*Z33 Duke University Libraries Special instruc Conf Pam 12mo #233 DTT153TE7E STATE OF GEORGIA, ^ Ad.tt. & Ixsp. General's Office, > Milledgeville, Dec. 29th, 1S63. ) Special Instructions to Surgeons. Sir: The Ibllowing instructions are published for the ijuidance of Surgeons appointed for the Senatorial Dis- tricts under the 15th Section of the Act of December 14tli 1 SG3, "re-organizing the Militia :" T.. .In your examination of persons, you must exercise a sound and firm discretion and not yield yonr judgmenii in favor of every complaint of trivial disability, by attaching too much importance to which, they indirectly favor eva- sions of the required military service. II.. .As a general rule, it may be received, that where an individual is equal to all the active duties of the various occupations of civil life, he is able to discharge the duties of a soldier. III.. .The following are some of the grounds not deemed sufficient and satisfactory for exemption. 1. General Debiliiy. — The grades of this condition are numerous, and in receiving them all as grounds for exemp- tion, you can not be considered as discharging your duty to the State. In arriving at a correct judgment upon this point, you will be aided by the consideration, that obser- vation has by no means established that a so called high standard of health is best adapted to encounter the expo- sures of military life, such physical condition being espe- cially liable to disease ; while health of a lower grade, without any co-existing positive disease, is ^ frequently strengthened and improved by the exposures incident to the life of a soldier. 2. Incase of slight deformity, natural or the result of ac- cident and irregular union of fractures, unless material im- pairment of power and motion results from such deformity, the individual ;uust be Ijeld liable for military service. 3»^X 0. Df^Jncss. — This is not .1 valiil rrasoii lor oxemption unless excessive, and the fact of its exisieiice must bi' well established. 4. Imj>edinunt ff Speech. — Unless of a very aggravated character, is not a valid reason for exemption. 5. Hoirt Disc/isr, {inirnnic.) — Orixanic disease of the heart being comparatively iufrt-qucnt, ilie physical and rational siffns should be scrutinized with great care, and the subject of examination should not be excused unless the case is satisfactorily established. G. Functional Disturbance of the Heart's action. — This is very common, not a valid ground for exempt io*i, and is gen- erally relieved by camp life. 7. Rhfumatistn. — The kind should be designated, wheth- er acute or chronic, articular or muscular. It is a com- plaint liable to be used as a means of evasion. When it is simply muscular without swelling or contraction of joints, and the general health of the individual is otherwise sound, he should be held liable to military service. 8. Epilqwj. — This disease being frequently simulated, so as to impose upon a careless observer, nothing less than the observation of an actual paroxysm, or the allidavit of a responsible physician acquainted with the individual should be deemed satisfactory. 9. Varicocele. — Not a ground for exemption, unless ex- cessive. 10. Myopia. — Not a ground for exemption. Many my- opic subjects distinguish objects with accuracy sufficient for all practical purposes. 11. Hemorrhoids. — As many individuals in civil life sub- jects of this disorder, are engaged in active occupations, they should not unless excessive, be considered satisfactory grounds for exemption. 12. Loss of one Eye. — Not valid ground lor exemp- tion. 13. The loss •foTie or two fingers. — Not sufficient ground for exemption. 14. Single Reducible Hernia. — Not a valid reason for ex- emption. 15. Urethral Strtricture. — Not as a general rule proper cause for exemption. Many thus effected, perform all the ordinary duties of life, and on this ground should be en- rolled. 16. The mere deterhiiuation and announcement of the existence of such diseases as scrofula, hepatitis, spinal irri- tation and cachexia, do not warrant exemption; their spe- cial seat, degree of development, and the consequent dis- qualifying condition, as well as the general state of the sys- tem, must be dij^cerned and intelligibly reported. 17. Ill cases of atrophy of the limbs, definite and satis- factory explanations must be made as to its cause, extent, and the accompanying loss of power. 18. In tuberculosis, the extent of the disease should, as far as practicable, be diagnosed, and full statements made as to the loss of flesh, and other prominent symptoms. 19. Very many dyspeptics are benefited, if not entirely relieved by the change of life, and the active duties of a soldier in the field. Dyspepsia, therefore, unless of an ex- tremely aggravated character, and accompanied with much emaciation and debility, is not accepted as authority for exemption. 20. Whenever discernable, in all cases not accepted, the degree or extent, and the seat and duration of the existing disability should be distinctly set forth. 21. If individuals appearing before the board do not then present perfectly satisfactory evidence of the complaint for which exemption is claimed, they should be enrolled By order of the Commander-in-Chief: HENRY C. WAYNE, Adjutant «& Inspector General. jj^ mo Hollinger Corp. pH 8.5