bridport" on the reverse. LAter jars said "Prepared only by Beach and Barnicott successors to the late Dr Roberts, Bridport"...By the early 20th century, the only change to the lettering is that it was printed in black. The ointment continued to be sold in the same pot until the 1920s. It was later marketed as Roberts' Ointment and sold in glass jars. - Popular Medicines; an illustrated History (2007)


Caroline Rance at the "Quack Doctor" blog has a great post (as always) on Poor Man's Friend here and there is a wonderful chapter on Roberts and Poor Man's Friend in Popular Medicines: An Illustrated History.


Tuesday, October 5, 2010

18th Nat'l Conference on Civil War Medicine - Summary #4 - A Leg to Stand On

Readers of this blog and my "Medical Department" column in The Civil War News should be familiar with my dear friend, Guy R. Hasegawa, Pharm. D. He is the co-editor of (and contributor) our book, Years of Change and Suffering: Modern Perspectives on Civil War Medicine (Edinborough Press, 2009) and has been the subject of my column several times (here and here for examples!).

Guy gave the opening lecture at the National Conference on Civil War Medicine this past weekend, and his presentation - "Artificial Limbs in the Civil War Era" - had all the hallmarks of Guy's work: impeccable research, great illustrations, and a lively and engaging talk!

He discussed:

The artificial limb industry in the pre-war years

The need for prostheses due to farming accidents but especially increased industrialization - railroads, factories, and mines

The acceleration of artificial limb production and patents during the Civil War era

The materials used for artificial limbs, including wood (esp. willow), s
teel, brass, rawhide, hardened rubber, and others

Great period advertisements

Infighting amongst the various manufacturers, including the debate as to whether physicians or mechanics were most qualified to design artificial limbs

Major manufacturers in the Union and Confederacy

Displayed amazing photos of soldiers wearing limbs as well as photos of actual wartime artificial limbs from the National Museum of Health and Medicine


Guy's presentation was the "beau ideal" of the great original topics, research, and presentations you will see at the conference!

Monday, October 4, 2010

18th Nat'l Conference on Civil War Medicine - Summary #3 - A "Louse-y" War!

The first lecture on Sunday morning, Oct 3, by Gary L. Miller, Ph.D. - "Pandemonium on a Spree - Insects and the Civil War" - was one of the VERY BEST of the conference!

Dr. Miller was born and bred in Lancaster Co., PA. His appreciation for the connections between biology and history was influenced by the rich natural history and heritage of the Pennsylvania Dutch farm country and he traces his interest in the Civil War before kindergarten! He earned his Ph.D. in Entomology from Auburn University in 1991 and he is currently and entomologist at the Beltsville Agricultural Research Center in Maryland.

You can read more about his responsibilities and distinguished career here and here.

His presentation introduced a number of concepts and topics, all with his extensive background and expertise, but delivered in an enthusiastic and interesting manner :

The conditions that made the Civil War - camps , prisons, and battlefields - prime territory for disease-carrying insects, including the mass of humanity and poor sanitary conditions

Mentions of insects - flies, lice, fleas, bees, beetles, bedbugs, cockroaches (and more!) - in soldier letters and memoirs.

The emergence of entomology as a scientific discipline and profession

Insects as pests and also as disease vectors

Displayed numerous Civil War photos from the Library of Congress collection and used the high quality images to "zero in" on interesting insect, sanitary, and botanical considerations!

Talked about the techniques soldiers used to de-louse

He also displayed his great collection of wartime lice combs (ewwww?!) and some patriotic covers with an insect theme!

The full text of Dr. Miller's excellent article: "Historical Natural History: Insects and the Civil War," American Entomologist, 43:227-245, can be found online here.


There were some military veterans in the audience and several of them commented that soldier, sailor, marine, and airmen problems with insects was not limited to the Civil War! Very interesting!

Saturday, October 2, 2010

18th Nat'l Conference on Civil War Medicine - Summary #2 - ICOSIKAIDIGON!

What is an ICOSIKAIDIGON? See the answer at the end of the post!

The final lecture on Saturday at this weekend's 18th National Conference on Civil War Medicine was given by Daniel C. Toomey: "The War Came By Train."

Dani
el is a native Marylander whose family ties go back to the late 1700s! Since the earliest days of his childhood, he has been interested in history in general and the Civil War in particular. He is a graduate of the University of Maryland, School of Business and is an expert in the field of international logistics. He is the author of several books on the Civil War in Maryland.

He is also an expert on the role of railroads in the Civil War and gave us a great introduction to the importance of the Baltimore & Ohio Railroad in the war, especially in the first few weeks.

Dan's contention is that with the secession of Virginia, Maryland became the most important state, Baltimore the most important city, Relay the most important station, and the B&O the most important railroad...and he made an excellent case!

His talk was an excellent introduction for the Saturday bus tour to Baltimore's B&O Railroad Museum...what a great place! From the historic roundhouse, to the period locomotives, to the indoor and outdoor model train displays, it was amazing!

In the spring of 2011, the B&O Railroad Museum is opening a 4-year special exhibit on railroads and the Civil War in commemoration of the Civil War sesquicentennial, 2011-15, and Dan Toomey is helping with the exhibit!

Answer: An ICOSIKAIDIGON is a 22-sided figure, such as the famous Roundhouse at the B&O Railroad Museum!

18th Nat'l Conference on Civil War Medicine - Summary #1 - Between a Rock and a Hard Place

So, when you are telling a story, the middle is as good a place to start as any, right?!

Well, today was the second day of the three days of the 18th National Conference on Civil War Medicine (sponsored by the National Museum of Civil War Medicine) held this year in Towson, Maryland...and it has been TERRIFIC!

Today's morning included three great presentations, starting with Dr. Robert C. Whisonant, Emeritus Professor of Geology, Radford University, gave a wonderful presentation
on "Military Geology of Antietam Battlefield, Maryland, USA - Geology, Terrain, and Casualties."

He started by giving a wonderful summary of the discipline of "Military Geology" - the study of terrain, geology and soils and how it affects military decision-making: how well can troops and vehicles travel across a landscape? Are there sources of water and construction material? Do the prevailing underground rock environments provide protection for critical military structures, personnel or weapons? FASCINATING!!

Dr. Whisonant then talked about a recent project - that received attention in the press just a few years back - in which he and a colleague (Dr. Judy Ehlen) studied the geology of Civil War battlefields to see if it had an impact on the number of casualties.

Given the conference location in Maryland, he specifically addressed the interesting geology of the Antietam battlefield: two geologic units underlie the area. One is "soft rock" (a term I learned today!) - that is, limestone that erodes so that you get a very even, level, open surface...no deep holes and high hills that give soldiers a place to hide. This geology comprised the famous Miller's Cornfield.

Nearby, on the eastern and southern portions of the battlefield bordering Antietam creek, a different formation lies beneath the terrain, made up of "hard rock" in the form of dolomite ...It makes for a very different kind of terrain known as "dissected topography" that provides good cover and concealment.

Dr. Whisonant's conclusion is that the different geological formations resulted in (statistically) significantly different casualty rates...the "soft rock" and open terrain resulted in many more casualties.

He is careful and cautious in going to far with his conclusions...there are undoubtedly other variables, including leadership, etc., but I learned a lot about the discipline of military geology today and it was GREAT!