F 621 .W33 Copy 1 IOWA HISTORICAL LECTURES, Earlg n|ediGal PraGl^iHoners, AN ADDRESS DEJ.IVERED BEFORE THE ^tflte fllstoricol ^ocietii of M, B ^■ WILLIAM WATSON, M. D. OF DUBUQUE, IOWA. IOWA C:iTY, IOWA: Published by the State Historical Society 1894. F 621 .U33 Copy 1 L ^ • EARLY MEDICAL PRACTITIONERS, ^^•-^^^•NY attempt to givf a sketch of "The PhNsicians and "^^.jCI^Wk! Medical Practice of Early Days in Iowa " would be ^yfs^^^ incomplete if it did not include a resume of the p^^^l status of medical science at that date. It will also be well to tix a definite limit as to \\'hat is to be included in •• Earh" Days in Iowa." The close of the Civil War. is to the present <:feneration and in the development of the State, the beginning of a new era — a date that may appro- priately be taken as closing the •• Early Da^s in Iowa." From the first permanent settlement in 1833 to 1865, embraces a period of thirt3-two years. This is again readily divided b\- the date of our admission as a State. December 28th. 1846. The pioneers of the first period were engaged in laving the foundations of a State; those of the second in its development, in giving form and character to its future, in organizing its permanent institutions, in selecting the best fea- tures presented by the representatives of the older States and in seeking to harmonize and modif}' them so as to adapt them to the new communities. In such labors the members of the medical profession seldom occupied an obscure position, in fact thev were often entitled to more prominence than was accorded them. It may not be generally known that the liist permanent settlers of Iowa, after the death of Julien Dubucpie in 1810. and tiie first executive oflicer (or (ioxernor), belonged to the medical profession. In 1820 Dr. Samuel C. Muir, Surgeon U. S. Army, at hOrt lulwards (now Warsaw), built a block iiouse at Keokuk. 4 Iowa Historical Lectitrks. He subsequciuK' resigned liis jiosition in the army and removed to his chiini; but. having no Held for business he went to the '• Galena mines " where he practiced his profes- sion for ten years. After his return to Keokuk he died of cholera in 1832. In 1829 Dr. Isaac Galland settled six miles above Keokuk at what is now Nashville. The first civil legislation or law making in Iowa of which I tind any record was in June. 1830. at a meeting of miners held on the island near the present Jones Street Levee in Dubuque. A committee of live were elected who drew up rules and regulations in relation to the holding and working of mining claims. These were adopted and Dr. Jarote was elected to hold the articles of agreement, with authority to grant letters of arbitration when applied for, he thus becoming the tirst civil executive oflicer in the State. The lack of conveniences and comforts incident to a new community develops in its pioneers the abilit}' of substitution and a readiness in adapting themselves to their surroundings, together with a freedom of action and an absence of conven- tionalism that, in the minds of manv persons, are associated with the lack of education, culture, and refinement. It is true that among the pioneers of nearly every community were representatives of a class who, having been reared on the frontier, had kept in the vanguard of the settlements, in whom the slightest constraints of a permanent community developed a desire to move on and give jilace to those who organized and gave character to the institutions of the future. x\inong this class were representative medical men who secured a standing but did not remain long enough to leave their impress upon the connnunity. Those who think that the physicians who had the care and confidence of the people in those days were uneducated, ignorant pretenders, are in error, for although such pretenders were found in every community, and had their foll(3wing, they were not generally relied on. The ph\'- sicians, like the other settlers, were either young, or men still in the prime of life. Among the former were often found the Kaki.v Mi.:i)il'.\i. PK.\L"nTi()M;us. 5 leaders oi their resjiectixe classes; men who were not content to take, or to continue to occupy, a subordinate position; men \vho were conscious of their ability, and sought a tield where they could exercise it. without waiting- for nature, or Provi- dence, to make a vacancy. There were those who had a less creditable record; men who had good reasons for lea\ing their former homes, reasons they did not care to explain, and still others, wliose habits furnished all the explanation necessary. It would not be just to claim that this latter class were without patients, and sympathizing- friends, as such an element existed in all new settlements, especially in the river and mining towns. It is well known the first attempt at permanent settlement, other than a trading post, was made at Dul)uque, in 1830, but the miners were driven out by troops from Prairie Du Chien, who guarded the mines until the summer of 1832 when, b\' a compromise, the miners were permitted to camp on the island, w-hich came to be regarded as neutral ground. Here a smelt- ing furnace was built to reduce the ore bought of tiie Indians. Thus an embryo town existed on the border, and was speedily transferred to the mainland, during May and June. 1833. '^^ the vigilance of the troops relaxed upon the approach of the date tixed by treatv for its occupation. Such was the alacrity dis- plaved after June ist that in a few weeks four or five hundred had established themselves in the town or in its immediate vicinitv; among them were one or two physicians. Dr. John B. Stoddard came in June, subsetpiently Dr. Hamlin, and in Sep- tember the sign of Dr. Andros was added to the list. Dr. Stod- dard was not a graduate; he had been a hospital steward in an Illinois regiment during the Black Hawk War. Knowing a little of medicine he took occasion to make the most of it. He did not remain long, but getting into a difliculty in which he killed his man, left qviite suddenly. Dr. Hamlin is remembered as a cultivated gentleman, who secured the confidence of those who emploved him. and the respect of all he met. Dr. F. Andros was a native of Massachusetts, and at this time was 6 Iowa IIistokicai. Lectukp:s. iKjt tliirt\- \oar.s of ai^e; he was a oTaduatc of Brown Univer- sity in both the hterar\' and medical departments. He secured a fair share of business, but his heahh faiHng. he removed to Clayton county in the fall of 1837, and enijaged in farming. He located near the present site of Garnavillo. being thirteen miles from a neighbor. Me was thus the lirst physician to locate in north-eastern Iowa. He was appointed surgeon at Ft. Atkinson and the Winnebago Agency: in 1845, when the agency was removed to Minnesota, he accompanied it. Re- turning to Garnavillo. in 1854. ^^ removed to McGregor in 1861, where he practiced thirteen years, removing to Decorah in 1874. Here he practiced until 1882. when he went to Mitchell. South Dakota, where he still resides, at the ripe age of ninety, being undoubtedly the earliest and oldest practitioner of the State. During his earlier years he served his fellow citi- zens in nearly every office within their gift, and was a mem- ber of the Territorial Legislature in 1843. As a physician he enjo>"ed the contidence of the community, was called far and near to do the surgery that was needed, and in consulta- tion in serious cases. He has given some accoimts of the ignorance and blunders in diagnosis of some of the pretenders he met, the perusal of which might be amusing, but not in line with the aim of this paper, which is rather to chronicle the conditions and results of the labors of those who. at that time. represented the profession, as we recognize it. Among others who located in Dubuque during tliis earlier period, some of whom became permanently identified with the connnunity, were Dr. John W. Finlev and Dr. Stephen Lang- worthy, who came in 1836. Dr. Ambrose Crane, in 1837, and Dr. R. S. Lewis, in 1844. Dr. Langwortln-. whose fovu" sons were among the earliest settlers, was a nati\e of northern New York, and a surgeon in the war of 181 2. He emigrated to Jacksonville. Illinois, in 1817, and followed his four sons to Dubuijue in 1836. He settled on a farm just north of the city and did not engage extensively in practice, but cheerfully re- sponded to the numerous requests to aid his afflicted neighbors. Eak[,v Mkdical Pkacti ri()M:i' the half century they were professional neigh- bors: he was often called on the Iowa side of the river, especiall\- in consultation in difiicult cases. Dr. A. C. Donaldson, of Penns}"l\ania. was the first physi- cian to locate in Davenport. He is said to have been well quali- fied for practice, but not finding in the sparse settlements the field he desired, after remaining two Nears he removed to St. Louis and afterwards to California, where he died. After the settlement of the county seat question in favor of Davenport, Dr. Barrows removed there. He soon secured a good prac- tice, and was regarded as the leading physician, possessing the confidence of the communit}', and for more }ears than falls to the lot of the majority of physicians, he did a large practice. As a citizen he was ever ready to aid in an}' good work that was for the welfare of the community. With the advance of years he became less active, but ne\'er lost interest in the pro- fession to which his life was de\oted. He died at the ad- Eaki-v Mi:i)k.\i, 1'k AcnrioM-KS. 9 \'anccd as^c of ninct\-t\v(). niounu'd In' those ainoni;" w hoin he had Hved more than half a cenUir\ . I)i-. Z. Grant located in the north pari of the count\ in 1S35, where he practiced until his death in 1844. Anionq; the early settlers of Muscatine county were Dr. Eli Re\nolds, who came in 1835. Dr. John W. Foster, in 1836, and Dr. George W. Fitch, in 1838. All were more or less engaged in other pursuits, giving some attention to the prac- tice of medicine. Dr. Reynolds was a town proprietor, and engaged in farming, tlis projected town of Geneva not prov- ing a success, he removed to liloomington, now Muscatine. Dr. Foster was engaged in merchandise. Dr. 1^'itch was also a business man. but retained his interest in the profession to the time of his death in 1847. Dr. Blades and Dr. George Reeder were among the earlier practitioners. Dr. Charles Drury located at Moscow, in 1836. and Dr. J. M. Robertson, at Columbus City. Louisa county, in 1838. Dr. Robertson was a leading practitioner and a prominent citizen of that vicinitv for thirtv \ears. when he remo\'ed to Muscatine, where he died December 30th. 1878, respected and regretted by a large circle of friends. He was one of the organizers of the State Medical Societv. and an active member, and while serv- ing- in the State Lea'islature he took an active interest in the State institutions. His son. Dr. W. S. Robertson, was in the armv as Major of the 5th infantry; afterwards was an active worker in the profession, and in the State Medical Society, and by his labors with the Legislature exerted great influence in securing the establishment of the institution for the care and education of the feeble minded. He was active in secur- ing the organization of the State laoard of Health, and was chosen its tirst President. He was also Professor of Theory and Practice in the Medical Department of the State University. Dr. Charles O. Waters, a native of New York, and a gradu- ate of Jefferson Medical College, settled in Muscatine, in 1844, where he practiced several years, until his health compelled him to seek other occupations. He was a tine scholar, taking lo Iowa Histokical Lf.ctirks. an acti\t' intcrt'st in the progress and welfart" of the comniu- nil\ . In seeking to exert an influence he resorted to liis pen. and developed such an adaptation for newspaper work that after the failure of his health he became connected with the religious press, and a series of weekly letters begun for his own gratification were valued so highlv that thev were con- tinued for a third of a century. He was widely known and universally respected. He died in Mav. 1893. The first permanent settlement at Burlington was made in 1833. Dr. W. R. Ross came in Jul}-, from Quincv, Illinois, bringing a small stock of drugs, medicines and groceries. Dr. Cutler came in 1834. and died voimg. in 1837. •* Dr. Seth S. Ransom located in October. 1837. He was a graduate of the V^ermont Medical College, a well educated, able man. a successful practitioner and a public spirited citizen, ever ready to aid any enterprise projected for the good of the community where he had made his home. He was for many years the leading physician; as time rolled on and later arrivals strove by faithful work to excel him. {hex onl\- succeeded in dividing with him the hon(jrs of public esteem. Me died in December. 1874. Dr. L. W. Hickok. a good ph\si'cian and wortlu' citizen, ca.me in 1838. He was subsetjuenth' in business with Dr. Lowe, until the hitter's removal to Council Bluffs. He en- joyed the confidence of the community, and seciu"ed his share of patronage during the ten \-ears he li\ed among them; he died in 1848. Dr. Enos Lowe, a native of North Carolina, a irraduale of the Ohio Medical College, located here in 1837. He secured a good business and standing — practicing with Dr. Campbell until his death, and then with Dr. Hickok until 1845, when he removed to Council Bluffs, having been appointed receiver of the land otlice by President Polk. He removed to Omaha in 1854. During the war lie was surgeon of the 5th Iowa cavalry, a regiment in which there was a battalion of Ne- braska troops. He died in 1880. Kari.^' iMkdical Pkactitu)ni:us. ii Dr. John 1*\ Henry, a native of Kenluek\. located in lUu- linoton in August, 1845. He served in the war of i8i2a.s suroeon's mate, and was with (leneral Harrison in his cair.- paign in north-western Ohio. After tlie war he appHed hin> self to the stud}- of medicine, and gi-aduated at the Unixersity of Pennsylvania in 181 7. and at the College of Physicians and Surgeons, of New York, in 1818. He subsequently located in Cincinnati, where, from 1830 to 1834. he was connected with the Medical College of Ohio as Professor of (Obstetrics and Diseases of Women. During this period Cincinnati was \'isited by cholera, enabling him to obtain an experienct^ of valiK^ when he met the disease again at Burlington, in 1850 to 1856. He was a man of ability, of studious habits and literary tastes, enthusiastic in his love for the profession. He made some valuable contributions to journals and medical societies. Among them an article on cholera and its treatment, based upon his observations in the epidemic of 1832 and 1833. a«d again in 1850 56. He also presented a report on the tojiog- raphy. climate and diseases of Iowa, which he read before thi- Iowa State Medical Society in 1851. Some brief references to diseases and their treatme'nt as he observed them will be noticed in this paper. He was one of the organizers of the Iowa State Medical Societ\-, was interested in sustaining it. and was its President in 1861. He retired from active practice in i860, but continued to visit his old personal friends and in consultation. He left a memory cherished by a large circle of friends when he died in 1873. The first permanent settler of Lee county was Dr. Samuel C. Muir, who built a trading post in 1820. Dr. Isaac (jalland settled at Nashville, in 1829. Ft. Madison was settled in 1832. Dr. Campbell Ciilmer being the first physician to locate there. Dr. Joel C. Walker came in 1836. Dr. J. J*. Stei)hen.son located in Denmark at about the same time. Of others who located previous U) 1847. I have failed in my effort to procure reliable data. Dr. John D. Elbert settled in 1840, at Keosauqua. \an 12 Iov^'A Historical Lkctukes. Burcn counU . then on the extreme frontier. He was a native of Kentucky; his parents removed to Ohio when he was six years of a^e. His father was a surgeon in the army in the war of 1812. Dr. Elbert's education was onl}- such as the common schools afforded; being studious and ambitious lie profited by such books as he could get access to. In 1829 he was licensed to practice by a Board of which Dr. Daniel Drake was President. After locating at Keosauqua he soon became prominent as a surgeon, having an extensive practice in south-eastern Iowa and northern Missouri. His labors and aspirations were not confined to his profession, but extended to other interests and enterprises. He was a member of the 'territorial Legislature in 1842. and was one of the company that laid out Ottumwa in 1843. He was ever ready to aid any enterprise that appealed to his judgment as of benefit to the community or the profession. He was one of the charter members of the Iowa State Medical Society, — was its Presi- dent in 1852, and took an active interest in it during his life. He died in March, 1865. sincerely mourned b\- a large circle of personal friends and the communit\' who had learned to prize his kilidness and his genial manners during the twenty- live years he had resided among them. Dr. Rufus H. Wyman, of the Universit\- of Pennsylvania, located in Bonaparte, Van Buren county, in 1846. where he soon acquired a good practice. In 1855 he removed to Keo- kuk, to become the partner of Dr. John V. Sandford. They did an extensive and lucrative business; his professional career was one of marked success. He was surgeon in the army a year, when failing health caused him to resign. He died February nth, 1881. Among other names that come to us of this date are those of Dr. E. A. Boyer, wlio settled in Mahaska county, in 1843, and of Dr. Ware and Dr. Heikleman who were in Wapello count}-, at the same date. Dr. Ware removed to Fairfield, where he resided many years. The first physician of Henry ■count}', whose name I huxa been able to obtain was Dr. Eari.v Mf.dkai. Pkacti'iionkks. 13 Payne, who located at Mt. Pleasant earl\- in the forties and practiced until his death ahout 1847. Dr. Thomas Seiveter located at Salem in 1845. lie was a Quaker by birth and educati Mcdicalrix Xaliiric bv Forbes. Bigelow and others; these influences co-operated in directing attention to. and sustaining the idea that acute diseases were self limited, having delinite periods of development, progress and decline, consequently the idea of arresting the progress by depletion and evacuants i6 Iowa Histokicai, Lpxturks. was made to give place to a less active and more expectant form of treatment. With some, these ideas went to the ex- tent of developing a skepticism in the efficacy of all medicine, or preparing them for the reception of the doctrine of the increased potenc\" of dilutions. The pioneer practitioners of this doctrine found their way west of the Alleghanies about 1840. For a time, however, they were outstripped by those who were not only bitter in their denunciation of depletion and evacuants, but who sought to revive in a modified form the practice of stimulation as taught by Brown. Their thera- peutic weapons were steam, capsicum. No. Six. and lobelia. They were known as Thompsonians. or '• Herb Doctors."' This brief and imperfect sketch gives an outline of the basis of medical practice at the time of the settlement of the State. If we desire to compare the practice and results of that period with those of the present, we should take into consideration the teaching which the physicians of that day had received, the means and appliances at their disposal as compared with the present. They had read the standard works and attended lectures upon anatomy, physiologv. surgerw chemistrw materia medica. obstetrics and the practice of medicine. This constituted their equipment, except a few fortunate ones who had seen an occasional case at the bed-side or assisted their preceptor in some operation. Since that period the advances in chemistry, the application of the microscope and other instruments to the investigation of medical topics, the opening of the hospitals and dispensaries for direct studv at the bed-side, have added new fields and made accessible to all facililies for their thorough in\estigation and jirecision that were not dreamed of by the physicians of those days. The first contributions of analytical chemistry to materia medica had been made but a comparatively short time before, the discovery of morphia was definitely given to the profession in 1817; the next year that of strychnia, and two years later. 1820. that of quina-; the last has proved the most effective remedy against malaria in all its forms. When we consider Eaki,v iMi':i)k.\i, I'k AciirioM-.KS, 17 the cost of the imported articles, the limited number of labor- atories in this coiintr\ . and the sKjw trans)")oi"tation. it is prob- able their use had not become general in 1832. The extracts and more crude forms of the remedies from which they were obtained, were still in use to some extent. Prexious to this date, the standard works on materia medica and therapeu- tics were either by European authors or American editions of them, with brief notes. There had been valuable articles on pharmacy and materia medica published, but the tirst attempt to supply a comprehensive work adapted to this country, in- cluding an account of indigenous medicinal plants, their uses and value as found bv experience, was made by the publica- tion of the United States Dispensatory in 1833. The physicians from the eastern and middle States encountered a serious diffi- culty in their lack of practical experience with diseases of a malarial origin. In the summer of 1832 these ditliculties were over-shadowed h\ the appearance of epidemic cholera among those who were congregated at different points, having been driven from their claims. While not strictly germane to our subject, in view of the interest awakened by its recent ravages in Europe and by the possibility, if not the probability, of its reaching this country again, as well as being a valuable con- tribution to history, a brief statement in relation to the origin of cholera along the Mississippi River will interest all. esin-ciall}' the student and sanitarian. During the summer of 1831 Gen- eral Scott, with one thousand men was ordered from New York to Wisconsin Territory to aid in keeping in subjection the Indian tribes. This force juo\'ed westward via the Erie Canal to Buffalo, where they embarked on transports for Chicago. They took on board, at his request, a n^m who was lying on the wharf sick, not knowing the nature of his malady. While en route cholera broke out among the closely packed troops. and raged with great virulence, many dying with it. The force wintered near Chicago, moving in the spring to the present site of Dixon on Rock River, l^^rom there the bag- gage w-as sent down in boats in charge of Atkinson's rangers i8 Iowa Histokicai. Lkcti'kI':s. ami landed at Hio" Lsland. near the present xillage of Milan, where it was left exposed, as far as it could be safely, for purification. The rangers came around up the river going into camp on the Iowa side near a large spring. Soon after, one of them was taken sick, no one knowing what ailed him; he was removed to the hospital on the island. The hospital was near the bakery. No one being familiar with the disease or suspecting its nature, no extra precautions were taken and the contagion soon spread among the bakers and to the gar- rison. Nothing that was done could stay the scourge, and out of a garrison of four hundred one fourth were soon dead. The fort was abandoned; the garrison was divided; two detachments going into camp separately on the Iowa side, the third on the Illinois side opposite the fort. This stopped the spread of the disease; no other cases appearing. There were cases at Keokuk, Burlington. Dubuque, Galena and other points along the river bvit nothing like an epidemic. At the date of settlement, the country in some respects pre- sented a marked contrast to the present. The decaving veg- etation of years had enriched the soil to such an extent that the annual growth shaded the surface, impeding the drainage and interfering with evaporation. In the valleys bordering the Mississippi and Missouri, the presence of malaria was most marked and its effects more frequentl}' fatal; cases of perni- cious or congestive chills were not very common but occasion- ally occurred. The milder forms prevailed along all the water courses and in the vallevs directly connected with them. The seasons that were unusually hot and dr}-, caused it to prevail over the entire country, prostrating every one, until there were not well ones enough to care for the sick. The physicians were greatly over-worked and worn out, getting part of their sleep in the saddle or carriage; yet the percentage of mortality was not increased but rather diminished in consequence of the greater number of sick. This was the case in the summer of 1846, the second summer of my residence in the West. Much land that is now highly prized for agricultural purposes was Eaki.v Mi:i)ic.\i. l^^Acri tionhus. 19 originally rej^anled as of doubtful \ahK' for faruiiui;" aiul Ncry undesirable for health. Those who settled near streams or on the river bottoms universally suffered with diseases of malarial origin and the same influence was found modifying nearly all other diseases. Another manifestation of this inthienci' ema- nating from a different source, (jften proved a surprise. The settler on the high prairie who had lived one or two years with his famil\- in the enjo\inent of excellent health would in Aug- ust and September suffer from malarial fevers ijuite as severely as his neighbors on the river bottoms. The cause could be readily found in the breaking of large bodies oi prairie in the vicinitv. the deca\- of the sward producing \hv malaria. The diseases oi winter were more severe and diihcult to treat, and caused sed since the date of settlement. \ery important changes had occurred in pathological doctrines held, and in the therapeutic agents relied ■on to combat diseasiid action, it had w itnessed the culmination and decline of what was known as antiphlogistic medication. That was giving place to a plan of treatment, which, without being entire!}' expectant, recognized the definite periods and tendency to self limitation of acute diseases, the power of na- ture towards recover}-, the importance of aiding her b\- good nursing; while a better knowledge of morbid processes, the discovery and application of new remedies, rendered it practic- able to secure desired results with less depression and sacrifice of vitality, insuring a more speedy recovery and restoration to health. It is not claiming too much to say that the profession of Iowa vvere intelligent practitioners of w hat w as known as the tonic or supporting plan of treatment. The teaching they had received, their practical experience, and the character of the diseases with which they were most familiar, as well as that reliance on their own limited resources; the result of the surroundings amidst w^hich they had labored; all these tended to tit them in a special degree to take the part to be assiirned to them in the stirring events of the near future. Some notice of the part taken by the members of the medi- cal profession of our State in the four years of the sanguinary struggle for the life of the nation, is due to them and to history, but I hesitate to attempt it. fully realizing my inability to do justice without being liable to the charge of exaggeration, or, worse still, vain glorious boasting, as I was one of those to w hom your venerable and honored fellow citizen, our noble 24 Iowa IIistokkai. Lkctiiu-:s. war Governor (^Kirkwood ). entrusted tlie care of the health and casuahies of a regiment. In the discharge of this trust for twenty months in the camp and field, intimately associ- ated with a cherished professional friend from this city. Dr. F. l^ioyd. it was my fortune to meet with a goodl}' number of Iowa's Corps of Surgeons; to meet the same difficulties they encountered, to witness the gentleness and the faith- fulness with which the\- pei-formed their duties, and their patient heroism in overcoming every obstacle in securing the best possible care of those in their charge. It is ver\- difhcult for the ph^'sician of to-day to realize the situation of the medical officer of the summer of 1861. Fresh from his well-stocked office, he was soon on the march with his command, with a daily increasing number reporting with diarrhcKa trouble and his available remedies limited to opium, ipecac. Do\'er's powder, and Fpsom salts. In November and December his quarters and improvised hospital were tilled with patients, sick with measles, pneumonia, and bronchitis; his remedies consisting of tartrate of antimony, ipecac, opium and Dover's powder. As the war progressed, the soldiers became inured to camp life, the surgeons more familiar with their duties and the means at their command, more satisfac- tory results were secured. To aid in the selection of compe- tent medical otlicers. Governor Kirkwood appointed a Board of Medical Examiners, consisting of Dr. J, C. Hughes, of Keokuk. Dr. Wm. P. Davis, of Des Moines, and Dr. C. W. Belden, of Dubucpie. Dr. Hughes was subsequenth' appointed Surgeon General. All applicants for positions on the Surgi- cal Staff were required to appear before this board for exam- ination and ajijiointments were, to a great extent, based upxm their reports. The gathering of large bodies of men changed suddenly from home to camp life, resulted in a great amount of sickness, which rendered necessary the organization of Post and General Hospitals. St. Louis, the headquarters of the Western Department was soon tilled to overflowing. Dr. Hughes and others appreciating the situation and the advan- Eaki.v MivDicAi, i'it.\c'rrn()Ni:Ks, 25 tage of haxino- the sick and wounded as near home as possible, by an application to the autliorities. secured the location of a general hospital at Keokuk, which became a haven of hope and rest to many a sick Iowa soldier. There was a Post Hospital at Davenport where many were cared for tempora- rily. The Medical Staff of these hospitals were mostly taken from the profession of the State, while later on a large num- ber rendered valuable service in numerous other hospitals of the Western Department. The appreciation of the abilit\' of the members of the Surgical Staff is fulh' attested h\ the members who were placed in positions of resjionsibiiitN and honor; not only on detached service but by promotion. A number, after a rigid examination, were appointed Surgeons in the Volunteer Corps, placing them on an equal footing with Surgeons of the Regular x\rm\' who had spent their lives in the military service. This opened to them positions requiring a high standard of professional and executive ability, being placed in charge of hospital transports, general hospitals and as staff officers with Division and Armv Corps Commanders. In all these posi- tions 'they acquitted themselves with credit. The Reports of the Adjutant General of Iowa show the names of over two hundred and fifty medical officers on the Official Roster: the addition of tifty for those in the hospital service, on contracts and otherwise, would be a conservative estimate showing a representation of the profession of one. for about every two hundred and thirty volunteers, indicating that the ratio they bear to the population was fully maintained in the day of trial. To state that Iowa surgeons performed their duties in a manner hi"-hlv creditable to themselves and with honor to the State, is but repeating what is well known to all who were in a position to know ihe facts. The ollicers of the regular armv were credited with looking down on all \olun- teers. In 1863, at Memphis, surgeon Wright, of the U. S. Armv. said to me, •' The medical officers of Iowa that I have met compare favorabh" w ith those of any Western. State, yes. 26 Iowa Histokical L]<:ctui