(Eolumbta ImtierBtty t« ti|r (Etty of Nm lork ^sUrtntt ICtbranj DR. LYMAN SPALDING DR. LYMAN SPALDING THE ORIGINATOR OF THE UNITED STATES PHARMACOPCEIA CO-LABORER WITH DR. NATHAN SMITH IN THE FOUNDING OF THE DARTMOUTH MEDICAL SCHOOL AND ITS FIRST CHEMICAL LECTURER; PRESIDENT AND PROFESSOR OF ANATOMY AND SURGERY OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF THE WESTERN DIS- TRICT, AT FAIRFIELD, N. Y. BY HIS GRANDSON Dr. JAMES ALFRED SPALDING BOSTON W. M. LEONARD, Publisher 1916 \^ Copyright, 1916, By W. M. Leonard Stanbope iPrcsa r. H. CILSON COMPANY BOSTON. U.S.A. To THE Memory of MY FATHER who would have been pleased to know as much about his illustrious Father as time has at last enabled me to discover Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/drlymanspaldinOOspal HOW THIS HAPPENED TO BE WRITTEN. When my father, Lyman Dyer Spalding, was a boy of eleven (1821) his father, Dr. Lyman Spalding, died, leaving to his widow, Elizabeth Coues Spalding, all of his papers. When she died in 1838, they were laid aside by his eldest daughter. Miss Elizabeth Parkhurst Spalding, and after her death they fell into the hands of Pay Director Joseph Foster U.S.N. , Rear Admiral Retired, a son of Mrs. Adelaide Spald- ing Foster, the last surviving child of Dr. Spalding. Eight years ago he gave me these ancient documents to look over, and, on unfolding them, I found a treasure for illuminating American Medical History in the form of letters to my Grandfather from the leading physicians of his time. I now propose to print a selection from these papers in order to show what part Dr. Spalding took in the advance- ment of American medicine. Much to my regret, none of his own letters have been discovered, but I have before me a few copies of those which were probably sent to various friends. Interweaving these, with anecdotes of their writers and of the chief personages named therein, I propose to recall to memory the career of a distinguished man in medicine. An occasional abruptness in the narrative depends upon my inability to discover after so long a lapse of time the missing links of the story, or upon the interruptions of medical practice. Grateful thanks are due to Lieutenant Colonel Walter C. McCaw, U.S.A., of the Surgeon General's Library, to Mrs. R. M. Thompson of the Boston Medical Library, to Mr. John S. Brownne, Librarian of the New York Academy of Medicine, for much assistance in reconstructing the lives of the personages of this story; to Mrs. Emily A. Smith of Baltimore for anecdotes concerning Dr. Nathan Smith, to Dr. Frederick C. Shattuck of Boston for letters from Dr. Spalding to his Grandfather, Dr. George Cheyne Shattuck, to Rear Admiral Foster for many hints on family history and to Dr. Walter L. Burrage of Boston who with great patience reviewed my MSS and suggested many improvements. The Author. Portland, Maine, August, 1916. TABLE OF CONTENTS. Chapter Page I. Family Notes and Early Years 1 II. Lecturer on Chemistry and Materia Medica at the Dart- mouth Medical School, 1797-99 12 III. Six Months of Medical Practice at Walpole, New Hamp- shire ^9 IV. Thirteen Years at Portsmouth, New Hampshire, 1799- 1812. Bills of Mortality. Surgeon's Mate in the United States Army. Final Lectures at Dartmouth .... 37 V. Introduction of Vaccination, 1800 58 VI. New Acquaintances and Old Friendships. Marriage. 1800-1802 63 VII. Public Tests of the Preventive Value of Vaccination. 1801 88 VIII. Fever Epidemic. Vaccination Experiments in 1802 . ,100 IX. Medical Life at Portsmouth. 1803-1806 110 X. American Edition of Willan, "On Cutaneous Diseases." Benjamin Fay, an Episode in the Life of Dr. Nathan Smith 126 XI. Letters to Baron Alibert, and the Bells, in 1808. Visit to Dartmouth as Demonstrator for Dr. Alexander Kamsay. 148 XII. Visit to Philadelphia and New York, 1809-1810. . . .166 XIII. Events and Letters Keceived in 1809-1810 180 XIV. Lecturer on Anatomy and Surgery, and President of the Fairfield Medical School. 1810-1812 192 XV. President of the College of Physicians and Surgeons of the Western District of New York. 1813-1817 .... 229 XVI. Review of Events between the Return from Philadelphia and the Removal to New York. 1810-1813 .... 243 XVII. Last Year in Portsmouth. 1812 251 XVIII. Four Years in New York Previous to the Proposal for Establishing a National Pharmacopoeia 275 XIX. Beginnings of the Pharmacopoeia. The Barber Family. Chair of Anatomy in the Pennsylvania Medical School. Dr. J. L. E. W. Shecut, Gov. Plumer, Dr. Trevett, Dr. Usher Parsons 283 vii viii TABLE OF CONTENTS Chapter Page XX. The Case of James Cann, and the Pamphlet on Scutellaria Lateriflora in Hydrophobia 319 XXI. A Brief Summary of what Dr. Spalding accomplished in New York City, with Notes on some of the Physicians with whom he was most Intimate. 1813-1821 . . . 329 XXII. The PharmacopcBia of the United States of America: its Origin, and Collaborators. Accident to Dr. Spalding. Return to Portsmouth and Death. 1817-1821 . . , 334 LIFE OP DR. LYMAN SPALDING CHAPTER I. Family Notes and Early Years. Lyman Spalding, later on to become a Doctor of Medicine, Lecturer on Chemistry and Materia Medica at the Dart- mouth Medical School, President of the College of Physi- cians and Surgeons of the Western District of New York, and Originator of the United States Pharmacopoeia, was born in Cornish, New Hampshire, June 5, 1775. His father, Dyer Spalding, was born in Plainfield, Connecticut, No- vember 14, 1732, and was a descendant in the fourth gener- ation from Edward Spalding, who is supposed to have come from England to Jamestown, Virginia, in 1619. When that settlement was destroyed by the Indians, Edward removed to Braintree, Massachusetts, where he is first recorded as a citizen in 1640. Dyer Spalding was a soldier and officer in the Colonial Wars, a friend of General Israel Putnam in whose Rangers he served, and he had from George I. a com- mission, which I recall as a tattered parchment in my youthful days. He moved to Cornish in 1766 in company with Moses and Samuel Chase, who after the Township had been granted to Reverend Samuel McClintock of Greenland, New Hampshire, called it Cornish, in honor of Cornwall, whence the Chases had emigrated to America. After pre- empting land with Thomas Wilson of Plainfield, who had married his sister, Lois, Dyer Spalding returned to Con- necticut and married March 11, 1767, Elizabeth Cady Parkhurst, daughter of Timothy and Elizabeth Cady Park- hurst of Plainfield. Of my great grandmother I only know that she was born July 7, 1734, was an excellent housewife, brought to her husband three children and died June 3, 1816, aged 82. The Spaldings returned to Cornish on their honeymoon, and lived there quietly until the Revolution, when Dyer 1 2 DR. LYMAN SPALDING took an active part in Town affairs. Twice during the War he served as Quartermaster, and was present at Ticonderoga and Saratoga. He was entitled ' ' Ma j or ' ' and later ' ' Colonel ' ' after serving as Lieutenant Colonel in the XV Regiment of New Hampshire Militia in 1788. He helped to found Trinity Parish in Cornish, often served as lay reader in the Church in the absence of the Rector, and accumulated a little money, leaving at his death some $4000 and an arable farm of 500 acres. He lived to be 82, dying April 27, 1814. Cornish has always borne a celebrated name amongst New Hampshire towns, many political conventions were held there during the Revolution, it has given birth to many celebrated men, and in our day, it is a famous smnmer re- sort. Cornish farms were talked about in the XVIII Cen- tury and Cornish Gardens are famed in the XXth. Amongst the renowned men of Cornish were three of International Fame; Right Reverend Philander Chase the First Bishop of Ohio, Dr. Nathan Smith, the founder of Medical Schools at Dartmouth, Yale and Bowdoin and Dr. Lyman Spalding. With the Bishop this book has little to do except to print a few of his letters. With Dr. Smith the Story begins, for without his directing influence, Lyman Spalding would prob- ably not have reached his lofty medical position. Nathan Smith was born at Rehoboth, Massachusetts, September 30, 1762, and was taken by his parents to Vermont where he drifted into manhood as a farmer. He happened to see Dr. Josiah Goodhue of Putney, operate, asked that physician to make a Doctor, too, of him, and after studying English for a year and following Dr. Goodhue's practice he settled in Cornish as a physician in 1786. After a year or two of practice he recognized his defective medical education, attended lectures at the Harvard Medical School and obtained there his degree of M.D., in 1790, pre- senting a Graduating Thesis " On the Causes and Effects of Spasms in Fever." In looking over the Town Papers of Cornish I find that in January, 1791, he handed in a petition for a Lottery of the value of £100, the proceeds to be de- voted to purchasing a medical library for the instruction of medical students and practitioners of medicine in that part of the Country. Whether this succeeded or not, I have not discovered. FAMILY NOTES 3 He married in succession two daughters of Colonel Jona- than Chase, Elizabeth and Sarah, and soon took notice of young Spalding, who was seven years of age when Dr. Smith settled in Cornish. Knowing the advantages of education, he induced Colonel Spalding to send his pretty boy to Charlestown Academy, not far away, where he studied Enghsh and Latin, and was there graduated July 14, 1794. In honor of the occasion the students acted Sheridan's " She Stoops to Conquer," as an old play bill before me shows. " Pretty" I have called my grandfather, for Benjamin Waterhouse called him " Beauty" Spalding, and John Neal, a Famous American, granted that grandfather was good looking enough, but vowed that his wife, Elizabeth Coues, was the most beautiful woman he ever saw. Of Colonel Spalding's other children it may here be men- tioned, that Silas, the elder son, a simple farmer as his letters show, was born May 5, 1772, and died September 20, 1844. Esther, the eldest child, was born May 5, 1769, and married in Claremont, near by, a farmer by the odd name of "BILL" Barnes, who also kept a tavern which stands to this day. Esther, who was his second wife, lived to be 94, and I can remember seeing her bent over a wash tub when she was over 90. I do not understand why young Spalding did not go to Dartmouth like other boys from Cornish, but immediately after leaving the Academy, he rode about seeing patients with Dr. Smith, and first attended lectures at the Harvard Medical School in the Winter of 1794. Diaries of various horseback rides to Cambridge and return are stiU extant, and from them I take a few interesting biographical notes. The first journey was made in company with Dr. Smith and Dr. Alexander Augustus Dame, later a member of the New Hampshire Medical Society. Dr. Smith evidently went with his pupil in order to introduce him to the Faculty as weU as to renew with them his former acquaintances. Riding through Fitchburg, Spalding finally lodged for the Winter with Mrs. Moore of Cambridge, who charged him sixteen shilHngs a week for board and two for a room. The tickets for lectures from Dr. Waterhouse^ and Dr. 1 Dr. Benjamin Waterhouse (1754-1846), Professor of Materia Medica and the Theory and Practice of Physick, studied medicine at Edinburgh and obtained his degree at Leyden. He settled in Cam- 4 DR. LYMAN SPALDING Warren^ were $14 each. After Dr. Smith had set off for home, Spalding hired a chaise into which he hitched his horse, and drove to Boston where he spent money on nuts, dried peaches and velvet for a waistcoat. He " gave a dole to a blind beggar," took a look at an elephant, and went to Long Wharf where he saw a French Man of War, Before re- turning to Cambridge he saw Dr. Dexter, ^ and paid him $14, also, for a Chemistry Ticket. bridge and was appointed Professor at the time of the foundation of the Medical Schools. He wrote a good deal publicly on Botany, and Natvu-al History, but in 1800 began and continued for years a vigorous campaign in favor of Vaccination, being the First Physician in America to vaccinate as a preventive against the Small Pox. After failing to obtain a monetary reward for his services in the introduction of vac- cination, he was appointed Surgeon to nine Medical Posts in New England, and later still became Surgeon General to the Military De- partment of New England. A circular Letter of his addressed to the Surgeons of the Department in 1817, directs them in the diagnosis and treatment of dysentery amongst the soldiers. Dr. Waterhouse retired from practice in 1820 and spent much time on "The Letters of Junius" which he ascribed to Chatham. He was a fertile writer on medicine, always in hot water in the Newspapers, irascible, pugnacious and argumentative. He embraced at one time the Thompsonian-Lobeha treatment for all diseases, and was for this threatened with expulsion from the list of honorary members of the New Hampshire Medical Society. Dr. Edward Jenner was his God. His letters here first printed throw new hght on the introduction of vaccination into America. 1 Dr. John Warren (1753-1816) was graduated from Harvard in 1771 and began the study of medicine with his brother, Joseph, who was killed at Bunl^er Hill. John practiced first at Salem, but at the opening of the Revolution was appointed Surgeon's Mate in the Army, rose to a full Surgeoncy, and at one time had sole charge of a large Hospital. After the War, he settled in Boston and became a great man. He was Professor of Surgery for twenty years in the Medical School, and his most famous operation was an amputation at the shoulder joint. He did more than any other physician to cause the removal of the School to Boston as a better field for clinical instruction than at Cambridge. Eloquent as a speaker he wrote but little on medicine. He was famous for speed, and it is said that funeral pro- cessions would open for him on his furious way to his patients. Dr. Warren was much of a public man, did considerable surgery, had an extensive practice and was regarded as the best man in Boston. 2 Dr. Aaron Dexter (1759-1829) was graduated A.B. from Harvard in 1776, and obtained from Harvard an Honorary M.D. in 1786. He was Ship's Surgeon during the Revolution and was captured but soon released. The only paper of his that I have ever seen was "On the Use of Blisters in Medicine." He belonged to the State Medical FAMILY NOTES 5 On a second journey to Boston, Spalding was accompanied by Ithamar Chase, a brother of the Bishop, and on a third he bought chemicals and apparatus for the Dartmouth School. Upon his return from this last journey Dr. Smith took him in to board and lodge in his own house in Hanover. The note book which covers this last tour to Boston men- tions boarding with Mrs. Cooper on the corner of Wing's Lane and Brattle Street, Boston, at $5 a week, which he calls " Very Dear," whilst in May, 1797, he hved " Hand- somely" with Dr. Waterhouse at Cambridge for $4 a week, room included. I also own the note books used by Dr. Spalding at the Harvard Medical School and from them I find that he at- tended regularly and made abundant notes of lectures, but as the information which they contain has ceased to be of interest, it may be omitted here. The important results of the attendance at the Harvard Medical School were: the best of instruction; and personal acquaintance with the three Professors. The number of students at the Harvard Medical School being small, each one had a chance of personal acquaintance with the Professors; this intimacy in the case of Dr. Spald- ing resulting in life-long friendship with these elder men. When the School advertised for pupils. Dr. Spalding at the request of Dr. Waterhouse inserted the Notice in the " Dart- mouth Eagle" and it so happens that in a Number for August, 1796 we read a " Notice of a Fall Term of Lectures" containing this curious item: " Students will find the course in the Harvard School most desirable, and they can attend the private practice of the Professors, Gratis', in Boston, Cambridge and elsewhere." " Curious" it is, for it shows the earliest form of Clinical Instruction at Harvard. Dr. Spalding also wrote about the Mineralogical Cabinet belonging to Dr. Waterhouse, and of his Lectures on Natural History which then played an im- portant part in Medical Teaching. Similar intimacy with the other Professors will be noted as this book proceeds. Society, and to many scientific societies, and taught the soUd founda- tions of chemistry at Harvard for many years. He was also much interested in agriculture, and was for a long time President of the Massachusetts Agricultural Society. 6 DR. LYMAN SPALDING Let us now return to Dr. Nathan Smith, who after ob- taining his degree received pupils in his offices at Cornish and Windsor, and finally decided that a Medical School at Dartmouth should be estabhshed. He obtained the desired permission in 1796, and then having in view a voyage to Europe, went to Cornish where he intended to discuss his plans with young Spalding. Finding, however, that he had gone to Boston, he left with Colonel Spalding the following letter: "Cornish, November 19, 1796. Dear Sir: I expect to set out tomorrow on mj^ tour to Europe and am not certain that I shall go by the way of Boston, and therefore I write you a few words to leave with your father. I beUeve it is the wish of manj^ people in this neighborhood, that you would stay in this town until I return, which I wish you to do if j^ou thuik it will be consistent mth your interests. I have left a number of accounts unsettled, wliich I ^\dsh to have appropriated to pay what I owe to your father and you. The principal accounts which are not settled are Mr. Bingham of Lebanon, Mr. Braynard, Mr. Ward and Mr. Torrey for board and instruction.^ I have also a number of Notes, some out and others out next Fall and Summer, which if I should not return may be appUed to pay you and your father, if those above mentioned should fail. . . . Respecting my Voyage, I am not so well pro- vided as I could wish, but must put my trust in God and not in filthy lucre. I know of a case of Stone in the Bladder. The patient is a boy of 17, a good patient, and the family expect me to operate as soon as I return.^ I have settled the greater part of my business pretty much to my mind. Our business at the College increases very fast,^ and I hope will succeed better than we feared, and I wish you to attend to my family if you should stay in Cornish, and if they should be sick. If any dispute should arise about the settlement of my accounts and which I have left with the Attornies, I have directed them to call on you, and hope you will attend to it as you are better acquainted with my business than any other man. . . . Your friend and Servant. . . N. Smith. ^ The creditors whom Dr. Smith mentions were students who owed him a tuition fee of $133 a year. Dr. Torrey is probably Dr. Augustus Torrey who obtained his medical degree at Dartmouth in 1801. The others I have failed to discover. ^ The "ca,se of stone" suggests that with the fee he could pay the borrowed money, but how much he had from the Spalding family I have never discovered. It was probably enough to pay his expenses to Europe and return. ' "Our business at the College" means that all was going on well with the plans for the new Medical School at Dartmouth. FAMILY NOTES 7 P. S. The wart which appeared on your mother's face before you left has not proved so innocent as I could have wished. I pulled off the top of it, which was killed by the hgature and found a matter that resembled the matter in a strumous tumor. I dipped some lint in vitriol and appUed it, which removed the tumor level with the skin, but after a few days it appeared to be rising fast around the edge of the scar. As I could not have an opportunity of removing it with the knife, I appHed a pretty large caustic of Lapis Infernalis, which has destroyed the parts some distance be- yond where the skin was affected with the disease, which I think will prove a cure. I would wash the sore with corrosive sublimate until it is healed up. . . . N. S." Mrs. Spalding being then 60, there was cause for anxiety lest the growth should prove to be malignant, but as she lived many years more, Dr. Smith must have effected a cure. Immediately after his arrival in Boston, Dr. Smith wrote again to Spalding, who had returned to Cornish. "Boston, Dec. 11, 1796. Dear Sir: I was very sorry that I did not have an opportimity to see and talk with you before I set out for Europe, but it so happened that I was obliged to go to Putney, and there I sold my horse, which obhged me to go in the stage. Therefore I missed of seeing you. I left a line with your father for you, in which I desired that you should stay in Cornish till I re- turned. I have a still greater reason now to wish you to do so than when I wrote before, for I conversed with your father and found that he was very much opposed to your going away this Winter, and I think that you had better comply with his request than disoblige him if it does not altogether accord with your own sentiments. Your father is kind to his children, and wishes you to do that which is best for yourself, and if it does not appear so to you, you had better sacrifice a few months this Winter than offend him. I am waiting for a passage on the Bark "HOPE," which will sail for Glasgow in a week. The information I have received here re- specting the success of my project is flattering. Those gentlemen who have been in England think very encouragingly. ... I am your sincere friend. . . . N. Smith. P. S. Please give my love and respect to your family, and all who inquire after me." About this time also, Dr, Spalding forwarded to Dr. Smith by a patient the news from home, and to this Dr. Smith replied at once. "Boston, Dec. 1796. . . . Dear Sir: I received your letter by Mr. Rosebrook^ who came to Dr. Warren with the tumor on his 1 Mr. Rosebrook was a patient from Cornish. 8 DR. LYMAN SPALDING neck. Dr. Warren has extirpated the tumor, and the sore looks promising at present, but I have my fears respecting the final termi- nation of the case. I wrote the day before I received your letter. In that I infoi-med j^ou that I should sail to Glasgow. I am still waiting but expect to sail tomorrow. I have obtained a number of very good letters from gentlemen in this town to gentlemen in England. Drs. Smith and Bartlett^ have given me Letters of Credit, and through their means I can import such preparations of the Human Body as I shall want. I think my prospects of success are very good at present. I shall persevere with confidence and submit the ISSUE to God and my own good judgment. I did not find Mr. Dame here.^ I wish you to send at your first opportunity to Orford and get the money for the S30 Note which I have against Dame, and pay it to your father for me. I think Mr. Dame has not conducted like a man of honesty or honor. I wish you to do what you can toward settling of my accounts while I am gone. I am glad to hear that you are at my house, and hope you have enough business to make you contented. I wish you to inform my family and friends that they may write me as often as they have an opportunity, and direct my letters to Mr. Robinson's, Book- Seller,^ Pater Noster Row, London, and he will transmit them to me. Your Ob'd't Serv't. N. Smith." From this time on until Dr. Smith's return in the following year, young Spalding carried on Dr. Smith's practice, but business being dull in February, 1797, he made a horseback journey of 300 miles in Vermont, partly on business for others and partly in looking about for a place to settle in practice. He went first to Vergennes and from there, ac- companied by Dr. Crosby of that town, he went to Rutland where the Assembly was in Session, and received from Colonel Sheldon and Judge Marvin,^ commissions in other parts of the State. 1 Doctors Smith and Bartlett were a firm of Chemists and Apothe- caries in Boston. ^ Mr. Dame was afterward Dr. Augustus Dame. 3 George Robinson (1737-1801), "The King of Booksellers," came to London about 1760, made a fortune in his business, took into part- nership his son and his brother, in succession, and died in his house over his own book shop, where Dr. Smith met him. Robinson gained great publicity and a heavy fine at one time for pubHsliing Tom Paine's "Age of Reason." * Colonel Sheldon was a famous politician of those times, and Judge ^La^vin, formerly a physician, was now Judge of Probate and, later, Chief Justice of Vermont. FAMILY NOTES 9 From a Diary which Dr. Spalding kept, I quote these items : "Dr. Pomeroy^ of Burlington asked me to breakfast and took me to see a case of Caries of the Tibia." "Burlington: Meeting Colonel B. Sumner of Middlebury and his son "BILL," a friend of his and a brother, and they desiring a cup of cyder, I told them that Captain Gideon King had some, but on repairing there he was unwilling to let us have any, but when we made ourselves known, he let us have all we wanted. When we offered to pay, he said it was nothing, but that he had just had a glimpse of a very fine Oration by Josiah Dunham, ^ delivered at Hanover on St. John's Day, and it was the greatest piece of oratory he had ever seen, and that if I would hand him a copy, he would call it pay for the cyder." As Spalding continued on his horseback tour through Vermont, he mentions the various physicians whom he met. One he says "is a Poor Galenist"; another ''is a good physician, but too dirty for a surgeon"; of a third "Very capable, but too fond of the cup"; whilst of the last he met on his long journey he says "There is a man for you! Careful and scientific. Would that I could know about him from meeting him oftener." From an item of Sunday, March 5, 1797, we get an idea of the people and of the times: "I have not seen an Episco- pal Church, or indeed any sort of a Meeting House, since I left Rutland. The people work on Sunday j ust the same as on any other day. Indeed in some places they do even more bargaining on Sunday than on any other day in the week." 1 Dr. Pomeroy was the founder of the Medical Department of the University of Vermont, some years later, and must have been glad enough now, to get an opinion from a scholar of Nathan Smith. 2 Colonel Josiah Dunham, U. S. A. (1769-1844) was graduated at Dartmouth in 1789, taught for some years in Moore's Indian Charity School at Hanover, served in the Army from 1799 and through the War of 1812, and was a Colonel, by title, the rest of his Ufe. He took part in a "Dialogue La Poetry" upon the day of his graduation, and de- livered Masonic and PoUtical Orations on many public occasions at Hanover and elsewhere. He was very active on the University side of the College in 1816-18, at the time of the establishment of the University of Dartmouth by the State of New Hampshire, denouncing the College Trustees in unmeasured terms. Later on, he was Secre- tary of State for Vermont, and in his old age removed to the West and died in Louisville. When stationed at Fort Constitution, near Ports- mouth, Captain Dunham and his wife were very intimate with the Spaldings. 10 DR, LYMAN SPALDING Although he looked in at every settlement along his route from Cornish around by Burlington and home another way, Spalding found no promising chance for practice. All of the best \dllages had at least one physician, and it was not con- sidered courteous to try to rob a fellow practitioner by set- tling in his tovm. One doctor in a place was then regarded as enough. He then resumed practice in Dr. Smith's office until it was time to go to Cambridge to obtain his degree in medicine. Arriving in Boston about the first of May, 1797, he remained there a few weeks, and then boarded with Dr. Waterhouse in Cambridge. On the 24th of June he was examined in Arithmetic and Natural History by the Academic Faculty of Harvard, and on Monday, July 19, 1797, in company with his friend, Samuel Brown,^ he was examined for his medical degree by the President and Medical Faculty. During this examination he defended his Thesis "On Animal Heat," which was dedicated to his Preceptor, Dr. Nathan Smith. A young man of 22, who could advance the Theory, that Animal Heat depended on the combination and de- composition of blood and air in their passage through the lungs, evidently had a future before him. In addition to the degree of M.B., then given to him. Dr. Spalding was later honored with the degree of M.D. from Harvard, and with both an M.B. and M.D. from Dartmouth. After he had obtained his degree. Dr. Spalding attended Commencement and listened to the essaj^s of his friends, John Collins Warren and Horace Binney, of whom we shall hear later. He also, at Harvard, made the acquaintance of James Jackson and Mathias Spalding, from whom we shall read friendly letters. Dr. Spalding then practiced in Cornish until the return to Boston of Dr. Smith, who arrived from Europe on the 11th of September and wrote to him that same evening. "Boston, September 11, 1797. Sir: I return you my hearty thanks for the two letters which I have received from you since I left Cornish. One I received in London and have ordered the 1 Dr. Samuel Brown (1768-1805) was graduated from Harvard University in 1793 and from the Medical School in 1797, presenting a Thesis "On Bilious Malignant Fever." He afterwards practiced in Boston, and as Dr. Waterhouse hints in a later letter, may have been "hooted out of town," for he died in Bolton, Massachusetts. FAMILY NOTES 11 skeletons you desired,* which will be sent to Dr. Bartlett of Boston by the "Galen," Captain Markee, and will be here the last of this month. The other I found at Dr. Bartlett's. You may depend it was very grateful to me to hear of the Welfare of my Family and Friends after so long absence, as I have received no letters or other intelligence from them but yours. I am also happy to learn from Doctors Warren and Dexter that you have taken your Bachelor's Degree at Cambridge with a good deal of eclat, and much to your Honor as well as mine. I wrote you from Edinburgh, but con- cluded that the letters were lost, as the vessel had sailed that I aimed at to write by from Greenwich, before the packet of letters arrived. And I have not heard of any of my letters which were sent with it. I have written to Mr. Hedge^ to send me some money as I am in want of some to pay a part of the expenses of my voyage and freight for my goods before I can honorably leave town. If you can do anything that will forward the business, I wish you to assist Mr. Hedge. Please to give my respects to your Honored Parents, to your Family and to all friends. Your Ob'd't Serv't, N. Smith. Dr. Lyman Spalding, as he was now entitled to be called, was at this time 22 years of age. After a plain English education at Charlestown Academy, he had attended two courses of lectures at the Harvard Medical School, and studied French with Tutor Nancrede^ at Cambridge. 1 The skeleton remained in the Spalding family many years and my father used to tell me of trying to frighten boys in New York by holding it up to the window for them to gaze at, if they chose. 2 Mr. Hedge was a lawyer of Windsor, opposite Cornish, and at- torney for Dr. Smith. He met with a tragic fate. 3 Paul Joseph Nancrede (1769-1841) came from France with Count Rochambeau to aid in the cause of Independence, and was woimded at the battle of Yorktown whilst serving as a Lieutenant of Infantry. He drifted gradually to Cambridge, where he taught French, edited a French Newspaper in Boston, and sold foreign books. He finally became a publisher, gained a considerable fortune, and left a name which still illuminates American Medical History. CHAPTER II. Lectuber on Chemistry and Materia Medica at the Dartmouth Medical School (1797-99) It has been many times said, and said with truth, that the Dartmouth Medical School was founded by Dr. Nathan Smith, and there can be no doubt that to him alone belongs that honor. It has, however, as many times erroneously been stated that for years he worked at Dartmouth alone. Without in the least detracting from Dr. Smith's extraor- dinary ability, some small credit should be given to Dr. Spalding, the younger man of the two, who assisted Dr. Smith for the better part of three years in establishing and cariying on the school to a successful foundation. Dr. Smith's natural associate in the task was, of course, Dr. Spalding. It is plain from the previous letters that Dr. Smith looked for the aid of his pupil as an integral part of his original design. Chemistry and Materia Medica were to be taught by Dr. Spalding, whilst Dr. Smith lectured on all the other branches of medicine and performed the surgical operations which presented themselves to the classes. In point of fact, "The Medical Repository," of which we shall hear much later on, contains an advertisement in 1799, Volume 2, page 339, in which the "officers of the institution" are named as Nathan Smith and Lyman Spalding. The first lecture at the Dartmouth Medical School was given by Dr. Smith, Monday, November 20, 1797. Al- though the catalogs show but few graduates for several years, yet old lists of students contain the names of as many as fifty attending the lectures from the first, some of them being from the Academical Department, whilst others were physicians in actual practice, but who now took vacations, in order to learn medicine and surgery from books, and lectures. The first study in which Dr. Spalding showed intense interest was that of chemistry, and finding that text books on the Nomenclature of the materials needed for ex- periments were obsolete, he discovered one in French, 12 LECTURER ON CHEMISTRY 13 and translating it, published it under the title of "A New Nomenclature of Chemistry " based on treatises by Morveau/ Berthollet^ and Monge.^ This ''Nomenclature" was a student's manual of 20 pages, printed on rough brownish paper about 12 inches by 10 in size, the pages being divided into four columns, with the new names of Chemicals placed opposite their former names. The publication of this trifle was well received, and brought to the editor consider- able reputation. The lack of books in early American Medicine was often compensated for by correspondence between physicians. An instance of this I find when Dr. Spalding writes to his friend. Dr. Samuel Brown, "If you would like to establish a cor- respondence with a plain country practitioner I promise you that I shall not be lacking on my part to write you about my medical practice." Books being scarce, nothing served bet- ter as a means of education than to report interesting cases and their treatment to brother physicians. Dr. Spalding was also fond of writing to the Newspapers on public health and items of Natural History. Such ^ Guyton-Morveau (1737-1816), Louis Bernard by name, who in his youth was a pohtician and lawyer, but betook himself to Chemistry and became famous by a new method of Fumigating against the Plague which broke out at Dijon in 1771. His muriatic Acid Fumigations were also highly thought of in the West Indies, and in America early in the XlXth Century. Guyton-Morveau issued his "Methode d'une Nomenclature Chemi- que" with Lavoissier, Laplace, Berthollet, Fourcroy and Monge in 1787, and it is probably this very work which grandfather utilized in his "New Nomenclature." Guyton-Morveau was famous as a Fire Bal- loonist, very prominent in the National Convention, and although he voted for the death of Louis XVI, he managed to pull through the Revolution aUve. 2 Berthollet, a collaborator in Guyton-Morveau's work (1748-1812), was very intimate with Napoleon, and a polemical writer of ability. Being of a gouty temperament, he lived outside of Paris, so that in walking to and from his lectures in the city he might cure his bodily tendencies. Of his chemical writings but httle has survived. 3 Gaspard Monge (1746-1818) was Napoleon's right-hand man as a Military Engineer. Many anecdotes concerning their intimacy can be found in the Biographical Dictionaries. Once when Monge had asked from the Emperor some money to aid Berthollet in his experi- ments. Napoleon sent Monge quadruple the money asked for and added in his handwriting, "Half for Berthollet and half for you." Monge probably did nothing more to the work which Dr. Spalding translated and edited than to revise the text. 14 BR. LYMAN SPALDING essays were common in those days and not regarded as ad- vertisements. It was an outlet for an active physician's thoughts. The pendulum has now swung to the other ex- treme. Patients by the thousand can be "advertised" as undergoing operations in one physician's Private Hospital, but it is unethical to say a single word about patients oper- ated upon in another physician's "office." Amongst various papers thus issued by Dr. Spalding, I find one " On Resuscitation of the Apparently Drowned," and another " On the Lassitude of Spring," in which he argued that this condition is due to diminished oxygen in the air. Another was a Review of "The Life and Adventures of Stephen Burroughs" printed by Benjamin True at Hanover in 1791, and now much sought after by bibhophiles. Of this curious book, exhibiting the writer as a swindler, idler, rowdy, counterfeiter and thief and fond of whipping young girls, robbing his friends and boasting of his conquests over women, Dr. Spalding wrote an amusing critique, for some small sum as a support for his expenses of living. Three important events occurring at Dartmouth during Dr. Spalding's Lectureship of Chemistiy and Materia Medica were : the beginning of a life long friendship with Dr. Samuel Latham Mitchill, a renewal of correspondence with Dr. Waterhouse, and a difficulty with Dr. Daniel Adams. Dr. Mitchill (1764-1831) was one of the most able and versatile men that the Nation has ever produced, for he enriched the world with one hundred and eighty-nine dis- tinctly new ideas. He was born on Long Island, obtained his medical degree at Edinburgh, and was, in turn. Professor of Botany at Columbia, of Natural History in the College of Physicians and Surgeons, a Physician to the New York Hospital, Vice-President of Rutgers, Member of Congress, Commissioner to the Iroquois Indians and United States Senator from New York. He was a friend of the Indian Chieftain Tammany, and from him we have Tammany Hall of today. Dr. Mitchill learned the Indian Language, and translated Indian Songs into English. He lectured on Public Health, and on Chemistry and Natural History, de- livered addresses in their symbols to deaf mutes, made the first Mineralogical Survey of New York State, wrote on fish and on earthquakes, and a "Life of Thomas Emmett." LECTURER ON CHEMISTRY 15 His memory was wonderful and as a public speaker he was famous. In medical history, Dr. Mitchill will long be re- membered as the originator of " The Medical Repository," a magazine of great value to physicians of that era. Dr. Mitchill is also well known in the Poetical History of America, and we find many allusions to him in the works of Dr. Drake, who wrote "When Freedom From Her Moun- tain Heights" and of Halleck, whose ''Marco Bozzaris" is perennial. Drake and Halleck^ wrote a set of poems, by " The Croakers," as they styled themselves, and in this we find many " HITS" on Dr. Mitchill. One of these poems is dedicated ''To the Surgeon General of the State" (Dr. Mitchill) with the Motto: "Why, Tom, he knows Every- thing," and in it he is called "Lord of Flints," suggesting Mineralogy, " Friend of the Fish," alluding to his artificial Fish Ponds at his country-seat, "Plandome," on Long Island, and "Steam Frigate on the Waves of Physic" to re- call his generous aid to Robert Fulton. 1 Dr. Joseph Rodman Drake (1795-1820), bom in poverty and the eldest of a family of five children, wrote verses as a mere child and as he grew to manhood was considered the Finest Gentleman in New York. He was taken up as a general favorite by everybody of dis- tinction, studied medicine with Dr. Romayne, and then in Europe, but he had hardly made a beginning in practice in New York, when he was carried off by tuberculosis. His "Culprit Fay" was the rage and it was as a Threnody of Dr. Drake that Halleck wrote those verses beginning: "Green be the Turf above Thee." Fitz Greene Halleck (1790-1867) is another name famous in Ameri- can Poetry. He was at first a bookkeeper, then a school teacher, finally he became the Proteg^ of John Jacob Astor and was much re- nowned for his poem, "Fanny," which had an enormous success. With both of these poets Dr. Spalding was to meet on most friendly terms at the homes of Dr. Mitchill and of Dr. Hosack. Dr. Nicholas Romayne (1756-1817), the instructor of Dr. Drake, and also an intimate friend of my grandfather, may be mentioned here. He studied medicine at home and abroad, and enjoyed an excellent practice in New York. He was the first President of the College of Physicians and Surgeons and his Inaugm'al was "an honorable speci- men of his diversified talents." He became entangled in Blount's Conspiracy (1797) to drive the Spanish out of Louisiana, but although imprisoned for his share in that offense, he was never considered as dishonored. Bulky of bone and immense in adipose tissue, Dr. Ro- mayne nevertheless skipped about with amazing nimbleness. Ab- stemious in drink, he was an enormous eater, without, however, ever impairing his mental ability. Clever, versatile, learned and facile with his tongue and pen, he was the model of an energetic, ambitious and unwearied practitioner of medicine. 16 DR. LYMAN SPALDING The last verse of this Poem reads: " It matters not how low or high it is, Thou know'st each Hill and Vale of Knowledge; Fellow of Forty Nine Societies, And Lecturer in Hosack's College." With this very celebrated man Dr. Spalding was now to begin a correspondence, and through him was to be intro- duced to a wide circle of friends in New York City. Amongst them it is pleasant for his descendants to know that he was to meet the two poets whose verses we have just mentioned. Dr. Spalding's first letter to Dr. Mitchill, a copy of which has come down to me, is laconic, but shows his early interest in literature. "Hanover, N. H. February 1, 1798. Sir: Not long since I saw an advertisement of yours in a paper from your city, respecting the publication of a Volume, yearly, to contain Medical Facts and News. It was mentioned that subscription papers would be sent to different parts of these United States. I have impatiently waited to hear farther from your intended publication but have not. Situated so far in the country as we are, it may be that the publication is going on, or at least, that subscription papers have been issued. If this should be the case, please give me information and send a few papers into this part of the World, and all that can be done here shall be done, cheerfully, in support of the pubUcation, which I am confident will succeed if attempted. Your Ob'd't Serv't, Lyman Spalding. P. S. Enclosed I send you a Dissertation, and in return I wish you to send me a publication of yours on 'Azote.' " ^ Writing from Albany, New York, on the 28th of March, Dr. Mitchill rephed as follows: "Dear Sir: Your letter from Dartmouth was forwarded to me at this place, from New York. How long it lay at my house be- fore it was sent on to me, I know not. Probably a week or two, or else I might have acknowledged the receipt of it sooner. I have been in this place, which is now the seat of our State Government, since last December in attendance upon the Assembly, as one of the Members from the City of New York. Thither I expect to return in about three weeks, when adjourmnent will take place. ^ "The Dissertation" was a copy of Spalding's Graduating Thesis "On Animal Heat." "Azote" was the fashionable Germ-Killer of the day. LECTURER ON CHEMISTRY 17 There is such a publication as you allude to, announcing an in- tended medical work to be published in quarterly numbers. After issuing the Prospectus, the Editors, Dr. Smith,^ Dr. Miller ^ and myself, according to their promise proceeded in making up and sending forth the collection of pieces. The work is called "The Medical Repository" and three numbers are pubUshed and ready for dehvery to subscribers. It gives me pleasure to find that you are curious to see the performance. It is to be had of the Messrs. Swords,^ the pubKshers of "The New York Magazine." I am also pleased to learn of your wilhngness to procure subscribers. I have no subscription papers with me here, but can inform you that the first number costs One Dollar, and subsequent numbers, half a dollar to subscribers. And, as four numbers come out in a year, the four when bound will make a handsome and large octavo vol- ume of more than four hundred pages. As the "Repository" de- pends wholly upon the support of the subscribers, every sub- scriber that you procure will add materially to the encom-agement and ultimately, success of it. The pubhcation embraces a wide field of Science and Speculation, not being confined merely to Medicine, but extending to Natural History, Agriculture, and all the kindred subjects of Knowledge. It exhibits also, a summary of foreign and domestic news on those subjects and a Review of American PubUcations. 1 Dr. EUhu Hubbard Smith (1771-1798) was Co-Editor of the "Repository"; born in Litchfield, Connecticut, the son of Dr. Reuben Smith, he was graduated from Yale, studied medicine with his father and in Philadelphia, settled in New York and although djring in a day, as it were, from Yellow Fever, he has come down to us as the Medical Hero of his time. He was a remarkable conversationaUst, a medical writer of much promise, a composer of music, the writer of an Opera Libretto, and the author of a Tragedy, entitled, "Andr^." At the age of 25 he was a physician to the New York Hospital, and in his brief life explored mediciae more deeply than most physicians after years of practice. 2 Dr. Edward Miller (1760-1812), another editor of the "Reposi- tory," and whose death influenced the removal of Dr. Spalding to New York, went out during the Revolution as Surgeon's Mate on a Priva- teer, studied in Paris and returning obtained his degree in Philadelphia. He practiced in Maryland and in Dover, Delaware, and dehvered before the Delaware Medical Society its first Oration. He removed to New York in 1796, and soon obtained a high position in medicine. He was a profxise letter writer, carrying an extensive correspondence at home and abroad. He died suddenly, leaving the memory of a superior man in medicine, and his works in two volumes were issued after his death. 3 "The Messrs. Swords" were descendants of Lieutenant Swords, who came from England in 1759. The family is still represented in New York. 18 DR. LYMAN SPALDING I thank you for your Graduating Thesis. I also consider j^our Report ^ as a mark of politeness, and in return for it, I would gladly send you the publication you write for, but it has long been out of print, and I have been too much engaged in other pursuits to give out a second edition of it. Your Ob'd't Sers^'t, S. L. Mitchill." " The Repositorj-" arrived in due season, and in May I find another letter to Dr. ]Mitch.ill. "Hanover, May 20, 1798. Dear Sir: I acknowledge the receipt of four numbers of "The Repository*"' together with a note from Dr. E. H. Smith, who desires to be favored with such facts as may present themselves relative to Canine Aladness, and an authentic accoimt of the disea,se said to have prevailed at Hanover amongst the Geese. To the First, I would observe that there has not been a case of Canine uSIadness within the circle of my particular acquaintance since I have been engaged in medical pursuits. As to the Last, I suppose that the gentlemen has seen the Papers, or an extract from the paper published in this place, which contained such a hint. I would inform him that it has a ludicrous Editor, and that the fatahtj' was wholly confined to the College Yard, whose pump- trough the geese frequented. The mortaht}^ may be attributed to fractured skulls by the bloodees (hea^y canes) of the scholars. "With my name as a subscriber, jon wiU be pleased to place Roswell Lea^-itt, Physician at Peacham, Vermont, and Ebenezer Knowlton,- Hanover, a ^Mechanic, to jova hst of subscribers. jMt. Woodward ' the bearer, will pay ^-ou four dollars for these two gentlemen, for which you will send them the numbers already published. I send j'ou a "Treatise" by Dr. Allen,^ I forbear giving you my opinion of the merits of the work, as you have the same data, and a better capabUitj^ of judging than I have. Sir, with sentiments of esteem, I am, Yours, etc., LxMAjf Spaldikg." ^" Your report" was a paper on an Epidemic of Malignant Fever from which Dr. Spalding personally suffered at Hanover, and which he read before a local Medical Society founded bj'^ himself at Dart- mouth, and later, printed in the 'Repository.' ^ "Ebenezer Knowlton," a Hanoverian, was very prominent in church matters during the disputes between the Villagers and the CoUege concerning the status of the Church at Hanover. » "Mr. Woodward" was William Woodward, who acted as Attorney for Dr. Spalding at various times, and of whom we shall hear later on. * "Dr. Jonathan Allen" lived in Roj'alton, Vermont, but I have failed to discover the title of his essay. He lectured, later on, at the Caetleton, Vermont, Medical School. LECTURER ON CHEMISTRY 19 Another letter in the correspondence with Dr. Mit chill may be inserted here, although written when Dr. Spalding was practising at Walpole in 1799. "Dear Sir: Since I wrote you, we have had many instances of Canine Madness, but I can make no observations of any cases in MAN, as the disease has been wholly confined to the dumb beasts, as dogs and hogs cattle and horses. These animals are always de- stroyed as soon as certain e\ddence has been obtained of their being affected. The disease has been seen in several adjoining towns. Any farther particulars which I shall be able to communi- cate shall be forwarded cheerfully, if requested. Enclosed is my paper on "Bilious Remittent Fever," of which you are at hberty to make use of in part or TOTO as pleases you. Also a Two Dollar Bill; the one-half of which is to complete the payment of Dr. Stern's^ subscription for "The Repository" and the other parts 3 and 4 for Dr. Smith, he having subscribed. You wiU in future send mine to Walpole. If any number has gone to Hanover for me. Dr. Smith will receive it. In concluding, I wish you to give me a particular statement of the TREATMENT of the BiHous Fever in your City. I am yours, etc., L. S." After Dr. Spalding had practiced a few months at Walpole, and then at Portsmouth, New Hampshire, he dehvered an- other course of Chemical Lectures at Hanover and from there sent this brief note to Dr. Mitchill. "Hanover, October 18, 1799. Dear Sir: I contemplate spending a few weeks in New York the present Autumn, or ensuing Winter, and should be much gratified in attending your Chemical Lectm-es. Therefore, I wish you to write me a short account of them; as when they commence, and how long continue. I enclose you $2 in advance for "The Repository," which kindly place to the balance of my subscription. With Esteem, Lyman Spalding. P. S. Please write by the next mail so that I may make my arrangements accordingly." Dr. MitcMU's reply is valuable to our Medical History. "New York, Oct. 31, 1799. Dear Sir: I acknowledge the receipt of your favor with the $2 in New Hampshire Bank Paper which it contains as subscription money for the "Repository." My Course of Chemistry will commence on the second Tuesday of November, and will continue to the first of March. The lectures will be given ^ Dr. Thomas Stem practiced at Amherst, New Hampshire, as a Licentiate of the Massachusetts Medical Society, Harvard gave him an honorary degree of M.D., in 1812 and he survived until 1854. 20 DR. LYMAN SPALDING five times a week, and one hour at a time. I should consider myself honoured by ha\dng Dr. Spalding for one of my hearers. I am persuaded that the passing of twelve to fourteen weeks in New York diiring the ensuing session will be a matter of no regret to you. Dr. Rodgers ^ will also give CUnical Lectures at the same time on Select Cases in the New York Hospital. There is an Act of the Legislature relative to the practice of Ph^^sick and Surgery, but it is a poor stupid thing, and I beUeve few pay any attention to it. I have it not by me, or I would give you an abstract. However, I can inform you, that the quaUfica- tion to practice in the State, and of course in the City, is very easy; Two years previous study with any practitioner and no examina- tion required. If a person has been a student the requisite time, he will get a certificate from his master, and file it in the office of the County Clerk, and then he is a Practitioner. I am not, how- ever, sure, that I am correct in my account of it, but this I know: that when I last attended the Legislature, I endeavored to obtain the repeal of a Statute which seemed to me ridiculous, and dis- graceful to the Profession, but I did not succeed. To avoid the pestilential air, (Yellow Fever) I withdrew from the City in August to my farm on Long Island, and returned but the day before yesterday. It seems healthy now, and business grows brisker. The necessity that the Pubhshers also were under of leaving the City, has retarded the present number of "The Repository," but the materials are compiled, and they are now going on as rapidly as they can. Come and abide a few months in New York. Your Ob'd't Serv't, S. L. Mitchill." From Dr. Spalding's inquiry concerning the laws for practice in New York, as suggested in Dr. MitchiU's reply, he may even then have been planning to settle in that city. He was, however, unfortunately unable to visit Dr. Mitchill and wrote to that effect : "Porstmouth, November 30, 1799, Dear Sir: It is with regret that I inform you that I cannot spend a few weeks in New York as I had before proposed. I have taken a Stand for the practice of the healing art in this place, and my presence here is absolutely 1 John Bayard Richardson Rodgers (1757-1833) was a Surgeon on Washington's Staff during part of the Revolution. After obtaining a degree at Edinburgh, in 1786 he settled in New York, was a Professor of Obstetrics at Columbia, Port Physician for many years, and Grand Sachem of Tammany, which met in those days in what was called by its deriders, "The Pig Pen," a hall in the lower part of the City. Dr. Rodgers stood very high in medical and political circles and was, during his career, President both of the County and of the State Medical Societies. LECTURER ON CHEMISTRY 21 required. However, I still cherish the idea of attending your Chemical Lectures at some future day. At the Commencement held at Dartmouth on the 28th day of August, the degree of M.D. was conferred on Nathan Noyes,^ Newbury; Dissertation "On Febrile Heart," Daniel Adams,^ Townsend, Massachusetts; Dissertation, "Principles of Anima- tion" and Abraham Hedge,^ Woodstock, Vermont, "Medicinal Uses of Water." It is the law of the College that every dissertation shall be published within six months after delivery. If you will be so polite as to furnish me with a copy of those delivered at Columbia, I will enclose those of Dartmouth to you, when printed. Enclosed I send you a Nomenclature and a Dissertation. The former was pubUshed under many disadvantages. That the Gable of Chemical Nomenclature is founded on just principles is more than I can vouch for, and still I have no other voucher than myself. This arrangement has struck me very agreeably. I have there- fore introduced it into the School. You will direct my Repositories to Portsmouth, New Hampshire. In the next one I wish you to send an abstract of Dr. Smith's and my own account, respecting the "Repository." Your friend, L. Spalding." As we have already seen, Dr. Waterhouse of Cambridge took a great fancy to Young Spalding, boarded him in his own mansion, and had financial dealings with him. 1 Nathan Noyes (1777-1842) was bom at Newbury, Massachusetts, and was graduated A.B. at Dartmouth in 1796. He then attended the Medical School and later settled in his native town. He lectured on Theory and Practice at Dartmouth in 1813, and finally removed to Charlestown, Massachusetts. His letters show him industrious and ingenious as a physician. 2 Daniel Adams (1773-1864) was graduated academically from Dartmouth in 1797, medically in 1799, practiced first in Leominster, Massachusetts, and later on in Mount Vernon and Keene, New Hamp- shire, where he was an active member of the State Medical Society. He taught in the pubUc schools, and was the author of very valuable books on Arithmetic and Geography which ran through frequent edi- tions, and are now much sought after by bibliophiles in mathematics and geography. Dr. Adams also issued in 1806 an interesting maga- zine entitled "The Medical and Agricultural Register," replete with instructive papers bearing upon these topics of value to the people and to the Profession. 3 Abraham Hedge came originally from Windsor, Vermont, then opened a Drug Shop in Woodstock and later on, when studying medi- cine at Hanover, carried his drugs and his business to that town, and in that way earned his lecture fees and board. He settled in Chester, Vermont, as we shall soon discover, and after long sufferings from tuberculosis, died at Chelsea, Vermont, in 1808. He was a clever man, as his letters show. 22 LR. LYMAN SPALDING The following letter from Dr. Waterhouse to Dr. Spalding, then at Hanover, offers personal touches of value: "Cambridge, October 5, 1797. Dear Sir: Mr. Hedge * has just called on me with the note I gave, and I am sorry that from my paying away considerable last week, it has exhausted me, and my period of receiving cash does not arrive till December. I under- stood we spoke of Winter, for the payment, although this time or any other would have been agreeable had I not been run out. Re- specting the saddle,^ it just suits Master Andrew,^ and on that account I should like to take it. I consulted a person who judged it to be worth five dollars. As to the bridle, it would be difficult to put a price on it, as it is so totally worn out. I was glad to find from your letter that you were happy among your friends. Mrs. Waterhouse and all the rest of them join in kind remembrances to you. Daniel still talks of "Beauty" Spalding, but Mr. Hedge is waiting for tliis and is in haste to be gone. Your friend, Benjamin Waterhouse." Some months later, Dr. Spalding sent pamphlets to Dr. Waterhouse and with them this brief letter. "Hanover, July 12, 1798. Dear Sir: Some time since I sent you a paper of mine "On Fever" and immediately after their printing, I directed the printer to send a number to your care, but through neglect he kept them all on hand. I now send you by Mr. Spar- hawk^ three for your own use and one I wish you to present to the President of Harvard and another to the Library for the use of the students. Mr. Dunham delivered a very Federal Oration on July 4th. It is in the press and as soon as it is out I will send you a copy. Your Ob'd't Serv't, Lyman Spalding. P. S. We have just completed our Second Course of Medical Lectures. I have been frequently called to add my poor moiety by composing and reading lectures when Dr. Smith was absent on Practice, and even when he was present. The future prospects are good, but what the circle without ends may roll up, is at present an Arcana. My best wishes to all your family. L. S." 1 Mr. Hedge was Abraham, just mentioned, and from a later letter we shall learn that the two men had it hot and heavy about this note, and also be glad to know that it was ultimately paid. 2 The saddle had been left at Cambridge when graduating. ' Masters Andrew and Daniel were probably children of Dr. Water- house. * "Mr. Sparhawk" was John Steams Sparhawk (1778-1799) of Roxbury, who was graduated from Dartmouth in 1796 and was at this time a medical student at Dartmouth. He died early, from tubercu- losis. LECTURER ON CHEMISTRY 23 From the context of the next letter from Dr. Waterhouse it would seem that there had been more trouble about the note. "Cambridge, August 12, 1798. Dear Sir: I received a line from you last week, and in consequence of it, called on Mr. Cooper.^ There seems to have been a misunderstanding, and I suspect that I myself have made the blunder. I had been expecting to hear from you respecting that note, and wondered when you wrote to me that you mentioned nothing of it. A Uttle before I received your letter, I met with Mr. Cooper, who told me that he had the note, and that he thought I knew it. As the matter is now per- fectly understood, you need give yourself no farther thought about it, as I will see that it is taken up almost inunediately. Dr. Chase,^ I am told, has quitted Baltimore and gone farther South. You may possibly hear terrible accounts of the Yellow Fever in Boston, but you must not beUeve one-quarter of it. A few violent cases have given rise to this unreasonable alarm. Your Ob'd't Serv't, B. Waterhouse." The third important episode in the life of Dr. Spalding at Hanover was his disagreement with Dr. Daniel Adams, who on his way to Hanover in the Spring of 1799 called on Dr. Spalding, then at Walpole. Soon afterward he wrote from Hanover to this effect : "March 8, 1799. Dear Sir: I lately received the favor of your letter. I was not in town, however, when Mr. Bellows ^ came on the Plain* bringing your letter. When I returned. General Brew- ster^ said that Mr. Bellows had gone. I got the glass from the 1 "Mr. Cooper" was the landlord in Wing's Lane where Dr. Spald- ing boarded in Boston. 2 Dr. Chase was Dr. Heber Chase of Cornish (1769-1798) who was graduated at Dartmouth, Academically, in 1791, and obtained his medical degree at Harvard in 1794. This letter shows that he had practiced in Baltimore but then went out as a Ship's Surgeon "father South," which we find to be as far as Demerara, where he died. The Dartmouth Catalog gives the date of his death as 1797, but from the letter of Dr. Waterhouse, this date should be changed for 1798. 3 Mr. Bellows was one of that family from which Bellows Falls, Vermont, takes its name. * The Plain means the high level portion of the town of Hanover on which the village and the College stand. ^ General Brewster was Ebenezer, who is often mentioned as "Colonel" in the "History of Dartmouth College," was a Tavern Keeper and Steward of the College for several years. 24 DR. LYMAN SPALDING Chemical Room and went to Mr. Lang's/ but he had gone to New York. His brother said that he did not have any of the Parsnip, but if he had, however, it was in his chest, which was locked and must be broken into, which he did not choose to do. On Saturdaj^ I saw Mr. Bellows in Lyme. I desired him to call and take the Glass, which I supposed he would do, and did not know to the contrary until after the mail was gone. I expect I can forward it to j^ou this morning by Mr. Howe,^ the bearer of this letter. If I cannot, I will send it by the next mail, if no oj>- portunity presents sooner. I came through Windsor when I came up the river, but the books were not yet bound. As soon as they shall be, I wiH send you the one you wished for. The 2d Volume of the Re\dew came safe to my hand by B. Gilbert, Esq.^ The pohtics of Hanover are on much the same estabhshment as formerly. The same may be said of economics, hymeneutics and other "tics." In short it is the same thing, without change of shadow or substance. Miss Rachel Chase went from us last even- ing, her course due South for Cornish. We are now left in statu quo. Mr. Howe, I am informed, is going. I cannot be allowed to pro- ceed farther. With Sentiments of Friendship, I am, yours, etc., Daniel Adams." Now it happened that when Dr. Spalding resumed his lectures in October, he found a copy of Dr. Adams' Thesis, and believing that his own ideas had been plagiarized, he wrote sharply to Dr. Adams, then in Leominster, Massa- chusetts. "Hanover, October 24, 1799. To you, Daniel Adams, or to any other man, I had hoped never to be called upon to mention so dis- agreeable a subject as that of Plagiarism, which I now conceive you are guilty of as to the foundation of your Dissertation. When I saw you at Walpole, I gave you the History of a treatise which I told you I was writing upon "Animation." I told you of some use- ful experiments made by Monro, Cruikshank and others. I sent you a book by Esquire Gilbert, with papers at their places. ^ Mr. Lang was Richard Lang of Hanover, a merchant of the town, real estate owner and a man prominent in church and college affairs. His brother, I take to be Major J. S. Lang, who at a later date lived in Hanover. 2 Mr. Howe was Abner, a student in the Class of 1801, who later on had a degree of M.B. at Dartmouth and practiced in Beverly, Massa- chusetts. * Benjamin Joseph Gilbert (1764-1849) practiced law for years at Hanover and was called "Baron" Gilbert on account of his ponderosity. He was very prominent in the Dartmouth College Case. LECTURER ON CHEMISTRY 25 When I last saw you at Hanover I asked you if you were writing upon this subject. You said you were not. I told you I had Bomewhat of a Pamphlet completed on the subject, which I meant to offer to the public this Winter, but now you have ordered yours printed without my knowledge, and if I had not accidently learned the subject-matter and repeatedly asked your friends for it, I should never have seen it till I had paid my 20 cents. That you should have done all this without the least mark of an acknowledge- ment, is more than I conceived of. If you have the least gratitude you will order one, stiU to be made, as you have rendered abortive my labours in writing my treatise. If you do not consider an acknowledgement due for the subject matter of your Dissertation, I forbid your making it, unless you aim to insult me. L. S." To these complaints and others in a second letter which has not been preserved, Dr. Adams thus replied: "Leominster, November 14. Dear Sir: I have made use of no man's arguments to support my subject, for in truth I have seen none, and although I have called in to my assistance some experi- ments and sentiments of different authors, they were made by them with different views than those for which I have used them. None of these authors have supposed oxygen to be the principle of animation. My treating the subject was on a plan entirely my own. These, Sir, are my sentiments on the subject of your first letter: I have written to you with that candor and openness I think which becomes a friend. If you are satisfied and have not made im- pressions of what you have there accused me on the minds of gentlemen at Hanover, the subject will not be thought of again, but if I find hereafter, any impressions of that nature abiding with them, I shall vindicate my character at the expense of anything whatever, truth only, excepted. Your second letter comes now to be considered: You mention a mistake I made in my experiments in substance or in terms. I acknowledge it, in the latter. I did not give it the right name ac- cording to the New Nomenclature. For your noting of this mistake you have my thanks, I shall ever be no less ready to acknowledge a kindness than resent an injury. There is no greater office of friendship than for a man to be informed of his errors with a view to prevent these being exposed to the World. (After a long account of his experiments modelled on those of Munro and Cruikshank^ which may be omitted, Dr. Adams goes on to say:) ^ Dr. Munro whose experiments are here mentioned will be an- noted later, whilst of William Cumberland Cruikshank (1745-1800) this may be said: Besides studying medicine at Glasgow and Edin- 26 DR. LYMAN SPALDING Thus, Sir, I have noticed the principal points in your letters and answered your inquiries. If you will correct the terms in my Dis- sertation, I shall consider it a kindness. With your last letter I received a Nomenclature of Chemistry, improved by yourself. At present, I can make you no other rewards than to assure you I am extremely obhged to you for this honor. Without any design to flatter, I think it a thing much wanted by chemical students, and well calculated to answer their necessity. Now, Sir, I have nigh done. Important advantages may be derived from correspondence amongst professional men who are engaged in pursuits of truth and philosophical acquirements. This, we have heretofore in some degree enjoj^ed. I should be happy if it might continue, and increase. Should this be agreeable to your sentiments, your next will point out the manner in which it shall be carried on. Yours in Sincerity. Daniel Adams." With this letter the quarrel ceased and the two physicians remained firm friends for years. We now return to the year 1798 and note a letter to Mr. Nancrede which shows what Dr. Spalding was then studying. "Hanover, July 5, 1798. Dear Sir: I acknowledge the receipt of the pamphlets and catalogues and I wish you to send me by the bear- er, Beaume's "Manuel Du Chemie,"^ Beddoes "Factitious Airs"^ burgh, he became so proficient in French and Italian as to make enough money by teaching them as to carry him through to his medical degree. He moved to London on the invitation of Dr. WUliam Hunter to be- come his assistant, and after Hunter's death, he continued in the same position with Dr. Baillie, Hunter's nephew. Cinikshank was a good physician but too nervous to be a good surgeon. He wrote much on the "Absorbents," and his Essay, "On the Insensible Perspiration of the Hiunan Body" issued as a pamphlet lq 1795, is probably the one from which Dr. Adams obtained his information. Cruikshank was physician to Sam Johnson on his death bed, and when he seemed timid in scarifying the legs of the Sage, to reUeve him from dropsy, Johnson exclaimed, "Oh you sweet blooded Doctor. I want Ufe, but you are afraid of giving me pain; cut deeper, man!" 1 Antoine Beaume (1728-1804) became well known and distin- guished, in spite of many obstacles, and his various inventions com- pelled attention to his great learning even before he was of age. His famous "Manuel du Chemie" was issued in 1753. He made money by manufacturing Sal-Ammoniac and by perfecting Porcelains, Bleach- ing and Gilding. He lost his fortune during the Revolution, began all over again and was once more prosperous when he suddenly died. 2 Thomas Beddoes (1760-1808) was graduated at Oxford and there delivered lectures on Chemistry which were largely attended. He wrote fluently on many medical topics but his works do not seem to have produced any permanent effect on medicine. Southey, the LECTURER ON CHEMISTRY 27 and Townsend's "Guide to Health,"^ the second volume only, as I purchased the First one last year when at Cambridge. If you do not have the Second Volume for sale independently, with- out the First, I do not wish you to send both volumes. You will be pleased to place these books to my account, and send me a bill, together with whatever is due for books taken up before these. Sir, I am yours, etc., L. Spalding." Dr. Spalding had now been living at Hanover from Octo- ber, 1797, to Christmas, 1798, when he went back to Cornish and made a journey farther down the river to Walpole, where he settled for practice. Before setting out, however, he sent to President Wheel- ock ^ by his friend Ithamar Chase of Cornish the following request for a letter of recommendation, and obtained an enclosure, which has been irretrievably lost. "Cornish, December 24, 1798. Mr. President: My abrupt de- partm-e from Hanover was unavoidable. My father had ordered a sleigh for me sooner than I expected. I intended to have called on you again, with Dr. Smith, but could not. We have agreed to continue the lectures as formerly. Sir, I spoke to you some time ago of the probability of my re- siding at Windsor, but as yet I am not determined. I now SEE famous poet, once remarked, that he had hoped for more good to Man- kind from Beddoes than from any man of his acquaintance, but that he had been grievously disappointed. 1 Joseph Townsend (1739-1816) was a noted Mineralogist, Medical Writer and Theologian, studied medicine at Edinburgh, travelled widely on the continent, and settled down as Rector of a Country Parish and Chaplain to the Duke of Athol. His "Guide to Health" a ponderous work was first published in 1795, ran through many editions, and of these Dr. Spalding seems to have bought the volumes of the First. 2 John Wheelock (1754-1817), second President of Dartmouth, was a very able man, the son of Eleazer Wheelock, the First President of the College. Graduating from Dartmouth, he was in succession Tutor, Professor of History and President. During the Revolution he served in the Army with much renown. He was elected President in 1779, and labored faithfully and energetically until his resignation in 1816 owing to poUtical quarrels. A great deal of hitherto unknown material concerning John Wheelock can be found in Professor John Kirke Lord's recent excellent "History of Dartmouth College." President Wheelock was very fond of my grandfather, took him in to his own house as boarder and lodger during part of the three years which he spent in Hanover as Lecturer on Chemistry and Materia Medica, and favored him with a number of letters, two of which have been preserved. A Commendatory letter in 1810 is a charming specimen of handwriting and pohteness and will be inserted in its proper place in this life. 28 DR. LYMAN SPALDING and FEEL the need of a few words that can be spoken in my favour from so distinguished a character as the President of Dart- mouth College. If you will be so pohte as to give me a letter (recommendatory) to Esquire Woodward, he will transmit it safe to me. This will put me at once in possession of the confidence of men, for which I must otherwise wait, and perhaps in vain. I am, Sir, your most obedient and very humble servant, L. Spalding." By the hand of William Woodward,^ Esquire, Dr. Spalding soon received this brief note : "Dartmouth College, January 4th, 1799. Dear Sir: I have re- ceived yom" favor and in return herewith forward a testunonial, and I shall rejoice to render any service for your pubhc usefulness, and in every event that may add to your personal fehcity. I am, with best ^\dshes, dear sir. Your Sincere friend and very Ob't Servant, John Wheelock." Although Dr. Spalding's connection with the Dartmouth School was not yet ended, he could not obtain enough practice at Hanover to make a living and with this end in view he settled in Walpole at New Year's, 1799, moved to Portsmouth in June, lectured again at Hanover in October, and then resigned his position. He regretted to leave Dr. Smith, he missed the stimulus of preparing for his lectures which had kept him in pace with recent medical improve- ments, but the distance between Portsmouth and Hanover was too great and the loss of practice at Portsmouth could not be made up by fees from lectures at Hanover. Dr. Spalding had lived in Hanover two years, had carried through four courses on Chemistry and Materia Medica, and acted also as Demonstrator of Anatomy, and thus laid the founda- tion for a knowledge of Anatomy and Surgery which ten years later brought the invitation to the Professorship of Surgery and Anatomy at the Fairfield Medical School. 1 WiUiam Woodward, later known as William Henry Woodward (1774-1818), was a man of great prominence at Hanover, and in the affairs of Dartmouth for many years. He succeeded his brother George as Treasxu-er of the College, and was Chief Justice of the Court of Common Pleas for several years. A letter from Mr. Woodward to Dr. Spalding, later on, shows their intimacy and very friendly relations. CHAPTER III. Six Months of Medical Practice at Walpole, New Hampshire. Walpole was, in 1799, a country town of about a thousand people, and a famous center for farm produce and lumber. Armed with his letter from President Wheelock, Dr. Spald- ing soon found patients, and friends. He boarded with General Benjamin Bellows and Major Grant, in turn, as an old diary informs me. Bellows was a big man, physically, and big hearted, too, and his Revolutionary Title clung to him even in those days. He marched to Ticonderoga and Saratoga, filled many town offices and died, in 1802, at the age of 62. "Sam" Grant, a Major in the Revolution, came to Walpole from Watertown in Massachusetts about 1775 and after a long courtship, interrupted by Army Service, married General Bellows' daughter, Phoebe. On the death of her father, she came into possession of a large farm, called the " Seven Barn Farm," and it is pleasant to recall that while grandfather lived in Walpole he stabled his horse in one of those barns. A diary left by Dr. Spalding, in Walpole, mentions cases of a farmer with ribs broken in a wresthng match; pleurisy, and accidents from scythes and adzes, necrosis of the bones of the leg, then very common, also, and supposed to be due to walking in long, wet grass and marshy woods and over badly made roads. In his leisure moments, he wrote for the " Farmer's Gazette" a notice of Dr. Samuel Brown's Graduating Thesis " On Fever," a paper on "Vernal Debility" and other popu- lar medical topics. Among the documents which illustrate this portion of Dr. Spalding's life is a copy of a letter which he sent to his friend Judah Dana (1772-1845) of Fryeburg, Maine, who was graduated at Dartmouth in 1795 and taught three years in Moore's Indian Charity School connected with the College. He then settled in Fryeburg, where he obtained a fine prac- tice as a lawyer, and was chosen Judge of Probate, Judge of Common Pleas, and finally United States Senator from 29 30 DR. LYMAN SPALDING Maine. Judge Dana was prominent in obtaining the long desired Separation of Maine from Massachusetts, finally accomplished in 1820. "Walpole, February 12, 1799. My friend Judah Dana: I can write you nothing more agreeable than a sketch of the amusements of this place or the methods which the lads take to worry dull care away and to kill cares. Morning from six till ten, sleeping, wak- ing, rising, dressing, etc., much like other folks. Ten till eleven breakfasting, barbering^ and the like, just like Hanoverians, only lounge an hour after the teatable.^ From eleven till three em- ployed in business according to their several occupations, long Christian faces with a sharper's eye. All kinds of business are executed with despatch, but the tongue has cleaved to the roof of the mouth. No man accosts you, passes in silence. If you accost them on any topic, he answers you "MUM," and drives on, leaving you in the lurch. These are the hours for business, and you are sure of no interruptions, for if you knock at a friend's door, he cries, "Busy," and you make your escape. At three the table is laid, they are all changed in the twinkhng of an eye, from silence to sociabihty. After dinner. Merry goes the nutclack, the Porter and the wine. From this till twelve is spent in reveling, driving dull cares away. Your friend, L. S." Another letter from Dr. Spalding to Mr. Josiah Dunham has its historical value. "Sunday Morning. . . Not yet at Church. (Dr. Spalding then goes to Church and returns and resumes the letter.) You well know, Dunham, that I prefer a LAY to a CLERICAL Sermon. I just called in to hear the former and while the preacher was thumbing his Alkoran, for the text, I cast my eye into the "Monthly Magazine" for July, 1798, published on the banks of the Thames in St. Pauls. Under the Title of Literary and Philo- sophical InteUigence I recognized this anecdote: "The epidemic which has lately ravaged a part of the United States of America has not been confined to the human species a- lone. The foxes in some parts of New Hampshire and Massa- chusetts have fallen in great numbers by disease; and in some parts of the Eastern States GEESE have been afflicted in a very ' "Barbering" which then consisted in shaving the face and hairy scalp and arranging the wig took much time daily out of a man's hfe. ' "Tea" at ten in the morning then so fashionable has long since been driven out by "Four o'clock Tea." This letter is amueing as a sketch of the times in a country town. SIX MONTHS AT WALPOLE 31 Singular Manner, many have been seen to sieze some object with their Bills and to adhere to it till they died." A great day for Dartmouth Sophs. So Literary and Philo- sophical are they in all their movements, even to that of killing a goose, that they are noticed by the great Sir Joseph Banks, before the Royal Philosophical Society, in the great Emporium of the East. Unfortunately this affecting malady happened before the estabUshment of the Dartmouth Medical Institution, otherwise, the world would have been favored with the Professor's report officially on the subject. Was not this the forerunner of the Yel- low Fever which prevailed at Hanover last Summer? It has been unjustly attributed to Gerry's dog. I think it would be well to inform the public that Gerry did not kill the dog, but the dog was peaceable and had never died of the Yellow Fever, BEFORE . . . Dear Sir. I am yours, Spalding."^ The following letter to Dr. Samuel Brown gives some idea of Dr. Spalding's labors at Hanover. "Walpole, April, 1799. Dear Friend: Looking over a pile of imanswered letters I find one from you in which you expressed a wish to know how I was going to dispose of myself. Under it I marked with my pencil " Desideratum."^ I will now inform you how the Fates have disposed of me, as I am, myself, a mere object, rather than an active agent. In November I was in 1 It wiU be recalled, perhaps, that in a letter from Dr. Mitchill, Dr. Spalding had been asked for information concerning a curious disease reported far and wide as affecting geese at Hanover, and that a true account of the affair would be mentioned later on. It seems, then, that geese were drinking at the watering trough in the college yard at Dartmouth, when they were attacked by Sopho- mores and that in resisting, they seized hold of the students' canes ("bloodees" as they were then called) and so holding on were beated to death by canes in the hands of other students. The incident was mentioned jokingly in the "Dartmouth Eagle" as "a new disease amongst geese," and from that item the gossip spread over the civilized world. Sir Joseph Banks (1743-1820) was a dullard in school but famous the rest of his life. He used an inherited fortune to explore New Foundland, and then to accompany Captain James Cook on one of his voyages around the world, during which he observed the Transit of Venus in 1769. He risked his life at one time by disguising himself as a negro, and attending the funeral of a Caimibal King, so as to note the customs of the natives. Sir Joseph was very intimate with King George, and was often caricatured by GHray. He was rather domineer- ing, but possessed the gift of obtaining information from others, and thus greatly enriched Natural History. '^ "Desideratum" may be translated as "Worth Answering." 32 DR. LYMAN SPALDING town,* called more than twenty times at your lodgings, once at the Medical School and several times at Dr. Warren's, but I could not find you at all. You must since, have heard of my object. Since that time I have resided at Dartmouth till a few weeks ago, I estab- Ushed myself in this httle town for the practice of Physick and Surgery. While in Hanover, I prepared all the Chemical Experiments and dissected the subject for Dr. Smith's lectures in the Fall of 1797. In the Spring of 1798 the College requested Dr. Smith to deliver a second course, in which I took an active part, composing and delivering one-third part of the Chemical Lectures. Of these, in the Autumn of 1798 I had the whole management, and profit. I now expect to continue in this branch.^ Practical observations concerning medicine, you must not call upon from me. If, in conclusion, it should meet your eye to estabUsh a correspondence with a country practitioner, I promise you I shall not be wanting on my part. . . . L. S. P. S. I thank you, even at this late date, for your Graduating Thesis. I have directed Mr. Nancrede to deUver you some copies of mine. If you have not received them you will be pleased to call upon him for them." The next letter to Mr. Nancrede shows further medical studies. "Walpole, February 4, 1799. Dear Sir: You may be surprised to find me cantoned in this httle village. However, I flatter my- self that it is ultimately for the best. The books sent by Mr. Hedge, came safe to hand, though as yet I have not received a bill of them. Sir, I wish you to procure for me, "Medical and Ch5a-urgi- cal Review" — B. BeU's "System of Surgery "^ — RusseU "On 1 "In town" refers to Dr. Spalding's visit to Boston at that time to buy apparatus for his lectures, and instruments for Dr. Smith. When he returned with a debit balance against Dr. Smith of some $20, Dr. Smith repaid it by taking Dr. Spalding to board in his home. 2 "To continue in this branch" means, that although he had left Hanover, he intended to return in due season for other lectures, as he actually did. 3 Benjamin Bell (1749-1806) was bom in Dumfries, and educated medically at Edinburgh where he soon obtained a position at the head of the Infirmary which he held for nearly thirty years. His book "On Ulcers" ran through seven editions and was translated into various languages, whilst his "System of Surgery" which Dr. Spalding was now ordering covered six volumes, was issued in seven editions and was likewise translated into foreign tongues. Bell was a very skilful operator, went largely in later years into agriculture, and being of a careful disposition saved the money which he had made in his practice, and left a fortune. SIX MONTHS AT WALPOLE 33 Necrosis"* — Robinson's'^ "Medical Extracts" — Johnson's "In- troduction to Midwifery"' — Townsend's "Guide to Health" — Lavoisier^ and ChaptaP "Chemistries" — Rush "Medical In- quiries and Observations," and give me notice when ready for de- livery. Sir, I am. Yours, etc., L. Spalding. P. S. I can inform you nothing respecting Joan of Arc,® Mr. Hedge having the subscription paper." This letter was carried to Mr. Nancrede by Roger Vose, Esquire (1779-1841), who practiced law at Walpole, served two terms in Congress and was Judge of Probate the re- mainder of his life. He is the first man of whom I have heard, that "he liked living near a burying ground, for he had quiet neighbors and could from his windows see beyond the grave." A note to Dr. Bartlett of Boston throws light on Dart- mouth and shows the writer busy with his experiments. "Walpole, April 11, 1799. Dear Sir: You will recollect that I gave you letters from Dr. Smith and Mr. Hedge in 1797. Since * Alexander Russel (1715-1769), physician and Naturalist, travelled largely abroad and visited Aleppo, where he learned Arabic and wrote "A Natural History of Aleppo" which had great vogue and made him famous. Russell sent home the seeds of scammony, and introduced that plant, as well as the Arbutus, into English Medicine. 2 Robinson's "Medical Extracts" seem to have been collected by Nicholas of that name (1697-1775) who obtained his medical degree at Rheims, and was a profuse and diffuse medical writer and compiler. ^ Robert Wallace Johnson (the merest sort of a shadow in English Medical History) published in London in 1769 "A New System of Midwifery" in four parts, which seems to be the work for which Dr. Spalding was inquiring. * Lavoisier (1743-1794) wiU remain famous so long as history en- dures as much for his extraordinary discoveries in chemistry as for being guiUotined amidst the busiest time of his life and learning. He gave his energies, his fortune and his life to improvements in chemistry, and was also distinguished as a physiologist. 5 Jean Antoine Chaptal (1755-1832) of whose "Treatise on Chem- istry" my grandfather was very fond, was eminent in France where he made his discoveries useful to the Arts and beneficial to the industries of that coimtry. His lectures were entitled "Elegant" in deUvery and diction, and his style as "Classical." Under Napoleon, Chaptal's career was wonderfully useful to France. Cruel reverses of fortune embittered his old age and much that he had done for the Empire was frivolously wasted. ^ "Joan of Arc" was an American Edition of Voltaire's Poem, which Mr. Nancrede was introducing, as he had already introduced into America the "Helvetia" of Mallet du Pain. 34 BR. LYMAN SPALDING that time Dr. Smith has entrusted to my care the management of the Chemical Department at Dartmouth College. As you were concerned in the importation of Dr. Smith's apparatus, he has highly recommended you as an agent to procure suppUes for me. Now, Sir, I wish you to import for me, 1/4 cwt. Exeter Manganese, 2 ounces of Phosphorus, 5 pounds Purified Soda, or Miueral AlkaU, Barytes and Ponderous Earth, 2 pounds each of Fluor Spar, Fluorine, and Bi-MetaUic Platinum and Bismuth, Nickel and Zinc, small specimens of each in a Regulin (PURE) State, and 5 pounds of Oxygenated Muriatic Acid. With Esteem, L. Spalding." One of the friends whom Dr. Spalding made in his horse- back journey through Vermont in 1797 was Dr. Ezekiel Porter of Rutland, a physician of prominence in the State, and the First President of the Vermont Medical Society. To him whilst at Walpole Dr. Spalding wrote the following letter, concerning what we now call Typhoid Fever: "Walpole, April 7, 1799. Dear Sir: Humanity requires every physician to exert himseK to investigate the cause and a means of eradicating from the United States a fever which has for several years spread devastation throughout the country. To investigate the CAUSE, requires the history of its origin in many separate places. The most popular theory is, at present. Dr. MitchiU's, of Septon or Azote, afforded by the putrefaction of animal and vegetable substances. This theory had its origin in the City of New York, where there is always filth enough to generate a fever, if putrescence be the source, but, in the country, the air is salubrious and un- contaminated with the effluvia from ships, markets, docks, quays, reservoirs and so on. Here, is the place to search for its origin and Cause. These motives have induced me to solicit the assistance of a man whom I scarcely know. Mr. Meacham, however, your student is an intimate acquaintance of mine and to his care I direct this epistle. Hearing that this fever was prevalent in Rutland, I shall be much obUged to you for a History of its origin in that town, con- taining the situation of the houses IN WHICH, and the TIME where it first appeared, if any putrid substance were near, such as dead animals, compost heaps, yards of manure, uncleaned putrid meat, outhouses, ponds of filth: in a word, every possible source of putrefaction. Note the quality of the drinking water and soil, the number affected and the deaths. If, evidently contagious, what cases seemed so, particularly; what class of people were first attacked, SIX MONTHS AT WALPOLE 35 or which suffered the most; did it occur amongst merchants, or travelers who had recently visited infected towns; in what part of the town was it most prevalent, the compact or the isolated; what was its APPARENT origin, or in what consisted the remote or occasional cause, and other particulars that you can suggest. With high esteem, L. Spalding." I do not find any news from Dr. Mitchill during these months at Walpole but an old scrap book contains an ad- vertisement inserted in "The Walpole Farmer" by Dr. Spalding, calling attention to the " Repository" for which all should subscribe, "For," as he says, "Physicians can see at a glance the practice of physicians in every part of the world, whilst the General Information column will be useful to all classes of readers." About this time also, Dr. Spalding, like an enormous army of other citizens, clergy, and physicians, bought one of Perkins' Patent Tractors (No. 4285) consisting of two pieces of metal. Steel and Copper, tapering to a blunt point. The "FLUID" generated by the apparatus was claimed to "DRAW" diseases from the body. Tractors sold, by the way, at $20 a set with a discount of $4 to any reputable physician or to traders buying by wholesale. Dr. Elisha Perkins (1741-1799), the inventor of these tractors, was born in Plainfield, Connecticut, in the same town with Dyer Spalding, and for that reason, amongst many others, Dyer's son felt unusual interest in the new machine. Elisha, the son of a physician, studied medicine with his father, and after many experiments, invented his "Tractor" which he used; "At so much a Tract," and which for sheer success throws all the "Pathies" of this present era into the shade. By the terms of sale of the Tractor, it could be leased to one other person in case of the death of the original purchaser, but after the death of its second owner, its virtues suddenly ceased. A single pamphlet on "Tractorism" in my possession contains five thousand authenticated cures of diseases Twenty-four physicians and nineteen surgeons in England, reported additional thousands of cures, whilst; " one MIL- LION of people utilized Tractorism, successfully, on infants, adults and animals alike." The absurdity of Tractorism makes us laugh at the gulli- bility of our ancestors, yet generations to come will laugh 36 DR. LYMAN SPALDING to scorn our present day legislatures for legalizing optometry, osteopathy and other forms of human folly. Dr. Perkins, in his old age, invented a preventive against Yellow Fever, experimented with it during an epidemic, but fell himself a victim to the scourge, and his son continued the Tractoration Business, with much success for many years. One single example of medical writing by Dr. Spalding, when at Walpole is to be found in "An Open Letter" to Dr. Abraham Hedge, "On a deficiency of the Red Globules of the Blood," (The Pernicious Anaemia of today) valuable and suggestive in its thoughts though brief in contents. Dr. Spalding's twenty-fourth birthday happened to fall on Wednesday, the 5th of June, 1799, and he decided on that day that Walpole was too small a place for him; so he set off for Portsmouth, arrived there on Friday, at noon, and established himself in medical practice. Portsmouth was the largest town in New Hampshire, con- tained six thousand people. Dr. Hall Jackson, one of the leading physicians had lately died, many of Dr. Spalding's Dartmouth friends had already settled there, and in addition to looking for a share of public patronage, he hoped to obtain a position as Contract Surgeon or Surgeon's Mate (Assistant Surgeon of today) to the Army Garrison at Fort Constitu- tion in Portsmouth Harbor. CHAPTER IV. Thirteen Years at Portsmouth, New Hampshire — 1799-1812. Bills of Mortality. Surgeon's Mate in the United States Army, Final Lectures at Dartmouth. I HAVE always thought that my grandfather planned, originally, to settle in New York, but that he felt that his means for sustaining himself in the metropolis, until he could build up a paying practice, were too small. For that reason Portsmouth seemed an excellent center, with a considerable population, and but few able physicians. Immediately upon his arrival he called on these gentlemen, inserted a CARD in the papers, and went to Boston to lay in a supply of drugs such as physicians then compounded and carried to their patients. Whilst in Boston he called on Dr. Dexter, who gave him the Magazine of the Massachusetts Agri- cultural Society in which he found a Prize Essay "On Slug Worms" by his friend, WiUiam Dandridge Peck of Kittery, of whom a word later on, with his letters to Dr. Spalding. Dr. Spalding at once became a leader in New Hampshire Medicine. Just as at Hanover he had established a local Medical Society, so in Portsmouth he called the physicians together, read the first paper, showed a patient and induced others to show theirs, exhibited anatomical preparations and brought forward opium and lettuce which he had grown in his own garden. This local Society finally became the Eastern District Branch of the New Hampshire Medical Society, to which he was, in 1801, elected a member, and in succeeding years. Censor, Secretary, Librarian and Treas- urer, and in 1811 Vice President. The Records still pre- served show in his excellent hand-writing, that as Secretary he found large arrears of dues, a treasury filled with counter- feit money, and the books in disorder. He was present at every meeting, caused many influential members of the pro- fession outside of the State to be enrolled as Honorary Members and tried to prevent quackery by asking for legislation that no one should practice medicine without a diploma, examination, or references. Persons failing thus 37 38 DR. LYMAN SPALDING to qualify could not collect pay for services. He once took part in a Debate on the Question: "Is There an Idiopathic Worm Fever" which he opposed and in so doing introduced many medico-literary allusions. He presented to the library a copy of the Massachusetts Pharmacopoeia, a gift from Dr. Warren, caused it to be oJB&cially accepted as authoritative in New Hampshire, and as Necrologist, wrote a Eulogy of Dr. Joshua Brackett (1733/1802) founder of the Society.^ After settling down for the Winter, Dr. Spalding gave much time to dissection and to the formation of an Ana- tomical Museum, which was famous in Portsmouth for several years. About this time, also, originated his Bills of Mortality of Portsmouth which he issued from 1800 to 1813, and which being widely quoted, made his name well known in America and Europe. These Bills will be often mentioned as we move along, for their aim was to increase public interest in tuberculosis, as well as to establish the average of longevity for purposes of Life Insurance and annuities. Dr. Spalding also induced his medical friends to follow his example, amongst them being Dr. Noyes of Newbury of whom we shall soon hear, and Dr. John Drury of Marblehead, a man of learning as his Book- Plates prove. Dr. Drury's Bill of Mortality for 1808 shows 18 deaths by drowning out of 117 in all deceased. The position of Contract Surgeon to the troops at the Fort in the Harbor, which Dr. Spalding obtained soon after his arrival in Portsmouth, widened his acquaintance rapidly. Although his actual Commission as Surgeon's Mate in the Army did not arrive until two years later, the appointment * This excellent physician was born in Stratham, New Hampshire, and graduating at Harvard, studied divinity, and preached a Uttle, but with failing health he studied medicine and practiced at Ports- mouth, where he was loved as a man and skilful obstetrician. He wrote little if any on medicine, but his well-filled Case Books were al- ways open to inquiring students. Dr. Brackett gave to the State Medical Society a Thousand Dollars for Books and his Widow Five Hundred more. At Dr. Spalding's suggestion the Society caused to be printed in Golden Letters the name "Brackett" on all the gifts from the fund. Those books no longer remain in honor of their Giver, a Collection, as they should be in the Library of the State at Concord, but are scattered here and there along the shelves, and many of great Medico-historical value lost. THIRTEEN YEARS AT PORTSMOUTH 39 may be mentioned here because the first letter belonging to the year 1799 in Portsmouth refers to the affair. Foremost in the list of friends who aided this scheme, I find the name of Hon. Arthur Livermore/ son of the Honor- able Samuel Livermore,^ who happened to be leaving Ports- mouth at this time to visit his father in Holderness, New Hampshire. Dr. Spalding gave the son a letter for his father, asking him to send a recommendation to forward to Washington. When Mr. Livermore reached home, he wrote to this effect : "Dear Sir: I did not arrive here until last evening, being delayed longer on my journey than expected. I immediately gave your letter to my father, who observed that the certificate from President Wheelock, General Bradley,' Governor Langdon* and Doctor ^ Hon. Arthur Livermore (1769-1857) was a distinguished citizen and Jurist and Chief Justice of New Hampshire. 2 Hon. Samuel Livermore (1732-1813) was one of New Hampshire's famous men. He was Attorney General of the State, Member of the First American Congress, Member of the United States Congress, United States Senator from New Hampshire and finally Chief Justice of the State. 3 Stephen Rowe Bradley (1754-1830) was very prominent in Ver- mont State affairs, on most friendly terms with the celebrated Ethan Allen, and extremely active in pohtics during the Revolution. He was the first United States Senator from Vermont, a General in the MUitia, and finally Chief Justice of the State. He probably did more than any other man to obtain statehood for Vermont at a time when New Hamp- shire and New York were disputing for its ownership. The pamphlet which he published on this topic is now a very valuable item to bibU- ophiles. General Bradley was one of the first "Bosses" in American PoUtics and wielded immense poUtical power in New Hampshire and Vermont. * John Langdon (1741-1819) rose from the calling of a Captain in the Merchant Marine to become a member of the Continental Congress, Navy Agent at Portsmouth and Member of the Provincial Congress, over which he presided. He served in the Revolution Navy and as United States Senator from New Hampshire notified Washington, personally, of his election as First President of the United States. Langdon was repeatedly elected Governor of New Hampshire and for years maintained a lofty position in the Nation by his gracious and in- sinuating manners, his sociabihty and his entertaining quahties as a man. He early employed Dr. Spalding as his physician, and was one of his staunchest friends. The certificate from Mr. Wheelock is the missing document of January 4, 1799, and is probably in the Archives at Washington to this day. 40 DR. LYMAN SPALDING Smith, and the information he had before, of you, convinced him of the justice of your claim to the position, but said he could not, now, write another conamendatory letter as there is in his opinion probability that the appointment will not be made until the Senate meet. Utterly unknown by all who have a part in the Executive, it would be presumption in me to say anything on this occasion, though from the information I have had of your character, I most heartily wish the appointment may be yours. I am, Dear Sir, Your Ob'd't Serv't. Aethue Livermobe. New Holderness, July 29, 1799." Captain Josiah Dunham, recently appointed to the Army and now on recruiting service at Hanover, also assisted Dr. Spalding in his efforts to obtain an Army Appointment, and enclosing a certificate vi^rote as follows : "Hanover, March 22, 1802. Sir. Your favor did not reach me till the 20th instant (having been absent). I inmiediately sat down and gave the Secretary of War^ a copy of the attached letter. Happy shall I be, my friend, if you get the berth you solicit. I shall see you in 10 or 15 days, if the bad roads will permit. I re- gret haste, but am, Dear Sir, Your Ob'd't Serv't, J. Dunham, Captain, etc." The "letter attached" mentions Dr. Spalding's services at Dartmouth as well as whilst Contract Surgeon at the Forts, and his devotion to medicine. It is directed to Honorable Henry Dearborn, Esquire, Secretary at War, and is signed "J. Dunham, Captain 2d Regiment Artillery and Engineers." When the appointment as Surgeon's Mate finally arrived, most unexpected conditions were found attached to it. "Washington, April 9, 1802. Sir. The President has been pleased by and with the consent of the Senate to appoint you a Surgeon's Mate in the Service of the United States. You will im- mediately signify your acceptance or non-acceptance thereof, and in case of the Former, you will proceed without loss of time to 1 Henry Dearborn (1751-1829) was the son of a physician in Hamp- ton, New Hampshire, studied medicine and was practicing at Notting- ham Comer, New Hampshire, but immediately after Bunker Hill Battle he obtained an appointment in the Army as Lieutenant and rose to be Major General. He served throughout the Revolution as well as during the War of 1812, was Ambassador to Portugal, Collector of the Port of Boston and lived several years at Hallowell, Maine, where he farmed a little, practiced a little and then returning to Massa- chusettb died there. Henry Dearborn was a man of permanent national- historical fame as a Physician, Statesman and Soldier. THIRTEEN YEARS AT PORTSMOUTH 41 Fort Jay, near New York, to which you are hereby appointed, and report yourself to the Commanding Officer. Respectfully your Obedient Serv't, H. Deakborn." Such an order was, however, far from Dr. Spalding's plans. He had already been serving at the Forts in Portsmouth Har- bor as Contract Surgeon, and had been hoping that in time of peace he could obtain an appointment in the Regular Army, yet remain in Portsmouth and continue general practice also. He may have replied to this effect, but his letter is lost, and his hopes were shattered by a second letter from the Secretary. "Washington, May 3, 1802. Dear Sir: Your favor has been re- ceived, and I have to reply that it will be necessary that the gentle- man who shall be appointed Surgeon's Mate for the Garrisons in Portsmouth Harbor, will be obUged to reside constantly on the Island of New Castle. Consequently, the transfer of yourself to Fort Constitution, instead of Fort Jay, cannot produce the effect which you desire. Your Ob'd't Serv't, Henry Dearborn." Dr. Spalding then offered a further solution of the problem in this way: "Portsmouth, May 30, 1802. Sir. In consequence of the in- formation contained in your favor of the 3d instant, that it will be necessary that the gentleman who shall be appointed Surgeon's Mate should reside constantly on New Castle Island, I must beg leave to decline the appointment of Surgeon's Mate in the service of the United States, and that, wholly from motives before stated to you, for I should take great pleasure in the Service. In conformity with Captain Stoddard's information to you, I should feel myself highly honored in serving my Country as Acting Surgeon to the troops that may be stationed in the harbor. Those services I wiU engage to perform for $30 a month, provided neverthe- less, that when I am obliged to go by land, which is seven miles around, and which I am sometimes compelled to by stress of weather, I shall receive a reasonable compensation for horse hire. Sir, I have the honor to be, etc., L. Spalding." Some agreement was finally made with the War Depart- ment, as proved by documents in my possession; one of them in 1803 showing a quarterly payment of $300, which must have been welcome to a young physician. Dr. Joseph Goodhue, a son of Dr. Joseph Goodhue the teacher of Dr. Nathan Smith, was then appointed in Dr. Spalding's place, and stationed at Fort Constitution. He re- 42 DR. LYMAN SPALDING mained some years in the Army, retired about 1824, went to Alabama for his health and died there. Those who are interested in old Army Lists will find Dr. Lyman Spalding, still "attached to Fort Jay in New York Harbor." While this Army affair was underway, many other let- ters were received and shall now have proper attention. It will be remembered that in November of the year 1799, Dr. Spalding had expected to attend the Chemical Lectures of Dr. Mitchill in New York but was disappointed, and so informed that distinguished physician. After some months I find Dr. Mitchill's reply. "New York, March 23, 1800. Dear Sir: — Though I have not answered your letter of November 30, 1799, I have not been negli- gent of the matters it contained. Always desirous of favoring the scientific researches going on in America, I have taken care that your Edition of the Nomenclature should be advantageously noticed in the "Repository" and to render the review more at- tractive, there are introduced some new Speculations on the Com- position of hght and Oxygenous air. You will also find Adams' Dissertation mentioned there too, after the manner of a Brief Abstract, as long, however, as the subject deemed to require. Your "Nomenclature" makes you talked of. It is no longer than yesterday that a physician from Connecticut who called on me for some advice relative to the medical education of his son, inquired of me where Spalding's "Nomenclature" c^uki be got. I showed him the Copy you sent me, but told him that I did not know there were any for sale in New York. I hope that the Booksellers have at- tended to the forwarding of your Numbers of the M.R. The last are no respect inferior to the best of the preceding ones. The Work is highly valued in Europe, and the Editors strive to render it as much Original and American as possible. The Editors of the "Philosophical Magazine" and of the "Medical and Physical Journal" take largely from it. In the last number for February, there are some facts in corroboration of our Doctrine of Septic Acid, which are wonderfully instructive, and very pointed. In the one now in the Press, and to be published May 1, there will be more, and in succeeding numbers more, until the opposition shall be hashed. Your Article of College Intelligence shall be attended to. My Course of Lectures is just finished. Chemistry was never 60 much in vogue before in America, for even the ladies attend to it. Including these fair votaries of Science, my audiences amounted to more than forty, which is double the number that ever attended at one before. We have a piece of the Rock of Gibraltar here. It, you know, is a mass of Calcareous earth filled with animal bones. This neutrahzer of Septic Acid has kept away Pestilence THIRTEEN YEARS AT PORTSMOUTH 43 from that fortress, though it has sustained so many sieges. Think of it, and so near to the Coast of Barbary, too! Bath in England is also constructed on Calcareous earth. Is not much of its salub- rity owing to this Material? So is Kilkenny in Ireland! ! You see, we are just on the Threshold of Inquiry. The Circle of facts is too wide and too vast to be embraced by an individual. The Town of Campechy on the Isthmus of Darien is built upon a Limestone Rock, and there is a hot climate, and surrounded by low lands and marshes, yet can only one Physician procure a subsistence. Yours with Much Regard, Samuel L. Mitchill." Dr. Nathan Noyes of Newbury, Massachusetts, who was graduated Academically and Medically from Dartmouth as we have seen was very intimate with Dr. Spalding for several years and wrote to him interminable letters. In order to save postage, Dr. Noyes would begin on a sheet of foolscap and write till he was tired, and later on add enough' to fill the sheet which was then forwarded by some friendly hand. I will now insert one of these letters, but abbreviate it as occasion demands. "Newbury, April 17, 1800. Friend Spalding: I have just now had the pleasure of receiving a letter and a number of the Medical Repository. I am sorry, Sir, to hear you say, that "business is very dull." I am sorry for two reasons; it informs me of your ill fortune, and reminds me of my own. Spalding, I cannot conceive how it is, that you so gallantly compliment and congratulate me upon success I never met. Why, Man! I can assure you that I have hardly earned a bare subsistence. But you seem to have very early learnt the Portsmouth Politeness and received the Sea Port Polish. Pray do not outchesterfield the practice of flattery. When I wrote you my sentiments on Kittridge^ I considered myself as a pleader, rather than a Judge telling my own story. If you make proper allowance for prejudice, perhaps you may yet find him rather better than a "Poor Devil." No, not much better, neither, for the Devil is certainly as good as his humble servant, — I am pleased with the rank which you hold in the esteem and friendship of Dr. Mitchill. As for the books you mention, I should be glad to purchase them if the means were in my power, but, as you have not mentioned the expense, it is impossible for me at present, absolutely to decide. This, however, is certain from the number of Volumes, that unless they are small and come low, I shall be unable. Perhaps it may be 1 "Dr. Kittridge" puzzles me to annotate, and would puzzle any antiquary considering that there were about this time a dozen Dr. Kittridges practicing in New England. 44 DR. LYMAN SPALDING worth your while to mention the price in your next, and, if this should prove beyond my means, possibly you may be accomo- dated in another way. I feel now under a necessity for purchasing some System of Chemistry. Now, Sir, if you can find it in your heart to part with your friend Fourcroy^ or Chaptal, till you may find it convenient replacing him, you shall receive what merchants call a Generous Price. The bargain may possibly obhge us both, for to confess the Truth, I have sent to Boston twice this Winter for those books. If you intended offering me the "Annals" and "Re\dew" yearly, there will one inconvenience attend the plan; the necessity of their coming from Europe by way of Boston and Ports- mouth would destroy half their value in the loss of their novelty For you know that the excellence of a periodical medical pubhca- tion consists in its handing immediately, a few improvements amidst a World of rubbish. (A week later the letter continues :) I hope. Sir, you will pardon my neglecting to send your "Re- pository" and the other books last week. I received it on Monday and was kept in one continual hurry till Thursday, when I in- quired at Davenport's^ a few moments after Bagley had started for Portsmouth. I have just received a letter from Dr. Smith. He has operated several times with the trepan, with varying suc- cess; has amputated one limb, and operated again for the Stone; successfully as to the operation, but fatally as to the patient. He has also a young daughter which he says is "As Handsome as Ryno" and has a red head.' Spalding! I want advice. Dr. Smith has recommended it to me to publish my Dissertation. I am, however, somewhat sus- picious that it will not be more for my literary than my pecuniary 1 Anton Francois Fourcroy (1755-1809), whose "Collection" Dr. Noyes wished to purchase, devoted his life to Chemistry, and lectured on that and allied topics with an inexhaustible gaiety of spirits. Two years before his death he was shocked by the appointment of a rival to the Chemical Chair in the Imperial University, a position which seemed to all, as belonging only to Fourcroy. From that time he was a broken man, and just as Napoleon created him a Count of the Em- pire, he died, as it were, from too late a recognition of his merits. 2 "Davenport's" was the Tavern from which the stage set off for Portsmouth; and "Bagley" was the stage driver. ' It is a pity that Dr. Smith's letter on trephining is lost. Dr. Smith never concealed his failures in surgery, though many of them must have been due to unpromising cases, surgical shock and sepsis. "Ryno" was the name of a son, born some time before, and named, as I have believed, from a mythical fairy-Uke creature in the Poems of Oasian, of which Mrs. Smith was fond. The young daughter was Sally Malvina. THIRTEEN YEARS AT PORTSMOUTH 45 advancement. Now I know that you did not use to sacrifice friendship to flattery and if you can for a moment lay aside your newly acquired polish so as to give your real opinion of said Dis- sertation, and its pubUcation, you will be entitled to my gratitude. But, remember, that a character for good judgment is of more im- portance than a character for poUteness to a Professor of Chem- istry, and that politeness is measured by true benevolence rather than flattery, with your Humble Servant, N. Notes." A second letter from Dr. Noyes shows surgical invention and ingenuity in an Emergency Case. Newburyport, July 13, 1800. Sir. You will see by the enclosed, that your conmaand of Tuesday was complied with as soon as pos- sible, but the fatahty was, that Davenport through excess of busi- ness forgot to put the book on board the stage according to promise. I am very sorry. Sir, for the accident, but hope that it will all end well yet. . . . Since writing so far, an accident has occurred which may serve to give you some idea of the present state of the practice of physick in Newbury. ... I was caUed in the night to visit a patient affected with ischury. The tension of the bladder and abdomen was so great that he could not lie nor sit, and his im- patience such, that he would not stand half a minute in any one position. He said, that he had strained himself when at labor and had passed a great deal of bloody water. Blood was drawn by me tin faintness came on, and his water began to flow. The patient being now at ease a more strict examination was commenced. The blood, he confessed, flowed first, and then the water followed. This led to the discovery of his having a disease three years before, from which time a difficulty of making water had gradually increased tiU a fortnight ago, when a perfect ischury came on. This induced him to pass a goose quill, till a hemorrhage came on. Our best physician was then sent for, informed of the circumstances, bled him, bathed his feet in warm water and left him to his fate. I found that his bladder had not been completely evacuated for a fortnight and with my fingers discovered an ob- struction in the passage. A Bougie was now to be sought for: the apothecaries had none; the physicians had wanted none; a physi- cian who died here four years ago had said that even the great Swett* had been unable to make them. However, undismayed by 1 "The great Swett,' Dr. John Barnard Swett (1741-1798), was in- tended for the ministry, but after graduating from Harvard in 1771, happened to attend a Necropsy and was attracted at once to medicine. He studied abroad with Dr. Cullen, went to sea as Ship's Surgeon on a voyage to the Falkland Islands, and served duriag the Revolution on the ill-fated "Penobscot Expedition." He then settled in Newbury, and died during an epidemic of Yellow Fever. The epitaph upon his 46 DR. LYMAN SPALDING these discouragements I went home, took up mj' lead ladle, and returned to my patient with a set of leaden bougies. One was in- troduced without much diflficulty, and when withdrawn, was fol- lowed freely by the water. After the introduction of the second one, the patient declared himself as well as ever he was in his life. But, here is the Point. Why had our Apothecaries never been called upon for bougies? Why had our Physicians never wanted them? But stop! I have not perhaps done perfect justice yet. I did not call on ALL my medical brethren, and one of those on whom I did, had some old pieces of waxen bougie, which had been given him by a patient and one which he had introduced. . . . Please to communicate to me whatever you hear from others, or observe yourself concerning the practice of our profession. It seems to me that there is not yet sufficient freedom of Communi- cation between physicians. We are traveling a rough and crooked road, and find it sufficiently difficult, if we assist each other all we can With Esteem and Respects, I remain. Yours, N. Noyes." A letter next in date to the one from Dr. Noyes came from President Wheelock of Dartmouth and was handed to Dr. Spalding by a very famous Hanoverian, Peyton Randolph Freeman^ as Dr. Spalding's endorsement shows. It would seem from President Wheelock's letter that Dr. Lynn, who I am unable to identify, has asked through Dr. Spalding how to send a son to Dartmouth. Parents of today will be surprised at the infinitesmal expenses of the students of that era. "Dartmouth College, June 3, 1800. Dear Sir: I embrace the earhest opportunity to acknowledge your favour of the 17th ult. which has just come to hand on the subject which the worthy Dr. Lynn communicated to you respecting the education of liis son. As his letter was directed to you, and as I have not the happiness tomb-stone says: "This accomplished, learned and amiable Physician was torn from a Bleeding Family, and an extensive circle of Lamenting Friends, falling a Sacrifice to his fidelity in the exercise of a Laborious and Hazardous Profession." 1 Mr. Freeman (1775-1868) was graduated from Dartmouth in 1796, was clerk of coiuts and practiced law in Portsmouth for more than forty years. He then retired to Hanover, where he had been bom. Little did I think when I was at Dartmouth in the Class of 1866 and saw "Old Freeman" slouching across the Campus, that he was a contemporary, attorney for, and a personal friend, of my grandfather, and could have told me a great deal about him, had I only had common sense enough to ask him some questions concerning the past. Grand- father was, however, much farther away from me in 1862 than he is fifty years later. THIRTEEN YEARS AT PORTSMOUTH 47 of a personal acquaintance with him, I have thought it might not be improper to communicate to you an answer to his queries. The preparatory studies for the Junior Standing at this Uni- versity, are the EngUsh Language, Kaim's Elements of Criticism, Virgil, Tully's Oration, the Greek Testament; one or two books of Homer, Arithmetic, Trigonometry, etc., Geography, Logic and Tully De Oratory. These are the regular Classics (together with composition) attended to here, as the primary studies in reference to the object in view; though there have been some instances of our receiving members to that Standing who have not attended according to our rules to all those identical authors, provided that they had obtained from other writers, and instructions, an equiva- lent knowledge, in the different branches referred to. Our Commencement is on the Fourth Wednesday in August; a vacation extending from Commencement, 4| weeks, and another vacation beginning the first Monday in January and extending 8 and | weeks. We have only these two vacations a year. We occasionally admit youth to the Standings to which they shall be judged on examination to be qualified at the different seasons of the year but our ordinary and Stated times for admission are on Commencement week, and on the first week in October; at one of which times it will be most for the Uterary advantage of youth who are to be received. . . . Besides the classical studies which I have noted, there are PubUc Instructions, Lectures and Exercises in common to the different classes. . . . Particular regard is paid to the AppUcation and Moral Condition of the members. In regard to the annual amount of the expenses of individual members. The tuition, 16 Dollars which sum is divided into three terms of payment. The members all board in private famihes of good morals, and the price is frojn $1 to $L50 cents per week, ac- cording as they shall choose to agree. The whole aimual ordinary expenses of an individual student including board, tuition, room, wood and contingents may amount to about |100, excepting clothes and traveling and pocket money, which will be but trifling. I fix the estimate on a decent economical plan, though some spend more and some, by frugaUty, go through with less. Sir, I have answered the questions that naturally arise from your communications in behalf of T>r. Lynn and have been more particular that any query might be solved, that should arise in detail under the respective heads. You will please to make such use of the contents of this letter as you may think proper for the information of the respectable gentleman who wrote to you. And should he conclude to send his son to this university to finish his literary education, I shall with the greatest pleasure do everything in my power for his usefulness and happiness. I remain with best wishes, Dear Sir, Your most obedient and humble Servant, John Wheelock." 48 DR. LYMAN SPALDING The Autumn of 1800 was now near at hand and Dr. Spalding was called upon to decide an important question: Should he continue to lecture at Dartmouth two months in eveiy year, and sacrifice his practice, or should he resign and lose the opportunities for study attached to the lecture- ship? Whilst meditating which step to take, Vaccination was introduced into the United States, and had much to do with his decision to resign the Lectureship and to devote his time to the advancement of the great discovery. Before, however, substantiating what he did to promote vaccination, the letters showing the severance of his connection with Dartmouth may here find place. The first letter in 1800 concerning the Lectureship is from Dr. Smith, and suggests that Dr. Spalding had made some sort of an offer to deliver lectures as before. "Hanover, September 8, 1800. Dear Sir. In consequence of your communication to President Wheelock made a few days be- fore our late Commencement, he presented the Honorable Board of Trustees with your proposals, who were unanimously of opinion that they could not agree to your proposals respecting Lecturing on Chemistry. They however agreed to help me to pay you for the money expended on the Apparatus. I am now in haste at this moment, being called in a very urgent trepaning case, but as Captain McClure^ was going direct to Portsmouth could not omit givdng you the earliest information of what the Board had de- termined. But, you must not accept this as the whole of what I have to write you as soon as I can sit down, which I have not quietly done for several weeks. I will then make you a long letter on particulars. ... I am with respect, Yours etc., Nathan Smith." On the following day President Wheelock wrote on the same subject. "Dartmouth College, September 9, 1800. Dear Sir. Your favor of the 2d ult. came to hand before the setting of the Board. ^ Captain Samuel McClure came to Hanover from Hebron, Con- necticut, about the beginning of the Revolution, and was the Village Barber, a position of great consequence in those days of wigs, and daily shaving. McClure commanded a company of soldiers during the Revolution, and took part in many expeditions. When the war waa over he served as Postmaster at Hanover, and finally left the town about 1807. I do not find his name in Army Lists, and think that his title was from his Revolutionary services only. THIRTEEN YEARS AT PORTSMOUTH 49 They were fully satisfied and approved of your former attention, as Lecturer in the Chemical department, and wished, that you could have found it consistent to continue in the manner proposed. They were of opinion, that four weeks, or less, would be too short a time to go through the whole course of fifty lectures, with experi- ments and explanations; as the members would not have sufficient opportunity to attend them with their classical studies.^ They are sorry that it cannot comport with your business to spend longer time here with the students in that branch, but as you have found it inadmissable, they wish so far as they can consistently, to facili- tate your desire, and accordingly they have directed their agent to assist, so soon as the finances of the College will possibly admit, the medical Professor ^ in paying a sum, which, in addition to Fifty Dollars, will amount to the cost you have been at in your apparatus as laid before them by the Secretary. The said Fifty Dollars the medical professor said he had made arrangements to settle. Thus the Board, in consequence of your apphcation, have done what they could consistently to accomodate matters agreeably to you. I shall be always happy to hear of your health, and with best wishes for your prosperity, I remain. Dear Sir, Your Sincere Friend and Humble Servant, John Wheelock." A few days later, Dr. Spalding went a step farther toward resigning and wrote to his friend and Attorney, William Woodward as follows : "Portsmouth, September 17, 1800. To Wm. Woodward, Esquire, Dear Sir: I am dead, not unto sin, but unto Dartmouth College. Dr. Smith has written me that "the Honorable, the Board have agreed to help me ("Dr. Smith") to pay you, for the money expended on the apparatus." I carmot construe this other- wise than that the money is to pass through Dr. Smith's hands. To this I have no objection. You will therefore receive and re- ceipt for the amount of the bills by you presented, and transmit it by mail to me. You wiU also wait on Dr. Smith and with or without him, take an inventory of every article, the quantity, etc., that is contained in the Laboratory; this you must be very par- ticular in doing to the satisfaction of all. Whatever money you have collected and not appropriated, you wiU forthwith transmit ^ "Their Classical Studies" means that the college students at- tended the lectures on Chemistry. 2 "The Medical Professor" was Dr. Smith, whose salary, by the way, was $200 a year, with tickets extra. The low state of the College finances is worth notiag here, for all that Dr. Spalding expected from the college in addition to the $50 from Dr. Smith was $81; and even that the College was unable then to pay. 50 DR. LYMAN SPALDING to me. All the papers, pamphlets, etc., which are to be found in the Laboratory you will carry to and preserve in your ofl&ce, for Your friend and obedient servant, L. Spalding." On the very same day, however, after forwarding this letter to Mr. Woodward, Dr. Spalding seems to have changed his mind as appears from the following draft of a letter to President Wheelock. "Portsmouth, September 17th, 1800. Sir. Yours of the 8th instant is before me. The resolve of the Honorable, the Board of Trustees of Dartmouth College is not only agreeable to my wishes, but favorable to my interest. I shall just observe that having made arrangements, both in business and in my MSS lectures, for dehvering the ensuing course, the term of "four weeks" will not be so strenuously insisted upon for the present year. I will consent to tarry so long as shall give satisfaction to my hearers, and au- thority; provided that the term be anything less than ten weeks, for at that term I should be a great loser. After this course I have not the most distant wish to spend ten weeks at Hanover every year and will then cheerfully give place to the man who is in- finitely better qualified to give Chemical Lectures than myself. If these ideas should be perfectly agreeable to yourseK and others in authority, I should be gratified in dehvering the ensuing course of Chemical Lectures, but if otherwise, I have not the most distant wish to disoblige you in any particular. I shall await your answer to this, and be governed wholly by it. In the meantime I shall suspend arrangements.^ Sir, Your Obedient Servant, L. Spalding. P. S. I have written to Mr. W., my agent, to call on Dr. Smith to assist in making an inventory of all my furniture, ingredients for experiments, etc., in the Laboratory at Dartmouth College, for many things are not mentioned in the biUs presented. To the Honorable Board, I shall look for the amount of those bills pre- sented, and not to Dr. Smith. Of you, I shall expect payment for all the other articles contained in the Laboratory. Also, you must conceive yourself under obligations to be accountable for the Chemical Ware which Dr. Bartlett has sent on my account. I have noted these Generals^ that you may see what my expecta- tions are." The next letter from Dr. Smith is unusually felicitous. All of his letters were written hurriedly and many sentences go begging for Capitals, but they are very legible, although most 1 "Suspend arrangements" would mean that he would do nothing until hearing from Hanover. 2 "Generals" hints at " Particular Items" to be mentioned later on. THIRTEEN YEARS AT PORTSMOUTH 51 of them look as if he had plunged a bit of wood into the ink- bottle and written by the light of a tallow candle. "Dear Sir: — Yours of the 17th instant has just come to hand. I am happy to learn that you are not disappointed in what the Honorable Board of Trust for Dartmouth College have done re- specting your proposals made in your letter to President Wheelock. From what I had previously learned of your increasing business at Portsmouth, I had concluded that their determination would not mihtate against your wishes or interest. Respecting your property in the Laboratory it is necessary that I give you some information. When the Bill of your expenses for the Laboratory was presented by Wilham Woodward, Esquire to the Honorable Board of Trus- tees, they called on me for an explanation of the business. The first inquiry was: whether either you or I had any legal right to tax them with the expenses of the Laboratory. On this point I was obliged to acknowledge we had not, but observed that it was reasonable that the College should do something to support such an important Institution, and that I felt myself under obhgations of honour to see that you did not suffer in your property, on ac- count of what you had done for the Institution by procuring a Laboratory, providing that you should not continue to use and profit by it, and therefore, hoped for some assistance from the Honorable Board, as it would be very inconvenient for me to make out the money to pay your Bill. I readily engaged to repay you for the Glass Apparatus which you purchased of me, which would reduce the BiU to 181, which the Honorable Board have given me en- couragement of receiving from them by a Loan, to be repaid when called for. This is all the College have done about paying your Bill, and by this statement you will see, that it is I, who purchase the Laboratory, Now, Sir, you see the situation of the business between us and the College and between you and me. Respecting your last proposal, I will observe (and choose you; of three things). That you are at liberty to continue in the business of lecturing according to the Institution; or you may relinquish the business now and receive pay for your Laboratory; or you may deliver the ensuing course of Lectures on Chemistry and then relinquish the business. But, in the latter case I shall not hold myself under any obligations to purchase your Laboratory or any part of it. Perhaps I may want some part of it, but will not be obligated to do it. I presume you will at once see the propriety of my proposals, and the necessity of a speedy decision on the subject, as the time for commencing the present course of lectures is at hand, and we have much need of time for making preparations for it. I am very happy to hear that you have by dint of merit acquired a good share 52 DR. LYMAN SPALDING of honest fame in your Profession and that your business is grow- ing lucrative. I am, with sentiments of Esteem, your Friend and Servant, Nathan Smith. Hanover, September 30, 1800. P. S. I have no objections to being accountable to Dr. Bartlett for the Chemical Ware, which he may procure for you, if it does not amount to a large sum, beyond my abihties to pay, if you re- linquish the business now." Before this letter reached Portsmouth, Dr. Spalding was again writing to President Wheelock. "Portsmouth, October 1st, 1800. Dear Sir. Yours of the 9th ult. was duly received, and although it does not require an answer, yet Mr. Pejrton Freeman being in town, I do myself the pleasure of returning you my grateful acknowledgements for the many favors conferred on me. I shall think myself higlily honored in the Friendship of the President of Dartmouth College. The resolve of the Honorable Board was communicated to me by my friend. Dr. Smith, in his letter of the 8th ult. to which I have rephed and presume you must have seen it. I have ordered W. Woodward, my agent, to receive of the Finan- cier the sum due me for fitting up the Laboratory. I here enclose the "New Hampshire Gazette" containing a Card of mine on the Kine-Pox. This inoculation bids fair to become general among us. I have inoculated a number of the first families in the town. You see I have had the infection but one day. No one doubts its being a preventive of the Small Pox ; a fighter disease, and not contagious. With due Respect, Yours Sincerely. Lyman Spalding." Dr. Smith's former letter of the 30th September reached Dr. Spalding on the 12th day of October. Vaccination newly introduced into America was urgent in its demands. Dr. Smith had offered him three alternatives and on the 14th he thus resigned his Lectureship in the Dartmouth Medical School. "Portsmouth, October 14, 1800. Dear Sir. Yours of the 30th ult. was duly received. I can only thank you for these and your repeated acts of friendship and hope that I may long remain sensi- ble of your gratitude. The conditions of my resignation are these : that Dr. Smith pay to me the expenses which I have been at in fitting up the Laboratory in Dartmouth College, as proposed in his letter of the 30th ult. THEREFORE ! 1 Be it known, that I, Lyman Spalding, do this 14th day of October A.D. 1800, resign the office of Lecturer on Chemistry and Materia Medica in Dartmouth University. Lyman Spalding." CHAPTER V. Introduction of Vaccination. Just as soon as Dr. Spalding learned from the newspapers that Dr. Benjamin Waterhouse had received from Edward Jenner late in July, 1800, the first supply of "Infection" ever arriving in America and with it had vaccinated the children with whom he had played at Cambridge, his in- terest was excited, and he wrote to Dr. Waterhouse for a supply. He also suggested that persons once vaccinated should be exposed to small pox patients in hospitals, and to this suggestion Dr. Waterhouse replied as follows: "Cambridge, September 6, 1800. Dear Sir. This is the first leisure I have had to answer your letter of the 25th ult. You say you are about opening a Small Pox Hospital, and that you wish to inoculate also for the Kine Pox. Now my advice to you is not to attempt bringing the two diseases together in the same or con- tiguous buildings, for the reasons adduced in my Treatise on the Kine Pox. Mr. Nancrede, who published the work, tells me that he shall send some to a Bookseller in Portsmouth by Monday next. That work contains all I know on the subject. Will you ask Judge Livermore^ whether he wishes his son to have the Kine Pox in the approaching vacation with several others? Ten or twelve daj^s carries them through the whole. He expressed a wish to me to that effect. Please to remember me to Colonel and Mrs. Brewster,^ and tell them I shall write to them next week and send the book I promised. In haste, I remain your Humble Servant, Benjamin Water- house." ^ Judge Livermore was Edward St. Loe Livermore (1762-1832), a distinguished resident of Portsmouth, whose name is perpetuated to this day by Livermore Street which bounds the Haven Park. He had an honorary degree from Dartmouth in 1800, was, like others of his name, very prominent at the New Hampshire Bar, in Congress and on the State Bench. The son, whom Dr. Waterhouse wished to vacci- nate, was Solomon Kidder Livermore, a sophomore at Harvard in the class of 1802. He died in 1859 after an excellent career at the Bar. 2 Colonel and Mrs. William Brewster kept the famous "Bell" Tavern in Portsmouth and were highly respected personages in their time. Colonel Brewster belonged to a very old family, and died in 1818, aged 77. He was an old-fashioned Landlord, a friend to all of his guests. 53 54 DR. LYMAN SPALDING Dr. Spalding made immediate answer to Dr. Waterhouse and had by return post this second letter : "Cambridge, September 6, 1800. Dear Sir. I have only time to say that I have received your second letter and that I will ac- comodate you with the "matter," etc., at the same pay which has been offered to me, but I declined, namely, for One Quarter of the profit arising from the inoculation, and the contract to remain for 14 months from this time. Abandon the idea of inoculating for small pox and throw all your attention to the Kine Pox. If this idea suits you and Dr. Cutter,^ you shall be accomodated at once, for half a dozen practitioners stand ready to jump at that offer, and two of them are not a very great distance from you. In haste, I am, Yours, etc. Benjamin Waterhouse. P. S. Sam B.2 is in a fair way of being hooted out of Boston." On a scrap of paper I find a copy of Dr. Spalding's reply to this last letter : "Portsmouth, September 10, 1800. Dear Sir. The terms are accepted, and I promise that you shall have One Quarter Part of the next profit arising from my inoculation with the kine pox for the space of 14 months, provided it be not made pubhc before that term expires, and then the contract to remain in full force only to the time of its becoming public. However, on your part it is expected that the lilce privilege will not be granted to others in my vicinity. Yours, etc., L. Spalding." In other words, we have here a "Vaccination Trust." No wonder that the younger man accepted the offer coming 1 "Dr. Cutter" may be either the distinguished father, or the well- known son of that name, both noted physicians of Portsmouth. Ammi Ruhamah Cutter, the father (1735-1820), was graduated from Harvard in the class of 1752 with Sir John Wentworth, Royal Governor of the Province, and whose intimate friend and body physician he remained for years. Dr. Cutter served with great distinction during both the Colonial and Revolutionary Wars and then settled in Ports- mouth, where he practiced the rest of his life. More intimate details of his life may be found in Kelly's "Cyclopoedia of American Physi- cians." "Dr. WiUiam," Cutter, his son, practiced in Portsmouth. He was charming, witty, much given to persiflage and to flirtations with his women patients, who "made a great deal of him," as the saying runs. Dr. Waterhouse was, as we can see, opposed to giving "matter" to Dr. Spalding, the youngest physician in town, and insisted on a part- nership with an older man. 2 "Sam B" (Brown) was Dr. Spalding's classmate at Harvard, but what he had done to be hooted out of Boston, I have so far failed to discover. LETTER FROM DR. WATERHOUSE SUGGESTING THE VACCINATION "TRUST" INTRODUCTION OF VACCINATION 55 from the Professor of Theory in the Harvard Medical School, for up to that date he alone possessed the "Infec- tion" direct from Jenner. The next letter from Dr. Waterhouse shows that Dr. Sam Brown had been following up the patients vaccinated by Dr. Waterhouse with a view to discovering if "scabs" from their arms could not be utihzed to vaccinate his own patients as efficiently as to wait for a supply of the genuine "infec- tion" from Dr. Jenner. "Cambridge, September 12, 1800. Yours of the 19th informs me that you accede to my proposal "provided it he not made public before that time expires." Now that is too vague to proceed on. Sam Brown may steal it before a month expires, and then in six months it may be diffused over Boston, or it may not. I therefore propose, that the term shall be for twelve months and that will leave you to yourself during the tln-ee autumn months of 1801. You, however, will have got the start of all others, so much that no one can rival you entirely; besides it will fix you in business. My fee is Five Dollars. You must engage not to supply any other practitioner. Your acceeding to this will fetch the infection next post. If you wish to come and see the disease, and my practice, you shall have that in the bargain. Yours, B. Waterhouse. P. S. I have a similar appHcation from Amherst in your State and another from a young Doctor going to settle at Hampton. But, if Dr. Cutter and you and I make the contract proposed, this gentleman shall not be supplied. I will supply none within twenty or thirty miles of you, and perhaps further." To and fro the letters fly, the older man hanging off for more pay and anxious that an older physician shall join hands with Dr. Spalding in order that the percentages to Dr. Waterhouse shall be larger, whilst Dr. Spalding is eager to be the only vaccinator in Portsmouth and so to increase his own renown by being first in the field. Here we have an undated letter from Dr. Spalding. "Dear Sir: When I wrote you last I had not seen your letter in the "Centinel." I applaud your policy of making a few Guineas for yourself, considering what pains you have taken in procuring and experimenting upon the Kine Pox. Now, Sir, far from in- oculating gratis, or endeavoring to procure the Infection by stealth, if you will permit me to inoculate, I will give you ten per cent upon the fees received for it, till you shall, or by other means, and not through my carelessness, it shall be made public. If these terms coincide with your ideas, you will forward the infection IMME- 56 BR. LYMAN SPALDING DIATELY, for "Now is the appointed time" and I promise you shall receive yom* premium without the least shadow of fraud. With Fidehty, Lyman Spalding. P. S. Pray how do you obhgate your patient to prevent the in- fection being taken from their pustules! ! N. B. I expect that the same privilege will not be granted to any other person in this vicinity!" When Dr. Waterhouse saw from this note, that nothing was said about Dr. Cutter, as a partner, he insisted upon that physician taking part in the work or the chance would be given to the Doctor from Hampton. "Cambridge, September 15, 1800. Dear Sir. I wrote you a few lines in great haste on Saturday, since which it has occurred to me that although your first letter on the subject mentioned your being connected with Dr. Cutter in the business of an Hospital, yet nothing was mentioned of him in your last. Now I presume that Dr. Cutter and you are together in this intended inoculation of the Kine Pox, for it would make a material odds, were you to set out alone in the operation, whereas with Dr. C. you would certainly inoculate Portsmouth and its neighborhood very thor- oughly. Besides, "he that is not with you" as the Bible says "ivill be against you." Were you to be alone, I should prefer a specific sum, but if you are imited, the Quarter Part would be the most righteous. The Doctor, about settling at Hampton has been with me, himself, this morning, but I will Usten to none within 30 miles of you. Yours, etc., B. Waterhouse." Dr. Spalding's answer to this is missing, but in the fol- lowing from Dr. Waterhouse we see outlined a scheme to divide New England into Vaccination Districts, to dis- tribute the infection for cash, and to frighten others from obtaining humanized virus by insisting that the skilled physician alone could tell when the scab might be scien- tifically used. "Cambridge, September 18, 1800. Dr. Spalding, Dear Sir: I am sorry, very sorry that you did not come in person to negotiate the business of inoculation instead of doing it by letter, because every day brings me fresh applicants on the same subject. I have had three physicians from New Hampshire with me these two days, and during their waiting for my determination, I received M'hat I absolutely waited for, your letter, which when read I was dis- appointed in finding no mention made of Dr. Cutter, whose name you mentioned as connecting in your plan in your first letter. As these gentlemen could not tarry any longer, I finally concluded and INTRODUCTION OF VACCINATION 57 exchanged bonds, of which the enclosed is a transcript {Mutatis Mutandis) to inoculate the three counties of Strafford, Grafton and Rockingham, excepting the town of Portsmouth, Newington, Rye, Kittery, Greenland and Dover, on an intimation that Dr. Cutter practiced considerably in the last-named town. Thus, have I en- deavoured to do what I conceived right, just, and honorable towards you, Dr. Cutter and them. I wished exceedingly that you had been 'present, but pressed as I have been on all sides I feel as if I had done for the best. I have reserved from our agreement Hanover and six miles around it in Grafton County, because I thought the physician, whoever he might be in that quarter, should have his chance under the same patronage I gave to others. I have sent the enclosed form, which is just like the one I inter- changed with Dr. Rowe in Vermont, and Doctors Stowe, Raimey and Dr. Billings of Bristol County, Massachusetts and Three Dr. Bartletts in your State,^ for three seasons with the reserve, that if you do not close with my proposals, Portsmouth, Dover, etc., etc., will be included in their district. If you and Dr. Cutter feel dis- posed to sign such a paper as they have, I will, on receipt of yours, send another properly executed and with it the matter for inocula- tion. B. Watekhouse. The sum of $150 mentioned when Dr. Spalding returned The Bond, duly executed is the only hint that I find of the price demanded by Dr. Waterhouse for vaccine virus on a bit of linen thread. "Cambridge, September 25, 1800. Dear Sir. On my return from Dracut whither I went to inoculate, or rather to set the busi- ness going, I found your letter and have taken the first leisure to answer it. I confess, I have been disappointed and have hardly known how to act, since I have been informed that you are going alone, without any of the old estabhshed practitioners. To give you, a young man, and a stranger, the Matter, to the exclusion of these old physicians is not altogether pleasing to my feehngs, in- dependent of my interest. I should, therefore, like that you should be connected with some of them, lest some of them should think hard of me. I, nevertheless, send you the Matter, although 1 Of the physicians mentioned. Dr. Rowe practiced in. Dummers- town. Dr. Thomas Stowe Ranney in Brentwood, Dr. Levi Bartlett at Kingston and Dr. Ezra Bartlett at Haverhill. Dr. Josiah Bartlett (1769-1835) was graduated both from Harvard and Dartmouth, practiced at Stratham, near Portsmouth and was a member of Congress for several terms. He was very fond of Dr. Spalding as shall be presently seen. Dr. Benjamin Billings (1770-1852) practiced at Marshfield and was a friend of Webster. 58 BR. LYMAN SPALDING it is very different from my first view of the business. I included Dover, merely because I was informed that Dr. Cutter (who I sup- posed was to be connected with you) had considerable practice there. Had you have taken a ride up to Cambridge we could have come to a perfect understanding, which it is ahnost impossible to do by letter, more especially in my constant hurry. I shall there- fore make no objection to the bond you signed excepting the chang- ing of the First of September to the 1st of October . . . because when the first period was mentioned I had in view an expectation that Dr. C. his son, and yourself would inoculate Portsmouth and its adjoining towns, wliich would most certainly have made a material difference to me. I have had $150 for a district not containing more inhabitants than Kittery, and the contract I made with Dr. Manning, the Bartletts, etc., was for three Seasons. They wished very much for Portsmouth etc., but I told them I was under a sort of promise to Doctors Cutter and yourself, and they said no more about it. Had I known that you were to go alone, in the business, I should have bargained with you for a specific sum. I reserved from my engagement, before mentioned, a certain district round Hanover and so down the river. Young Doctor Manning ^ has the matter and will be as close with it as any of you, by what he says to me by letter. I send you as much thread as I received from England. Yours, B. Waterhouse. P. S. I take it for granted that you are not going to quit Portsmouth to go up to Dartmouth College this season, for the business should be entered into directly, and unremittingly pursued, in order to effect anything capital. As I do not feel quite satisfied at having my hands tied from supplying those old estabUshed practitioners among you, I again repeat that I hope you will con- trive it so as to admit them and thereby extend the practice through Portsmouth, and its neighborhood, remembering always to date from the first of October, instead of the first of September. I have no doubt but the inoculation will do very well all through the winter. I mean, at least, to try it. You must be very attentive to collecting matter from the arm, for I camiot supply more than the first thread. Procure the "MERCURY" of 25th instant and repubUsh the piece in it on the Cow-pox in your Newspapers." The above suggestion that Dr. Spalding should abandon the Dartmouth Medical School and throw his whole heart into vaccination, probably induced him to resign his lecture- ship as we have already seen. 1 "Young Dr. Manning" was Dr. Samuel Manning (1780-1822), a graduate from Harvard and a practitioner at Cambridge. He ap- parently had obtained Bome infection from Edward Jenner. We shall hear of him again concerning vaccination, and his promise. INTRODUCTION OF VACCINATION 59 It must have been discouraging to physicians of that era to find that in return for $150 or a Bond for a certain per- centage of their gross income from vaccination they were to receive nothing but a bit of Hnen thread alleged to have been dipped in pure vaccine infection. Nothing loath, how- ever, Dr. Spalding utilized his linen at once and in one day vaccinated thirty patients, and made public announcement of the fact. Having, however, trouble later on with some of his patients, he wrote a note of inquiry to Dr. Water- house, as we may imagine, and obtained the following answer : ''Cambridge, October 12, 1800. Dear Sir. I write imme- diately to inform you that you must take the matter from the in- oculated part in its limpid state, before purulency comes on (*) and never from the pustules which very rarely occur. I find great difficulty in procuring matter for my own inoculation. I have had applications from Portsmouth and from its neighbor- hood, and do most strenuously recommend that you offer the matter to Dr. Brackett, and Cutter. With their assistance you will make it more profitable to yourself as well as to me. I never was, you know, satisfied with our bargain, and I never shall be unless those old established practitioners are included. Dr. Jackson has not ■ tlie matter} He appHed to me for it last week. He brought some, but it failed. In haste, I am, etc., B. Waterhouse. P. S. The febrile symptoms are the criterion." Some old newspaper cuttings inform me that Dr. Spald- ing shared his thread with the younger Dr. Cutter and that together they vaccinated many persons. I do not find in Dr. Spalding's papers any mention of the sum which he (*) About 9th or 10th day. 1 As we have just read of Dr. Waterhouse crowing, as it were, over the poor luck which Dr. James Jackson had been having with vaccine brought with him on his return from Europe, only a few days before, this is the place to annotate his career as a great physician. Born in 1777 and living ninety years, Dr. Jackson studied medicine first with Dr. Oliver of Salem, then at Harvard and finally in Europe. He had what was then called a "Handsome" practice and assisted materially in founding the Massachusetts General Hospital, and in bringing from Cambridge to Boston the Harvard Medical School in which he was Professor of Theory and Practice. His later years were darkened by the sudden and early death of a son who promised in medicine even greater things than his distinguished father had accomphshed. Dr. Jackson's permanent medicoliterary fame is based on his famous "Letters to a Young Physician." 60 DR. LYMAN SPALDING paid under his Bond to Dr. Waterhouse, but that paper became worthless so soon as it was found that the virus could be passed from patient to patient, the favorite method being to accompany a vaccinated person to the house of a patient desiring the process, and taking the lymph from the part affected. This personal interview assured the new patient of the "neatness" of the person vaccinated. At this date, the active correspondence between Dr. Waterhouse and Dr. Spalding ceased, but in December, Dr. Spalding probably finding himself in difficulties asked once more for advice and received from Dr. Waterhouse the following note : "Cambridge, December 18, 1800. Dear Sir: Did you know what a multitude of letters I daily receive and how much my time is engrossed, you would not wonder that I am a forgetful corre- spondent. Had you acceded to my proposal at the beginning, viz., to have come to Cambridge as several others did, you could have seen the cases you wish, have known the disorder and the mode of conveying it. It would require many sheets of writing to desig- nate every criterion, and it is not in my power to answer with the requisite precision every correspondent. I shall, therefore, pubhsh again on the subject. Hundreds have been and still are inocu- lating with spurious matter; that is, matter that has been good but degenerated, or not taken at the proper time. I have stopped in- oculating myself. I expect to receive fresh matter from England, every 4 weeks for a year to come, after next March. The vaccine matter appears to me to be nearly worn out in this country. I shall pubhsh something in the course of a week or two. I am with esteem, Yours, etc., Benjamin Waterhouse. Can you send me Dr. Bartlett's description of the Kine Pox?" Dr. Bartlett just mentioned is probably the sime physician who at this juncture wrote the following notes which show how Dr. Spalding was becoming well known from his campaign of vaccination. "Stratham, October 9th, 1800. Sir: Having no personal ac- quaintance, yet seeing an advertisement notifying your inoculating with the varioloid vaccine, I write, wishing to know the Method you take to prevent persons from inoculating with Matter from your patients. From the Httlc experience had in the business as yet I am much pleased with similarity of the Kine, to the Small Pox, three patients having passed through the former under my care with little disturbance except the arms, one having about two hundred pock, but no pustulation, the other a less number. If it INTRODUCTION OF VACCINATION 61 will not trouble you too much, I wish you to write and inform me respecting the Matter. With Esteem, your Humble Servant, JosiAH Bartlett." After using a scab, which Dr. Spalding had sent, Dr. Bartlett replies by the hand of Mr. George Wingate : "Doctor Bartlett's Compliments to Doctor Spalding, and would inform him that the Kine Pock scab produced a spurious tumor in one case and in others, where inserted, did not take or produce any effect. If you have some on a thread will you be kind enough to let me have some if you think it is not effete or if it is fresh? Pardon my frequent apphcations and the trouble I give you. The bearer, George Wingate,^ Esquire will take the virus to me. Accept my Respects and good wishes, Josiah Bartlett." Soon afterward Dr. Spalding asked for Dr. Jenner's book on inoculation and was answered thus by Dr. Bartlett. "Stratham, October 30th, 1800. Dear Sir. Your inquuries con- cerning Jenner received. Doctor S. Ranney of Brentwood now has the Book. I will endeavor to get and send it to you next week. We could find only this, (one) that we purchased in Boston when visiting Dr. Waterhouse. By a late letter from him I find that the failure within his practice is equal to ours. I frequently inoculate in both arms at the same time; in general, on the 5th day (tho' sometimes not till the 9th or 11th) after effectual inoculation, there is a circular ridge around the pimcture, which is pretty certain to produce a good inflammation. We find, that producing a shght irritation by friction on the arm, before inoculation will tend to accelerate the absorbtion of the virus. I wish. Sir, when you write me you would inform me of any symptoms that occur out of the common line in this disease, and we will do the same by you. I am Sir, with Esteem, Your Ob'd't Serv't, Josiah Bartlett." A few days later Dr. Bartlett sent Jenner's pamphlet, and with it a letter showing how the "Vaccination Trust" was broken. "Stratham, November 3d, 1800. Dear Sir. Jenner's publica- tion you herewith will receive. After you have sufficiently perused it, please to return it. The Kine Pox is now inoculated by many Physicians within our neighborhood, although I beheve the Matter 1 George Wingate, the "Bearer" was a tiller of the soil at Stratham. He was a son of the famous Paine Wingate, Clergyman, Congressman, Senator and Judge, was graduated at Phillip's Exeter Academy and at Harvard whilst Dr. Spaldiag was studying there. Wingate spent the rest of his life at Stratham as a Farmer and survived until 1852. 62 DR. LYMAN SPALDING was procured in a clandestine manner, and it appears that Dr. Dwight^ is endeavoring to push himself by inoculating all, in- discriminately. I beheve that Doctor Manning has spread the Matter in this State, by way of Newbury. If he received the IMatter from Dr. Waterhouse, as I heard that he did, and has spread it (as is reported of him) openly. Dr. Waterhouse ought to be informed of it. I wish you success, and am with Respect, etc., JosiAH Bartlett." 1 Dr. Josiah Dwight of Portsmouth (1775-1855) was born in Belcher- towTi, Connecticut, and after studying medicine with Dr. Babbitt of Stourbridge, Massachusetts, settled in Concord, New Hampshire. He happened to be in Portsmouth on a visit, saw there the ocean for the first time and took so strong a fancy to its beauties, that he settled in Porstmouth for life. His obstetrical Case Books are still extant and contain an account of more than 2000 births at which he officiated. Judging from the period which they covered, we might calculate that in his entire life he officiated at as many as Six Thousand births. These note books contain special mention of the Presentations, Convulsions and Instrumental Deliveries. Dr. Dwight lost his sight from Glaucoma in his seventieth year, but almost to his dying day was in high repute as a consultant. CHAPTER VI. New Acquaintances and Old Friendships. Marriage. 1800-1802 Vaccination quieted down in the Autumn of 1800, owing to lack of virus and the fear that the operation could not be successfully performed in winter. Before the renewal of the Campaign of 1801-2 a few letters received in the interval may find mention. The excellent cHentage which Dr. Spalding soon obtained in Portsmouth is shown by this note from ''Sir John" Went- worth, a Lawyer and Magnate living in the old Wentworth House at Little Harbor. He was educated in England, then practiced in Portsmouth and finally returned to England where he died. The first Sir John Wentworth, the Royal Governor of the Province of New Hampshire, had long since retired to Nova Scotia, whilst this "Sir John" was thus quoted, in writing, to tell the two men apart. "July 26, 1800. Dear Doctor. Mrs. Wentworth has by an accident broken the fore tooth that the travelling dentist dis- composed. She requests that you will at once bring a substitute, if you have any prepared, and has sent the chaise for you. I am sorry that I have a return of my rash, or it may be the effects of a cold. You can judge best when you come. I shall take the medicine again, tomorrow in case I do not see you today. Yours with Esteem, John Wentworth."^ One of Dr. Spalding's scholars and early medical friends was Abraham Hedge who settled in Chester, Vermont, from which place he wrote two pleasant letters which may be in- serted here. "Chester, October 25, 1800. Dear Sir: I received yours of a late date mentioning the manner in which I may get my pay, which will be very agreeable to me. I expect to go to the College 1 This letter is endorsed "Sir John" in grandfather's handwriting. Mrs. Wentworth thus suffering with her teeth was a daughter of Colonel Michael Wentworth and the widow, Benning Wentworth (Martha Hilton), the heroine of Longfellow's poem. Dr. Spalding, as we shall later see, was named Executor of the estate of the Michael Wentworths. 63 64 DR. LYMAN SPALDING in a few days. If agreeable to Dr. Smith I will leave your Note with him. Your not mentioning anything about being at the College this Fall, leads me to suspect you have withdrawn from that lucrative employment. I am sorry, as I had anticipated the pleasure of seeing you there. Why are you so laconic in your scripts! I fancy your time is wholly taken up with your profession or feats of gallantry. Your mind being fallow on these subjects you could only pop the question to me, whether I was yet married. But no, my good friend, I am simply cloistered in my room like a Phoenix in the dust three fourths of the time. The access that I have to a good library makes this an agreeable retreat. My professional business is small, tho' flattering, as it has been very healthy ever smce I came here, and as I have been entrusted with some operations in surgery which I should never have had so near Dr. Smith, as Woodstock was, I am infested with niggardly quacks, who never fail to exert their abilities in defaming me, but some important victories have lessened their influence. In your mention of the kine pox I perceived some of the same spirit in some of your medical brethren. But, by the by, what is the matter I can't obtain some of the vaccine matter? Are you under such restrictions as to be unable to help me to it! ! Or, will not Dr. Waterhouse grant me help to it? For love, I think it likely, he has none for me, knowing notliing more about me, than that I dunned him pretty sharp for your money. Do inform me how I can obtain it, as it might now be of great service to me, and could not injure him or you, being at such a distance. It will soon doubtless become general, when it can be no object. Do write, and if in your power send me some of the matter. It may be done up in a bladder, and conveyed in a letter if you see fit. Let me know how you succeed in this as T'^ell as your other business; whether Cupid troubles you any; and what is the state of politics. By the way, our Assembly are now sitting, who are Federal, and will choose such Electors as will vote for Adams, President and Pinkney, Vice. This may be depended on. . . . You say a correspondence would be agreeable. Well then let me have a letter every week or at least as often as can be of advantage to you in writing or me in reading. To relate every Case in our practice might be of mutual service. But, till I receive another from you, shall remain your friend and Humble Serv't, Abkaham Hedge. N. B. There is a post office in this town, so you may be at no trouble but to lodge your letter in your office, as I will do here." To this the recipient must have replied at once, for in the following month he received a second letter from Dr. Hedge, written much like the other without punctuation and largely void of capitals. NEW ACQUAINTANCES 65 "Chester, November 18, 1800. My good friend: Yours of the 10th this day received and hkewise a blank containing matter for inoculation. Your description of the disease is of more consequence to me than the matter as I have already obtained it from two different quarters, but the disease was so hght in those I inoculated as gave me doubts whether it was the genuine cow pox. However, it answers your description in two cases out of about a dozen in- oculated. I find much difficulty in making it take, but more in convincing people of its being a sufficient barrier to the small pox. I have an Article in the warrant for town meeting to see if the town will grant me permission to try experiments for their further con- viction, by inoculating with the small pox, some who have had or shall have the cow pox. For, unless I can use more effectual means of convincing them, than by reading experiments performed in England, or even in Boston, I shall not inoculate 20 in tliis town.^ The price you or your friends set on the infection sent me would have been gladly paid, had not I already received a supply which, that you may not think I act the rogue, I will inform you where I got it. While I was at Dartmouth College, from which I have just returned, there came a Doctor More, from Dummerstown, there, with the infection from whom Dr. Smith obtained it, and I from Dr. Smith. When I returned I found some more infection left with Mr. Hubbard by my friend, Captain of Windsor. Dr. Smith had just obtained a subject for dissection, and as I had no urgent business here, I tarried there a few days.^ His lecture rooms were much crowded, he having more, he told me, than ever attended before. Some who had attended your lectures, said that Chemistry dwindled in your absence, which I verily beUeve. Tho' I consider Doctor Smith as a great and universal genius, and possessed of more virtues than generally fall to the lot of one man, yet I think him wanting in accuracy as a public in- struction. 1 left your note with him, after making some small endorse- ments on the back, for sums paid by Danforth's note.* I also left ^ Medical historians of today might give time to discovering if anything in favor of "vaccination-tests" was accomplished in the Town Meetings of 1800-1805 as suggested in Dr. Hedge's letter. 2 The glimpse of a subject at Dartmouth and Dr. Hedge riding so far to dissect a "part" throws light on early medical history. 3 "Danforth's note" was given to pay for a Course of Chemical LectiKes, by Dr. Isaac Danforth (1763-1851) who with Dr. Goodhue, the instructor of Dr. Nathan Smith, attended lectures at Dartmouth in order to obtain a degree in medicine, without which they had both been practicing medicine. Dr. Danforth was graduated M.B. in 1800, and practiced many years at Barnard, Vermont. 66 DR. LYMAN SPALDING with him Chishohn's "Yellow Fever "^ and some Dissertations, all of which I suppose you have minutes of. I am trying the effects of Foxglo^'e in the Phthisis Pulmonalis,^ so highly recommended, and find it to have the effect in lessening the frequency of the pulse, but have no hopes of curing the complaint. I have reduced the patient's pulse from 130 to 40 in a minute, and if a cure is ob- tained, you shall have the particulars . . . from, Your very Humble Servant, Abraham Hedge. Another letter arriving at this time at Portsmouth shows great eagerness to understand vaccination and to be early in the field. Dr. Samuel Gerrish, the writer (1773/1809), was graduated at Dartmouth in 1793 and was a member of the State Medical Society, though rarely attending the meetings. "Sanborntown, New Hampshire, November 12, 1800. Sir. Since I saw you I have received a letter from the quarter I men- tioned, and the matter was effectual in the first instance, but on a second and third trial failed, and none was taken from the boy first inoculated. The Doctor is not certain of procuring the matter until he will go to Boston about a month or six weeks hence. It has become the topic and rage in this quarter, and I think it prob- able that I may inoculate a larger number, and make more, even under Doctor Waterhouse's restrictions, than to omit till Spring. That only, induces me to submit to his restrictions. I think that his method of restricting New Hampshire will answer his expec- tations but a short time. I will thank you to supply me with the matter as soon as you can, consistently, which I suppose may be in a few days, and send it wrapt securely in three or four separate papers taken from different patients and enclosed in a letter to Concord Post Office, which may be brought directly to me by a regular post to Sandborntown in ten or twelve days, I hope from this time. I will also thank you to write the incumbrances under which I take it, and I will be accountable. I shall probably see you in two or three months. If you please, write a line by the Post, who will come to Concord next week, how many days before I can probably have it, and with the matter, favor ^ Dr. Collin Chisholm's "Essay on Malignant and Pestilential Fever appearing in Guinea in 1793-4," and based on his experience in British Guiana, was published in 1795 and was much in vogue at that time, as the latest thing out. After leaving South America, Dr. Chris- holm practiced very successfully in Bristol, England, and then retired to London where he died in 1825. * Judging from the rumor in 1801 that Dr. Hedge was dying from Pulmonary Hemorrhage, it would seem aa if he were here his own patient and experimenting with Foxglove. NEW ACQUAINTANCES 67 me with what directions you may think necessary from your own ex- perience. If you cannot supply me in 12 to 15 days, be so good as to write, that I may procure it from some other quarter. Pudding Time I fear will be short.^ Your Servant, Samuel Gerbish," Bridgehampton, on Long Island, was far from Portsmouth, yet Dr. Spalding's paper on vaccination must have caught the eye of Dr. Samuel Haines Rose of that village, for at this time he wrote concerning the new cure for small pox. "Bridgehampton, New York, 17th November, 1800. Doctor Spalding, Sir: Although personally a stranger to you, I have taken the liberty to address you at tliis time, having lately heard that you are inoculating with the Cow or Kine Pox, which, ever since I first heard of its discovery in London, and of its security against the infection of the Small Pox, I have been anxious to have it in- troduced in this Country, more especially in this place, where a very large proportion of the inhabitants have never had the Small Pox. As I wish to do all which lies in my power to eradicate that dreadful disorder, the Small Pox, and being pleased with promoting new and useful discoveries, my request to you. Sir, is that you would forward me by the Mail, (as soon as convenience will per- mit) some of the Contagion of the Kine Pox, either in Matter or whatever form you preserve it, and inform me by Letter with your mode of inoculating with it, and management through the complaint, whether it is necessary to give any medicine, or confine them to any particular diet, and how long after the inoculation before the Symptoms or Eruption appear, or any other items you may think proper or necessary to communicate — for all which trouble. Sir, and for your obligedness if you will forward your Bill to me, I will make you ample satisfaction by transmitting you the Balance by the Mail, and you will forever merit the esteem and lay under the most lasting obUgations, Sir, Your ObHged Friend and Humble Servant, Samuel H. Rose, Physician. If there should be danger of Frost injuring it, please to secure it against it. Excuse haste, the Mail is waiting. S. H. Rose. P. S. Please to direct your letter, etc., to Samuel H. Rose, Postmaster, as my letters are Frank'd. S. H. R." In leaving Dr. Rose, I regret to say that I find no reply to his interesting requests.^ 1 "Pudding Time" probably means "The Soft Thing" for which Dr. Water house was looking in making money from his District-scheme. 2 Dr. Rose (17G1-1832) was educated in New Jersey, served as Surgeon's Mate in the Revolutionary Army, then retimied to Bridge- hampton, his native place and practiced there the rest of his life, acting also as Postmaster and Village Storekeeper. 68 DR. LYMAN SPALDING As November had now arrived and Dr. Spalding had heard nothing concerning payment for his Apparatus at Hanover, he asked his Brother, Silas, to make a personal inquiry. The letter which Silas wrote on his return from Hanover is difficult to comprehend owing to poor punctua- tion, but this much can be made of it. "Cornish, November 11, 1800. Dear Brother: I went to Han- over as you requested, but did not make out according as you wrote to have me, for there was not any money in the Treasury, and I could not get any, but Esquire Woodward was not at home. He was gone to Court at Chelsea, and I could not stay on un- certainties till he should come home, for they could not tell when it would be. He had collected thirty or forty dollars on yoin notes, and I got Dr. Smith to see Esquire Woodward and get that, and send it by Esquire Gilbert to you. Dr. Smith told me it was un- certain when you could get the money from the College, except it was in the Treasurer's hand, and then the Trustees has purposed for him to give you a note for the same. Likewise, the Doctor has taken up notes against you to the amount of fifty dollars, as he told me; the one you have of Hedge, and the other he had of Dr. Adams from Walpole or Keene, I do not remember which he told me. The Doctor wishes to see you to settle, for he does not know what is due for your things which I got fetched up for you last winter, and cannot settle for them until a bill is sent up, and, he had no money till he had left off lecturing. There was about forty attended, which he calculates will afford six hundred dollars profit. He wants you there, for there is nobody taking your part, and I asked whether if you had a mind to come next Fall, whether he would be fond of it. He told me, yes, he should. Your parents tliink if you can do without the money, you had better let it be, and come and lecture next Fall, and settle your business yourself. For, you can do it better than others for you. All well at Cornish with us and the rest of your friends. I shall write again by Ith Chase when he goes to Court, concerning other matters. Silas Spalding." This letter emphasizes the poverty of the College, whilst the mention of Forty Students has its historical value. Ithamar Chase, brother of the Bishop, was a school mate of Dr. Spaldings; together they founded a Town Libary in Cornish. As Mr. Chase would soon be attending the General Court, he would be glad to carry a letter to his friend in Portsmouth, as we have seen. Soon afterward. Dr. Noah Spalding wrote from Hanover as follows. Noah Spalding (1772-1836) was not related to Lyman, but liked him so much as to name a son for him. NEW ACQUAINTANCES 69 Noah was graduated at the Dartmouth School in 1800, practiced in several places in the East and after moving West, died at Delaware, Ohio. "Hanover, November 20, 1800. Sir. I am happy to learn that your success in your profession is increasing, and that you are be- ginning to reap the fruit of industry and perseverance. I have not been a little disappointed that you did not come to give Lectures this term, for although the business has not yet met with great encouragement, it is not doubtful that perseverance would have made it more lucrative, and 1 am supported in this opinion by many good men in this place, but, as business increases with you, it might not be an object worthy your attention. You may, per- haps, have expected to see me or to hear from me in some other quarter, but I was obliged to spend so much time in the study of Latin and Natural Philosophy that I had not leisure to read Rush's works, and Gregory's "Oeconomy"^ without staying this term. — Medical Lectures will close for this term in less than two weeks, when it will be necessary for me to shift for myself. I have had Newbury in contemplation, but find that Dr. Kinsman^ is not likely to leave the place, which will put a stop to my intentions. From your account of Castine, I still entertain a favorable opinion of it, but as I cannot make a tour that way sooner than 3 or 4 weeks from this time, I should be obhged to you to inform me whether you know of any material change in the State of affairs relative to physicians which might render it improper^ to attend further to that matter. You were pleased in your last, to tax me with the neglect of writ- ing respecting your Laboratory. The truth is, I could write no good, and therefore chose to write nothing, for Day^ and March^ 1 Gregory's "Oeconomy," a famous test book in its day, was written by George Gregory (1754-1808), Preacher at the Foundling Hospital in London and Rector of the Parish of West Ham. His celebrated work, "The Oeconomy of Nature Explained" appeared in 1796, and was soon widely adopted for College instruction. 2 Dr. Kinsman of Newbury was probably the same physician who afterwards practiced in Portland, Maine, and died there in 1808. 3 "Improper" referring to Castine simply means that it was held to be so in those days, to go to a town where there was already at least one physician. * Dr. Sylvester Day, the other medical student, practiced in Middle- bury, Vermont after obtaining his M.B. in 1801, then was appointed Surgeon's Mate in the United States Army in 1807, served meritoriously in the War of 1812 and died as Army Surgeon in 1851. 6 John March (1774-1834), the student who helped to break North's apparatus, was graduated A.B. and M.D. at Dartmouth in 1797 and 1801 and practiced at Londonderry, New Hampshire, and in Eden, New York. 70 DR. LYMAN SPALDING had burst the foot piece of North's apparatus^ into a thousand pieces by a mismanagement of the gas. I have nothing new. If I had, you would be presented with it. I am, Sir, Respectfully yours, N. Spalding. We have now to return to two valuable letters from Dr. Nathan Noyes. The first one begun in September did not arrive until November 10th. Though rather long, I give it as it stands: " Newburyport, September 22, 1800. "See the graves open!" and shall not my mouth open too? It shall, for though my lips have been as it were, sealed, my heart has been like the belly of Elihu, like bottles of new wine, ready to burst for want of com- munication, (Job xxxii-19) — to burst with vexation, at the influ- ence which grey hairs bestow upon medical ignorance. But the mj^stery to you now is, wherefore my hps have been so long sealed. Have I been so much occupied with business that I have not found time for writing? No. Have I been insensible to the bonds of friendship and forgetful of the duties of a correspondent? No. The reason is merely this : last Fall we agreed not to incur the ex- pense of communication by mail and when I have had oppor- tunities for private conveyance, fortune has rendered it absolutely impossible for me to write. At last, taught by experience, I have determined to write beforehand, and preserve the letter till an opportunity for sending it should present. Since writing you before, I have been at Hanover, just cast my eye upon the Indian Charity School, and spent four or five hours on the Plain. I could hardly command my feelings to tarry longer, for things seemed strangely altered since we walked its streets together. The scholars were gone, every one his way. The in- habitants were many of them sick. The Ditties^ were no where to be found. Nabby Smith was just married, Nancy Fuller^ was published to Davis: S. B.* looked as if she had just arisen from a eick bed; H. B. looked as though she might be recollecting the commencement of the Christian Era to settle the dispute about 1 Dr. Elisha North (1771-1843), the inventor of the broken ap- paratus was a physician and maker of Chemical Apparatus, practicing at Goshen, and later at New London, Connecticut, where in 1817 he established one of the earliest Eye and Ear Institutions in America. He also wrote copiously on medical topics. 2 The word "Ditties" therein mentioned means the young ladies of Hanover. ^ Miss Fuller was a daughter of Caleb, prominent in the Church at Hanover. * S. B. and H. B. were of the Brewster family, whilst Nabby Smith I have not discovered as yet. NEW ACQUAINTANCES 71 the close of the Century. Wealthy Brigham, and others all gone! But DEGENERACY seemed written in the most striking character on the Medical School, though the Law Shop was entirely closed. Bartlett^ had obtained a degree! and Torrey^ was called the most promising man in the School! ! ! Of what was it then composed? ? ? Doctor Smith was as usual very good and very busy. The Trustees refuse to give him support, and he is obliged to seek it where it is to be found. He is one of the Best Men in the world, and ought to meet success on every hand, but, Alas! he is too venturesome (in the language of Old Women). While he laughs at the people of New Hampshire for their spirit of enterprise, he is leading in the van! But, perhaps I am saying these things at the wrong time, for he has lately refused to perform the operation of Uthotomy, on account of the unpromising condition of the patient. I beheve that I mentioned to you some time since a species of fever which has been prevalent in the lower part of this town, and that its appearances, though pretty uniform, differed a little from those of any fever I had ever before seen. I have since had an op- portunity of learning its name to my cost, or at least to my vexa- tion. Accident, as it were, threw into my hands every case of this kind that happened in the first month or two, except in two families; in those, two persons died, and four others were sick five or six weeks apiece. My patients all recovered under the treatment already mentioned, and all, except one BEGAN to recover some time in the first week. This success at length recommended me to a man who has always employed, and whose wife was stni much attached to, Dr. M. S.,^ Member of the Academy of Arts and Sciences, etc., etc., etc. The Patient grew very sick, and on the seventh day was taken with copious sweat and then very faint. The wife was alarmed, sent for me, and thought she must see her Old Doctor. I pronounced the patient better but consented to have advice. The Old Doctor came, gravely and solemnly advanced to feel the pulse, desired me to pull aside the window curtains, and staring 1 Dr. Bartlett, who comes in for a little sneer, was Joshua, long im- known to the Dartmouth Catalogers, but who is now Ioiowti to be Dr. Joshua Bartlett who practiced at Unity, New Hampshire, and obtained from Dartmouth University in 1818, at the time of the cele- brated Quarrel between the Trustees and the State, the degree of Doctor of Medicine. 2 Dr. Torrey was Augustus who practiced many years in Chelsea, Vermont, and died in 1858. 3 Dr. Moses Sweat, the "Old Doctor" had an honorary degree from Harvard in 1790. He was famous for "A Medical Journey" on horse- back as far south as Charleston, South Carolina, in search of facts, drugs and experience in medicine, which he published not long after his retiu-n. It is amusing to hear him called "old" at 66. 72 DR. LYMAN SPALDING the patient in the face assured him that he had the Old Fashioned Fall Fever, which could not begin to abate in less than seventeen days. The patient frightened almost into a syncope sighed out, "I am exhausted." You will probably be at a loss to account for the terror of the patient, but if you knew as well as he what havoc this same Fall Fever has made here, you could no longer be at a loss. Dr. S. thinks it a fever peculiar to this town and neighbor- hood. Now, why had I not thought to call this epidemic of JUNE, a FALL Fever? ! It would have been a lucky hit! But my evil genius would have it otherwise, and the good lady determined that I knew nothing of the disease. It was therefore necessary, that the Old Doctor should attend with me. The next day not happening to meet with him, I left a note. He now had an opportunity of reading some circumstances that he would not deign to hear the day before. Then, it burst in upon him, like a new day, that the fever has aheady past its Crisis! And, therefore ought to be treated with rhubarb and columbo to evacuate and correct the putrid bile. The cathartic I deferred for a day or two, but what was my surprise when within twelve hours this father of medicine insisted upon evacuating biHary calcuh from a patient who never had had one symptom of jaundice, who was now reduced with fever, to a state of almost continued faintness. In vain was he told that the patient had never borne more than half so violent a cathartic. He could assure me that it was absolutely necessary, and he had given the same dose an hundred times. Finding it a hopeless task to attempt convincing a man whose ideas were bar- ricaded by grey hairs, and whose opinions were built upon the pure basis of his own experience, I had nothing else to do but to agree in dividing and assessing the property of our patient, or ask my o-RTi dismission. But, Alas! how imperfect is even that knowledge which is founded on experience! ! ! This same OLD Doctor has I beheve had but three patients with this fever since; one of them is dead, another is hourly expected to die, and the other has been but lately attacked. Toward the beginning of this tedious story I mentioned a family in which the fever ran out to a prodigious length; in the fatal case many weeks. Toward the close of the business, I was called in and explained to their physician my manner of treating the disease with Calomel. Whether he has designed to follow my advice or not I can not say. But if not, he must have discovered some remedy as good for he has since met with the very best success. (After going at this point into very minute detail of all the symptoms which he had seen in all bis cases and which would be tedious to note at this point in full, Dr. Noyes continues his letter.) NEW ACQUAINTANCES 73 I was called in a ^-hile ago to a boy who had been affected a few hours with most of the symptoms, but especially great action of the carotids, and stupor. The stupor was almost equal to that of an apoplexy. I gave him calomel and aloes. The next day I found him in a chair. I mention therefore the use of calomel in the first stage, and could state some other things to the same purpose. If the disease be suffered to run through the first week without in- terruption, it brings on diarrhoea. If the physician should still fear to turn the course of the disease, it continues without much abatement with p3a-exia, and then leaves the patient either in the arms of death, or with a shght yellowness of the face to a long train of nervous complaints, the pyrexia gradually subsiding for 4 or 5 weeks more." And with these words and no salutation, the long letter ends. The second letter from Dr. Noyes is in answer to one handed to him by Rev. Joseph Willard, who was Rector of St. John's, at Portsmouth, a graduate from Harvard, and later on officiating in Newark, New Jersey, where he died. Undated but post marked October 14. Friend Spalding: Three days ago I had the pleasure of receiving a letter by the Rev. Mr. Willard, (or rather by a BOY) with word that Mr. Willard had gone out of town. Now this has been the case with all your "friends" whom you have sent except one — and when she came I was obliged to go immediately out of town. As for my friends who have gone your way, they have all given me the shp. But I have written a letter almost as large in bulk as the whole that you have sent since my last. It is too heavy in matter and too hght in spirit to go by mail. You mentioned in your last, having begun to inoculate with Cow Pox. If you have now or shall soon have infection to spare, and will venture it with me, you may obhge your humble servant by sending it by the stage driver. If you send the infection, I would thank you to communicate what you know of the manage- ment of the disease; whether you inoculate your patients at their homes; what restrictions you lay them under; what are your fees, etc. for though I have seen much written on the subject, I have not yet obtained satisfactory information on these points. While you are increasing (in this way) the catalogue of diseases, I am endeavoring to add to the long list of the Materia Medica, They seem indeed, already as much overgrown as Sauvage's "List of Human Infirmities"^ but many of their articles deserve as httle 1 Frangois Sauvage (1708-1787) was a physician in Bordeaux, France, and a monster of erudition, writing hundreds of pamphlets and Treatises. His first essay was written at the age of 20 on this odd topic "Love; Can it be cured by medicines made from Plants?" 74 BR. LYMAN SPALDING attention. LETTUCE has been mentioned by writers as a nar- cotic, but in so slight a manner that I was entirely ignorant of it, when first led to make experiments on the milk that exudes from the stalk and leaves, when cut. This milk, perfectly dried and swallowed in quantity of f of a grain when going to bed acted pretty powerfully as a hypnotic. Two grains, inspissated, perhaps equal to 1 grain, or Ij grains dried, taken at 11 a.m., first raised the pulse, and then depressed it, produced great coldness of the body, removed headache, then brought on vertigo succeeded by a sense of fulness and heavy dull pain in the head. All the experiments that I have yet made with it, have been upon myself, and with me, who am a dyspeptic, it has always greatly increased hunger and considerably the power of digestion. It has seemed to increase rather than diminish the excretions; in a word to produce in the ahmentary canal, effects nearly the reverse of those of opium. The lettuce-juice milk is easily and abundantly procured by cut- ting the stem of garden lettuce any time after its running up to flower. With much respect, I am sincerely yours, N. Notes. P. S. I think there is in one of your Repositories an account of Fowler's method of preparing and using his "Mineral Solution"^ for periodical headaches and agues. If you can turn readily to the place I wish you would write me a short abstract. Yours N. N." This letter from Dr. Noyes was followed by a note en- closing a very long document, parts of which are worth printing. The note says: "I have this moment an opportunity of sending your book and an old letter. Baynton's Method of treating ulcers^ I have tried, but without success. N. N." The "old letter" says: " Newburyport, November 21st, 1800. "May the name of Noyes and Lettuce be glad tidings to the sick man's ear." Even so let him be! For, notwithstanding your ridicule. Sir, the Lettuce 1 "Fowler's Solution" of arseniate of potash was invented by Richard Fowler (1765-1863) who, though delicate as a child, lived to a good old age. He was graduated at Edinburgh, was a Licentiate of the College of Physicians and Surgeons of London, and practiced at Salisbury, England. He wrote many medical papers and was interested in Deaf Mutes, his "Physiology of Thought in Deaf Mutes" being a curious work. His "Solution" is as useful today as it was a century ago. ^ Thomas Baynton (1769-1829), a practitioner of medicine in Bristol, England, wrote, in 1799, a very famous treatise: "A New Method of Treating old ulcers of the Leg," which had great success and made a sensation in surgical circles, Uke any fashionable XX Century remedy. NEW ACQUAINTANCES 75 Gum deigns not to hide or bow her head or even becloud it with a blush. It cannot, indeed, pretend to an equality with Lockyer's pill,^ or the Patent Tractor, but promises nevertheless to be a pretty useful remedy, and in many cases, claims a preference to opium. This preference is grounded chiefly on its different effect on the alimentary canal and on Animal Heat. The refrigerant effects of l| grains were so considerable in my own case as to oblige me to retreat to a blazing chimney in the midst of one of the hottest days in July. But that was considerably too large a dose and more than has been ventured on since. In one other case in which the medicine was used nearly as hberally, similar effects were produced. This was a case of extreme debihty following a men- orrhagia, attended with watchfulness, violent pain in the side, pain, and bearing down in the pelvis. Opium was inadmissable, both on account of costiveness, and in its having aheady, when used, left the patient disposed to syncope, which had sometimes continued with very short intervals for several horn's. The Lettuce Gum was administered at night. The next morning I found that the patient had slept some, was free from morbid heat and pain, except a httle in her head. The Lettuce was continued two or three nights longer when she was too well to need a physician, though she had before been sinking under the use of the most powerful tonics, and had sunk very fast when cathartics or saline refrigerants had been used. But what sets off the Lettuce here in a still more favorable point of view is, that the disease lasted but a fortnight whereas an exactly similar one had a few months before withstood, nearly five weeks, the powers of cinchona, bitters, chalybeates, myrrh, guaicum, etc." (Dr. Noyes goes on from this point to note in tiresome detail (easily omissible) other instances in which lettuce had proved its value and from these he proceeds to a diffuse account of headache cured by arsenic in mint water, after cinchona and iron had failed. Farther along, after profuse details concerning asthma and cough treated successfully with lettuce, he quaintly asks: "Now, why did the period of coughing in the first case foUow the Lunar Day and in the other, the Solar Day! 1 Dr. Noyes' fling at Lockyer's Pill (1600-1672) suggests that Dr. Spalding was still using that ancient remedy, of which we find mention on Lockyer's monument in St. Saviour's, Southwork, London: "His Virtues and his PUls are so well known That Envy can't confine them under Stone; But they'll Survive his Dust and not expire, Till all things else in th' Universal Fire." 76 DR. LYMAN SPALDING Was it because of the latter case being related in any way to the Remittent Fever of which there have been several instances in this neighborhood?" He also says, "The expectorated matter yielded to the Darwinian Tests,^ appearances of pus.") At this point in his exceedingly long letter, Dr. Noyes laid it aside, and taking it up again two months later, he begins: "December 15. Your favor came soon to hand, but the books which you have mentioned have not yet arrived. Mr. Elliott'^ has however promised to bring them. He called the 5th day after inoculation when there were considerable tumor and redness about the wound and soreness in the axilla. He has not called since. With regard to your resignation from Dartmouth, I do not know that I heard it mentioned by any of the Authority, but Dr. Smith, and he mentioned it only at the moment of our parting. The chief of what I have heard has come from the students. Some of them appear to have been desirous of having our friend Adams for a Lecturer. They thought that he would treat them with more famiUarity, would be more original and eloquent in his lectures, now that he had been armed with a diploma, seal and ribbon. I believe, Sir, (and you seem to have required of me to speak plainly) that you did not pay quite enough attention to the LANGUAGE of your lectures, for that was almost the only thing about them of which the scholars in general were capable of judging. I beheve, too, that there were considerable exertions made by several persons for a change and that at the moment most favorable to their wishes, you brought forward your motion for curtailing the period of your lectures. Now, Sir, I must observe to you, as I have done to Dr. Smith, and to several of the scholars, that I consider your resigna- tion at this time as an unfortunate thing for the College. Nor can I yet see, that it will be of any advantage to yourself. I fear, as well as you, that the Medical Institution has been so nipt in the bud, that it will never unfold those fair flowers which we had hoped would spread their fragrance far. Wliere now is our Dartmouth Medical School! I fear that your friend Mitchill's SEPTON has 1 The "Darwinian Tests" may have been introduced by Erasmus Darwin (1738-1802) or Robert (1756-1848). Erasmus practiced in Sam Johnson's town of Litchfield, was a huge, unwieldy personage but a practitioner of great mental acumen. Robert obtained a large practice in London. He weighed 340 pounds, wore knee breeches and gaiters to the last, had great success in medicine but hated to operate and never stopped a woman when she began to cry. 2 Mr. EUiott was probably Rev. John EUiott of Boston. NEW ACQUAINTANCES 77 struck it with a mildew, a necrosis, a yellow fever, or some other of its magic ills. In a week or fortnight I expect to go to the Westward with a sleigh. If you have any Commissions for me I shall discharge them with pleasure." Under this Dr. Noyes, upon his return writes with differ- ent pen and ink: "The journey is performed." On another line he dates : "Tuesday, February 10, 1801. Mr. Prescott^ has this moment called for your books. I find this old letter on hand, but have not time to add more than my acknowledgements for the loan of your book and that I remain, Your friend, N. Noyes." Many of the letters of this Collection treat of Masonic affairs, but as I plan in this Life to depict only the medical career of Dr. Spalding, they must be omitted. It may be said, however, that Dr. Spalding was for several years Grand Secretary of the Grand Lodge of New Hampshire, and that owing to this office he enjoyed a very wide ac- quaintance throughout the State. I find in this connection that associated with the Rev. George Richards,^ a Universalist preacher in Portsmouth, he contributed to the First American Edition of Preston's "Illustrations of Masonry" (1770), "A History of Masonry in New Hampshire" which remains permanently valuable with its lists of historical names of Portsmouth citizens and Masonic officials. He also laid, with Masonic Rites, the Corner stone of St. John's in Portsmouth, June 24, 1807, ^ Mr. Prescott was George Washington Prescott (1776-1817), who was graduated at Dartmouth in 1795, obtained a commission in the Army, was repeatedly Judge Advocate at Courts Martial at the Forts in Portsmouth Harbor, and later District Attorney for New Hampshire. ^ Rev. George Richards, who officiated at the wedding of Dr. Spald- ing, here deserves annotation. I find him after the Revolution, a teacher in Boston, and occasionally preaching. He was pastor of the UniversaUst Chiu-ch in Portsmouth from 1793 to 1809, and then re- moved to Philadelphia where he died about 1814. He was a profuse Masonic writer, with Odes, Poems and Orations, and was very patriotic, dehvering an Oration on Washington and transforming the Declaration of Independence into a Poem which he published at Faust's Statue, 45 Newbury (now Washington) Street, Boston, in 1793. 78 DR. LYMAN SPALDING placing beneath it a box with gold, silver and copper coins.^ When Dr. Spalding heard from his friend Noyes that the Dartmouth Medical School was languishing, he meditated another course of lectures at Hanover and wrote concerning the subject to his brother, Silas, from whom he had this reply: "Cornish, January 7, 1801. Dear Brother: I mil inform you that I have seen Dr. Smith and asked him some questions about the business that you wrote, and he said that for his part he should be fond of ha^dng you come and lecture next Fall. Then I asked him how long you would be obUged to stay if I should take an op- portunity to write to you concerning the business that he and I had talked of. He thought ten weeks, but could not tell; that was not for Mm to say, but the Dr. was in haste and did not get off of his horse, and I did not ask him so many questions about it as I should have done if I had time. But he told me to wi-ite for a Bill of those things that you bought, and he would make out to pay for them. I wish you would write the longest time that you will stay, and I will state to the Doctor whether his proposals will do with yours. Mr. Chase 2 has brought forth a demand against you for ten dollars borrowed money and about eight dollars out of the store, and wished I would write to you about the matter and what you would do about it, for he wants it. Likewise I write to know how or whether you have laid out any way for to settle it, and you must write back by the bearer hereof, because Mr. Chase said he must have it. We received a fine present from you by Captain Chase,^ and a letter which pleased your parents. The shoes please the boy greatly.'* If you have any old stockings that you can't wear I should be glad that you would let me have them to cut for the boy^ and I will allow you for them, when I see you. Don't send them to injure yourself about the matter. If you can get a lobster and send up, I should be glad, for it would be quite a sight to some. I ^ Sometime before this event Dr. Noyes of Newburj^jort had written: "The coins which you wrote for cannot be procured here in any quantity, nor can a Gold Medal of Washington. A Silver one has been kindly offered, and a dozen of Tin (Gratis) which may be enclosed in wax to prevent oxidation. In such a manner they were placed under St. Paul's Church here." 2 Mr. Chase kept shop in Cornish and was one of the many Chases in that town. * Captain Chase, probably Ithamar, was a member of the State Assembly. * The Boy was Sanford Spalding, at that time almost a year old. NEW ACQUAINTANCES 79 have sent by Mr. Kimball^ twenty dollars in money for fear that you can't get in your money and pay your bills for Board as fast as your bills arise, and so you may pay me when you collect yours at Hanover. If you have any old hat that you don't wear, you may send it up for it will do me some service for every day. My parents have sent two cheeses as a present to you and my wife^ can't send any on account of being carried but she wishes you well. Silas Spalding. N. B. They do say that there is a man by the name of L. Spalding that is a going to be married, to, we do not know who. Therefore I wish you to write the name and whether that you are going to keep house by yourself, because that my wife wiU, if she can, send you some butter, for Mr. Kimball is going down again. See Mr. Kimball and come up with him if you can make it con- venient to have him carry you back again. Adieu." The gossip in the end of the letter may be deciphered in this way: When Dr. Spalding reached Portsmouth in 1799, he made the acquaintance of Captain Peter Coues, to whose daughter, Elizabeth, born December 16, 1779, be was at this time en- gaged. Peter Coues, the FIRST of that name, so far as known, was born in St. Peter's Parish in the Isle of Jersey about 1705, and was in all probability, originally known as Pierre Le Caux. He emigrated to America and we find that on November 4, 1735, he married at Portsmouth, Miss Mary Long of Plymouth, a descendant of the Drakes. Peter Coues was a Merchant Mariner out of the Port of Portsmouth the rest of his life. He had previously served in the Royal Navy as a Petty Officer, a position which he had gained from his wife's relation to Sir Digby Dent, Admiral of the Fleet. His son, the second Peter Coues, was born in Portsmouth, July 30, 1736, was also a ship master, was married three times, and had thirteen children, most of whom died young. Dr. Spalding and Miss Coues were married October 9, 1802, and had five children: Elizabeth Parkhurst (1803-1878) who died unmarried; Adelaide Coues (1805-1898) who married Captain Joseph Foster of Gloucester, Massachu- setts; Lyman Dyer (1810-1892), my father; Alfred Peter (1815-1844) a master mariner, lost at sea from the Ship ^ Mr. Kimball was the stage coach driver from Cornish and Clare- mont to Portsmouth. 2 "My Wife" was bom Theodosia Holton, of Windsor, Vermont, and Uved to be 92. 80 DR. LYMAN SPALDING "Normandie"; and Edward Jenner, who died in 1833, aged 14. Captain Peter Coues, my great grandfather, died in 1819 at the age of 82, and Mrs. Spalding, his daughter survived her husband Dr. Spalding several years, dying June 2, 1838, at the age of 59. A few days after the meeting with Silas Spalding just mentioned. Dr. Smith followed up the question of the lectures in this way: "Cornish, January 24, 1801. Dear Sir: I received your favor by Mr. Woodward; respecting your proposals, I will make another overture, I think you did wrong in writing as you did to the Presi- dent last Summer. I do not think that the President or the Board of Trust have or ought to have any control over your lecturing. It was I who employed you, and they had no business with you respecting it, nor do I think till they give us some money for our services that they ought to set bounds to our performances, pro- vided we do not injure the Institution or the University. Now I will say this to you in confidence: that you are at Uberty to come and dehver the Chemical Lectures at what time and as long or short a Course as you please, or you can make it advantageous to yourself, and I will give you all the support I can. Study your own advantage in the case and I wiU be responsible to the Board for the rest. If you should think of lecturing, let me know of it and I will conduct myself accordingly. Respecting the Notes that I hold against you, if you should keep your apparatus, they may remain in my hands unpaid till you come up to deliver the next course of lectures. I have only hinted these things to you, being at Cornish, and finding an opportunity to send direct. I will write you again, when at home, and will be more particular. I am with Respect, your Friend and Servant, Nathan Smith." From a letter of Dr. Noyes, next in date, we hear more concerning this topic. " Newburyport, March 29, 1801. Dear Sir: I have the pleasure of being able to acknowledge at once, the receipt of two letters from your pen. The one which you did me the honor of introducing your Friend Peck,^ I was so unfortunate as not to have time for 1 Your friend Peck was William Dandridge Peck (1763-1822), then living in Kittery, Maine. He had been graduated from Harvard in 1782, but was now carrying on salt works at Newcastle for his father, who had lately retired from the profession of a naval architect. Professor Peck, as he later on became, was an ingenious man, made hie own microscope, and composed a list of birds seen in Kittery. He NEW ACQUAINTANCES 81 opening, till after his departure. Indeed his hurry would not permit him to take a seat, so that I had no chance of showing him any other civility than receiving and returning his hat in the same moment. From an expression in your letter, I am led to fear that I have excited ideas concerning our friend, Adams, a little different from what I ought to have done. I do not recollect ever to have heard him say or to have heard of his saying that he wished to be a Lec- turer in Dartmouth. No, Sir; What I have known of being done to effect that has been done by those friends, a part of whom you had to encounter at Hanover, the winter before last. As for the affair of Mr. Prescott,^ I believe that he partly misunderstood my expression. I did not say, or did not intend to say that you were obUged to resign the office of Lecturer. This, Sir, was my idea: that you could not carry your plan for contracting the term to four weeks, and this I retained, till I received your last letter. I took the idea from the plan having been rejected by the Board of Trustees, last August, and their not having met since; and, thought that the conversation of Dr. Smith tended to confirm it. There- fore, when Prescott told me that you were about returning to your office, I concluded that it might be agreeably to the old establish- ment. With regard to the question whether you had better re- turn or not return, I can hardly presume to give advice. I have told you already that I considered your resignation as a misfortune to the College, but still doubt how far that evil may be repaired by "4 Weeks Absence from Portsmouth." I suspect that in order to make the business profitable for yourself and for the College more time might be devoted to the College, for four weeks are al- together inadequate to the purpose of giving any considerable knowledge of Chemistry to persons busied in half a dozen kinds of other exercises. For yourself, if you adhere to your old plan, the Authority ^ will be soured, the ahenation of the scholars will be probably increased, and you will find yourself in a disagreeable situation. For, at Hanover, my friend, there are few resting places between Zenith and NADIR. Even Dr. Smith, I am pretty confident, does not LIKE your plan. visited the White Mountains in 1803 and published an account of the Flora of that region. He won a gold medal for an essay "On Slug Worms" and was famous for his account of the Sea Serpent which he saw off Portsmouth Lighthouse. After being appointed Professor of Natural History at Harvard, he spent the rest of his life in Cambridge. 1 The Affair of Mr. Prescott refers to mere gossip brought from Dartmouth by him, concerning the Lectureship. ^ The Authority simply suggests that those in Authority would be peevish at him. 82 DR. LYMAN SPALDING The other day I had the pleasure of announcing a new remedy; now I have the pain of announcing a new disease. New, I mean to the Materia Medica, and Nosology. I have indeed heard the words Daimonophobia, but nowherewith any appropriate mean- ing, or if "wdth any, for a merely mental affection. But, here, ALAS! we find this affection combined with diseased sensation and muscular motion. Yes, in a most horrid manner. Two patients of mine have had, I beheve, as many as a hundred par- oxysms of convulsions in a day! Tliis you will perhaps say is no new disease. First hear the whole history, and then judge whether the convulsions are more than a mere symptom. You have probably heard of the STIR, the AWAKENING or REFORMATION that has happened among us this winter. It has amongst a certain class of people put almost an entire stop to business, and made MEETINGS the order of the day! ! Yes, and of the Night! These, have been the work shops of disease: there, heated imaginations have been heated loigher, by the reaction of expression. There, the continual blowings of sympathy have in- flamed the passions to a degree resembhng the combustion of hydrogen. The effects show, how well-persons, affected with PARTIAL MANIA may agree when their hallucinations are the same. Had the man who fancied his Hmbs were glass, met with a Society who had similar notions, how careful would they have been in handhng each other's brittle bodies! and how would they have reprobated the rest of mankind for then* foohsh temerity! You see that I consider my townsmen as maniacs. I am confident that if one of our present fashionable speakers had appeared in pubhc in any common time, he would pretty generally have been taken for a madman. This disease in its milder forms first mani- fests itself by a crying out in public generally in the midst of some Prayer or Speech. It is a sort of howhng such as you have probably heard from women of great irritability when in the midst of a rapid labor. It seems to me a mixed expression of pain and hor- ror. More or less of this pecuUarity of one seems to run through all the different stages of this disease. The cry is often attended or preceded by various gesticulations and convulsive twitcliing ac- cording to the severity of the case. In one, the disease was ushered in by swooning followed by convulsive tremors, and then the cry! A never failing symptom is a violent pain at the scrobic- ulus: craving at the stomach, pulse slow, soft, and languid. The breathing commonly corresponds. The countenance exhibits a peculiar kind of maniacal wildness. As to the convulsions, the patients first fall into a kind of syn- cope, presently the limbs would begin to twitch and then to be violently agitated, whilst the neck and bodies would be bent back- ward. As the convulsions left the extremities, they would seize NEW ACQUAINTANCES 83 upon the thorax and heave it hke the waves of a pond, forcing out the breath in groans and cries. A violent palpitation comes on at the same time, together with an attempt to bite the attendant. The fits come 10, 20, in quick succession, and sometimes amount to HUNDREDS in the 24 hours. In the first case these con- vulsions lasted several weeks. One patient had just suffered from a concussion of the brain, but, as it acted just like the other, the symptoms convinced me, that concussion was not the SOLE cause. Various remedies were of no avail, the paroxysms increased in frequency and the friends were convinced that the patient had not long to live. In what seemed a new disease I tried a new remedy; weighed out a grain of Lettuce gum which soon produced an hour of quiet sleep. This induced me at the next visit to pre- scribe 4 grains to be given in two equal portions, at intervals of six hours. This had the desired effect, and until the operation of the second dose had ceased there were no more convulsions, or delirium. The gum has been continued several days and the progress of amend- ment has been evident. The pupils of the eyes have however been more dilated. I am convinced therefore to entertain a pretty favorable opinion of the ANTISPASMODIC power of Lettuce gum. According to your request I shall inclose a specimen of the gum. It would give me pleasure to send you more, if in my power. If you have occasion to use any of it, I wish that you would weigh the doses and write me the results. For, I begin to have some serious thoughts of stating my experiments on the subject to Dr. Mitchill. I think the medicine too useful to be concealed. You pubhshed if I mistake not, last year, an account of your having extracted considerable proportions of magnesia from the Specimen of Green Stone ^ which you took from our neighborhood, I would thank you for a short sketch of your Process, and some account of the results. For, I have been experimenting some time on this stone and can in no way obtain any magnesia worth reckon- ing. When shall we hear from the "Annals" or "Review?" The money is in the purse! Do well, Farewell, and be assured that you are still growing in the esteem and friendship of Ego Je."^ With this letter from Dr. Noyes all mention concerning the Lectureship at Dartmouth ceased. ^ The Green Stone still abounds in Newburyport, but I have never yet heard that it had been exploited for magnesia, something which from Dr. Spalding's experiments might seem worth the while. 2 Dr. Noyes' account of Rehgious Mania ensuing upon Revivals, has medico-historical value, because the same syndromes are in these days known in Russia as Kilkushism, and are treated with Hjrpnotic suggestions by Bogdanoff. 84 DR. LYMAN SPALDING Some time in the year 1797 Dr. Spalding with Ithamar Chase established in Cornish a Town Library, and soon after arriving in Portsmouth, he tried to revive the Ports- mouth Library, a private Institution, by means of new sub- scribers. Once elected Librarian, the position brought him many acquaintances and one morning in 1801, at which time we have now arrived, he received a letter addressed in this odd style: "To Doctor. A Gentleman who formerly had his lodgings at Mrs. Moore's and Mrs. Frazier's in Pitt St., and afterwards took up his abode by Parson Assistant Minister to Dr. Haven. With a Pies of the Famous Eye Root used by the natives of Guyana. Portsmouth. New Hampshire." On opening it, he found a communication from Mr. Nicholas Rousselet, one of the most interesting men who ever lived in Portsmouth. The first trace that I find of him from an old Cash Book of his in my possession is of his being in Boston in 1787, at which time he sold flax seed and oil for a Musical Society and Charity Convention in that town under the auspices of the Rev. Mr. Stillman and Rev. Mr. Parker. I next find him in Demerara, in 1796, and then in Ports- mouth at the end of that year, where he remained until after the death of his wife, in 1800, when he returned to Demerara whither his daughter, Lucy Adrianna, followed him and where I presume that they both died. He offered himself to Miss Katharine Moffatt of Ports- mouth in St. John's Church by handing her a Bible opened at St. John's 2d Epistle, "And now I beseech thee, lady, not as though I wrote a new commandment, but that which was from the beginning, that we love one another." She, it is said, returned him the Bible opened at Ruth 1: 16, with this text: "Whither Thou Goest, I will go." Mr, Rousselet owned considerable real estate, and col- lected a fine Museum in Portsmouth, remnants of which may still be seen in The Athenaeum. Here is his letter, exactly copied, word for word: "Sir. I sent you the Root of a Tree; the Juice of it, is used by the natives of the Country for the cure of Sore Eyes Inflammation etc. You please to Scrape the Root and Squeeze the Juice, for I suppose it will be dried up before you get it — inform me of my friends and acquaintances and ask Parson (I forgot his name) if NEW ACQUAINTANCES 85 he will be so kind to Instruct my Daughter at Mrs. PurceD, the french language. I will pay him handsomely and if she writ me a Small Letter in the french language in twelve months, from the day of his Tuition, I promise to pay him as a Compensation for his particular attention Twe and twenty Dollars : Cash. I remain D'R S'R Your Most Ob; Servant. N. Roxjsselet." Not long afterward Captain George Boardman, a Master Mariner of Portsmouth brought another letter from Mr. Rousselet thus directed: "To the Gentleman Secretary of the Portsmouth Library. Portsmouth, New Hampshire. Sir: the best gift a Father can give his Child is a good education, under that Head I understand Every Improvering Of the mind. As Literature is a Essential part of the improverment, I have sent my Daughter Lucy Adriana Rousselet Twenty Five Dollars in Specie to purchase a Share in the Portsmouth Library; You be pleased to admit her a Member and to give the Deed in her Name and Heirs after her, or So as other members have receive it ... it may occasion other Misses to foUow Lucy Rousselet's Example for those Misses will become in time mothers and by that means the Aggrandisement of the Portsmouth Library will insensibly take place and become in few years a Extensive Collection; I remain with Respect, Sir, Your Most Ob Servant: No. Rousselet."^ Another acquaintance now formed was with Dr. David Ramsay (1749-1815) who was graduated at Princeton and at Pennsylvania University, served as an Army Surgeon during the Revolution, and was a Member of the Conti- nental Congress. Numerous medical papers, a "History of South Carolina" and a "Life of Washington" attracted much attention. He introduced pure water into Charleston, and worked indefatigably for twenty hours out of every twenty-four. He was killed by an insane person for some fancied grievance. Dr. Ramsay's hand-writing is very difficult to read, but his two letters of the year 1801 are worth the eye strain involved in deciphering them. 1 I print these notes as they read. If they look odd, so do our at- tempts in writing letters in a foreign language look odd to natives ia that language. I believe from frequent use of Dutch words, and mentions of Dutch Sea Captains in Mr. Rousselet's Cash Book, that he came from Holland. "The Eye Root" may be the Jequirity plant of the XIX Century, an infusion from the seeds of which is much used in the cure of trachoma, a contagious eye disease of today. 86 DR. LYMAN SPALDING "Charleston, South Carohna. April 14, 1801. Sir. I received your Syllabus of Lectures on Chemistry, and have perused it with great pleasiue. You have in some respects improved on the arrangements of your predecessors. It gives me much pleasure that your University has paid so much attention to the important topic as to estabhsh a Professorship for instructing our Youth in Chemistrj', which is but a novel study in America. I was among the first pupils who attended Dr. Rush, the first Professor of Chemistry in America. That was 30 years ago, but we knew little of the matter at that time. Botany and Chemistry appear to me to be among the most important studies in our young country. I am also pleased that you are drawing attention to this, and par- ticularlj^ to our vegetables and minerals. I feel myself obhged for your letter and present, and would gladly receive every Literary Work that our Country produces. If any- thing of mine was deemed worthy of acceptance or exchange, I should consider myself the obliged person. You mention the Extract of Lettuce used as an Opiate. I would be much gratified by hearing farther from you on that subject. How is it prepared? In what dose is it used and what are its specific effects? I regret I have no acquaintance with any of the Gentlemen of your University. The brother of your President was my Classmate at Princeton in 1765,' but I have been informed that he is dead. I have heard that your President was here, leaving an elaborate work "On the Rise and Fall of Nations." I rejoice to hear of every Literary undertaking that bids fair to raise the reputation of our new Country. We are making rapid advances in wealth, population and commerce. If we can see to it, that our improvements in Science and Virtue are equal to our other improvements, we shall be the First People in the World. You will, heremth, receive a copy of my "Review of the Eighteenth Century," which I beg you to accept, and to believe that I feel myself highly honored by your attention. I am with Great Regard, etc. David Ramsay." In replying, Dr. Spalding forwarded some Lettuce-gum by a friend from Portsmouth and in due season was favored with this second letter from Dr. Ramsay. "Charleston, November 20, 1801. Sir. I received your favor of September 30, by Mr. Folsom with whom I have also had the pleasure of forming an acquaintance. He has also been my patient, and the very last I had with the Yellow Fever. The practice which ' The allusion to the "Brother of your President" and "Your President" are obscure for no Whcelock appears on Princeton Catalogs nor did any Wheelock write the book mentioned. NEW ACQUAINTANCES 87 I found successful in other cases, succeded with him. The principal part of this was salivation. In every instance where the patient salivated freely, he recovered. Mr. Folsom took ten grains of calomel every two hours until my object was attained. I then pronounced him safe. In some other cases I have given 180 grains of calomel without effect as to salivation. In those cases death was the consequence. John Hunter's position ^ that two actions cannot exist at the same time in the System is the foundation of this practice : perhaps of all efficacious practice in medicine. This is a great and luminous idea, which in the course of time will, I doubt not, greatly lessen the number of incurable diseases. I thank you for your communication in relation to oxygen.^ I believe it to be a remarkable medicine, but many experiments are necessary to ascertain its precise virtues and effects. A few have been made here with various success. In the proper Season I shall have some extract of lettuce prepared in the manner you direct. If it produces no constipation, and no affection of the head, it wiU be a very valuable addition to the Materia Medica. On my reading your letter to Mrs. Ramsay ,3 who had resided 8 years in France, she informed me that during her residence there she had often known French Physicians to prescribe Lettuce Tea in Catarrhal and even in Consumptive complaints and with good effects. This must have been in consequence of its anodjnie powers. Have you ever used Rhubarb in powder as a dressing to old sores? I have used it in cases in which the process of granulation seemed to be at a stand, as it appeared to me to assist nature in renewing that process, especially where the sores are covered with a black slough! Your Fellow Student in the RepubHc of Medicine. David Ramsay." 1 John Hvmter (1728-1793), idle as a boy, became a famous physician. His writings were enormous in quantity and stimulating in quality. As a lecturer he was not successful, but as a writer, investigator and original thinker he stood alone. 2 The oxygen mentioned in Dr. Spalding's letter to Ramsay was a favorite remedy with which he had made many experiments at Ports- mouth. ^ Mrs. Ramsay before her marriage was Miss Martha Laurens, daughter of Honorable Henry Laurens, Minister to HoUand and a signer of Peace between Great Britain and this Country. Miss Laurens was very generous to the French peasants during her long sojourn abroad. CHAPTER VII. Public Tests of the Preventive Valtte of Vaccination. 1801. Although Dr. Spalding had vaccinated many people in Portsmouth, most of the population held aloof from fear of introducing a poison into their system or from dread that the new disease would be worse than the old. Progress in vaccination was also slow, because no proof of its value as a preventive against Small Pox had been shown in America. At most, vague rumors to that effect had come from abroad, although it was known that Dr. Waterhouse after vacci- nating his children had ''taken them through" a Small Pox Hospital, without subsequent harm. In a later essay he claimed that the first pubUc tests of the preventive effect of vaccination were made at Noddle's Island, in Boston Harbor, in 1802. Documents now before us, however, show that similar pubHc tests were made by Dr. Spalding at Ports- mouth in 1801. On the 29th of June, 1801, Dr. Spalding published in the "Portsmouth Oracle" a CARD, in which he stated that he was forming a Class for Vaccination Tests, so that when a case of Small Pox should occur, the members of the Class could go and live with the small pox patient in the hospital used for that purpose and be inoculated also with the small pox virus from the patient. Four persons accepted the in- vitation to what seemed a rash experiment and after vacci- nation, waited until August 1, when a man with small pox entered the hospital. The Class, including Dr. Spalding, joined him and remained one week, when a second case ap- peared and with these two patients the class lived on intimate terms and were inoculated with the actual virus. When the members of the class all came off scot-free of the small pox, the efficacy of vaccination was believed in, and large numbers were successfully vaccinated. This Historic Class consisted of Silas Holman, a merchant on Pier Wharf, Henry and Eliphalet Ladd, the sons of Colonel Henry Ladd, all of Portsmouth, John Oilman, the son of Mr. John Oilman of Exeter, and of Dr. Spalding. 88 PUBLIC TESTS OF VACCINATION 89 Until an earlier date is proved by documents, it would seem that Dr. Spalding was the First Physician to vindicate publicly the preventive value of vaccination against Small Pox. Flushed with his success he sent the ''infection," as the scabs were then called, to Dr. Smith, who thus replied: "Hanover, August 25, 1801. Dear Sir: I have to acknowledge the receipt of two letters from you since I wrote you last. . I am under great obligation to you for the kine pox infection, which I received in your first letter. I have always been of opinion that we should arrive at such a degree of knowledge about the business of kine pox as to make it a substitute for the Small Pox, and I have attributed the failure of it in several instances to our ignorance of the disease, and the proper mode of communicating it. I have used some of the infection, which you sent me, but it is not yet time to determine anything certain respecting it, as I have never submitted any of my patients to the infection of the small pox, which I intend shortly to do, and will then write you of the result. Respecting medical affairs I have nothing very important. People will die with the consumption and cancer in spite of Arsenic and Alkalies. You have doubtless heard of the famous cancer curers in Philadelphia and New York. We have lately had melancholy proof of their power, in this part of the country. A Mr. Goodwin of Putney had a large tumor on his left side below the axilla, which was of the cancerous kind. I extirpated the tumor and charged him and his physician to watch, and if any new tumor arose, to have it extirpated immediately. About six months after the operation a small tumor appeared in the site of the former. He came to see me on the subject after it was as large as a walnut. I urged him to let me extirpate it, as it was quite circumscribed. He promised to come and have it done soon, but went to New York, where something was done, which caused the tumor to mortify, either by internal or external means. I do not know the particulars, but it left half a dozen behind, worse than at the first and in a short time so injured his health, which was good when I saw him, that he returned cancerated, and in complete despair of a cure. I purpose to learn the particulars of the treatment, and wiU then pubUsh the Case for the benefit of the New York Cancer Curers. I have lately on a well known principle of the Animal Oeconomy, been very successful in curing debilitated limbs, such as are emaci- ated and with flabbiness of the muscles. I direct the patient to plunge the hmb into the coldest water possible for a minute or two, as the case may be, and then plunge it into water heated above an hundred degrees. This repeated for some time has been abundantly useful, more so than any other ever before employed by me, and 90 DR. LYMAN SPALDING finding this treatment successful with a part of the body, I have appUed it to the whole, and with advantage. I have had a very singular case in Claremont, where a tumor was formed in the uterus which weighed two pounds, 9 ounces. It was, after producing what the woman termed a "bearing down" for six years, expelled by the contraction of the organ and action of the abdominal muscles, so that when I was called, I found it attached by a cord or rope similar to the lunbihcal cord of the foetus. I sepa- rated the tmnor by tying the cord above where I cut it off. The tumor had no appearance of organization but was entirely of the steatomatous kind. The woman has recovered her health to a degree. The growth of the tumor affected the breasts and she had milk in them like a woman who is pregnant. I lost a patient a few days since where I amputated the thigh. The case went well until the 11th day from the operation, when he was attacked with intermitting fever (having been exposed to the contagion of it before) and he died on the 7th day from the attack of the fever. The sore was nearly healed when he died. Respecting our settlement, it will be quite impossible for me to close my business with you so as to send it by the bearer, as it is now past midnight and he goes tomorrow morning, early, and I, in no preparation to do it so soon. But, you may rely on it, that I will not neglect you much longer, and think you may depend on some commimication from me about the 1st of October. I have been too busy this Summer for my profit, as I have been obliged to neglect collecting entirely. My bills have amounted to a moderate sum, but it does not help me at present. I have just heard that Dr. Abraham Hedge is dead.^ He died by bleeding at the lungs. He was in Chester. He sent for me, but I was at Walpole, and did not see him. I have written much, I fear too much for your patience. If you get out of business, let me know and I will write again. I have not read what I have written, nor have I time to do it, so you must take it as it is and pick it out. With High Esteem, your friend, N. Smith." Another letter from Dr. Smith may here find place; un- dated, but probably written in September, 1801. "Dear Sir: I have just received your letter with the enclosed infection which I will immediately make trial of. The other which you sent me did not succeed in producing the disease, and I did not much regret it, as my business has been very pressing here this season, so that I could not have given it a proper degree of atten- tion. But, for the future, I will attend to it, and expect to have it ' Dr. Hedge did not die at this time as we shall see from a later letter from him. PUBLIC TESTS OF VACCINATION 91 in my power to put it to the test with the infection of the small pox. The people here want to have the efficacy of the kine pox proved, over and over again. I have received your other letter, asking me to write to General Bradley, which I did immediately and in as pressing terms as possible, and I hope that it will have effect. John Langdon and Nathan Smith, will, I think, have some influence with the General. My business in practice has been, as usual, more than I could get pay for, though I have lately done better in that respect than formerly. I beUeve I wrote you about my operation for the Stone, or rather STONES, as there were 217 extracted, which proved successful. I have had no capital operations of late, more than an amputation of the arm. I have lately performed an operation for a large hydrocele on Mr. Bellows of Walpole, which is progressing toward an entire cure. I lately heard from your brother. Your father's family are all well. Mr. Winthrop is here. I was acquainted with him in London. He is the second person I have seen from London since I left there. With Esteem, Nathan Sahth." A little note from Dr. Spalding to Dr. Crawley of London is worth inserting now because it shows how physicians then imported their own drugs. "Portsmouth, August 1, 180L Dear Sir. Some time since I wrote you by Captain Evans ^ of and from this Port, but I now find that he sailed for Hamburg, and will not be in London soon. There- fore I repeat my wish, which is to import a few medicines for my own use. I will therefore thank you to mention your terms, and to send a general catalogue by the bearer, C. Bayley. If agreeable, I will by the Spring Ship send you a Bill of Exchange for your medi- cines. I remain Your Ob'd't Serv't, Lyman Spalding." Whilst awaiting a reply to this letter, a welcome message arrived from Dr. Noah Spalding, begun at Royalton, Ver- mont, and finished at Hanover, August 22d, 180L "Sir. The whispers of friendship now move my pen to inform you of my present prospects. Since I saw you I first spent about two months at Cornish in Pedagoging, after which I made a tour to Newbury, Vermont, where finding a young man had taken the stand, had been well recommended, etc., I did not think proper to attempt dividing the business with him. Accordingly, ha"\ang heard that Royalton was soon to be deprived of its first physician, Dr. Allen, I made my way to see for myself, but on my arrival I found another ^ Captain Estwick Evans who went to Hambiu-g was a sea captain of Portsmouth and Captain Cazneau Bayley was also a sea farer and Grand Marshal of the Lodge of Masons by whom he was buried with high Masonic ceremonies, January 27th, 1808, at the age of 41. 92 DR. LYMAN SPALDING Doctor on the ground, but being tired of relinquishing the field without a contest I took residence in the same street, and in about two weeks he left the to-wn. Dr. Allen has not yet left the place, but I expect he will do it in about four weeks. My business has been as good as I could expect, considering the general health. Prompt pay is out of fashion with us, but you may expect to receive a share in the first fruits of my labor. ^ Nothing worthy of your reading has occurred in my practice, save that in what business I have had, I have been very successful. I have had the pleasure of hearing of your welfare, repeatedly, but have received no hne since your present of Mr. Alden's Sermon,^ for which accept my thanks. Dr. Smith is doing business at a great rate. We have lately had the sad news of Mr. Lemuel Hedge's^ suicide, and of Dr. Hedge's death by consimiption, but in such a way that we hope it is not true. Miss Hannah Brewster^ was yesterday joined to the pale nation of the dead by the consumption. The exercises at Commencement are few and poorly performed, or else I am no judge of talents. A. Torrey takes a stand at Chelsea, S. Day at Middleburg, and I beheve that J. Marsh takes a residence at Londonderry. I hope for the pleasure of a farther correspondence, and should you hear of any good vacancy open, you will obhge me by giving in- formation as this place, Royalton, is thinly inhabited and not very prosperous. Yours, Noah Spalding." Captain Bayley not only took a letter to Dr. Crawley, as we have seen, but one still more important to Dr. Edward Jenner, and here is the place to insert Captain Bayley's report. "London, November 1, 1801. Brother Spalding: Agreeable to your request I deUvered your letters, according to the directions. Doctor WiUiam Crawley is a man of great respectability in this 1 "Share in the first fruits" may mean that Dr. Noah still owed Dr. Lyman Spalding some money. 2 "Mr. Alden" was Rev. Timothy Alden (1781-1839) with whom Dr. Spalding lodged at one time. He was graduated at Harvard, then taught, and later on was assistant to Rev. Dr. Haven, Pastor of the South Church in Portsmouth. Mr. Alden opened in Portsmouth a Female Seminary which caused him to be so well known as an instruc- tor, that he was called to the Presidency of Alleghany College in Penn- sylvania. Every Antiquary admires Mr. Alden's delightful series of "American Epitaphs" with their valuable biographical data, concern- ing deceased American Worthies. ^ The rumor of the death of Dr. Hedge was sad enough, but sadder still the reality of the suicide of Honorable Lemuel Hedge (1765-1801), a very prominent Member of Congress from New Hampshire. * Miss Hannah Brewster was a charming daughter of a noted Hanover family. PUBLIC TESTS OF VACCINATION 93 place and very much of a gentleman. He is a large shipper of articles in yom" line, and suppHes all the principal houses in Boston. His usual term is 12 months, with good letters of recommendation, or if you cannot obtain THEM, a good bill of exchange at 30 or 90 days sight, will answer the same purpose. A letter from Doctor J. Jackson of Portsmouth,^ Doctor Morse or Bartlett of Boston will get you what articles you may want. He keeps no printed hst. Make out your orders for what you may have occasion for, and he will fulfill it. If you write him, direct, "WiUiam Crawley, No. 32 Spittal Square, London. Your other letter to Doctor Edmimd Jenner, I left at his house in Bond Street, the number I have forgot. He was gone into the Country. I left my address so that should he have an\i;hing for you, he would know where to find me. But I have not heard any- thing from him. I have mailed you a catalogue of Books, from one of the greatest Book Stores in Great Britain. I have nothing particular to write respecting news, as you have long since heard of Peace. The definitive Treaty- has not yet been signed, but it is expected to be finished about the 10 or 12 inst. I think from the debate in Parlement, that it is all Debtor to Great Britain and no Cr. My respects to all my friends, and BeKeve me to be Yours, On the Square, Cazneau Batlet. N.B. I wrote you above, that I had enclosed a Catalogue of Books, but that was before I had piu-chased it. It is so large that I have sent it to Boston to be forwarded by a private opportunity. I have charged you 1/6 sterling for it." Before inserting the reply from Doctor Edward Jenner (1749-1823) it may be said: that he studied for two years with John Hunter, and assisted him materially in his medical investigations. He was also employed by Sir Joseph Banks to study Natural Historj^ in the Country. He practiced ex- tensively in Berkeley in Gloucestershire going about in blue coat and small clothes, top boots with silver spurs and a silver handled whip. He obtained membership in the Royal ^ Dr. John Jackson (1745-1808) was closely related to Dr. Spalding, his two sisters having in succession married Captain Peter Coues, to whose daughter, Elizabeth, Dr. Spalding was now engaged. Dr. Jackson was Surgeon on the Frigate "Rahleigh" and took part in some actions during the Revolution. He next practiced in Portsmouth, but finally retired and opened an xA.pothecar\- Shop, doing a good business. 1 am glad to be able to state that the nrnnber in Bond Street, Lon- don, of Dr. Jenner's house which Captain Bayley forgot, was 136. 2 "The Treaty" was that of Amiens, ratified m 1802, but m 1803 the nations were fighting Napoleon again. 94 DR. LYMAN SPALDING Society and a degree of medicine from St. Andrews in 1793. The anti-vaccinationists of today are so fond of sneering at Jenner, as "A so-called Doctor Jenner" that it is well worth while to emphasize at this point his studies and his actual degree in medicine. Jenner's first public vaccination was performed in May, 1796, although he had long carried the theory in his mind. His first paper on the subject was published in 1799. His idea which has so greatly benefitted the Human Race was: "Cow Pox protects the Human Constitution from Small Pox." Jemier moved at one time to London, because from that metropolis as a center he hoped more effectually to spread abroad his views, but patients did not patronize him extensively, politics interfered with his ingenious idea, his expenses prove to be more than he could provide for, and he returned in a few years to Berkeley where he practiced suc- cessfully the rest of his life. The government granted him a pension, which was, however, small in comparison with the enormous benefits to mankind which his idea procured. "Cheltenham, Gloucestershire, November 10th, 1801 Sir: I have been favored with your letter relative to Vaccine Inoculation, and feel myself happy in the opportunity of sending you the en- closed Virus, which I hope may reach you possessed of its full powers. You will receive two parcels, one upon Glass, the other upon Thread. When you use the former let the point of a lancet be dipped into Water, so that a suJB&cient quantity be taken up to moisten it, or rather to reduce it to a fluid state. The thread may be divided into a great number of portions, and each may be lodged upon a sUght scratch made upon the skin. Either is sufficient to inoculate a great number of persons. If you succeed in producing one perfect pustule you need not ever be at a loss again for vaccine matter, for be assured it does not show the least tendency to de- generate on this side of the Atlantic, nor will it on your side, if you attend to the rules laid down in the enclosed paper. That marked thus* is of great importance. It is very gratifying to me to observe how rapidly the Cow Pox- inoculation is spreading over the world. From its ready adoption it must necessarily soon check the ravages of the Small Pox, and finally extinguish totally that horrid disease. The little PAPER I enclose ^ will perhaps furnish you with valu- ^ "The enclosed paper," now in my possession, is a statement on a single folio sheet regarding the art of vaccination. The section marked (*) says that "Arm to arm matter should always be taken between the 6th and 9th day." PUBLIC TESTS OF VACCINATION 95 able intelligence. Tho' it does not come from me, it had my sanc- tion, with a few trifling exceptions. A publication is about to come forth which will convey, I am told, an immense Mass of Information on the subject, and which I hope will be largely imported into America. It comes from the pen of a Mr. Ring,i a Surgeon of eminence in London. Accept my thanks for your very ingenious Chemical Work, and permit me to request that you will favor me with the result of your practice with the Virus you will now receive. Wishing you every success, I remain. Your Very Faithful Humble Serv't, Edward Jenner." What gratification this letter must have given to the young Physician in Portsmouth, and how proudly we can imagine its being handed about as: "A letter from Dr. Jenner himself, about vaccination, and some genuine virus too." In spite of the rumor that Dr. Hedge was dead, the letter next arriving after that from Dr. Jenner brings news from him. What a picture of the times : an impecunious physician working on the roads; yet it did him good, prolonging his life until 1808. "Chester, Vermont, November 11, 1801. My good old AUie. I will appear to you once more, not as one from the grave as it seems you had placed me, but as large as life with some vigour, and will tell you some of the things of this life as practiced by me since I wrote you. Know then that for hire I undertook labour which brought on me a tedious cough and an expectoration of blood from my lungs which continued to an alarming degree, but by fervent prayer and profound medical skill. Mors was kept at a distance and I am now ia my usual health and spirits, except somewhat worn down in accom- plishing a job of work on the Turnpike, which runs through this town that I had taken, and which I beheve, when completed will enable me to leave this place with some stuff in my trousers. For one that has already gone through with the rough work, and is ready to encourage the more poUshed workman, my constitution will not allow me to serve a long apprenticeship in this place, for I 1 "Honest John" Ring (1752-1821), at the time of Jenner's Dis- covery a noted surgeon in London, came forward as his ardent cham- pion and travelled all over Great Britain to investigate every case in which vaccination had been reported as injuring the person vaccinated. Feeling rose so high at that time, that Ring always went heavily armed for fear of assault. He also wrote widely on medical topics, composed poetry of no mean value, and as a surgeon was second to none of that era in London. 96 DR. LYMAN SPALDING prefer digging to begging and one of them must give me a sub- sistence, if I tarry here, for professional business. There is no money nor inchnation in the people of this place to satisfy a Physi- cian for his services, and as old gospel times are now out of fashion, and physicians and priests expect a Uttle "rino"^ to help on the glorious work, I wish never to Uve in a country where this expecta- tion cannot be gratified. Tell me how it is in your country and whether you know of any vacancies, for I am determined to leave this place so soon as I shall have accmnulated property sufficient to support me a year or two in a place more to my liking. You will accuse me of being fickle and imsteady, but this accusa- tion will not justly apply to me. FOR, who would live in a place where they were obUged to labour for their daily bread ! Not I nor you, unless you like work better than I do, which I know is not the case. My business is barely sufficient to support me, if I could get my pay, but as I cannot, it is really worse than none, and as to pleasure that is None. ... In my practice such as it is, I cure all disorders with mercury and opium, but I have not time to mention particulars. . and Am with esteem, your sincere friend, Abrm. Hedge." Soon after this note from Dr. Hedge came one from Cap- tain Dunham, now on recruiting service at Windsor. It suggests that there may have been a duel in the Fort where Dr. Spalding was Contract surgeon. "Windsor, Nov. 12, 1801. Sir: Your very poUte and obhging letter of the 3d inst. I have received. I feel highly gratified by your accurate detail of the Portsmouth campaign of 1801. From your own, which corresponds with other statements, I have received, I believe I have a pretty just idea of the whole business. I hope it may finally terminate without loss of reputation on either side — if not without loss of life. Military gentlemen you know. Sir, ought to hold life in contempt when brought in competition with honor. This principle we are very fond of seeing brought frequently into operation in our own corps, especially by those whose commissions outrank our own. Besides setting a good example to subordinate officers, it also sometimes makes ROOM FOR PROMOTION. As to passing the winter in this part of the country, it is my present expectation. I am indeed in rather an unpromising state of health. I have been troubled with spasmodic affections, and an unpleasant dizziness in my head. I have been considerable time under the care of Dr. Smith, who has been bleeding, and catharticating me, till I 1 "Rino" which should be spelled "Rhino" means cash down, and probably originated from the Phrase "Paying through the Nose" (Rhinos). PUBLIC TESTS OF VACCINATION 97 am almost dead. Calomel and Cortex (bark) have constituted for some days, half of my rations; and water-gruel with an entire abstinence from every kind of ardent spirits has made up the complement. 1 am now trying to enure myself to the exercise of GUNNING upon a moderate scale, when the weather is pleasant. I find benefit from it whilst Dr. "Bram"^ is curing himself of BLEEDING, by hard knocks on the turnpike. He is now hearty. Mr. Adams ^ was so good as to call here on his way to Haverhill, and take a dinner and a little wine with me. Mrs. Dunham joins me in comphments to Mrs. Adams and Mrs. Sparhawk, with the Charming Eliza ^ and the rest. Your Friend and OB'D'T Servt. J. Dunham, Capt. 2d Regt. Post Script. I have no doubt you will take good care of the Gar- rison and see to their health and comfort. I hope you will be honor- ably paid.'* I am concerned for the Charming Mrs. Walsh.* Pray do not permit her to die till I come. P. S. I will thank you to inquire at the Stage Tavern where we lodged the night before we left Portsmouth (not far from your lodgings) for a gi'eat coat and pair of socks of Mrs. Dunham's. They were lambskin originally. J. D." Mr. Richard Evans of Portsmouth, brother of Captain Estwick Evans, the writer of a former letter, had removed to Philadelphia, and about this time Dr. Spalding must have asked him for books as is suggested by the reply: "Philadelphia, Nov. 8, 1801. Dear Doctor: I shall forward by Captain Rugg,^ who sails on Wednesday the books you wish for, ^ "Dr. Bram" was a nickname for Dr. Abraham Hedge. 2 "Mr. Adams" was Nathaniel Adams (1756-1829), author of the priceless "Animals of Portsmouth," a graduate of Dartmouth, one of the founders of the New Hampshire Historical Society and for many years Clerk of the Supreme Court of New Hampshire, the duties of which office carried him throughout the entire state and obtained for him a wide acquaintance. Everybody knew "Nat" Adams. ^ "The Charming Eliza" was Miss Coues. * "Honorably paid" refers to Dr. Spalding's claim against the government for professional services. The Fort-Contractors referred the payment to the government, and the government referred the pay- ment to the contractors; and the bill remains unpaid to this date. ' "Mrs. Walsh" was the wife of an officer and a Belle of the Fort and of the town, as was also " Mrs. Sparhawk " her name then being pronounced " Sparrock." This name is now refined in Boston, into Spar-Hawk, so that Portsmouth people open their ears, when they hear that hyphenated word, and wonder what family people are talking about. ® Captain Rugg who brought the parcel to Portsmouth was a Sea Captain from New Castle, New Hampshire. 98 DR LYMAN SPALDING and which Mr. Woodward the bookseller will cheerfully supply. I enclose Mr. Dennie's receipt for "The Port-Folio" for $4 for a year. I consider Mr. Dcnnie^ a very polite man, and one who is attentive to the etiquette of fashionable manners. I have called on him several tunes without ceremony. Your former letter was wanting in everything: contained things I could not read, yet more than I could understand. In the last letter you have not explained the obscure passages, agreeably to my request. You "walked with the charming "E." She burnt her finger with hot candy and you kissed it." Too Sweet! Too Sweet! Oh, Doctor, when shall I participate in your joys and tryals? I am happy that Mr. Alden's merit is justly appreciated, but I should regret the necessity which might occasion his removal from Portsmouth. Mr. Sewall's POEMS'- are now in the hands of the Publishers, and so soon as they shall determine the value, I will give j'^ou immediate advice. He and his family may depend on my best services. I am sorry that I could not complete 3^our order for all of your medical books, though trying every book store in this city. You can pay my brother the sum due for the books whenever con- venient to you. With kind regards, your OB'D'T Servant, Richard Evans." The end of the year brought a letter from Dr. Waterhouse, concerning Vaccination : " Cambridge, December 7, 1801. Dear Sir: As I expect shortly to publish a report on the progress of the vaccine inoculation during 1801, 1 could wish to have a more particular account of the persons 1 Joseph Dennie (1768-1812) was a friend of Dr. Spalding, at Wal- pole, where he had edited a newspaper, "The Farmer's Weekly Mu- seum" which had large circulation. Dennie was a Harvard graduate, was very neat and nice as a man, dressed very elegantly in a pea green coat, small clothes with silver buckles and was suave, courteous and very polite. He was now editing "The Port-Folio" which was as suc- cessful as "The Museum" and out of old friendship Dr. Spalding sub- scribed for the magazine. When Dr. and Mrs. Spalding visited Phil- adelphia, in 1809, Mr. Dennie introduced them to the first people of the city. 2 Jonathan Mitchell Sewall (1748-1808), whose poems are here mentioned, was Register of Probate for Grafton County, New Hamp- shire, and then Clerk of Courts at Portsmouth. He was also famous as a poet, though some of the titles of his verses are curious. What can we think of "An Eulogy on Two Female Steeds" or "To the Twin Sisters who died at Exeter?" Mr. Sewall was also a Dramatist; his "No Pent up Utica Contracts our Powers, For the Whole Boundless Con- tinent is Ours" remains memorable to this day. He converted Wash- ington's "Farewell Address" into a poem, whilst his "War and Wash- ington" was a "John Brown's Body" army song of the Revolution. PUBLIC TESTS OF VACCINATION 99 you have TESTED WITH THE S-POX, than has yet appeared. I wish to know not only the numbers, but if you have no objections the names and the circumstances of their trial of the S-Pox, how long they remained with the infected patient, the appearance of the inoculated part, etc., etc. I have a number of other cases to bring forward with it, and wish to have every fact clearly stated as may be. I have not had six spurious cases the whole season, and my cases are at this moment as perfect as those I first commenced with. Did you see the case of Dr. Fay^ in the "Ind't Chronicle" of about a fort- night past? Yours with Esteem, Benjamin Waterhouse." ^ The case of Dr. Fay was the vaccination of Dr. Cyrus Fay by Dr. Babbitt of Stourbridge, Massachusetts, who utilized for that purpose the liquid obtained by washing a piece of the shirt sleeve worn during the stage of discharge from the pustule by a patient who had been vaccinated by Dr. Waterhouse. Both physicians being doubtful of the result, consulted Dr. Waterhouse who vaccinated Dr. Fay in the proper fashion, and was rewarded with a perfect result. CHAPTER VIII. Fever Epidemic. Vaccination Experiments in 1802. Old fashioned "consumption" was at that time causing a large percentage of deaths, and beheving that it might be prevented or at least that its frequency should be properly studied, and having also in mind an investigation of Lon- gevity with a view to Insurance and Annuities, Dr. Spalding began in 1800 to collect and tabulate all deaths occurring in Portsmouth. His jfirst Bill of Mortahty, a large Broadside showing in bold figures the number of inhabitants, deaths, age, disease, and causes of death, was printed in 1801, and continued for eleven years during which period they were sent to prominent personages in the United States and in Europe, so that Dr. Spalding became widely known. I find, for instance, that on Washington's Birthday, in 1801, and in 1802 he sent a Bill of Mortality to Thomas Jefferson and to John Adams with a note to this effect : "Sir: Will you please accept the humble offering of a Faithful Citizen of the RepubUc of Science? If you deem it worthy of the attention of the American Philosophical Society, I should feel my self honored by their acceptance of a copy. I am Sir, your Ob'd't Servt. L. Spalding." Mr. Jefferson's answer is missing, but from The Sage of Quincy came this note. . . . "Quincy, February 28, 1803. Sir: I have received the favor of your paper (on Meteors) and have sent it, together with your Bills of Mortality of Portsmouth for 1801 and 2 to the Recording Secre- tary of the Accademy to be communicated to them at their annual meeting. I am, Sir, Your Humble Servt. John Adams." Another valuable letter due to sending a Bill of Mortality to a famous physician may here find a place. Dr. Benjamin Rusfii the writer (1746-1813), was a personal friend of my grandfather from 1809 until his death. * Of this great man this brief record may say that he descended from a Captain in CromweU's army, was graduated at Princeton, studied medicine at home and obtained his degree at Edinburgh. He 100 cj^tm-ccf tJ^t4.'LT. f^aS 'uT n^eu^ Je^^ t/ -nuM y,(H^t^ (^*^ ff/ tyi^On^S;^^ ^^^.^ 102 DR. LYMAN SPALDING "Washington Citj^ February 25, 1802. Dear Sir: I have the pleasure of acknowledging the receipt of your two late favors. The Bill of Mortality for Portsmouth is an instructive Record. That one-fifth of the inhabitants should die of the Pulmonary Consump- tion is a remarkable and unexpected fact. I wish we had other Registers of Deaths kept with equal correctness. Something of the same kind has been undertaken in the City of New York by order of the Common Council. I have forwarded the Bill to Dr. Miller. I have cheerfully complied with your request in respect to your application at the War Office, and have signified to the Secretary my opinion of your professional worth, and desserts. I hope it may be ser^dceable, tho' I dare not flatter myself of having any influence in these matters. I remain with much sensibiUty and esteem. Yours Cordially, Samuel L. Mitchill." Dr. Waterhouse having been similarly favored sent a very characteristic criticism of the Bill of Mortality. " Cambridge, March 18, 1802. Dear Sir : Your letter of the 1 1th Inst, came duly to hand and I have endeavored to comply with your request, so far as to send j^ou some matter on the point of a quill. As to the thread, it is full a month old, but was from a very perfect case and has been kept in a proper degree of temperature ever since. I am now so in the habit of taking the vaccine fluid from arm to arm, that I am not so constant in preserving it on the thread or otherwise. Considerable attention and patience are required in the first use of an old thread. It ought always to be moistened with the vapor of hot water. You mention my not having answered your last letter. I have received no letter from you since j'^ou wrote to me in answer to one of mine. I received a printed bill of mortality, 5 or 6 weeks ago, but no written line whatever with it and I have had no letter from you for 4, 5 or perhaps 6 months past. I have just received "Observations on the Cow Pox" from Dr. Lettsom.^ I shall probably pubhsh a second pamphlet in a 1 John Coakley Lettersom (1754-1815) was born in the West Indies, hut educated in England. He practiced first in the Colonies, made a fortune by speculations in sugar, and then settled in London where he ol)tained most of the clientage of the late Dr. Fothergill. His genial waj's and perseverance soon won for h ra a very large practice. He was however always financially embarrassed. He married a fortune, and lost it, made another and dissipated it, and in his old age inherited still another which he was unable to squander before he died. He founded the London Medical Society, left money for the Fothergill Gold Medal, and the Lettsomian Lectures, wrote a great many medical works, and carried on an extensive correspondence writing many of his FEVER EPIDEMIC 103 month or so, being practical observations, etc. In the mean- time I sent a few, to the Medical "Repository" for their next number. I am glad to find that you attend to the occurrences of Mortality. Excuse me for making a few remarks on the one you were so obliging to send to me. 1. Did Aphthae kill the infant, or was it a symp- tom of another disorder, or in other words: was it sympathetic or Idiopathic? 2dly. We very rarely see consumption in patients above 50 years of age, more rarely above 60 and very rare indeed at 70. There is a chronic cough and emaciation, and great expectoration in old people, but it is not the true Phthisis Pulmonahs. 3dly. Is not Debauchery rather a VAGUE term for a general Head? Does it mean Drunkeness exclusively? 4thly. I never yet saw a very young child with Epilepsy. There is a wide space indeed, between the convulsions of infants, and that truly wonderful disease. Epilepsy. 5thly. Mortification: Was it in the bowels or the feet? As they are widely different in their cause. See Pott on the Latter.^ 6thly. Death from Scrofula is very uncommon. It predisposes to fatal diseases. 7thly. Paregoric : Does that mean that the Child was poisoned by that composition? If so, had it not better been by Opium as Paregoric means a Mitigator. You will excuse these hasty observations that occurred on the perusal. They have not originated from a disposition to criticise but from a desire to have them free from every exception. Yours Steadily, B. Waterhouse." Dr. Waterhouse was immediately thanked for his frank criticism and presented with some Salt Fish for which Portsmouth was famous. Some time later a reply to this effect followed. letters in his carriage en route to patients. He is said to have com- posed this distich which may be passed along for another generation: "When people's ill, they comes to I, I physics, bleeds and sweats em; Sometimes they live, sometimes they die; What's that to I? I let's em." 1 "Pott on the latter" was Percival Pott (1714-1786) whom we re- call on account of his own accident, for which, when amputation of his foot was proposed for a fracture at the ankle, he invented a splint and saved the foot. He was Surgeon for years at St. Bartholomew's, and did great service in ridding that Hospital of the barbarities of the nurses towards the patients. His treatise "On Diseases of the Spine" ("Pott's Disease") remains a monument to his fame. 104 DR. LYMAN SPALDING "Cambridge, June 8, 1802. Dear Sir: Some time ago I received a box containing some good salt fish, but having no line nor any direction whatsoever with it, I was at loss to know whence, or from whom it came, until Mr. Bartlett iaformed me not long since, that it was sent to his care from you. I am disposed "to return thanks and ask a continuance of like mercies " when I know to whom I must address them. I suspect some letter was sent by a private hand, which never reached me. Two years ago I inoculated Mrs. Smith, originally of Portsmouth, who lately removed from Boston to your town again, but her case was spurious. I called to re-inoculate her the very day after she left Boston. I write this therefore, to ask you to call upon her, and to ask her if she is willing that you should inoculate her, and if she prefers it, I wUl send her some matter for that purpose. Although her sjonptoms were very ^dolent and her arm very sore, her disorder was of the spurious kind. If she therefore, wishes it, I would thank 3''0u to inoculate her for me. The credit of the vaccine inoculation is advancing and maintain- ing its credit among us, in spite of vile tricks to impede it. I am with Esteem, yours, etc., Benjamin Watekhouse." The people of Portsmouth were terrified at this time by an epidemic of malignant fever simulating Yellow Fever. Patients died in a day and a panic seemed imminent. At this juncture Dr. Spalding printed "An Appeal to the Board of Health" asserting that they were neglecting their duty in not enforcing household sanitation. The Selectmen called a Town Meeting; Dr. Spalding was put on the Board, vigorous sanitation followed, daily bulletins stating number of deaths and numbers affected were issued by him, and in the course of two months the worst was over and healthy conditions prevailed. In spite of much time given to this epidemic. Dr. Spalding completed a second public proof of vaccination as a pre- ventive against Small Pox, for on the 22d of July he issued a Bulletin stating that three weeks before, his Class of five vaccinated persons had boarded in the Small Pox Hospital with two patients afflicted with that disease, were all in- oculated with the small pox virus, and after remaining ten days in contact with the patients came off safely and had up to that date showed no signs of contagion. "This second public experiment," he says, "gives public proof and sufficient testimony within our own borders, that the Kine Pox is a sure and efficient preventive of Small Pox." FEVER EPIDEMIC 105 A copy of this Bulletin was sent to Dr. Waterhouse, who in "The Palladium" of May 31, 1802, had complained that no pubUc tests of the efficacy of vaccination had yet been made in America, forgetting the tests communicated to him the year before by Dr. Spalding. Acknowledging the com- munication. Dr. Waterhouse wrote to this effect, utihzing for this letter the reverse of a Broadside from Dr. Jenner with full directions for Vaccine Inoculation. "Cambridge, July, 1802. Dear Sir: Accept my thanks for the printed account of your second experiment respecting the prophy- lactic power of the Kine Pock.^ I thought it would conduce to good, to give it to the public through "The Centinel." I wrote a few Hues on the same paper, to the printer, personally, which he also printed. I mean to pubhsh in "The Centinel" this week a piece on the absurd notion, now industriously disseminated, that the Kine Pock will only secure a person for a short time. Perhaps it would answer a good purpose amongst you, to have it copied into one of your Portsmouth papers, for, this doctrine Ls spread far and wide, and discourages inoculation. The Mrs. Smith I wrote to you about inoculating is the mother of WiUiam P. Smith, and as he has lately been unfortunate, I could wish not to be lacking in attention to her, or him, who employed me. Will you please to tell her that I called at her house the day after she left Boston, and finding she was gone had desired you to call on her in my behalf. If I can reciprocate this service, please to com- mand, Your Humble Servant, Benjamin Waterhouse." One of the famous men of that era to whom the vaccina- tion tests were sent was Charles Caldwell (1772-1853), who obtained his degree of medicine in Philadelphia, in 1785, and acted as Surgeon in "The Whiskey RebeUion," a riotous popular protest in Western Peimsylvania against taxation of domestic spirits. Caldwell was Professor of Natural History in Philadelphia, but quarrelled with his colleagues, and became a Professor in Transylvania University in Ken- tucky. He next founded the Louisville Medical School, quarrelled again, with his colleagues, and in his old age had the Chair of Theory and Practice pulled out from under him when he refused to resign. He wrote hundreds of medical works in a flowery style and an "Autobiography" which would be worth a good deal more than it is if it had ^ In the Singular, because it has but one pock; the X being plxu-al. 106 DR. LYMAN SPALDING only been indexed. His chief works were "A Treatise of Practice" and a "Life of General Greene," Insufferably egotistical, he said that he had never entered for a hterary prize without winning it. He detested Dr. Rush, and ac- cused him of plagiarism, yet dedicated to him a Translation of Sanac^OnFever." Personally, Dr. Caldwell was a man to turn around to look at. Tall and commanding in figure, dignified in counte- nance and with a flowing beard he recalled the patriarchs of old. Fearless and outspoken he remained, to the last, an example of mental activity in prolonging life. Venomous of tongue, when once interrupted by shouting students, he shrieked at the top of his voice: "Three VERMIN, only, HISS! Enraged Cats, Vipers, Geese! Which of these three are YE!!" Soon after receiving the news from Portsmouth, Dr. CaldweU sent the following reply, in his usual style, behttling others, and lauding himself. "Philadelphia, July 22, 1802. Dear Sir: Accept under the same cover an acknowledgement of your favor of the 16th inclosing an account of your experiments on the efficacy of the vaccine disease in preventing Small Pox, and also of that received some months ago, covering a Bill of MortaUty for the Town of Portsmouth. Such communications will always experience from me a welcome reception, as, besides the information contained in them, they be- speak a remembrance and attention which must always be pleasing. Independently of the evidence received both from Europe and different parts of the United States, in favour of Kine Pox, the Personal experience of many of the physicians of Philadelphia is sufficient to convince them of the power of this disease (if it deserve so harsh a name) to eradicate from the System a Susceptibility of Small Pox. The experiments made on this subject by five or six of the younger practitioners of this place (myself among the number) amount to, at least, one hundred; in each of which the result has been perfectly favorable to the Jennerian discovery. Our only reason for not giving them to the pubhc, has been (I speak with confidence relative to my own motives) their similarity to experi- ments previously made and published elsewhere. Having nothing . new in them, and the point to which they related being in mind established beyond question, they did not appear to me worthy of being conducted through the press. One case occurred here in the course of last Spring, of death, by casual Small Pox after vaccination, which for a time affected the pubhc mind with uneasiness and distrust. But, these sensations FEVER EPIDEMICS 107 were readily removed, as it appeared on examination, that the acci- dent had happened in the hands of an unskilful practitioner, and that the vaccine affection had been evidently spurious. I presume that before this time you have been reached by the note of alarm produced by our intermeddling newsmongers, annovmcing the re-invasion of our City by pestilence. Never have I known an effect so enormously disproportioned to its cause as in the present instance. Our Citizens have been driven to secure for themselves retreats in the Country, on the most exorbitant terms (for with our Benevolent Neighbors, pestilence is an object of profitable specula- tion) country merchants will be prevented from resorting to our City for their autumnal supplies, and our vessels, being denied Bills of Health, will be subjected to quarantine in foreign parts — For What? For a mere phantom!!; the very coinage of the fears of timid minds or the self conceit of others, who overrate their powers of foretelling the future from present appearances. What ever may be the issue of things in the approaching Autumn, we have as yet, had no grounds for Serious and extensive alarm. The true outline of the Matter is as follows: On the 4th of the present month, a malignant fever made its appearance in a remote comer of our city, or rather in what we denominate the Northern Liberties, being without the hmits to which the pohce of our cor- poration extends. Since that period, about thirty-seven persons have been attacked by the disease, of whom about 9 or perhaps 10 have died. The others are well or on the recovery. The disease has been exclusively confined to one neighborhood, no instance of contagion or even of the suspicion of it, with medical men has occmTed, nor has any new case appeared since the 16th, making the space of a week aU but one day. Several cases of this fever were marked by all the malignant symptoms of our epidemic in former years. Notwithstanding this, from a combination of many cir- cumstances, which I have not room to detail, most of our physicians who paid due attention to the subject felt a conviction that it would not become general at this period of the Season. A similar con- viction they endeavored in private conversation to impress on the minds of their fellow citizens, but the clamors of their fears were too loud to suffer them to hsten to the voice of reason. Accept an assurance of my respectful consideration. Ch. Caldwell." Two letters from Dr. Waterhouse bring the correspon- dence for the year to a close and are of the greatest historical value. "Cambridge, October 13, 1802, Dear Sir. Will you as speedily as you can put me up sealed in a quill, some of your freshest Small Pox matter and transmit it in a letter by the next mail? We want it to test the Kine Pox Patients who were inoculated before the 108 BR. LYMAN SPALDING board of health (at Noddle's Island) and Dr. Aspinwall ^ has not, he says, a particle in his hospital You have had, I hear, a recent case at Portsmouth. Can you send me some of it? Your attention to this business will oblige, Your Friend and Humble Servant, B. Wateehouse." The second message says: "Cambridge, November 4, 1802. Dear Sir: Agreeably to your request, I here enclose a small portion of vaccine matter. I cannot send more at this tune, having just sent some to Philadelphia, where it is extinct. I have just received a similar request from New York where it is also extinct! And I have reason to think that there is none in Boston, my own cases excepted!! Neither, it seems, is there any in Portsmouth. . . . How can practitioners be so in- attentive? I am obliged to hire children, and others, to be inocu- lated in Cambridge in order to keep up a continuity of matter. I have just received some quills from Mr. Ring. Dr. Jenner has just sent me some in a silver box, inlaid with gold of exquisite work- mansliip, with a complimentary inscription by Mr. Ring.^ You ^dll find on reading Coxe, that he has pubhshed in haste. He sent me the work in sheets. I sent him the colored engravings of the pustule in all its stages, contrasted with small pox. He has, you see, copied it, but it falls vastly short of the original. Dr. Coxe' 1 William Aspinwall (1733-1823) served as a surgeon in the Revolu- tionary army, and then established a Small Pox Hospital at BrookUne. He gained great reputation, by inoculating, with the Small Pox virus, more people than all the other neighboring physicians combined. Perceiving, however, that vaccination would prove the safer and surer preventive he vigorously advocated the new procedure. In his old age, Dr. Nathan Smith, much to his personal regret, operated unsuc- cessfully for cataract upon Dr. AspinwaU. 2 The silver gilt box was brought from Dr. Jenner by Dr. Matthias Spalding (1769-1865) -who was a graduate from Harvard and after studying in Europe, settled in Amherst, New Hampshire. He was for many years President of the State Medical Society. Fertile in re- sources and in obstetrical emergencies, and genial as a man, he was an vmusually successful practitioner. 3 John Redman Coxe (1773-1864) studied abroad and was practis- ing in Philadelphia as early as 1795. He was a Surgeon to the Penn- sylvania Hospital and occupied the Chairs of Chemistry and Materia Medica in the Medical School. Discords and jealously arose, and it became a burning question: Is there need of separate Chairs for these two topics, and is Dr. Coxe capable of filling either? He was finally compelled to resign from both, but he hved long enough afterward to prove the absurdity of the charges of incapacity brought against him. He knew enough, but was too pedantic to be interesting. His "Phila- delphia Medical Museum" was an excellent paper of its kind, and he was also for a time in the Surgical Instrument Business. FEVER EPIDEMIC 109 has just written to me for a fresh supply of matter. Yours, etc., B. Waterhouse. P. S. If you could procure me another quintal of fish such as you sent me last autunm, you and I will settle the amount of it when we next meet, or before, by sending the Bill of it. We can get the ordinary fish in Boston, but the best kind of large fish is not easy to be found. Our experiment stagnates for want of pox matter." These two notes illustrate the Noddle's Island test of vaccination as a preventive of Small Pox, which was begun in August, 1802, by vaccinating several persons, with the idea of inoculating them when occasion served, with Small Pox virus. When, therefore, Dr. Waterhouse asks for Small Pox virus, and says, "Our experiment Stagnates," he means that the Noddle's Island test had lasted since August, and was not then completed. CHAPTER IX. Medical Life at Poetsmouth, 1803-1806. In order to throw light on Dr. Spalding's career at this time I must rely mostly on scrap books and newspapers, which show that he was making flying visits to Boston, and obtaining a fair practice. I find on a bit of paper, and written in French: "I spent this year $300 more than I made." His marriage with Miss Coues took place in October, 1802, and they went on their honeymoon to Cornish and Hanover. He resmned vaccination in the Spring of 1803, constructed a Galvanic battery and used it medically, compounded oxygen gas and utihzed it for asthma and built his own soda fountain, manufacturing mineral water for his patients and the public. The battery and the fountain seem to have been the first made in New Hampshire. He wrote medical papers, and read them before the medical society or printed them in the newspapers of the day. One of these on quacks showed the people the misery inflicted by these travelhng wretches, especially upon the cancerous. He was much in- terested in Ergot, experimented with it largely, at first denied its efficacy and finally acknowledged his mistake. Another paper on "Interlocked Twins" attracted attention. He dissected daily during cold weather, became a skilled anatomist and surgeon, and obtained a considerable practice in this branch of medicine. He operated for cataract, hernia, necrosis, did many amputations, and a good deal of minor surgery. The following instance of his surgical conservatism is worth inserting: Without informing Dr. Spalding that am- putation of the leg had been advised by a capable surgeon in a case of necrosis of the tibia, he was called in to look at the patient and thereupon he said that the leg could be saved. He was told then that arrangements had been made to amputate it that afternoon. He retired from the case, and being sent for refused to attend except in consultation. This being arranged, he showed what he proposed to do, 110 MEDICAL LIFE AT PORTSMOUTH 111 did it, and in a few weeks that patient who had been bed- ridden for years was walking without a cane or a crutch. Amongst the accidents which he mentions in his papers were one of suffocation in a theatre during a panic following an alarm of fire. Another one was of ptosis (falling of the upper eyelid) after a stroke of lightning affecting a woman sitting at an open window during a thunder shower, but which was relieved after using the electric battery which Dr. Spalding had built. He once reported a case resembling spontaneous com- bustion; an old lady was left at home one Sunday morning, all the rest of the family having gone to church. Upon their return nothing was discovered of the woman but a heap of ashes. Dr. Spalding was called, and looked at the ashes and noticed the vile smell of burning flesh. Nothing else in the house was in any way injured. As the family claimed that when they left home there was no fire in the house, we can but speculate upon this phenomenon. Was it an accident from a tinder spark or was it spontaneous combustion? The public esteem in which Dr. Spalding was now held is proved by his being named as an Executor of the Will of the Widow "Martha Hilton" Wentworth. She had first mar- ried Governor Benning Wentworth, as Longfellow relates, and later on Colonel Michael Wentworth, not a relation of the Governor, but a hero, by his own right of having fought at CuUoden and Fontenoy. He came to Portsmouth about 1760, practiced law, married the Governor's widow and died September 25th, 1795. The inventory of his estate mentions a handsome Chariot and six horses, a portrait of King George III, the personal gift of his Majesty, and much elegant furniture. His widow to whose estate as I have said, Dr. Spalding was named as Executor, although he declined the Trust, left him four handsome silver spoons made, as the Hall Mark shows, by John Gorham of Gutter Lane, London, in 1759. The first letter belonging to 1803 reads as follows : "Cambridge, April 24th, 1803. Dear Sir: Agreeably to your request I here enclose some fresh vaccine virus matter which was taken from a child on the 8th day from vaccination and is not more than 20 hours old. My late pubHcation has at last set forth the History of the practice in America in its true point of fight and cor- 112 DR. LYMAN SPALDING rected several ill grounded notions. I am, Sir, Your Humble Servant, Benjamin Waterhouse." About the same time also Dr. Spalding received official notice of his election to the State Medical Society. "Kingston, N. H. June 8, 1803. Sir: I am dii-ected to notify you, that at the annual meeting of the New Hampshire Medical Society held at Exeter on the 25th of May, last, j^'ou were unani- mously elected a Fellow of said Society, and that the next annual meeting will be held at the house of Ezra Hutcliingsi in Exeter on the last Wednesday of May, 1804, at which time and place your attendance is requested. I am your Obedient Servant, Levi Bart- lett. Secretary." Dr. Thomas Manning (1775-1854), the writer of the next letter to appear, belonged to the Massachusetts Medical Society, and to a family, many of whom were physicians. He seems to have bought, sold, made over, repaired, leased, mortgaged and rented more Mansions, than any physician whose career I have ever investigated. He was at this time living in what had been the Parsonage of the First Church. He was practicing in Ipswich as early as 1799, and as late as 1830, and then retired to enjoy a green old age. "Ipswich, September 6, 1803. Dear Sir: I am favored with the opportunity of acknowledging the receipt of your last year's Bill of Mortality of Portsmouth. I assure you that your communication will always meet with a warm reception when put into my hands. As I am writing permit me to congratulate you on the material March, which you have gained on me in the birth of your child. But, why are you so laconic in your communications, and why will you not accompany them with some additional remarks on Chemis- try, in the future? Call now to recollection your past omissions and so preclude farther accusations from me. Although I have not yet the pleasure of an acquaintance with Mrs. Spalding, I presume to request you to make m}'^ respects to her, and tell her that I wish that she may find continual joy in the life of your mutual darling.'^ Your very obedient servant. Tho's Manning." After Dr. Spalding had completed his galvanic battery, he communicated the fact to Dr. Smith, who in his turn made ' Ezra Hutchings was not a physician, as stated in the "Records" of the New Hampshire Medical Society, but simply the Landlord of the Tavern whore the society meetings were held. 2 "Your mutual darling" was Elizabeth Parkhurst Spalding, bora August 11, 1803. -q/i^ >^ .^f...,^^ u.0,....^-^ JV'^^ 2j ^jjt^-^ ^^-^ "^ LETTER FROM DR. NATHAN SMITH ABOUT THE GALVANIC BATTERY: DR. SMITH COULD NEVER SPELL GRANDFATHER'S NAME CORRECTLY MEDICAL LIFE AT PORTSMOUTH 113 various experiments, but with poor success. In the emer- gency he applies to his former pupil for information by letter. Hanover, November 7, 1803. Sir: I wish you to inform me by a letter, where, and how you obtain the Zinc of which you make your Galvanic Pile. I have been disappointed at several attempts to obtain it. I wish also that you would give me a short account of its operation, and its effects on the body and you will oblige, Your Friend and Servant, Nathan Smith. N. B. I shall be at Hanover during this month." The only letter at hand for 1804 is from John Eliot (1754- 1813), a founder of the Massachusetts Historical Society and a graduate of Harvard and Edinburgh. He had married into the Portsmouth family of the Tread wells, and was well acquainted in that way with Dr. Spalding. EHot's "Bio- graphical Dictionary of Eminent Men in New England" was highly thought of. Mr. Eliot had sent some "Collections of the Massachusetts Historical Society" to the Portsmouth Library, and Dr. Spalding as Librarian had returned thanks and enclosed a Bill of MortaHty and a copy of his "Chemical Nomenclature." Here is Mr. Eliot's reply: "Boston, March 9th, 1804.' Dear Sir: I received your poHte letter of acknowledgment of the Books, and am very glad to learn that your Portsmouth Library is in a flourishing condition, and that you are the Librarian. I feel interested in everything that concerns it. The founders of it were my particular friends, and did me the honor of deshing me to write a list of books, which were sent for among the first their subscription afforded. The Historical Collec- tions, which I send you, are a good addition. I would not have parted with them to an Individual, but hope they will be read by many in Portsmouth and that they will find entertainment in dry antiquities, as they appertain to their ot\ti country. Your present to our Historical Society, I received and thank you in their name. Such Bills of Mortahty in every town would be useful, but professional men are generally lazy. It is the fault of some of our most eminent physicians in Boston. Your new Nomenclature will be useful. It shows how much you have attended to that Science, which will be among the fashionable studies here in a few years as it is now in Europe. I studied Chemis- try with Priestly 's " Nomenclature "^ and cannot break off my 1 Priestly'9 "Nomenclature" was one of a large number of con- tributions to science by the Rev. Joseph Priestly (1733-1804) who had lately died. This great ecclesiastic and greater chemist was bom in 114 DR. LYMAN SPALDING prejudices suddenly. I call them prejudices, from the habits of study when I was better able to attend to such things than I am now. I feel my attachment increase, since that great and good man has died in the same opinion. Great, he was, in everything. . tho' wrongheaded in some, and perhaps it may be in his deductions from his experiments concerning the phlogistic principle. Allowing this, yet his Nomenclature seems to me very expressive. Or, being more used to it, I may, as said before, be more prejudiced. Were I on the Committee of Publication this j^ear, I should put your Bills of Mortahty in the 9th Vol. of our Collections. It would not be foreign to such a kind of pubhcation, but part of the History of the place. The use that will be made by comparing them with those of other towns in the state is one thing. I wish to put them into the Collection, as Illustrations of the state of a town whose history we want more complete. With due esteem and respect, Your Most Obedient Servant, J. Eliot." The first letter for the year 1805 is from Dr. Mitchill in reply to one from Portsmouth. "Washington, February 7, 1805. Dear Sir. Your Bill of Mor- tality for 1804 has reached me, and I thank you for it. What a dreadful calamity the Pulmonary Consumption is! I believe, so far as our Bills extend in New York, that one fifth of our deaths are by the same fatal malady. I hope you will continue your obser- vations. We shall preserve it, and extend the circulation of it ia the "Repository." I find that Dr. Miller has got out the 31st No., which is the 3d part of Vol. 8. I received it a few dajj's ago from the booksellers, by mail. It is full of original and valuable matter. I have observed that your Bill of Mortality for the last year has been reprinted in London. With Great Regard and Esteem, Samuel L. Mitchill." A note from Dr. Caldwell shows us that Dr. Spalding had been obtaining subscribers for his translation of Desault's "Surgery" and from it we find him obtaining a Set, as a gift. England and died in Pennsylvania, having been driven from home by mobs who thought that his views on Reform were wrong. As a man, Priestly was rapid in his gait, and in his repartee. His sermons were friendly talks with his people. He wrote on Theology, Philology, History, Politics and Sociology. As a Chemist he discovered Oxygen Gas, and Soda Water preparations, and in Chemical Science he stood upon the Heights. Although offered a Chair in Chemistry in the University of Pennsylvania on reaching America, he preferred to live in the country, where he worked to the last, dictating a Treatise, a few minutes only, before his death. MEDICAL LIFE AT PORTSMOUTH 115 "Philadelphia, June 13, 1805. Dear Sir. Accept my sincere thanks for your attention to the interest and circulation of my Translation of Desault's "Surgery."^ The number of copies of that work directed in your polite letter have been forwarded to you at my request, together with one attached for yourself, by W. P. Farrand and Co. Booksellers in Philadelphia to whose order you will have the goodness to pay the subscription money. I am, with High Regard, Your friend and obedient Servant, Ch. Caldwell." I have not been able to discover at this place how a patient of Dr. Spalding could be at Hanover, unless he had operated upon her for cataract whilst taking a vacation there and had left her in charge of Dr. Smith, who now writes concerning her. "Hanover, June 25, 1805. Dear Sir: Mrs. Peirce, your patient has been attended to. But her case is of that kind which forbids my giving her any encouragement of receiving her sight. She seems to be afflicted with a degree of inflammation and soreness of the eyehds, which might possibly be mended. For that purpose I would wash them once or twice a day in a solution of corrosive sublimate, in the proportion of two grains to a pint of water. The Thebain tincture of Sydenham^ may also be tried to constringe and 1 Pierre Joseph Desault (1744-1785) was set to study theology in the country but escaped to the more attractive Medical Schools of Paris. He lectured later in that city with much success despite the jealousy of the regular faculties. He had charge of the Dauphin (Louis XVII) during the Revolution, is said to have denounced an in- tended substitution, and to have been poisoned to get him out of the way. It may be added, that Chopart (collaborator with Desault in medical works and originator of " Chopart' s amputation" of the foot) was called into consultation with Desault in this case and agreed with him that substitution of children had been performed. Chopart also died of a rapid fever, and he, too, is said to have been poisoned. 2 Thomas Sydenham (1624-1689), though hving long before the date of this letter, is worth annotating as a Hero in Medicine. He fought with Cromwell, obtained the Sinecure of Comptroller of the Pipe, and at last discovering that he knew nothing about medicine studied in France, and settled in London where he obtained an excellent practice chiefly owing to the fame obtained by printing an account of his own case of Gout. Most of his works appeared in Latin, but whether so written or translated from EngUsh is still disputed. He was a bitter talker and many stories are told concerning him. He once sent a grumbhng patient all the way on horse back to consult a "Dr. Robin- eon" in Dundee. When the man arrived there and found no such physician, he set off furious to London. Arriving there he had high words with Sydenham who appeased him in this way. "I sent you to Dundee with something to think of on your way: that a new doctor 116 DR. LYMAN SPALDING strengthen the vessels of the ej^es. As Internal Remedie I would give her iron, and some of the stimulating gums. The following pills I have found useful; ^' Gum Guaiacum, Saponis Castillensis, Sal Martis, aa. Take two at night and in the morning. I would also recommend the use of diuretics, such as tincture of cantharides, and terebinthinate medicines. I cured a patient where there was a considerable collection of matter about the loiee, by the help of issues apphed to the part; uon and strong diuretics, internally. I write in great haste, being called tliis moment to attend a patient afflicted with gangrene. With respect and affection, I remain your sincere friend and very humble servant. Nathan Smith." The end of the year brought another delightful letter from Dr. Jenner, "Berkeley, Gloucestershire. November 12, 1805. Dear Sir: Your letter, though rather laconic, of the 27th day of May last affords me great satisfaction. I beg that you will accept my thanks for your kind attention, in sending me your Bill of Mortality of Portsmouth for the pre\'ious years. You may also easily con- ceive what gratification it is to me to hear that the powers of vaccination have so clearly manifested themselves in your experi- ments, as to have eradicated that Horrid Pest, Small Pox, from any particular district. Information similar to that which you convey has reached me from various parts of the world. Vienna exhibits a curious instance. The bill of Mortahty has there shown that the average number of deaths by smaU pox had exceeded eight hundred for a number of years past, but that in the year 1804, five years only, after the introduction of Cow Pox by my disciple, Dr. De Carro,* TWO INDIVIDUALS only fell victim to that disease. I now request all vaccine inoculators to be particularly cautious in the examination of the progress of thfe pustule in those who are affected with an Herpetic Skin, imder whatsoever form this affection would cure you. Knowing that there was no such man there, I knew, again, that on your way home you would have but one thing to think of, and that was to be mad at me. Now you are cured; and what more can you do than pay a fee to me, and to the other doctor who cured you." Sydenham died frorr. a calculus, but his Tincture is stiU with us. 1 Jean De Carro was born in Geneva, in 1770, and graduated at Edinburgh. He was practicing in Vienna in 1799 at 983 Rauherstein, when Jenner brought forward vaccination, and was the first to extend its use by dipping ivory points into the lymph when ready. He also sent to Moscow, Persia and India lymph imbedded between plates of glass, which were then covered with layers of wax until the parcel re- sembled an ordinary ball of wax. In tins way the lymph arrived safely and proved effective. De Carro's only regret in life was that he never met Dr. Jenner. MEDICAL LIFE AT PORTSMOUTH 117 may appear. My reason for enjoining this precaution is this: I clearly perceive it to be by far the more common than any other cause, of the Spurious or Imperfect vaccine pustule; that pustule which does not guard the patient from future infection. I have discovered too, that this has been the cause of insecurity obtained from variolous inoculation. We have abundant instances of per- sons taking the Small Pox after a supposed security due to small pox inoculation. Your country doubtless affords similar examples, your obedient servant, Edward Jenner. P. S. If you have any case of small pox after small pox in- oculation, pray communicate them, or any observations on Herpes, which I presume is as common in the New, as in the Old World." This is now the place to introduce another life long friend of Dr. Spalding, Philander Chase (1775-1852), born in Cor- nish, educated at Dartmouth and first serving as a Mission- ary Preacher of the Episcopal Church in New York. He then became Rector of churches in New Orleans and Hart- ford, Connecticut. He was the first Bishop of Ohio, President of Kenyon College, of the Theological Seminary of Ohio, of Jubilee College and last of all Bishop of IlHnois. He was a Militant Churchman, and an intense hater of Negro Slavery. From his letter arriving in the Spring of 1806 we learn of the state of affairs in Louisiana soon after its purchase by the United States. "New Orleans, March 8, 1806. My dear friend: I beUeve, if either of us were asked why we have not kept up a correspondence with each other, no satisfactory reply could be given. For my own part, I have been ashamed of neglecting, so long, an early friend, and one whom I so sincerely esteem. The tidings of your fame in the exercise of your professional functions have frequently reached my ear, and made glad my heart; and lately as it is, I am now happy to let you know something of myself. . . . Till last October I resided at Poughkeepsie, N. Y., engaged in the arduous cares of a Parish Minister, and Principal of Dutchess Academy. The Bishop of New York, having received a letter from the Protestants in New Orleans, requesting a Clergyman might be recommended to them, was pleased to pitch upon me, for that purpose. I obeyed, and leaving my family in Poughkeepsie, came on, and found things to answer for the most part, my expectations. I think I shall for a while take up my residence in this city. For this purpose I shall if it please God go on for my family in May; in doing which I shall take the opportunity of visiting my friends in general. On my way 118 DR. LYMAN SPALDING to Portland, Maine, to see my Brother Salmon ^ I intend to have the pleasure of once more joining hands with j^ou, and happy shall I be, in finding your friendship as unimpaired as mine. As to News, you know more than I do, being so far from the Seat of Gov't; The Spaniards threaten hard, but have done nothing ma- terial as j'et, by land. The Gov't of the State will probably declare war ag't the U. S., for interdicting our commerce with them. The difference with Great Britain wiR end, we are afraid, in something almost too unpleasant to think on. In trjdng "to see who wiU do the other the most harm," both must be but too successful. God avert this great Calamity!! IMy health never was better. The Climate of this Country has, as yet, proved pleasing beyond description. "We have had but 6 or 8 days of freezing weather, this winter. The roses are now in full bloom, and the time of the singing of the birds has come. May God bless and preserve j^ou. My respectful compUments to Mrs. Spalding. Yours Sincerely, Philander Chase." Dr. Spalding was often consulted by seafaring men, who would sail away, leaving their bills unpaid. In his en- deavors to obtain payment, he had occasion in 1806 to in- quire the whereabouts of these patients from friends in Portland, Maine. Amongst many letters concerning such disagreeable disputes, I choose one or two from Dr. William Frost,^ and Mr. Kinsman ^ of that place. ^ My Brother Salmon (1761-1806) was a Dartmouth graduate and a lawyer in Portland. He was "AU at sea" with a Jury, but so brimful of facts and cases that he was kno■v^^l as "The Law Book." His nephew, Salmon Portland Chase, the gifted Secretary of the Treasury, in 1861, was named after his Uncle Salmon, but to honor Mm, particularly, the nephew was given the middle name of Portland, where his uncle had practiced law. 2 WiUiam Frost (1781-1823) was the sixth son of Gen. John Frost of Kittery who had served in the Revolution and was blessed with a large family. He served as surgeon's mate in the Navy, was a physician in Portland and died in the West Indies on his 42nd birthday. Whether he was in the Tropics as a Ship's Surgeon at that time, or in search of health, I have not discovered. In looking over some old books, I lately found a few of his which testified to his good hterary taste. ' Nathan Kinsman (1777-1829) was graduated at Dartmouth in the Class of 1799 when Dr. Spalding was Chemical Lecturer; they roomed together at one time and were great friends. Kinsman came from Lincoln, Maine, and settled in Portland, where he had an ex- tensive law practice. He is said to have had more "Embargo Cases" than any other lawyer, and it was facetiously remarked, that if you only spelled "Embargo" backward (O grab me) you would understand why lawyers were bo anxious to be retained in such profitable cases. MEDICAL LIFE AT PORTSMOUTH 119 In his first letter Dr. Frost asks for Vaccine. "Portland, March 10, 1806. Dear Spalding: I have had re- peated occasions to apply to you for favours and again have the presumption to request another. I have had several applications of late to Inoculate for the Kine Pock and am imder the necessity to apply to you for some of the vaccine matter, presuming you have some fresh and genuine or can procure some, as you generally Inoculate at this season of the year. If you have any you can rely on as genuine, be so obhging as to put up a small quantity in the manner you usually transport it, and forward it by Mail, and I will satisfy you in whatsoever may be the price of it, and convey it to you through the same mediiun. . . . Also, the volumes on Surgery (Deasult's) that I subscribed for last summer; if they have been sent on to you. If you will let me know what the price of them was, I will remit you the money at the same time. If the Postage of the volumes of Surgery isn't more than 2/ or 2/6 to Portland, you may send it with the Vaccine matter, and directed to Portland. But if the Postage is more, you you may keep it, until you have a favourable opportunity to forward it, or wait until I come to Portsmouth. Excuse the hberty I take, and permit me to Subscribe myseK, your Sincere Friend and Serv't., Wm. Frost." In his second note, Dr. Frost writes about the bad debts. "Portland, July 9, 1806. Dear Spalding: Your letters, one with the Kine Pox matter and the other including the Bills for Collec- tion, both came safely to hand. The consequence of my bemg obliged to go to Boston a day or two after I rec'd yoiu- Present of Vaccine virus: it was out of my power to inoculate with it until since my return, which has been only about two weeks. Soon after my return I inoculated with it, but the period has not yet come to determine whether it has not been injured by age. . . . I something expect it is. Your bills against patients I have settled in the usual way of settling Doctor's bills nowadays, by taking Notes of hand, in pay- ment: which you will receive enclosed. They would not give the Notes for a shorter time. Sawyer tried to plead off by saying "He had sworn out of jail lately, and did not know that he ever should be able to pay it," but I at last persuaded him to give the note. Mr. Chase informs me he has collected one account, and will pay it to your order. It will be as well to direct him to send it by mail as it will go safer. Your Obliged Humble Servt., Wm. Frost. P.S. If this vaccine should not prove good, I presume that I shall once more intrude on your goodness for a Uttle more." 120 DR. LYMAN SPALDING Mr. Chase died about this time, and the bills were then left wdth Mr. Kinsman who wrote to this effect about col- lecting them. "Portland, Nov. 19, 1806: Dear Sir: On settling one of your accounts I recollect a request in a letter from you, that whoever the attorney might be, some information on the subject should be forwarded to you, and, was it not Court Week, I could give you more information on the topic, of your accounts handed me by Dr. Frost. But, the evening is the only time I have to answer letters, and at my house. I, therefore, can only say that this man paid $15, and Costs. So soon as the Court rises I will forward the monej^ by post, or in any other way that you direct. Shall be very happy to obey yoiu commands should any more of your patients stroll down this way. In Friendship; Your OBDT Servt, Nathan Kinsman." Writing again in February, 1807, Mr. Kinsman says: "The only apology I can make for not acknowledging your last letter and the one before it, covering sundry demands for col- lection, is, that the unusual calls on me of late in the line of my profession has caused me to forget answering them. I have at last attended to some of the accounts, but have collected only $10. I offered one man to take a Note at 12 months, but he is such a poor drunken fellow, that no one will endorse him. Another is dead, and his wife, if he ever married her, has no property as I am informed by the constable." In a final letter Mr. Kinsman writes: "Enclosed you have the $19, the balance due you after I charged off my commission. Your Friend, Kinsman." I will now go back to 1806 and introduce two new friends of Dr. Spalding, Mr. Brackett of New York, a well-known lawyer and Hon. Silas Dinsmoor, a distinguished pohtician of that era. Joseph Warren Brackett (1775-1826) came from Greenland, New Hampshire, was graduated at Dart- mouth in 1800, and settled in New York, where he practiced law and acted as attorney for Dr. Spalding when he moved to that city. Silas Dinsmoor (1766-1847) was born in Windham, New Hampshire, and died in Kentucky. After graduating from Dartmouth he went into politics, and was now Government Agent for the Choctaw Indians. He later served as Quarter- master General and Colonel in the War of 1812. After MEDICAL LIFE AT PORTSMOUTH 121 visiting Dr. Spalding, in 1806, with a letter of introduction from Mr. Brackett, he travelled into Maine to study Indian conditions in that State, and on his return renewed the Portsmouth friendship and continued it many years. The early autumn brought a most unexpected letter from Dr. Noyes who had long been silent. "Newburyport, August 30, 1806. My Good Friend: With what expectations hast thou opened this letter? Didst thou expect some Present, Information, or Sentiment? If thou didst, thou art not disappointed. Didst thou expect some petition? If thou didst, I shall be glad, for thine expectation will be fulfilled. But what is your petition? Why; that thou wouldst send me some kine pox infection. Please to take it on pointed quills and divert it to Dr. Francis Vergmes,^ or Nathan Noyes. We have no news. The season is very healthy. I have bought the last edition of Rush's "Enquiries," and wiU send them to you if you wish. N. Noyes." This same season appears to have witnessed a fresh cam- paign of vaccination in Maine, for Dr. Spalding had many requests for virus from that State. One of them was from Dr. John Church of Wiscasset, who later was drowned, and another from Dr. Cyrus Johnson of Cape Elizabeth, who mentions a famous man Dr. Jeremiah Barker. "Portland, Oct. 12, 1806. Dear Sir: Dr. Barker « mforms me that he has several times received from you some Kiae Pock Mat- ter, and doubts not but I could obtain the same favor by applying 1 Dr. Francis Vergnies de Bonchiere (1767-1830) was borji and educated in France, but practiced in the island of Guadeloupe. Exiled from there during a Negro Insurrection, he arrived in Newburyport almost simultaneously with an epidemic of Yellow Fever, during which he was of so great assistance to the afflicted that he was publicly thanked at a Town Meeting in 1797. Cheerful, charming and poUte, he had the misfortune to lose his eyesight from glaucoma, but continued cheer- ful to the last. He left to the library of the Massachusetts Medical Society his valuable medical books in several languages but they have long since been scattered. 2 Dr. Jeremiah Barker (1752-1835) has been broadly depicted by me in a monograph read before the Maine Historical Society in 1910. He was born in Scituate, Massachusetts, served on a Privateer and on the Penobscot expedition during the Revolution, and then practiced in Gorham and in Portland, Maine, and finally retired to Gorham. He was a most industrious practitioner, and writer, and ardent in the cause of Temperance, Vaccination and Alkalies in Fever. His detailed accounts of the Weather and of Epidemics in Maine possess much medico historical value. 122 DR. LYMAN SPALDING to you. If you have some fresh matter and will be kind enough to send me a small quantity, you will Very Much Obhge, Yours to Serve, Cyrus Johnson." The Galvanic Battery invented by Dr. Spalding also made him well known and brought him many inquiries concerning its use. One of this sort from Dr. Abel Blanchard of Pitts- field, New Hampshire, may serve as an example of many others. "Pittsfield, New Hampshire, Nov. 10, 1806. Sir: I have sent to you for 1 lb of Zinc and 1 oz Ipecac, which I wiU thank you to put up, or direct the bearer where he may procure them. The Zinc I want for the purpose of constructing Volta's Pile. I once made the attempt and failed. I took plates of Zink, SUver and pieces of pasteboard, placed the three successively and so on. I wet them with a solution of various salts, but could produce no effect. If not too much trouble I will thank you for information on the sub- ject. Must the edge of my plate be dry? ]\Iust the Pile be in- sulated? Or, did I fail in some other particular? How many plates, the size of a DoUar \^dll answer in all cases of Disease where Gah-anism is useful? Not having any personal acquaintance with you, it is with re- luctance I request of you information on the above subject, but presuming I shall thereby be enabled to form a Volta Pile, which shall be effectual, I take the Uberty. I am Sir, Your Obdt. Servant: Abel Blanchard." Leaving now New England friends aside, we find by the next letter from Dr. Shadrack Ricketson of New York, that Dr. Spalding's acquaintance was extending far from home. Dr. Ricketson was a physician of good standing in the pro- fession, had written, as we shall see, a Popular Work on Health, and at this time is asking Dr. Spalding to obtain new subscribers. ''New York, 8 Mo. 9th. 1806. Dear Doctor: I sent thee some time past one of the Prospectuses of my Work, announced, on the "Means of preserving health and preventing Diseases," which is now in the press, and will shortly be completed. The plan of the Work, will, I apprehend, be understood from what has already circulated, but as it is designed for popular use as well as for the Faculty, it is not dressed in Medical Garb but Avritten mostly in as plain and inteUigible a style as could be well consistent with its nature, and in order to render it still more so to every capacity, I have prepared a glossary of the technical Terms that have un- avoidably occurred by which its utility and acceptance will I hope MEDICAL LIFE AT PORTSMOUTH 123 be increased. As the public have been fatigued and crowded with Subscriptions, I have proceeded to pubhsh without, for which reason it will be more necessary to pave the way, and diffuse in- formation of the pubhcation in order that the sale may defray the expense of printing. I have, accordingly, asked the favour of my Medical Friends and Correspondents to spread Information of this Work. I have consulted a gi'eat number of the most eminent of the Faculty on the acceptance and utility of the work, who generally speak encouragingly of it, and wish to see it pubhshed. I msh that Information may circulate in Portsmouth and other parts that way, of the Work, and that it is intended for general use, and consequently important, and interesting to aU. I wish to l3e informed of the reception of this, with thy Prospect of the sale of the Work, that way, and any observation that may occur, respecting it. Please to mention what trusty Bookseller or Agent in Portsmouth would be suitable to commit some of the books to. I judge that every Work designed for popular use should not only be as inteUigible, but as concise and cheap as possible. I have accordingly, condensed mine into a 12 Mo Vol. tho it contains as much as some in 8 vo. The price is not fixed, but it will not exceed 150 Cents, boimd, by retail, and a 13th will be allowed Gratis to a purchaser of 1 dozen, as if published by subscription. In Haste, Thine; Shad Ricketson." Dr. Spalding agreed to sell a few copies of the work, and with them came this second letter. "400 Pearl St., N. Y., 10th. mo. 18th. 1806. Dear Doctor: I acknowledge the receipt of thy letter and am much obhged by thy attention to my requests respecting my books which are now out of the press and ready for Sale. I herewith send Thee 26 of them for sale at 125 cents, each, re- serving one to Thyself for disposing of each dozen. As C. Pierce ^ is a stranger to me, I think best of committing them to Thy care. The expense of pubhcation, having far exceeded my expectations and the calculation of the printer, I was almost induced to sell it higher, but desirous of adapting it to the abihty of every purchaser and the capacity of the reader, as I have endeavored to do by the language and a Glossary, I have concluded to sell as low, as above. Although the Recommendations printed in the book are from the first Physicians in the City, yet as their names may not be 1 Charles Pierce (1779-1851) was a Portsmouth Journalist and Bookseller, who published for several years a local newspaper entitled "The Oracle of the Day" and "The United States Oracle of to Day." He left Portsmouth after a successful career and died in Philadelphia. 124 DR. LYMAN SPALDING known to the public at large, That Way,^ I thought it might in- troduce and expedite the sale, if thou were to add a short recom- mendatory paragraph to accompany the advertisement ia the Papers, in which, if another influential physician in the town were to joia, it might be weU. I wish to be informed of the reception of the books with the prospect of their scale, That Way, and whether any more ■will probably be wanted. I note thy work "On Cutaneous Diseases," which wiU be ac- ceptable to the World. Thy Bills of Mortahty were also acceptable, and I herewith send Thee a copy of the Proceedings of our Med. Soc, of the Committe of Correspondence of which I am one. Thy Respectful and Obhged Friend. Shad. Ricketson." The last letters belonging to this year are from Dr. Thomas Bmnside (1787-1815) of Plymouth, New Hampshire, and reveal, not only his intentions to practice surgery, but Dr. Spalding's kind disposition. Dr. Burnside obtained his medical degree at Dartmouth, in 1805, but died early. " PljTnouth, December 10, 1806. Dear Sir: I hope you will not be surprised at recei-\dng this from one with whom you are un- acquainted; tho' almost a stranger, yet I have had the pleasure of seeing j^ou at our Lodge at Haverhill, and accompanied you to \'isit Mr. Webster who was then unweU at that place. I have at- tended two courses of Medical Lectures at Dartmouth, and have been in this town about a year as a practitioner in Physic and Sur- gery. My pecuniary circumstances are rather low, having ex- pended considerably for my education. I now want very much Surgical Instrimaents for amputations, Trephining, Couching, etc. My motive in wTiting to you, was to beg you to inform me whether I could get them in Portsmouth, and what would be the expense of each set. And, if I should send by a friend, whether you would be good enough to pick them, that I might not pay for useless instru- ments. . . . Your Most Hble. Serv't, Thomas Buenside." In his second letter, dated Feb. 12, 1807, he continues the subject. "Dear Sir: Your kind letter I have just received. I know not how to acquit your kindness. The amputating instruments you mention, I would buy, provided they will answer my purpose, and will be sold for their real value. On you, I must depend for this, as I cannot come for them. If they were a good set, are unliurt, and you are persuaded they will answer my purpose, I would be glad to purchase them. A full set, I take it, will contain an amputating, 1 " That way " means " In your town." MEDICAL LIFE AT PORTSMOUTH 125 a spring saw, two or three different sized knives, a tourniquet, a tenaculum, and perhaps some other things which I now do not think of, together with a case in which they are kept. I expected these are all constructed according to Mr. Bell.^ I am determined to procure a good set, if any. . . . The instruments of midwifery I do not want, but if you wUl procure and send with the rest a catheter of elastic gum, I would be very glad. The man by whom I shall send for those instruments will go to Portsmouth in two or three weeks. I therefore, wish you to inform me further respect- ing them, as soon as may be, that I may agree with him to procure them; if so shall send him to you. Your Humble Servt. Thos. BURNSIDE." Finally on February 27, 1807, he writes: "Dear Sir: I am happy in receiving yours of the 20 Inst. The instruments according to your description will meet my appro- bation. Please to dehver them to Esq. Russell, the bearer of this, for which he will pay you. Be good enough to send the catheter such as you mentioned, by him. I am told that those of the elastic gum, which are preserved on a straight wire are preferable, but send such as you can procure. The unwearied pains you have taken in this business is more than I could expect. If I can ever be of any service to you in any respect, I shall be happy. I hold myself under the greatest obUga- tions to you, and am Ever, you very Hmble Servant, Thos. Buen- SIDE." 1 "According to Mr. Bell" means John or Charles Bell of Edinburgh the famous surgeons." CHAPTER X. American Edition of Willan on Cutaneous Diseases. Benjamin Fay, an Episode in the Life of Dr. Nathan Smith. Post Roads in New Hampshire. Letters 1807-1808. The mention of "Thy work on Cutaneous Diseases" in Dr. Ricketson's letter reminds me of the fact that at this time Dr. Spalding became interested in diseases of the skin, from seeing several Parts of Dr. Robert Willan's elaborate work with colored plates, entitled "The Description and Treatment of Cutaneous Diseases." Dr. Robert Willan, the author (1757-1813), was educated at Edinburgh, and on removing to London obtained an ap- pointment in the Public Dispensary, from which he retired after twenty years of duty, honored with a set of silver. Willan was the First English Dermatologist and his classifi- cation of skin diseases is still practically used for all diagnostic purposes. His work on skin diseases issued in Parts, was first published in 1798, but not finished in his life time. He also wrote a "Life of Jesus," and published an illustrated treatise on "Vaccination," Becoming dropiscal, he journed to Madeira in search of health but died there. Amongst the various letters which bear upon Dr. Spald- ing's American Edition of Willan, the following seem worth printing to show his intentions which, however, failed owing to his inability to find any person who could print impressions in colors. The first artist employed to engrave a Plate from Part IX of Willan's book was Dr. Alexander Anderson (1775-1870) who was born in New York, but was early taken into Con- necticut by his Father who feared conscription into the British Navy, during the Revolution. Although Anderson showed talent as a draughtsman at an early age, his father insisted upon his studying medicine, and it has been asserted that the son was for a while a House Physician in the New York Hospital, but soon abandoned medicine. Anderson was at this time all the rage with his wood cuts and surgical engravings, and was for that reason engaged 12G AMERICAN EDITION OF WILLAN 127 for the new Willan. The only letter which I find from him is the following, in which he asks for payment and offers to forward the finished Plate. "New York, April 8, 1806. Dear Sir: I wrote you some time ago by a vessel which, I understand, has met with some accident, and since my letter may not have reached you, I thought it necessary in this one, to state the contents. I mentioned in it, the difficulty of drawing, for the $50 you offered me, and supposed that some opportunity might offer for sending the Plate. As I have to pay that sum the 1st of May, if you could make it convenient you would much oblige. . . . Youra Respectfully, Ale'x Anderson." As it seemed from this and other letters, that Anderson could engrave a plate, but could not pull from it colored im- pressions. Dr. Spalding directed it to be sent to Philadelphia by his cousin, John Jackson, then in the Insurance business in New York. With his letter, Dr. Spalding enclosed a draft for $125, from which Mr. Jackson paid Dr. Anderson a final $20, and held the remainder to Dr. Spalding's credit. The plate was sent on to Mr. John Vaughan, another Son of Portsmouth then living in Philadelphia, with directions to hand it to Mr. David Edwin a second celebrated engraver of that era, to see if he could print from it in colors. Mr. David Edwin, a son of John Edwin, an Enghsh Comic actor of wonderful repute, was born in Bath, England, and in his 16th year was apprenticed to an engraver in London. David, however, ran away to sea and settled in Philadelphia in 1797, where he acquired much renown as an engraver of portraits. After twenty years of great success, he lost his eyesight and retired from his arduous occupation. A letter at this point from Mr. John Vaughan throws a little more light on the Willan Plate, and carries the story along. "Philadelphia, 24 December, 1806. Dear Doctor: When your friend Richards^ was here, I was on Jury Duty, and so continued 1 Mr. Richards was the Universalist Clergyman, and prominent Mason from Portsmouth, before mentioned. He was now "On TriaP' with the Universalist Church in Philadelphia. He always spoke of Mrs. Spalding as "Lady" Spalding, and predicted fame for Dr. Spald- ing, saying: "I expect to see the time when Lyman Spalding's head, instead of being on his shoulders will be acting as Support of the Greatest Medical Journal in the World." 128 DR. LYMAN SPALDING near six weeks, which made attention to him, impossible. He has given great satisfaction; they have invited him, and seem disposed to exert themselves to make his situation agreeable and to put him in the way, by teaching, of adding to the salary they can afford to give. Your Plate has not been many days here. I put it at once into the hands of Edivin, but he has not yet returned it. The vessel you mentioned arrived yesterday. I shall take care to send it by her, with the Impressions from it which I may receive from Edwin. I remain Yours Sincerely, Jn. Vaughan." When the impressions of Anderson's Plate from the press of David Edwin reached Portsmouth, and were found de- fective in color, being very pale and indistinct, Dr. Spalding entered into correspondence with a third engraver of national fame, James Akin, then of Newbuiyport, Massachusetts. Mr. Akin will long be known to collectors by his prints of "Wolfe's Tavern" in Newbury, and by a frontispiece of "King David with his Harp" as depicted in a "Set of Sacred Hymns" published by Amos Blanchard of Exeter, New Hampshire, in 1805. Akin's "Perpetual Almanac" published by G. Goold, of Portland, in 1805, is excessively rare and prized by connoisseurs. I have not discovered when Mr. Akin was born, but he was still flourishing in 1833, and I have traced him through his long career as a druggist, restaurant keeper, lithographer, caricaturist, and engraver of Portraits (amongst them the familiar one of Dr. Rush) and of book plates. With the year 1807 we hear farther news from Mr. Akin concerning the impressions for the American Willan. " Newburyport, May 12, 1807. Dear Sir: This morning your note was put into my hands by one of the Portsmouth Stage Drivers, by whom it was my intention to have forwarded this answer. I do not particularly recollect how Dr. Noyes understood me, nor do I sufficiently recollect whether I wished "Some Physician Present," when I should experiment for you. Certain, I am, at this moment, however, that it would be wholly unnecessary to require your at- tendance at the distance between Portsmouth and Newburyport. I am not unwilling to let any person see the process who should de- sire it, but I cannot suppose that a gratification of this kind would animate you to leave your business. If you will forward me the Plate, I will, either m your absence or presence endeavor to produce such impressions of it as will satisfy you of my competency to such a business, requiring nothing AMERICAN EDITION OF WILLAN 129 more than what can reasonably be expected for the loss of my time, and the cost of such ingredients as I shall be necessitated to procm-e. If the experiment is conformable to your ideas, and affords satisfactory produce to entitle me to an engagement for the entire work, I shall then be ready to converse farther with you upon the subject, and afterwards determine about the price. I remain with perfect Respect, Sir, Yoiu- Ob'd't, Serv't. James Akin. P.S. Week after next wiU suit me. J. A." As it happened that neither Dr. Spalding nor Mr. Akin could leave his business, the matter rested until June when Mr. Akin wrote again. " Newburyport, June 6, 1807. Sir: The business which would draw me to Portsmouth can at present be terminated without my presence there, and of course I shall not (now) see you as I con- jectured. It would be almost impossible to give you a direct answer respecting Willan's Plates. The number of impressions to be printed, ought first to be known, and the different plates in- spected as to the quahty of the work required to each. You probably wiU be in Newburyport before a great while, and as you appear so much pleased with my competent abilities as to wish for an answer, I give the preference to an interview with you upon the subject, as a great liability exists that our letters may be multi- pUed without accompUshing any object for which we should write. The expensive and tedious process of printing in colours could not be undertaken, unless something of consequence was expected from the number to be printed off each plate. I remain Very Respectfully, Y'r Ob'd., Serv't, James Akin. P.S. The paper you sent me can be bought here; tho' excellent of its kind, it is wholly unfit for the purpose of printing in Colours." Soon after the date of this letter Mr. Akin became in- volved in a quarrel concerning some drawings for Bow- ditch's "Navigator," and fearing a law suit, he decided to leave Newbury as the following letter shows. " Newburyport, October 27, 1807. Su-: I received your box and Plate when I was in great bustle and confusion of packing up and selling my furniture in preparation for a Departure out of this Commonwealth, but as I had to print about 300 impressions off another Plate, I supposed that it would be in my power to strike off a few Proofs, in colours, for you, and kept the plate for that purpose without saying anything to you upon the subject, tho' I requested Dr. Noyes to let you know my intention, and dehvered him your letter at the time. It has, however, been wholly out of 130 DR. LYMAN SPALDING my power to do anji^hing of the kind, because my tenancy expired before I was able to complete what business I had for some time past been engaged in. I therefore, send you back your Plate, as I rec'd it; am very sorry that it has not been possible for me to gratify yoiu* wishes. WTien I arrive at the Southward, I shall be glad to afford you all the service I can, if at that distance I shall be considered to suit your purposes. Upon a Review of my calculations for what I did in the fu'st instance, I find a charge of two dollars expended for materials to experiment for you, which can be paid to the Bearer for me. And I am. Sir, Your Ob'd Serv't. James Akin." With this third failure to obtain satisfactory colored im- pressions Dr. Spalding abandoned Willan's Plates, and all that remains of the American Edition as planned by him, are two very rare and probably unique impressions of Plate IX, Figs. 1 and 2; of Lepra Alphos, and Lepra Nigricans, pulled from the plate engraved by Dr. Alexander Anderson. A pale pinkish impression is the one pulled by David Edwin, a dark, brownish one represents "the experiment" made by James Akin. Dr. Spalding's reputation already established in 1801 by his vaccination campaign had by the year 1807 so much in- creased that he was now receiving many letters, only a few of which, however, can be printed for lack of space. One on family affairs from his Brother Silas may here find place. "Cornish, Jany. 20, 1807. Dear Brother: I have nothmg par- ticular to write, but we are all well as usual. You wrote about our coming down tliis winter, but it is so far advanced and no snow, that I have sent my pork to Boston by waggon and had returns from it. It fetched me $20 per bbl. and shall not get another load that would pay for transport so far. I talk of going next week with a load of rye as far as Amherst and exchange it for salt, if there comes snow so that I can have a run down, so far; Grain is plenty here, rye at 4/, corn the same, wheat at 7/6 and we hear it is so low in the Market that it wont pay, for freight expenses are so high. Money is scarce in the Country with us. If I could come down and fetch your town (up) or Portsmouth could come up, it would be a fine advantage to the country. But in vain it is to think any such thing. Mrs. Spalding says we must wait until Next winter, and then the children will be older, so we can leave them better. I received your letter which mentions your laying in Nuts and Cider. We have plenty of both but we must content oiir Noble Selves to eat oiu- own this winter. If you love your Marm and her cheeses too, if we have a chance to send one down AMERICAN EDITION OF WILLAN 131 we will. Step up some morning Before Breakfast, take Mrs. Spalding by the hand and see us. Send a billet, and we will have a Turkey for you and ourselves, too. Silas Spalding." The first letter of the year from Dr. Smith contains valu- able information concerning Dartmouth and an alleged murder. " Hanover, March 12, 1807. Dear Sir: I have just now received your favor dated 5th February; in what corner of the post office it has lurked for more than a month I do not know. I am, how- ever, glad to receive it at this late hour. Respecting the Object of the N. H. Medical Society,^ I shall most cordially and zealously endeavor to promote it. I am appointed by the Hon'ble Board of Trust, for Dart. College to attend the next Legislature in this State on business for the College,^ which will give me a very favor- able opportunity to cooperate with the Medical Society in any measure that wiU be conducive to the respectability of the pro- fession. Our last course of lectures in this University was a fortu- nate one. We had a much larger audience than usual, and I was able to pay more undivided attention to the business, so that we now stand on higher ground as it respects the medical branch of the CoUege, than we have ever done at any former period. Last year you wrote me respecting republishing Willan's Book on Diseases of the Skin, and since that I have heard no more of it. I should hke to know what we can expect respecting that work. Perhaps you may if you take one of the Walpole Papers observe a publication respecting the death of Benj. Fay, of Alstead, who was supposed to be poisoned.* The piece signed by my name I wrote at the request of the friends of the deceased, but did not put my name to it, but sent it to them to do as they pleased as to ^ The object of the Society was a Resolution against Quackery ia- troduced by Dr. Spalding. 2 "Business for the College" means an effort to obtaia State aid for a Medical School building at Hanover. 3 "The case of Dr. Fay" deserves mention, because it is a hitherto overlooked episode in the life of Dr. Smith. Sometime in September, 1806, Mr. Fay died and was buried, but as rumors arose that he had been poisoned by his Mother-in-Law, Mrs. Margery Fay, she was arrested and the body exhumed for examination. As most of the physicians present were sure that Mr. Fay had been poisoned, they soon found what they called arsenic. Mrs. Fay was then bound over for trial. Meanwhile, Dr. Smith had heard of the case, and after investigating it, he wrote a paper, as mentioned in his letter. From an old copy of Dr. Smith's communication I note here the points which he made against the physicians. It was claimed, that the body was found swollen; the pit of the 132 DR. LYMAN SPALDING publishing it. They, either ignorantly or willfully mistook my in- tention as respects signing my name, and put it to the piece. You will perceive that some of the learned Faculty are pretty severely lashed. What effect it will have or how they wiU behave toward me, I do not know, nor do I much care, being confident that they merited the whole of what they have received, and more also, as you will see by the history of their conduct. Since I saw you, I stomach mortified; that the contents of the stomach tarnished a knife blade and when boiled, revealed a metal ball resembling arsenic. Dr. Smith argued that were people acquainted with the effects of arsenic, nothing could more effectually expose the ignorance and folly of the physicians than a bare recital of their opinions. But as the assertions of medical men frequently obtain more credence than comported with the good of society, he wishes to make a few observations. "That Fay died from poison seems to have been inferred from the suddenness of his death though he failed to exhibit a symptom of poisoning. He died in an apoplectic state without evacuations, con- vulsions, pain or distress, being insensible from the moment he was found indisposed. Compare this with the effects of arsenical poisoning which are, nausea, vomiting, piu-ging, hiccough, pain in the stomach, convulsions, twitchings, sahvation, asphyxia, and death." "That those eminent physicians should find a body "SWOLLEN" eleven days after burial, should surprise none but themselves, as all other persons know it due to nature. As to "Mortification," on the pit of the stomach, how could it have found its way out through the integuments of the body, and like a Night Mare have couched itself on the pit of the stomach! Introduced into Court it proved to be a mere scab, the most trifling thing in the world." "Then they diagnosed arsenic from the contents of the stomach tarnishing metallic spoons, but the last food the man took, apples, bread and milk wUl tarnish metals just like arsenic. Their last experi- ment with a quart of the stomach-contents exposed to a firey heat for three hoiu-s resulted in a metalUc substance in the bottom of the red hot kettle, yet arsenic is so volatile that if there had been a poxmd of it in the vessel it would soon have been utterly dissipated with that degree of heat. And after aU the metallic button was more likely lead than anything else." "Thus from the fatuity of the Faculty and the credulity of others, the whole country has been alarmed with the rumor of a horrid murder of which there is no evidence at all. For when the Report is exammed by the touchstone of legal evidence it vanishes Uke a scroll, leaving not the least evidence that the man was poisoned." "The case shows how careful. Judges should be, when life and character are at stake, in giving credit to the reports and testings of the faculty, at least in matters of opinion depending solely upon their professional knowledge. Nathan Smith." As a result of this note, the woman was discharged. Expert testi- mony of this sort, might be made useful now a days to Judges and Juries alike, if only the Law would permit. AMERICAN EDITION OF WILLAN 133 have performed the operation of Lithotomy, successfully on a young man in Marshfield, Vermont. I am with sentiments of esteem, yours Sincerely, Nathan Smith." The following letters from Dr. Frost of Portland reflect Dr. Spalding's interest in vaccination, public schools and baths. "Portland, April 17, 1807. Dear Sir: I have received several letters from you since I last wrote, and among the number one en- closing a Bill of Mortality for 1806. It seems that Consumption does not cease to make its ravages in Portsmouth, which certainly is to be exceedingly lamented, and proves the infant state of the healing Art, not only in that malady but in a variety of others. Dr. Barker is now writing his observations on Consumption, and it is to be hoped they may be useful to the friends of Medical Science. By the by, I have been sometime expecting to see your "Treatise on Cutaneous Diseases;" but have not as yet had the pleasure. I hope it won't be long first. The Bills you enclosed to me, I put into the hands of your friend Kinsman, who told me sometime since he had collected the money for them, all, and presume before this you have rec'd it. I was exceedingly sorry that my wife's health was such at the time Miss Jackson was in Portland on a visit, as to preclude her paying that attention to her we are always happy to pay to any of your, or our friends. Dr. Jackson's family, or friends. If you have any Vaccine Virus by you at this time, you will much oblige me by sending a little enclosed on a thread in the manner you did last Spring, as Mrs. Frost wishes to have our httle daughter vaccinated, and when I come your way, I will call and satisfy you for it. With respect yours, etc., Wm. Frost." A week later Dr. Frost writes again. " Portland, April 25. Dear Sir: I have made inquiries of two or tliree of the "School Committee," of this Town, relative to their "Rules and Regulations for Public Schools," and I was informed by them, that they have never seen any since they belonged to the Committee, which has been for several years, but that some Rules were drawn out by Judge Freeman,^ some years ago which 1 Judge Samuel Freeman (1742-1831) was one of the most remark- able office holders ever known. For he was Secretary of the Provincial Congress, and Post Master of Portland for Thirty Years and simul- taneously Register and Judge of Probate and Clerk of Courts for forty-six years in aU. In his younger days he pubUshed "The Town 134 BR. LYMAN SPALDING have been either lost or misplaced, so that they are not to be found. Relative to the prices of Tickets at our Public Baths, I am in- formed by the owner of it, that they are 25 cts. pr. Ticket and no cheaper if you purchase pr. the Dozen. But, the tickets by the Season, are $5 to go in as often as you please until winter com- mences, when they are not in operation. Your Friend and Serv't., Wm. Frost." Another correspondent of this year was Dr. Luther Jewett (1772-1860) who had a remarkable career. Gradu- ating from Dartmouth in 1795 he practiced medicine several years, abandoned medicine for the Law and was a Judge in the Vermont Courts and Member of Congress. He retired from the Law to the Pulpit, preached eloquently for years, and finally became the Editor of a newspaper in St. Johns- bury, Vermont. It is given to but few men to be successful in four professions as was Dr. Jewett. He writes to this effect : " St. Johnsbury, April 30, 1807. Dear Sir: I acknowledge with gratitude the favor you have done me for several years past by sending me your Bill of Mortality for Portsmouth. Should you continue (to) publish, you will greatly oblige me by continuing to me. I have reason in addition to my wish to return my acknowl- edgments for writing this. I want to learn your opmion respect- ing the duration of the preventive power of the Kine Pock. No person has treated with more levity than I, the opinion maintained by some, that it will prevent the small pox for a time, but that its preventive power will diminish by time and become extinct. I have inoculated several hundred in the course of seven years past. Many have been tested satisfactorily. I have lately been inocu- lating with the variolus virus. Among a considerable number of Kine Pock patients who have repaired to the Hospital to test them- selves with the small pox, a few who had the kine pock some years since, had arms as sore as is usual with S. Pox patients; swelling and soreness of the axillary glands; pain in the back; etc., but no eruptions or none which filled. What am I to think of this busi- ness? Did these persons have tlie genuine K.P? Would their systems have been equally affected had they been tested years ago? Would they now, if not tested till years hence? Your answer as speedily as convenient will much oblige, Dear Sir, Your Friend, L. Jewett." Officer" one of the earliest books printed in Portland, and in his old age he edited Parson Smith's "Journal of Events in Portland in the XVIII Century." AMERICAN EDITION OF WILLAN 135 Mention has already been made of the difficulties of col- lecting bills in Portland, and here are similar instances occur- ring in Bath. The lawyer to whom the bills were handed, Nathaniel Coffin (1781-1864), was a friend of Dr. Spalding at Dartmouth, and a successful criminal lawyer in Maine. His home in Wiscasset, where he practiced for a while, was much frequented by young people and so many engagements resulted from meetings there, that it was called "The Match Factory." Mr. Coffin moved westward and acted as Treas- urer of Watauga College in Illinois, where he died. The following letters from him explain themselves. "Bath, July 15, 1807. Dear Sir: I acknowledged the rec't of your Demand received some time ago, in a letter by a gentleman from this town. I then informed you that Melcher was at sea in a Schooner, and that the vessel was cast away near Liverpool, and that he and others were discharged, since when, nobody here has seen him. Captain Trefethen was also at sea when I rec'd your account against him and is still but is daily expected. When he comes he will call or remit. He, no doubt, will pay first call. Your Friend, etc., N. Coffin." Later on, Mr. Coffin discovered a mistake concerning this payment and wrote again. "Bath, Dec'r. 15, 1807. Dear Sir: Capt. Henry Trefethen of this place has lately arrived and I have shown him your account. He says you must have mistaken the person. He says he Uved with his family in Portsmouth, but that Dr. Cutter was their physician. He Says another Captain Henry Trefethen, an old gentleman also lived there, and also that a son of the Old Gentle- man, a THIRD Capt. H. T., who hved at Monhegan was fre- quently at Portsmouth and your bill might be against one of them. If our Trefethen is not the man, as I am induced to beheve he is not, by this statement and the confidence I have in him, I cannot render you any service in this particular. You will please write me, if you still think him the person and mention some circum- stances respecting the place, sickness, etc., which may serve to convince him, as, if he can be satisfied the services were for him, or his family, he will readily pay. Your Friend, etc., N. Coffin." "Who would have thought that there were Three Henry Trefethens and all Sea Captains," Dr. Spalding may have said as he read Mr. Coffin's note, and we can sympathize with him with his bill unpaid for lack of identification. 136 DR. LYMAN SPALDING As the use of scabs for vaccination increased, physicians tested their value and a letter from Dr. Waterhouse bearing upon this topic, at that time of much medical importance may here find a place. " Cambridge, July 22, 1807. Dear Sir : I thank you for your com- munication respecting the long life of the scab. I have found the scab to communicate the true disease Two Months after it was taken from the arm. It seems to be the Christalline state of the matter, but I have thought or CONCEITED that it occasioned more infiamation in the pustule produced. I would thank you to send me some of the matter on a quill enclosed in a letter, that has been produced by the scab in question. I should like to compare it vnth some taken at the usual period. I am in the habit of pre- ser\dng scabs, but I never use them when I can obtain other fresh limpid matter. If you could send me a couple of quills by the re- turn of post, you will oblige, Y'r F'd and Humble Serv't., Benj. Waterhouse." When the Dartmouth Commencement of 1807 approached, Dr. Spalding was in the following way reminded by his old friend William Woodward, the College Treasurer, of a former promise. Hanover, Aug. 9, 1807. Dear Sir: You will recall the engage- ment you entered into last Fall that you would by some means procure the attendance of Governor Langdon, at our next Com- mencement, should we give liim a handsome election. The Con- dition is performed, and I hope you will not cease from your ex- ertions to persuade him to attend. He will be cordially received and welcomed and his journey, so far as depends on his visit at Hanover, will, I presume, be rendered pleasant to him. You must not fail. Can you not perform the journey at the same time? We cannot at such a season on account of engagedness promise anything better to our friends than a license to do very much as they please, which to one so much at home as you are at Hanover, will be all that would be insisted on. Y'r Friend and H'BTe Serv't., Wm. H. Woodward. Governor Langdon had just been elected for the sixth or seventh time, but Dartmouth Histories do not tell us that he accepted this invitation. Amongst the friends to whom Bills of Mortality were sent this year was Mr. Benjamin Dearborn of Boston, who, in 1780, when living in Portsmouth, had founded the First Grammar School for Girls, later on an Academy for Misses, and finally a Dancing Academy for Youths. He was an AMERICAN EDITION OF WILLAN 137 ingenious man; invented scales and a printing press; and finally moved to Boston. He collected statistics of people who were struck by lightning when near open windows or doors during thunder showers, and issued a Circular con- cerning this topic. Mr. Dearborn is connected with the medical History of Boston, very intimately, as he left funds for the establishment of the Boston Dispensary. After receiving a Bill of Mortality Mr. Dearborn wrote to this effect, on the overleaf of one of his Lightning-Cir- culars. "Boston, 3rd. Sept. 1807. My dear Sir: Judging from your voluntary labors in collecting the facts for publishing Bills of Mor- tality, I conclude that you receive gratification from being pre- sented with an opportunity of furnishing useful information. On this ground I take the Uberty of addressing the enclosed Circular to you, with the hope that it will not be unacceptable. During my residence in Portsmouth, the following instances of injury by lightning occurred; Deacon Lane of Stratham, struck dead at an open door; A woman at the North End (in Portsmouth) struck dead at an open window; if I mistake not, her name was Clark; Mr. John Melcher's wife, in a room at her uncle Samuel Hill's, where a window was open, deprived her of her eyesight, aad con- tinued blind for some weeks ; The house now owned by Mr. Chaun- cey (then Col. Long's) struck while closed, when the lightning passed into the cellar doing but little injury. If it should please you to collect the minute particulars of those events with any others within your knowledge, and coramunicate them, it may be productive of good and will be a gratification to Sir, Yours very Respectfully, Benjamin Dearborn." Dr. Spalding in due season called public attention to this circular and mentioned a case of Ptosis (paralysis of the upper eyelid) caused by a stroke of lightning when a woman was standing at an open window, and which was cured by using galvanism. A few days later came this interesting letter from Dr. Smith on medical and surgical topics. " Hanover, Sept'r 13, 1807. Dear Sir: Respecting extracting the cataract on the right eye, I have performed once only on that eye. I stood behind the patient and introduced the knife in the usual manner excepting the edge was turned in an opposite direction, so as to cut the flap upward, which is preferable to cutting it down- ward, as the cicatrix is apt to produce some obstruction to vision in looking down on the ground, which is more necessary for all but 138 DR. LYMAN SPALDING Dhdnes, than looking upward. I should prefer the method I have pointed out to either of the methods you propose. My pupilage fees are as usual $66 66/100, per year; $40 for one course of lecture only. I hardly know how to advise in your Case. I am inchned, however, that it is a case of morbid excitement of the blood vessels of the head. Should think that those remedies which diminish morbid excitement would be proper. I have succeeded in several Cases of irregular action of the heart and arteries with opium and white -^dtriol. I give a grain of opium with a grain of the Vitriol night and morning, varying the dose and proportions of the medi- cines according to circumstances. Fowler's Mineral Solution has been recommended for nervous headache, but I do not know that there is much similarity between the cause of your complaint and that of nervous headache or at least I do not know that the analogy is such as to warrant the use of so formidable a remedy. The opium when given to overcome diseased action should be con- tinued at such intervals as to keep the system under the impression of it for a great many days. I speak of Chronic disease. I have sent you some blood root; all I can find time to write respecting it at present is, that it possesses all the properties of other emetics ^\ath some peculiar to itself. When given in doses of several grains it pukes and produces a great prostration of strength; more than most other emetics, perhaps nearly as much as Tobacco, or Fox- glove, tho' I do not think it so dangerous in overdoses as either of those I have mentioned. I give it in Powder, in tinctures and in simple watery infusions, and where I do not wish to have it prove emetic, often combine opium with it. I repeat the dose three or four times each day. In Inflammatory rhemnatism I give it so as to puke, and repeat it once or twice a day, for sometimes it has proved very useful in that disease. I have lately had three successful operations on blind patients; two were cataracts and the third had closure of the pupil which I opened with the couching needle, after several attempts, so as to give pretty perfect vision. I am with high Esteem, yours, Most Sincerely, Nathan Smith." In the following note from Dr. Noyes, we get a glimpse of the skeleton which Dr. Smith brought from Europe for Dr. Spalding. " Newburyport, Sept. 15th, 1807. Dear Sir: I now hasten to comply with your request by taking the first opportunity of water- carriage to return j^our skeleton. I ought also to embrace the same opportunity of offering an apology for retaining it so long. I kept it a long while in hope of carrying it to Portsmouth myself, but at length discouraged and ashamed I determined last Spring to return it by Capt. Noyes. But, alas! the frailty of human AMERICAN EDITION OF WILLAN 139 nature. I was once more tempted to trespass on your forbearance and I yielded to the temptation!!! In short, my friend, a young gentleman from Cambridge applied to me for tuition, and I, after a few maiden difficulties yielded to his solicitations, and concluded to retain your Skeleton a few months longer. I am, however, arrested in the middle of my flight, and, stripped of my borrowed plumage, stand exposed a naked Daw. However, this mishap is owing to no fault of yours, and therefore I shall not deprive you of my hearty thanks for the long loan in which you have indulged me. I shall enclose in the box with the skeleton, your "Willan," for the perusal of which also accept my thanks. This too I should have returned sooner, had I not apprehended that it might be wanted by Akin. I sincerely congratulate you on your success in couch- ing, and hope that the other cases which you have engaged will prove equally fortunate. Is the Influenza pretty general and severe in Portsmouth? It has occasioned one death here; that of a lady more than ninety years of age. When combined with Cholera Infantum it has been alarming. But children have not, I believe, been so generally affected as adults. Your Friend and Humble Serv't., N. Notes." Lord's "History of Dartmouth College" has much to say of Dr. Cyrus Perkins (1778-1844) who was graduated from that College both Academically (1800) and Medically (1802), practiced in Boston and in Hanover, was Professor of Anatomy and Surgery in the Dartmouth Medical School, and contributed many papers to the medical magazines of the day. When New Hampshire politicians quarrelled with the College, and established Dartmouth University, Dr. Perkins "went over" to the new Institution, but when de- feated by Webster, he resigned his new Professorship, practiced in New York, and finally retired to Staten Island where he died. Two brief letters from this interesting medical character may here be printed, as showing his friendship for Dr. Spalding. " Boston, June 25, 1807. Dear Sir: I have sent to Troy for the first volume of Bell.^ I was out of town on receipt of your other letters but Dr. J. C. Warren told me he sent you the Cowpox virus. In great haste, Y'r Friend, and H. 0. Serv't, Cyrus Perkins," "Boston, Oct. 7, 1807. Dear Sir: I send you with this, your Wig, fashioned as near as it can be done according to your direc- 1 The "Bell" was a book on Surgery by John BeU and "H." "O." stands for "Humble Obedient." 140 DR. LYMAN SPALDING ions. Mr. Rogers the Wigmaker says the temples will gradually recede from each other by wearing. The other faults, he says are remedied, as he beUeves. I send also the Vol. of Bell in sheets, as you directed. I obtained it from Troy, N. Y., for which I have paid THREE Dols, to Thomas and Andrews who sent for it. We have no news of moment — Distressingly healthy — . Yours Cor- dially, Cyrus Perkins. P.S. The pocket book I lost (but found again) at Dover, con- tained 98 Dols, only, instead of some Thousands as reported. I had several NOTES, inside to the amount of $3 or 4 Thousand. So much for a Story!!! " Next we have a brief note from Dr. Jeremiah Barker formerly of Gorham, Maine, but now of Portland, at what is now called Stroudwater. " October 17, 1807. Dear Sir: I take the liberty to introduce to you Mr. Hubbard,^ requesting that you would favour me with a httle Cow Pox matter or inform him where it can be procured. I have taken up my residence in Portland, where I pursue the study and practice of medicine, and devote a part of my time to writing medical history. I should be glad to hear from you when con- venient. I hear that you do well, and hope you will continue to alleviate human misery, to your temporal advantage, at least. Yours in Sincerity, J. Barker." Following this is a similar inquiry from Dr. Samuel Foster (1789-1826) of Candia, New Hampshire, who occupied many- positions of trust in the New Hampshire Medical Society. " Candia, Nov. 17, 1807. Dear Sir: Several years ago I procured some cow pox matter and inoculated some of my children, and I presume they had the genuine disease. Since then I have had more vaccine and inoculated others of my family, and a few other persons. The unbelief of the major part of the people in this vicinity has prevented my keeping matter by successions of vacci- nations to this time. I have now two children, and some friends to inoculate. These, are, therefore to request you to send me by bearer, some cow pox virus, and if you have leisure, to write me a line, delineating your manner of inoculation and any other things necessarily connected therewith, you will much oblige, Your Friend, Samuel Foster." The Diaries of Dr. Spalding quoted in the early portion of this work show him riding on horseback on the roads of ' Mr. Hubbard is Dr. O. Hubbard from whom some capital letters ehaU soon appear. AMERICAN EDITION OF WILLAN 141 Vermont and New Hampshire, and we have reason to believe that he had good knowledge of their wretched condition. As the agitation for their improvement was now becoming acute, he headed a petition from Portsmouth for a Post Road through New Hampshire and sent it, to his personal friends, the Senator and Members of Congress now in Wash- ington, General Storer;^ Mr. D. M. Durrell;^ and Mr. Francis Gardner.^ Of the replies of these friends in Congress, three notes from General Storer will give an idea of them all. " Washington City, 4th Nov. 1807. Dear Sir: You will perceive by the "National Intelligencer" enclosed, that your Petition re- specting a Post Road to Concord, is before the proper Committee. Be assured that I shall attend to it in every stage. . . . We are anxiously waiting the issue of European negotiations, and of course have not yet entered on the most important Concerns of the Nation. Your Ob'd't Servant, Clement Storer." Writing again on the 26th, he adds: "Mr. Gardner and myself call on the proper Committee to- morrow, for the purpose of urging the expediency of a Post Road embracing the whole route from Portsmouth to Charlestown, via Concord, HUlsboro', etc. There is no doubt we shall succeed." With Esteem, Clement Storee." And finishing up the subject in January of 1808 he says: "I am sorry that your anxiety is so much excited for the fate of our Post Road. I think that my last report was encouraging. The Committee agreed to our request more than a month since, and a General Bill is preparing, embracing our object and many 1 Clement Storer (1769-1830) was a merchant on the Pier Wharf in Portsmouth, very much of a politician, having served as Member of Congress and Senator, very stately in his fashionably cut suit of blue clothes, and very grand on horseback as General of the Militia of the State. 2 Daniel Meserve Durrell (1770-1841) was a friend at Dartmouth, and now residing in Dover. He was in succession, Member of Congress, District Attorney, Judge of Common Pleas, and a successful lobbyist. 3 Francis Gardner (1738-1814) was the Grand Old Man of New Hampshire Politics, at this time. He had been graduated at Harvard as far back as 1758, and in all he preached the Gospel for fifty years. He was elected to Congress in his 68th year, when XXth Centm"y men should long be dead, but students of the proceedings of Congress in those days will find Mr. Gardner a clever orator and keen debater. Having fought the Devil so long, he was not afraid of War with Eng- land now looming large in Washington. 142 DR. LYMAN SPALDING others. It will take considerable time to get it through. I hope it will not be embargoed on the passage. Accept the assm-ance of my respect and esteem. Clement Stoeek." We are glad to learn that Dr. Spalding's petition, with others, produced the passage of a Law for Post Roads throughout New England. The Christmas letter from Silas Spalding suggests that Dr. Spalding had failed to get satisfaction from a Cornish cow driven to Portsmouth. "Dear Brother: I set down to inform you that we are all well as usual, likewise the rest of your friends in these parts. As for some questions you wrote in your last letter about, I am not able at tliis present time to give an answer. About the cow, I never saw her. I have seen Mr. York since, and all that he could tell, was that she was a good cow for milk. How much she gave at the times you wished to know, he could not tell. So I cant inform you any- thing for certainty about her, but if you dont like her, perhaps by next summer or Fall I can suit you better. Money in this part is very scarce, produce of all kinds low, not hardly worth carrying so far to market so as to get only six cents for pork and beef. Very low, also, is butter, and cheese: likewise there is strong talk of war, here, so that our Merchants won't give anything for produce. It is bad for those that owe, at this time, as nothing commands the Money with us except at a low rate and people are not wUHng to sell. They are waiting for better times. They think this War Talk is a Merchant's plan, so as to get all kinds of produce low this year, as most certainly they will. . . . Tell Mrs. Spalding I have a fine turkey for Christmas. Tell her to come and take supper, for there is no snow here at present, so that we cant come there. Silas Spalding. December 16, 1807 — N.B. I did not put Cornish to the Date, and so, I think I shant." Dr. Smith's opening letter for 1808 tells us of his Legis- lative campaign against quackery started in the previous year before the State Medical Society by Dr. Spalding. "Hanover, Jan'y. 24, 1808. Dear Sir: Mr. Will'm Graves ^ an honest and worthy young man who has been some time in the 1 Dr. William Graves practiced in Epping, New Hampshire. The Records of the State Medical Society show that he was once repri- manded by the President for going to a consultation three hours before the time appointed, and doing his best to "steal" the case from the other doctor. \ AMERICAN EDITION OF WILLAN 143 study of medicine with me, will hand you this. I wish you to in- form him (or write me on the subject) when the next annual meet- ing of the New Hampshire Medical Society will be holden, and where, I have an intention to attend if possible. I intend to renew the effort to obtain an Act of Legislature to discourage quackery. You know I am not easily beat down in my projects, and tho' sometimes slow in execution, yet keep the object in view. The business was not properly managed this year. I was out of town when the question was tried, and I am confident that more than half of the members did not understand the matter. Several of the members have solicited me to renew the application. I shall attend the Court solely on medical purposes at their next session; I am with sentiments of esteem, Yours Sincerely, Nathan Smith." When Dr. Spalding was a student at Harvard he made the acquaintance of Dr. John C. Warren, and various letters in their correspondence show a life long friendship. Here is a scrap of paper undated. "As I was prevented from awaiting your return to see me, I write to tell you that I am very desirous of the pleasure of seeing you before you leave town. Therefore, I will ask you the favor to meet me at White's Apothecary Shop at 1/2 past One. The place I have mentioned, I have particular reasons for fixing on, as you will discover there. J. C. Warren."^ After editing the Massachusetts Pharmacopoeia, Dr. Warren sent a Presentation Copy to his friend in Ports- mouth, and with it this note. "Boston, Feb. 12, 1808. Dear Sir: Your distinguished attention to medical science has induced me to beg the favor of your accept- ing a copy of the Massachusetts Pharmacopeia. Should you, on examination, be pleased with it, you may think proper to make it known to your booksellers in Portsmouth that its usefulness may be extended. I have the honor to be, with esteem, your H'mble Serv't. John C. Warren." 1 Dr. John Collins Warren (1778-1856) the writer of this note, the subject of which we should be glad to discover, went abroad soon after graduating from Harvard, and returning in 1802 took up his Father's practice, and was for years the leader in Boston Surgery. He helped to bring the Medical School from Cambridge to Boston, to found the Massachusetts General Hospital, and to establish the New England Medical and Surgical Journal. He operated far and wide over New England and practiced even into the days of Ether. A hard worker, a straightforward writer, and a steady friend to all of his colleagues, Warren's reputation as a great man was deserved. 144 BR. LYMAN SPALDING This very copy Dr. Spalding not only showed to book- sellers in Portsmouth, but proudly carried it to the next annual Meeting of the State Medical Society, where he recommended it as the best and only standard for the com- pounding of drugs. Early in February, 1808, the country was startled by the news of a meteor falling in Connecticut, and Dr. Spalding must have written to Professor Silliman of New Haven, asking for a fragment, as the appended letter suggests.^ "Yale College, March 4, 1808. Dear Sir: Agreably to your request in the letter which j^ou have done me the honor to write, I enclose a very small fragment of the meteor. You, as a Chemist, will judge of its value more from the genuineness than from its magnitude. I regret that the numerous demands on our small collection do not admit of more liberality, especially to one actuated by a love of science, and having really a well founded claim arising from your former official pursuits. We have distributed most of our larger specimens in various parts of America, and Europe, and we have very few left except such portions as I send you. The pamphlets wliich you have been so good as to send I have not yet received, but beg j^ou to accept my thanks for them. I must apologize for my conciseness and haste, as I write in momen- tary expectation of being interrupted by company from whom I may not be disengaged before the mail closes. I am Sir, with the expression of my respects, and all proper acknowledgements for the obhging things contained in your letter and in much haste, Your Very Obedient Servant, B. Silliman. N.B. One of the pieces has a part of the crust upon it." The current number of the ''Repository" printed a paper stating that Chester, Vermont, was filled with "Swollen Necked Females" (Goiter). Although Dr. Spalding was familiar with the town, he had never heard of such cases, and wrote to Dr. Hedge concerning them. Dr. Hedge re- plied that of the 2000 people of his acquaintance, he had never seen a dozen cases. He mentioned of these a few and then continues. "Tuberculosis has got its hold on me. 1 Benjamin Silliman (1779-1864) was graduated at Yale and studied law, but soon decided that he liked Chemistry better, and that he wanted to lecture on that topic at his Alma Mater. He obtained the coveted Chair in 1808, and lectured on Chemistry everywhere. People flocked to hear him talk and to witness his beautifully successful ex- periments. He founded "The American Journal of Arts and Sciences," was honored all over the world, and deserved abundantly his repu- tation as an accomplished, graceful and popular lecturer and Chemist, AMERICAN EDITION OF WILLAN 145 The only relief I can get from severe spells of coughing is to go to a Turning shop here, and exercise at the wheel until a powerful perspiration is excited, after which I feel better for a while. Would a sea voyage do me any good, do you think? — A. Hedge." The "aneurism" mentioned in the next arriving letter from Dr. Smith was seen in consultation at Wells, Maine, by Dr. Spalding who operated and wrote a detailed account of the case. When opened, the aneurism was found to contain an organized blood clot. "Hanover, April 22, 1808. Dear Sir: I received yoiu' favor a few days since giving an account of a very singular case of an- eurism. There is one circumstance you neglected to mention and that is : whether there was a pulsation in the tumor previous to the operation; if not, perhaps the circulation might have taken another course, previous to the application of the tourniquet. I should like to know the ultimate result of the operation. I have determined to attend the next meeting of the New Hampshire Medical Society at Exeter, where you may expect to see me if my health continues. Mr. Graves whom I mentioned to you in a former letter will hand you this, and the bloodroot which he neglected or forgot before. Yours Sincerely. Nathan Smith." In agreement with this letter Dr. Smith went to Exeter, then visited Dr. and Mrs. Spalding at Portsmouth, and on arriving at Concord on his way home wrote them this trifle. "Concord, June 22, 1808. Sir: When I was at Portsmouth I lost or left an umbrella. Whether I took it from the Chaise at your house, and left it there, or whether it went with the Chaise to the Stable I do not know, I wish you to inquire and if you find it, please to send it to Solomon, of Concord, to be by him forwarded to Hanover to me. I have proffered my petition, and have leave to bring in a Bill, which we have no doubt will pass. The Bill will provide for the building of a Building 60 by 35, 2 stories high,^ which will answer our purposes very well. I am, with sentiments of esteem both for you and Mrs. Spalding, your Friend, Nathan Smith." Hardly had Dr. Smith reached Hanover than he received from Dr. Spalding a letter concerning a Lay Reader for St. John's Parish. 1 This Building was the Medical School Building at Hanover, but the money was not, I think, at this time obtained. 146 DR. LYMAN SPALDING Now I have to insert his interesting answer. "July 21, 1808. Hanover. Dear Sir: I received your favor respecting a suitable person to fill the desk in St. John's Church, and agreably to your request conferred with the Hon'ble President on the subject. We agreed to recommend Mr. Chadbourne,^ whom I conclude has before this called on you with the President's letter in his favor. I think Mr. Chadbourne is a promising character and wlU be more likely to answer the expectations of your people than any young gentleman of my acquaintance. I conclude his mind has not been tainted with the doctrine of Fatahsm. (alias Hopkins- ism) .^ I have written Mr. Chadbourne asking him to be sober minded and of a grave deportment, zealous for the honour and good of the Church and the cause of pure and undefiled religion. I mean that reUgion which makes men happy here and wise unto Salvation hereafter, such as came down from Heaven, aforetime. If he should prosper in good work, and, become honoured among your people I shall rejoice exceedingly. If not, I shall be very sorro^'ful. I am greatly obliged to you for your attention in pro- curing the books for me. I have received the 2d Volume; With much good will, Nathan Smith. N.B. I was absent when Mr. Chadbourne left this place, or I should have written by him. I have directed my letter to Mr. Chadbourne at Portsmouth. If he should not be with you, please to give him notice of it." The following letter from Dr. Perkins mentions two old friends of Dr. Spalding. "Boston, 22nd, 1808. My Good Friend: I have made inquiry of oiir Uttle judge, Dawes,^ concerning the property of (the man you mention), but the judge who was acquainted with all the circimastances, in his private life as well as public capacity, in- forms me that he died absolutely and Uterally PENNYLESS!! and that the good old Doctor has been the sole dependence of that family for support ever since they were left. I should not trouble 1 Isaac Rollins Chadbourne (1787-1855) was from South Berwick and Kenncbunk, Maine, and had just graduated with high honors at Dartmouth. He decHned the Call, studied law and practiced his pro- fession very keenly and untheologically at Eastport, Maine, the rest of his life. 2 "Hopkinsism" was Etemity-and Damnation-Calvinism, as long Bince forgotten as its discoverer, Samuel Hopkins (1721-1803) who flouri.shed at Newport, Rhode Island. 2 Judge Dawes (1756-1825) was at that time on the Supreme Bench of Massachusetts. AMERICAN EDITION OF WILLAN 147 Dr. Lloyd ^ with any interrogations on the subject, as probably it may not be a pleasant topic of conversation to the old gentleman. To yom- CHARGE of passing through Portsmouth "LIKE A COMET" or like anything else, I plead not guilty. I have not been within forty miles of Portsmouth since I saw you, and know no reason why you should suspect it unless you supposed all Boston was on the way to Portland a few weeks ago, and of course, I among the rest. I am Dear Sir; Yours Cordially, C. Perkins." 1 Dr. James Lloyd (1738-1810) now eighty years of age was highly esteemed in Boston. After graduating from Harvard he studied with John Hunter and was for years regarded as the most skilful obstetrician ia Boston. Proud of his skill in delivering women, he was prouder still of his abihty to drive the fastest and finest horses in Boston. CHAPTER XI. Letters to Baron Alibert, and the Bells in 1808. Visit to Dartmouth as Demonstrator for Dr. Alexander Ramsay. Although Dr. Spalding had failed with his Edition of Willan, he continued his studies in cutaneous diseases, and wrote to Baron Alibert of Paris,^ well known at this time for his "Treatise on Diseases of the Skin." Dr. Spalding may have planned in this way to estabUsh a foreign correspondence and publish a translation of the new Treatise. "Portsmouth, New Hampshire: United States. July 28, 1808. Sir: My friend, Mr. Cazeaux^ has been so polite as to give me a letter of introduction to you. It is my wish. Sir, to establish a medical correspondence with some Gentleman of the Faculty in Paris, in order that we may be benefited by the other's communi- cations on the Discoveries, Improvements and Reforms in Medical Science, which in this country stand much in need of the older and more scientific Countries. I enclose with this letter of intro- duction, some copies of my Bills of Mortahty for the past eight years, which is all the numbers that have been published; my Graduating Thesis, a "Nomenclature of Chemistry," and a News- paper containing a singular account of the conversion of a human body into adipocere.^ Be pleased Sir, to accept these, not from 1 Baron Jean Louis Alibert (1776-1837) came from the Provinces to Paris when very young, and soon obtained a position in the Hospital St. Louis, where he devoted much care to diseases of the skin. His set of magnificent cutaneous plates made him well known, and he became Dermatologist to Louis XVIII. Alibert wrote elegantly on tuberculosis and leprosy, but his de- scriptions were vague. As a Professor he lacked gravity, but with a charming voice he unfolded picturesque descriptions of disease. As a clinical improviser he was unequalled. He entertained profusely: with a private Theatre and Sunday Breakfasts, receiving his friends of both sexes in rooms that were gorgeous with highly tinted butterflies, hum- ming birds, and colored illustrations of skin diseases intermingled. * Mr. Cazeaux was French Consul at Portsmouth. 3 The paper on Adipocere by Dr. Spalding refers to the Case of a man who was drowned near Portsmouth in March, 1807. When the body was recovered in March, 1808, it was found to be changed into a substance resembling spermaceti. 148 LETTERS TO BARON ALIBERT 149 their intrinsic merit, but from their being all that I have to offer you, medically, at this time. With sentiments of the Highest Esteem. Lyman Spalding." If Baron Alibert replied, his letter has been lost, but that he sent one of his Works and that Dr. Spalding began to translate it, is shown by some pages of MSS in my possession. The most interesting friendship in Dr. Spalding's career was that with Dr. Alexander Ramsay (1754-1824) one of the world's most famous anatomists, who was born in Edin- burgh and died in Parsonsfield, Maine. After obtaining his degree he established a School of Anatomy in Edinburgh, but quarrelled with his colleagues and came to America where he lectured in various Cities about 1804. He then went back to London and Edinburgh and after obtaining an honorary degree at St. Andrew's in 1805, (the diploma rests now in the Maine Historical Library in Portland), he came a second time to America about 1808. After a while he set off again for Edinburgh, and remained there and in Dublin until 1813, when I find him lecturing on Anatomy and Natural History in New York, and Charleston, South Carolina. He had previously established at Fryeburg, Maine, a School of Medical Instruction from which several students were graduated, and which he again continued from this time until his death. He was a skilful anatomist and made engravings of Preparations with his own hands. His skill was wonderful, but his temper was venomous, and he suffered from some personal deformity due to an unfortu- nate fall in childhood. His great medical idea was cold affusions in Fever, and, when himself dying from typhoid, he insisted on the use of such treatment. This eccentric man exercised much influence upon the career of Dr. Spald- ing as we shaU later see. It happened now that Dr. Ramsay, being in America, wandered to Hanover, and was engaged by Dr. Smith for a course of Anatomical Lectures. Knowing Dr„ Spalding's keenness for anatomy Dr. Smith wrote to him to this effect. "Hanover, Sept. 22, 1808. Dear Sir: You will see by the ad- vertisement with which I am troubling you, what I am doing for Dartmouth College. I have, at great expense, engaged Dr. Ramsay the greatest anatomist in the world to give a complete Course of Lectures on Anatomy and Physiology, to instruct in the art of dis- 150 DR. LYMAN SPALDING secting, making anatomical preparations, etc. I am very confident that om- ensuing course will far exceed anything of the kind before attempted in New England, Therefore, if you have any young friends in the medical line be so kind as to send them as soon as possible. I wish you to see the following advertisement pubhshed two weeks in your Portsmouth paper. I shall be in Portsmouth this ^dnter and will then settle with the printer, etc. With respect, yours, etc., Nathan Smith." There then follows on the same sheet a long advertisement in Dr. Smith's handwriting to the effect that Dr. Ramsay- is a wonder, that he will give a Two months course; that he will bring from Fryeburg his anatomical museum intact; that the smartest students will be admitted to the private closet of Doctors Smith and Ramsay, as assistants in com- pleting a Museum for Dr. Smith and that; To the Gentle- man who shall produce the best dissections of the Organs of Vision, Hearing, Brain and Heart, Dr. Ramsay will bestow a Gold Medal, to be adjudged by Dr. Smith. Dr. Spalding inserted the advertisement in the papers, and wrote in behalf of Mr. Taft, one of his pupils. To this Dr. Smith replied as follows: "Hanover, Oct. 9, 1808. Dear Sir: You may inform Mr. Taft that Dr. Ramsay is in my opinon the best Anatomist in the United States. I have seen his anatomical preparations, and have heard him lectiue. You may also inform him, that Dr. Ramsay will not commence his Lectures till about the Tenth or Twelfth of Nov'r next, and if it should so happen that a number of students should apply after the lectures have advanced a few days, I will engage that they shall be repeated to them. The whole of my lectures on Surgery and Physic will be deUvered after the 15th of Nov., so that should they come at the time you propose, they will have the benefit of the whole of our course, except Chemistry. I wrote you before, that what I had undertaken this year would require the assistance of all my friends, and I must now make one more requisition on you. The plan we have chalked out to make me a complete Museum will require a number of subjects, there- fore, I wish, if possible, that you would lay by a few for me. An infant with the placenta attached would be very agreeable. A child from six to ten or from ten to 18 would be very useful, or an adult subject, would not come amiss. If any of this kind of gentry can be obtained you can preserve them very easily by opening the cavities and immersing in new rum; just turn down the scalp and saw out a piece of the skull on one side, so as to admit the spirit, and so with the other cavities. LETTERS TO BARON ALIBERT 151 I will cheerfully pay you for any expense you may incur by the business. Perhaps you can engage Dr. Cutter and other physicians who would wiUingly obHge you and me to lend you some assistance. If so that I could obtain those things, I would send to Portsmouth for that purpose. We shall want them through Nov. and Dec. and January, as we propose to drive a stroke of business in that line; and I am with sentiments of Esteem, and Respect your Friend, etc., Nathan Smith." A second letter continues the topic. "Hanover, Nov'r 8, 1808. Dear Sir: I rec'd your letter with the specimen of Virgin Sulphur, which I consider as very valuable. It happened to arrive at the right moment just as I was treating that subject before my class. Dr. Ramsay arrived here last week, and as we had some stuff on hand has already made us several very valuable preparations. He will commence his Course on Thursday next, but will not get much engaged till the beginning of next week. At any time after that, you cannot come amiss for your own advantage. Dr. Ramsay has a very extensive and useful collection of anatomical preparations which will exceed your expectations. You will also be highly pleased with his mode of teaching. If you could so contrive as to bring with you a subject, it would be very important to us at this time. Dr. Ram'y makes the most of everything, and it will enable us to make the present course more perfect as well as contribute to our intended Museum, from which you may, at some future period be supplied with such preparations as will be important to you. We shall commence a new era of anatomy at this time, and after being instructed in the best method of dissecting, and pre- serving preparations, shall go on improving our stock, and if you will contribute raw material we will, whenever we have duplicates, give you them, in preference to any other person. With sentiments of esteem, Your Friend Nathan Smith. P.S. Our present No. of students exceed sixty, besides the students of the College, and we are daily adding thereto, such as shall be saved." Before this letter arrived, Dr. Spalding with his two scholars, Mr. Taft^ and Mr. Langdon,^ went to Hanover, 1 Mr. Charles Taft was a favorite scholar of Dr. Spalding's and after teaching and studying medicine obtained his degree of M.B. from Dartmouth in 1811. Dartmouth University, also gave him a degree of M.D. in 1817. As we shall see from his letters, he practiced in Nixonton, North Carolina, and died in 1823. 2 Wilham Eustis Langdon (1793-1826) was a grandson of Hon. Woodbury Langdon, who built the Rockingham House at Portsmouth for the great sum, for those days, of $30,000 in gold, and also a grandson 152 DR. LYMAN SPALDING leaving his practice in the charge of Dr. James Harvey Pierreponti (1768-1839). Soon after his arrival in Hanover, Dr. Spalding wrote to Dr. Pierrepont and I now insert his reply. "Portsmouth, Nov. 24, 1808. Friend Spalding: What an hyper- bolic description of the uncouth hast thou presented me.^ Is it possible that thou hast certainly met with this phenomenon, so humorously, so wittily, and so energetically described? It must be so. You are a scientific philosopher, and will not poetically deviate from natural laws. I am pleased that you speak in terms so meritorious, and that at present conjecture, you are gratified with your journey. I observe that you are a httle disposed to eke out the whole period of Lecturing ^\dth Dr. R., and so I must risk living another season. Very well, I am sensible, friends must be indulged sometimes. Your patients have generally recovered, Jeffries Ex- cepted,^ who is yet delhious and will take notliing. He is really a pitiful object. Today I think to visit Little Harbor, which, asking pardon, I had like never to have recollected. Your customers do not fatigue me very much. Your friend has now two shares in the Healing Art, and horrible to relate has as much time for worse purposes as he pleases. Our friend Dr. Jackson has at length paid the great debt, expiring with that tranquil and placid temper pecuhar to him. He was unconscious of a wilful error, and a man feeling that kind of innocence; what has he to dread! The ex- quisite and beautiful description of Horace, of such a man is only true and natural. of the Hon. (and Dr.) William Eustis, Governor of Massachusetts and Secretary of War. Dr. Langdon studied medicine with Dr. Spalding, was graduated at Harvard, and practiced in Portsmouth. In 1822 he was appointed Assistant Surgeon in the Army, but soon retired owing to poor health, and dying in New York was buried beside St. Mark's in the Bowery. Dr. William Eustis, I may add, was very intimate with Dr. Spalding, and after a consultation with him, when he visited Portsmouth, officially, Dr. Spalding reported "A Case of Floating Cartilages in the Knee .Joint," and mentioned Dr. Eustis as consultant. 1 After graduating from Harvard, Mr. Pierrepont hovered long be- tween Theology and Medicine, but finally studied medicine with Dr. Marshall Spring of Watertown, Massachusetts. He practiced first in Eliot, Maine, but moved to Portsmouth in 1801, where he obtained a high position in the community, as an affable, urbane, social, family doctor. He loved medicine, hated obstetrics and surgery, and in his leisure hours was immensely fond of Latin and Greek authors. 2 "The Uncouth" was a case of transposition of the Thoracic and abdominal vLscera, observed during a dissection. * "Jeffries" was a member of a well known Portsmouth Family, ater known as the Jaffreys. LETTERS TO BARON ALIBERT 153 We succeeded in obtaining leave to open the chest and there we discovered the Heart and its vessels in a perfectly healthy con- dition, but the lungs were most astonishingly diseased, every part of their superficies strongly adherent, and the internal structure had assumed as much of the schirrous condition as their nature is susceptible of. The liver was pronounced healthy by our Brothers, but I believe thay have in some measure forgotten the appearance of a healthy liver. ... Is it not singular that such a degree of disease should estabUsh itself with so little pain, and with a warn- ing so mild and unsuspicious? I am now of opinion that a chronic inflamation may exist in certain parts without the sensation of pain. I wish you to ponder on the state of our friend. Please to recollect all his essential and evident symptoms if possible, so that when in con- versation we may observe physiological laws as far as possible. . . . Please to write soon, for I assure you I feel some interest Lu our friendly intercourse. With Esteem, James H. Pierrepont. P.S. I am a little interrupted, or I should have vexed you with a longer letter for I felt it in me so to do." So many students attended the Course given by Dr. Ramsay, that subjects became rare in spite of those that Dr. Spalding had brought from Portsmouth and he con- sequently wrote to ask the aid of Dr. Ricketson in this matter and received from him an amusing reply: amusing for its suggestions regarding the sale of his own works. "New York, 12 Mo., 9th, 1808. Dear Doctor: Thine dated Nov'r, I rec'd, but various causes conspired to prevent me from replying earlier to it; amongst which is a late severe attack of the Quinsey from which I have not yet recovered. I have inquired for an injected subject, but do not find any to be procured in this City. I beheve there are very few whole subjects prepared here. I have also inquired for an injecting Apparatus, but have not found any already made, though I have heard of a person here who makes them. I have not heard of the Maker himseK, the price, but I think otherwise, about 120. Understanding by Bache,^ that in- formation on this particular has gone forward to thee, I judge it needless to say more on it. Not finding Jackson ^ at Robinson's, I shall probably send this p'r mail with my "History of Influenza," which is succinct, but the sooner read, and therefore clear, I trust, of one of the faults of many publicat's of the present day. 1 Bache was a leading druggist in New York. 2 John Jackson, Dr. Spalding's cousin, was in Robinson's office. If he happened to be going to Portsmouth for Chiistmas, he could save Dr. Ricketson postage on his letter. 154 DR. LYMAN SPALDING T ask thy continued and renewed attention to promote the diffusion and sale of my "Book on Health/' of which several eminent Med. Characters, have spoken favorably, among whom is D'r A. Fothergill ^ now of Phil'a. As I published a large Edition (with Subscript's) and may pub- Hsh another, I wish the former may be got off of hand as soon as may be, and the more I have seen of Books and Bookselling, the more I am convinced that their introduction, diffusion and sale depend much on the exertions of Booksellers and others who may take an active and persever'g part in the business. Smclair's "Code of Health and Longevity "^ is now pubhshed in 4 vols. 8vo, price about $20, cont'g much information on the sub- ject, but all not equally interest'g or practical. It is quite too large and expensive for general use, especially in this Country where cheapness is one lead'g object in popular works. The publication of a new work is announced, entitled, "The Med. and Philosophical Journal and Review," by an Associat'n of Gentlemen in diff't parts of the United States, to be printed in semi-annual nmnbers by Sword.' I wish Thee to confer with thy Bookseller, there, having my Books, and if not sold to essay some new exertions for their dis- posal. Remaining willingly to serve thee in anything here, I am thy Friend, Sh. Ricketson." As I proceed with this book the more diflficult it becomes for me to imagine what my grandfather wrote to his cor- respondents, and I am glad at this juncture to find an auto- graph copy of a letter to John Bell.* 1 Anthony Fothergill (1735-1813) obtained his doctorate at Edin- burgh, and practiced for some years in London. He then retired and removed to Philadelphia in 1803, but the War of 1812 drove him back again to England. He wrote an essay "On American Mineral Waters," and "On the Apparently Drowned," and left money to various Phila- delphia Charities. 2 Sir John Sinclair (1754-1835) was a disputatious poHtical writer, always at swords points with Sir William Pitt. Sinclair wanted peace at any price, and would even cede Gibraltar for peace. He finally settled his differences with the Government by accepting a sinecure with a handsome salary. He then travelled extensively, and at his death was entombed in Holyrood. He wrote many papers on agri- culture, and his "Code of Health" in spite of its four volumes and high price had a wide circulation at home and abroad. 3 The New Journal, intended as a rival to the "Repository," did not last very long, but contained interesting pictures of New York Hospitals. * John Bell (1763-1820) obtained his degree at Edinburgh in 1780, and estabUshed a medical school in which he boldly attacked the LETTERS TO BARON ALIBERT 155 "Portsmouth, February 6, 1809. Sir: From the great improve- ment which I have received from the perusal of your "Surgery" and particularly from the new doctrinal ideas on Aneurism, I have been induced to send you my "Report on a Case of Aneurism" which I lately had the honour to read before the Eastern New Hampshire, Medical Society. I have also in preparation an Aneurismal Aorta, nearly as large as a man's right arm, and when it is finished, I will give you a description of it and its concomitant Case. Be pleased also, to accept my Bills of Mortality for this town for the past two years. Dr. Alexander Ramsay of your city, as he claims, has been in this country lecturing on Anatomy, and pubhcly laying claim to many of the most important discoveries of Anatomy. I shall be pleased to learn of his reputation from you. With Great Respect to you, for your many and great Improvements in Anatomy and Surgery, I am Sir, your obedient Servant, Lyman Spalding." Dr. Mitchill's first letter for 1809 throws light on American medical literature. "Washington, Feb. 11, 1809. Dear Sir: Sam'l Mitchill presents his compliments to Dr. Spalding, and returns thanks for copies of his medical pamphlets. Consiunption, he sees, alas, still continues its alarming ravages. Almost one-fifth are cut off by that dread- ful disease in New Hampshire as in New York. Since I left N. Y., for Washington, for the winter, a New Periodical has made its appearance. I agree with you, that the settiag up of another journal like the "Repository" is injudicious. It would have been better to buy the materials, patent, and influences that are employed in its support, to aid the circulation of the "Repository." However, as you know, men are fond of making experiments and of trying their strength. All that I have farther to say, is, that they must try for themselves, and if they find the Editorship of a "Medico-Philosophical Journal" after eleven years as unprofitable as I have done with the "Re- pository," they must have something more than pay for their labors to stimulate their exertions. Both Dr. Edward Miller and myself have worked for absolutely NOTHING, and found ourselves, during the whole time that we have conducted our periodical stereotyped methods of the day. His brilliant and fascinating style soon brought him many scholars. His "Anatomy" obtained a great vogue and for twenty years he was leading surgeon in Scotland. His "Surgery" had just been printed at the time of Dr. Spalding's letter. Personally, he was undersized, impetuous, energetic, and beautifully groomed. His brilUant career was brought to an early close by a fall from horse back. 156 DR. LYMAN SPALDING publication. We furthermore have not derived one cent of profit from it. With Esteem, S. L. Mitchill." A letter from Dr. Smith arrived also at this same time. "Hanover, Feb. 12, 1809. Dear Sir: I received your favor and your specimen of Arsenic by Mr. Chadbourn. I believe we have a small specimen of Bismuth and Antimony, but if you can easily procure some of both, we should be glad to have them. I am very happy to hear of your success in procuring an Anatomical Museum. I hope that your example will be followed by others, and that I shall live to see the dearth of anatomical and surgical knowledge which has so long hung over our land done away, and those who undertake the cure of disease, instead of being the tormentors of the unfortunate and the afflictors of the afflicted, become the benefactors of Mankind, and justify the gratitude of succeeding generations. I have found a plan for my future proceeding as relates to Chemistry, which is to procure sixty boxes, and in those boxes to put all the preparations in complete readiness to perform 60 lec- tures, which shall comprise my next course on that branch. This I can cause to be done by my pupils, which will be a kindness to them, and will abridge my labours very much. I shall make every exertion for a grant from the State to build a House for medical purposes. Shall meet you at the next annual meeting of the Medical Society, at Exeter. With Sentiments of Esteem, Your Friend, Nathan Smith." Early in this year, Dr. Spalding learned that the Soda Water fountain which he had personally made, and used in his practice, but had failed to patent, had now been patented by others and that infringements would be prosecuted. Two of his letters to the Hawkins brothers, of Philadelphia, patentees, have been preserved, and may be inserted here much condensed. "Portsmouth, March 1, 1809. Dear Sirs: I observed in the "Aurora" that you have a patent for manufacturing mineral waters. This was the first knowledge that I had of the affair being patented; Although not disposed to infringe the laws, I take the liberty to state to you that ten years ago when I had the honor to teach Chemistry at Dartmouth, I manufactured mineral waters in my own way after North's apparatus had been destroyed by the cold. The water was charged with gas by means of a force pump, screwed into a cask. This is, however, inconvenient, since the pump has to be removed every time that the cask is agitated. But since I returned from Dartmouth in 1808, I have invented a LETTERS TO BARON ALIBERT 157 JOINT, which will permit the cask to be turned for agitation, yet let the pump remain attached. If any part of my process could advantage you or any other fel- low mortal one cent, a special description is at your service. I have never made an object of manufacturing Mineral Waters, be- lieving that the journey and the Company at the Watering Places is of more consequence to the patient than the waters. But, I know that there are many fools who would rather pay for artificial waters, than to drink such as the God of Nature has supphed to them in abundance. If your process is better than mine, I shall have no objection to learn your terms, and if your process is as much better as the price demanded, I shall have no objection to treat with you, always wishing to use the best means in my power, for the help of my patients. Lyman Spalding." In a second letter he describes his method of making carbonic acid gas, conveying it through a set of bladders, and then pumping it into a hooped barrel kept constantly- agitated. "This process has answered my purposes fully, but if yours is better, I will try it. Before that, I must see your design and if it seem^s better I will pay what is proper. Or, you can set me up one of your Founts and be paid from the first money received. I rather expect to move to Boston, and I should like to include Rights to use the Fount in Massachusetts, but I am sure that the sum you demand for Rights in New Hampshire is too large, be- cause there are only two places, Portsmouth and Hanover, which could support the cost of putting it up. L. S." Whilst this discussion was going on. Dr. Spalding planned to raise native opium. In order to be sure of his poppy seeds he wrote to his friend Professor Peck who sent some seeds, which being planted and the proper processes carried out, Dr. Spalding was able to exhibit Portsmouth-raised Opium at a medical meeting in the autumn. About this same time Dr. Richard Hazeltine (1786-1831)^ sent a friendly note. "Berwick, April 28, 1809. Dear Sir: I herewith forward to you the Vol, which you were so kind as to lend me, and should have returned it before, but have entertained a hope that I should be in Portsmouth and deliver it myself. Since I saw you, I have 1 Dr. Hazeltine, was an early writer on Medicine in New Hampshire and Maine. In one of his papers he refers epidemics, to tempestuous weather, and in another he speaks of a snow storm in 1807, lasting an entire week, and followed with much sickness. 158 DR. LYMAN SPALDING shown the blank scheme of medical cases to several physicians who unanimously concur in the opinion that the one which I showed you would be most convenient. And I should now propose to you with- out further delay to share the expense with you and employ Mr. Sewall ^ to strike off some hundred copies were it not that I expect shortly to see some other printer with whom I intend to converse on the subject. I must therefore beg, that the business so far as respects myself may be suspended for the present. ... I have for two yeai-s last past received yoiu- Bills of MortaUty, and confess I feel more pleasurable sensations from such trifling notices of at- tention, than I will attempt to express. Permit me to assure you I feel very grateful for them, and hope I may be so fortunate as to be one among those whom you may tliink proper to direct them in future. Yom- Ob'd't and Humble Serv't Richard Hazeltine." The appended note from John Vaughan of Philadelphia throws light on Dr. Spalding's studies. "Philadelphia 20, April 1809. Dear Sir: I am sorry indeed, of j'-om- ha\'ing to abandon the pubhcation of your edition of Willan owing to difl^iculties with the colored plates. Being called upon by others to obtain a Set of our Philosophical Transactions, I have agreeably to your request also been able to obtain a Set for you at the price of S20.50. You could not, I think, have procured a complete Set except by my means. Your Bill of Mortality for 1808 I presented to our Society, who are much obliged by your attention. Your kind promise relative to Philo- sophical Information will be of use to us. I remain Your Friend, etc., Jn. Vaughan." We have already seen a letter from Dr. Spalding to John Bell, but as no answer came another was sent to his brother Charles ;2 and reads in this way from a copy in my pos- session. 1 "Mr. Sewall" was Mr. Stephen Sewall of Kennebunk, a printer and antiquarian. 2 Although Sir Charles Bell's reply has not been preserved, the fol- lowing Note, concerning him may here find place. Charles Bell (1774-1842) was a wonder in Medicine and Surgery, who published his famous "System of Dissections" when he was 25, followed it up with his epoch-making studies on the Nerves, and wrote his marvelous work on "The Hand" when still a young man. He drew beautifully and operated rapidly; performing a lithotomy, it is said, in 3 minutes and 16 seconds. The French anatomists loved him dearly, and always made much of "Sharley" Bell, whenever he visited Paris. Dr. Spalding mentions his "Operative Surgery" when he should have said "Comparative Surgery." LETTERS TO BARON ALIBERT 159 "Portsmouth, N. H., U. S. America, May 10, 1809. Sir: I have this moment read in your "System of Operative Surgery," that although you know of no instance of a spontaneous cure of an aneurism, yet in your opinion, there is a possibility of its occurring. I am now happy to have it in my power. Sir, to state that I have seen a spontaneous cure of an aneurism of the Femoral Artery, which in symptoms and appearances most exactly corresponds with what you say, may happen. This, more than ever, convinces me that your inferences are drawn from anatomical researches, and that your "System" is actually founded on the basis of true anat- omy. What greater evidence can be given of a perfect knowledge of anatomy and physiology, than from these sources to predict that a spontaneous cure of an aneurism may take place, although an instance was never known, and yet, eventually an instance should occur in which the prediction, with all its concomitants, is most justly verified. This Case came under my inspection in April of last year, and in March last I conamunicated with your brother Mr. John Bell, by the way of Halifax, the only route which was then open. But as that is a very circuitous one, the letter may have miscarried. If it has not arrived, you will do me the honor to advise me thereof, and I will instantly transmit a copy of my Pamphlet on the subject to you. Your Obedient and very Humble Servant, L. Spalding." Dr. Smith had promised to attend the Medical Meeting at Exeter this year, and in order to remind him of the ap- proaching day, Dr. Spalding wrote to that effect, and made other inquiries to which he received this answer. "Hanover, May 21, 1809. Dear Sir: I have received your letter respecting my intended appUcation to the Legislature. I propose to make it in this manner, viz: that I will procure a Deed to the State of a parcel of land sufficient to place the building on, to be the property of the State forever, for that purpose : that the Build- ing shall be built at the expense of the State, and remain the prop- erty of the State forever, under the inspection and control of some Board, whom the Legislature may appoint, to be used and employed for Medical and Experimental Philosophy. I suppose that about ten thousand dollars, would be sufficient to build the House and furnish the necessary Library, Apparatus, etc, I have high ex- pectations that something will be done for me, which will be im- portant to the interests of Medical Science, as I have the assurance of many members of the House of Representatives in my favor. I am with High Esteem, etc., Nathan Smith." This money may have been appropriated at this time, but the Building was not occupied until 1811. Dr. Smith at- 160 DR. LYMAN SPALDING tended the Meeting at Exeter, was elected Vice President and nominated on a Committee on Mineral Waters, with Dr. Spalding. I have before mentioned that Dr. Spalding presented to Congress in 1802 his Claim against the Government for services to workmen at Fort Constitution, but was not then paid. After waiting patiently, he wrote this year to his friend from Walpole, John Curtis Chamberlain, M.C. (1772- 1834) and received the two following notes. "Washington, 11 June, 1809. Dear Sir: The Post Road to Charlestown is now before the Committee; this session will be short, and perhaps the consideration of it will be deferred until next. Your business in the hands of Dr. Durrell I am unacquainted with. You must inform me what it was, and where to be found before I can render you any services. From present appearances this session will close in ten days. There appears to be a spirit of conciliation in Congress which I hope will be of service to the people. Your Friend, J. C. Chamberlain." Later on he wrote again. "Washington City, 9th, Dec. 1809. Dear Sir: I received your letter dated at Philadelphia, and immediately examined the Clerk's Files and found your claim and vouchers. It is referred to the Committee of Claims. I think your vouchers sufficient, but I doubt whether your claim will be considered of the kind which Government ought to pay. On this point I will give no explicit opinion, but advise you to prepare your mind to hear of its in- admissibility. Yours with esteem, John C. Chamberlain." The readers of these letters must already have perceived, that Dr. Spalding was an unusually clever physician, and they may have thought that he must by this time be chafing at his confinement in so small a place as Portsmouth. In a letter concerning his Soda Fountain, we saw that he was planning to settle in Boston. It is evident, however, that he could not feel sure of success in any new field without further instruction. Having at this juncture lately met Dr. Ramsay at Hanover, it is probable from conversations with him that he now meditated a voyage to Europe. Yet when he considered this plan, he saw that his income was too small to maintain his wife and children during his absence, and money was hard to borrow owing to dread of war with LETTERS TO BARON ALIBERT 161 England, so that the only way in which the voyage could be obtained lay in some Governmental appointment. Just what his plans now turned out to be, we read in ''A Mem- orial," at this time forwarded to Washington. "To the Honorable Robert Smith, Esq. Secretary of State : ^ The undersigned humbly showeth that for fifteen years last past he haa made the study of the various branches of Medical Science his sole object, that he has visited some of the most celebrated medical Schools in the United States, and has pubhcly taught medicuie in Dartmouth University for a part of the above mentioned period. That he has wholly in view, the improvement of himself in Medi- cal Science, that he may thereby be better enabled to instruct others and alleviate human ills. That medical Science, particu- larly Anatomy and Chemistry have been brought to greater per- fection in France than in any other part of the world, and that the present relation of our Government with the European powers does not readily admit of a passage thither; the undersigned for these and other good reasons requests the favor of being employed as a public MESSENGER to our Mmister in France, to enable him there to pursue his favorite studies of Anatomy and Chemistry under the most celebrated Professors in the world, and as in duty bound, shall ever pray. Lyman Spalding. Portsmouth, New Hampshire, August 25, 1809." This petition was accompanied with an autograph letter of John Wheelock; also signed by Nathan Smith; and reads as follows : "This certifies that the bearer. Dr. Lyman Spalding, a citizen of this State is a gentleman of talents, pure moral character, and repu- table connexions. He has long appUed himself in the pursuits of science, and more particularly devoted his attention to im- provement in Chemistry, and the professional study of Physic. Greatly have his acquirements secured to him the respect and esteem of his numerous acquaintance. From regard to his merit, the Cor- poration of this University conferred on him the degree of Doctor of Medicine, and for some tune he officiated as pubhc lecturer ia the same. He contemplates a tour of Europe to visit different philosophical and medical establishments, for the farther enlarge- ment of his knowledge and acquaintance, and to open new sources for increasing the advantages and extending the usefulness of the Chemical Establishment in this Institution. 1 Hon. Robert Smith (1757-1842) served in the Revolutionary Army, practiced law successfully at Baltimore, and was in succession Secretary of the Navy, United States Attorney General and Secretary of State. ;- ^^,^^^4^, ^$5!^.^-^:^ ^^.^,K,^.=^^ -^--«-^*^ -.,-^5.2-^^. ^^t.^:*^^ ^<,-^^«>,>-<«i^ :z^..*:l> .^.^^,.^^-2^ ^:^^^<>^^^>^^^^^^ ^ . '■^.y^i-ejS^ ^^^^ ,«-J-t>^^^^^ j/Cje^^.,g^ ^^^^^:^^k^ a^.^.,,^^ A.^'t.^c^ j?^ii:r 2^^^^ ^iC^^n^ai^zy ^^'^,^^?.wa^^»^ ^-$<^. <^^J^. JOINT CERTIFICATi FROM PRESIDENT WHEELOCK AND DR. SMITH TO SUPPORT THE EUROPEAN PROJECT LETTERS TO BARON ALIBERT 163 ing no expense to be admitted to the dissecting and preparation rooms in France and England and actually working at all those things myself, as I did at Hanover. Also seeing, preparing and making every chemical experiment now exhibited in Europe, and bringing home with me every kind of instrument and apparatus required in Anatomy, dissections, demonstrations, and injections; Also all curious, valuable, rare books, plates, plans and engravings on our Science. Now, Sir, if you will contribute to the expense, you shall share with me the profits; i.e., I will spend the term of the first courses of your lectures after I return, at Hanover, and will act as dissector and chemical experiment maker to you, and will engage to show you every anatomical and surgical fact which is now known or can be obtained in Europe, and every species and variety of dis- section and preparation, and every kind of Chemical Experiment and preparation. But, Sir, I will not engage to spend any more than one course of Lectures with you, as my business in Ports- mouth is such as to render it absolutely impossible for me to leave it to the mercy of the waves. It will also be a good opportunity for you to procure a library and chemical furniture, and for your College to obtain books and philosophical apparatus. With Esteem, your Humble Ser't, Lyman Spalding." The arrival of this letter could not fail to remind Dr. Smith that the Spaldings had helped him to visit Europe in 1796; his reply is worth reading. "Hanover, July 20, 1809. Dear Sir: I have rec'd your letter respecting your intended tour to Europe. If on due consideration of the subject you are determined to make the experiment, I shall acquiesce and render you all the assistance in my power, which I fear will be very little. I acknowlege the liberality of your pro- posals, and nothing but the want thereof will prevent me from affording you pecuniary assistance. My affairs are at present very much embarrassed on account of some purchases of land which I made two years since, and the money which I have been obliged to expend for the Medical Establishment has reduced my finances very low. It will be impossible for me to help you from the money granted for a Medical Building, as we do not receive any money from the Treasurer till a year from next January, and that money is granted for an express purpose, and put into the hands of the Committee for that purpose only, so that it cannot be touched by me. As you live in the midst of wealth I thought it might be possible that you might find some person who would loan five hundred dollars for two years. If you could, I would give them my security for it, and if required would seciire the pa5Tnent by real property worth double the sum. If you should find any 164 LR. LYMAN SPALDING opportunity to obtain money in the way and manner pointed out, I would let you have it, and we would settle it in the way and man- ner you have pointed out in your letter. . . . We are in great dis- tress on accoimt of money in this part of the covmtry, more so, I conclude than you are. At least it is more difficult to procure any considerable sum. I should like to hear from you again, inform- ing me when you propose to go to Europe. I should suppose it would be best to go in Sept'r so as to be there at the beginning of their amiual course of Lectures which commence in Nov'r. I am with sentiments of High Esteem, Nathan Smith." Whilst the question of the European Tour was under discussion Dr. Spalding came very near losing his life at Fort Constitution, July 4, 1809. Col. Walbach, who was a former officer in the French Army, had come to America and obtained an appointment in the United States Army in 1801. He had invited some friends to dinner on the festal occasion, and in the midst of it there occurred a terrific ex- plosion, shattering the fioor and ceiling of the room in which the dinner was spread, and hurling most of the guests to the floor. When he regained his senses, Dr. Spalding made for the open air, found seven men dead, and many wounded, for whom he and Dr. William Cutter cared. Although the doubly signed letter from Dartmouth might be of value on this side of the ocean, Dr. Spalding felt that another, from Dr. Rush, the best known of all American physicians abroad would be of greater value still if his plans succeeded. With this idea in mind, he enlisted the services of his intimate friend Rev. George Richards, as his reply now informs us, but of Dr. Rush's letter of commendation I find no traces. "Philadelphia, September 18, 1809. Dear Su-: I have the pleasure to inform you that I arrived in Philadelphia on Saturday at 1/2 past 1, and Sunday at 3 p.m. delivered your letter to Dr. Rush in person. The venerable sage received it with the most flattermg remarks of polite attention, and begs me to assure you that the certificate shall be forwarded agreably to your requests, and that he stands prepared to tender you any assistance in his power, and that on all subjects you may freely communicate and freely command. Any services in my power are also most cheer- fully tendered, and requesting you to inform Dr. Pierrepont of my safe arrival; he and you may expect a lengthy letter when I am perfectly domesticated. Devotedly Yours, George Richards." LETTERS TO BARON ALIBERT 165 When the voyage to Europe was abandoned because the Government appointment could not be obtained, Dr. Spald- ing decided that the next best step was to spend the winter at the Pennsylvania Hospital Medical School, and at once wrote to that effect to his friend Dr. Perkins who had lately attended that school. From Dr. Perkins' answer, we also see that Dr. Spalding had been having troubles about his wig. . "Boston, Oct. 18, 1809. Dear Sir: Your favor I received this day. Some person, several weeks ago called on me concerning the wig, and I informed him that the wigmaker, about the time it was to have been finished, took a sudden start for Europe, in other words took French Leave. What he did with the measure and sample of hair, nobody knew. This information, I expected the man gave you on his return to Portsmouth. So, the present state of the business is as you wish . . . there is no wig made. I thank you for your kind offer. I have no commands in Philadelphia, as I came from that city only a few days since. I have a high opinion of the ad- vantages there for medical improvements. I was highly pleased with Dr. Barton and Dr. James, and with the Pennsylvania Hospi- tal. I presume the lectures there are nearly equal to those of any of the European School. The Professors are men of great eminence and very great ambition. I think you must spend your winter there very profitably as well as pleasantly. Dear Sir; your friend, Cyeus Perkins." Immediately after the arrival of this letter Dr. and Mrs. Spalding went to Philadelphia where they spent three months, to their great delight socially and medically. Dr. Spalding made copious notes of all the lectures and from his Note Book I will append in the following Chapter a summary of what he heard and saw. CHAPTER XII. Visit to Philadelphia and New York, 1809-10. I WILL begin this chapter with some notes concerning the physicians whom Dr. Spalding was now to meet very inti- mately, for in that way their lectures will seem more inter- esting as coming from persons with whom we are already acquainted. Nathaniel Chapman (1780-1853) obtained his degree in Philadelphia, studied in Edinburgh, and was practicing in Philadelphia as early as 1804. He soon stood in the front rank of medical practitioners and instructors. His book " On the Elements of Therapeutics and Materia Medica" was the most artistic that had up to that time been issued in this countiy. Personally, Chapman was affable, charming in manners, popular, renowned for his gaiety of spirits and skill in emergencies. He founded "The Journal of American Medical Science" and was a famous literateur. He was at this time lecturing on Obstetrics and Materia Medica. Caspar Wistar (1761-1818) looks at me as I am writing, and I can imagine him stepping out of the frame and saying with his usual bow to his students, "Good Morning Gentle- men." Wistar was a grandson of the first glass maker in America, and as a boy he assisted the surgeons at the battle of Germantown. He obtained degrees at home and abroad, and on his return was made Physician to the Pennsylvania Hospital, and Professor of Anatomy and Surgery. He was a delightfully social man, and with Mrs. Wistar, the second, who was a Mifflin, kept open house for local and foreign sclents. His "System of Anatomy" caused him to be con- sidered America's greatest anatomist. He took a great fancy to Dr. Spalding, gave him every opportunity for studying anatomy, and they remained on very friendly terms to the end of their lives. Philip Syng Physick (1760-1837) began with medicine as a pastime; then going abroad with plenty of money and recommendations, he had the great good fortune to be chosen as a pupil of John Hunter's and to live in his family. 166 PHILADELPHIA AND NEW YORK 167 From that time on, medicine and surgery were all the world to him. Through Hunter's influence he was made a House Surgeon at St. George's, a position of untold value to any- young physician, and one up to that time never before ob- tained by any American. He went from there to Edin- burgh where he obtained his degree in 1792. He soon obtained public notice in Philadelphia in an epidemic of yellow fever in 1793, for which he was rewarded with a Silver Service. In due season he became Professor of Surgery and on the death of his nephew. Dr. Dorsey, Professor of Anatomy. His successful operation for hth- otomy, in his 63rd year, upon Chief Justice Marshall, brought him additional fame, and multitudinous congratu- lations. His equal as a Lecturer and a Surgeon will hardly be met with in the annals of American Medicine. John Syng Dorsey (1783-1818) was graduated in medicine when hardly twenty years of age. He then studied in London and in Paris, was on most friendly terms with John Hunter and Sir Humphrey Davy, and on his return was made associate Professor of Surgery with his uncle. Dr. Physick. The death of Dr. Barton promoted him to the Chair of Materia Medica, and that of Dr. Wistar to the Chair of Anatomy. He dehvered the brilhant opening lecture November 2nd, 1818, was attacked with typhus on the next day and died November 12th. His ''System of Surgery" was one of America's earHest and most eflacient treatises on that subject, and as an operator, he must have been bold, judging from his success with an Innominate Aneurism shortly before his death. With the exception of Dr. Physick and of Dr. Valentine Mott of New York, Dr. Dorsey, young as he was, was regarded as the foremost surgeon of the age. Benjamin Smith Barton (1776-1815) inherited from his Father a great love for Natural History, and after studying in Philadelphia he went to Edinburgh where he carried off the Botanical prize for an Essay ''On Hyoscyamus," and obtained a medical degree at Goettingen. He long occupied the Chair of Materia Medica at Philadelphia, and was Editor of "The Medical and Physical Journal." His fame as a Botanist was world wide, many plants being named after him. His lectures were filled with anecdotes, and no Professor received so undivided attention whilst lecturing, 168 BR. LYMAN SPALDING as did Dr. Barton. He was a handsome man, very positive and very passionate in his arguments, but owing to a de- fective memory, he was sometimes compelled to retract what he had said. Joseph Parrish (1779-1840) was graduated at Phila- delphia in 1805, and it has been asserted that he delivered the first course of Chemical Lectures in America, in 1808. But Dr. Spalding and Professor Silliman antedated him in that respect. Parrish with other medical friends, established a Private School for Medical Instruction in Philadelphia, and then compelled the older school to improve its lectures, and ultimately to unite with his. He was on the staff of the Wills, Eye and Ear Hospital from its foundation, wrote many medical papers, was Editor of the "North America Medical and Surgical Journal," and a considerable contributor to the National Pharmacopoeia. William Potts Dewees (1768-1841) whose lectures proved extremely attractive to Dr. Spalding was one of America's greatest obstetricians. Owing to lack of money he did not obtain a degree, in course, but practiced for a while without one, and then returning to his studies again was duly gradu- ated. He was one of the earUest specialists in obstetrics, practiced successfully for some time, then retired to Alabama owing to poor health. He resumed practice later on, and was chosen Professor of Obstetrics in the University of Phila- delphia. His "System of Obstetrics" is a perpetual monu- ment to his fame, and he remains celebrated as the one who first emphasized the danger of Cardiac Thrombosis in lying in women. His portraits make him a very handsome man, with a winning disposition. Thomas Chalkley James (1766-1835) of Welsh descent was graduated at Philadelphia in 1787 and went on a voyage to China as Ship's Surgeon. Returning by way of England, he studied there for three years chiefly on obstetrics, and re- turned to Philadelphia about 1793. In the following year he went West as Surgeon on a Western Expedition. He next established a private course of lectures on Obstetrics in Philadelphia, and later on was elected Professor of Obstetrics in the University of Pennsylvania. He was Editor of "The Eclectic Reporter" a medical journal of high standing, and he also issued an American Edition of Burn's "Midwifery." He was much interested in the treatment of extra uterine PHILADELPHIA AND NEW YORK 169 pregnancy, and reported a very early case of inducted labor in a contracted pelvis. His translation of Gessner's " Idylls " was highly praised, and he spent a great deal of time in carrying on the Pennsylvania Historical Society. With these annotations, let me now pass to Dr. Spalding's Note Book. Dr. Physick showed us cases of fever from pus collecting in the ring of the abdominal muscle: one died before oper- ation, the other was relieved by opening the abscess. If pus forms in the pectoral muscle, a bougie run into the bottom of the sac will drain it out properly. Nov. 15, he dissected out successfully a large steatomatous tumor from the fascia of the thigh of a man of 40. Three days later I saw him extirpate from the neck of a woman a hard tumor as large as my two fists. In operating, he exposed the carotid and thyroid cartilage on which the tumor lay. Both of these tumors were dressed with adhesive plaster and charpie. At another lecture he mentioned ossified arteries similar to those that I had seen at home. After the lecture I mentioned this fact to Dr. Physick who seemed pleased to hear it. He reduced a right humerus which had been dislocated three months before. Extension and counter extension were employed. Physick, Dorsey and Wistar manipulating, hauhng and pulling one way and another. After several vain attempts, several students pulling at right angles with a rope, Dr. Physick put a strap under the axilla, mounted a chair, and then after more pulling and hauling, the bone slipped into place. On another occasion he showed us a knife wound of the stomach (permitting food to run out) which later on, healed; and a penetrating wound of the knee-joint which healed slowly. On one day he removed a small tumor beneath the clavicle, did lithotomy on a child, extracted a stone from the urethra, and punctured for vari- cocele. He did the lithotomy very elegantly, and after ex- amining the fluid from the varicocele he used water, only, for the injection instead of Port Wine. In amputating he uses but one turn of the tourniquet, to avoid puckering of the skin, which would prevent a smooth incision. At an- other lithotomy he divided a deep vessel, and ligated it beautifully with a tenaculum passed in beneath. Hemor- rhage from the plantar arteries he controlled with a band of copper to press on the arteries but nowhere else. He treated 170 DR. LYMAN SPALDING ulcers of the leg by raising the foot. He is very partial to fractures, and pays great attention to splints, being very fertile in his suggestions as to their size, shape and position. A medullary artery was bleeding profusely, and enveloped in its bony case could not be drawn out or compressed, so he whittled a bit of wood to shape, forced it between the bone and the artery and the bleeding ceased. "Do not extract a tooth," he said, '4n fractured jaws, be- cause you then convert a simple fracture into a compound." "With fractured ribs, tighten the bandage all you can and let the diaphragm do the breathing." He gave practical rules for applying bandages, showing us especially how to prevent swelling from too tight a bandage. He was exceed- ingly clear in diagnosticating fractures, from dislocations, and again showed us how to bandage. He was very conservative as a surgeon, saving for instance fingers apparently destroyed. He made his fracture patients comfortable, by ingenious holes in the bed, and boards laid across for rests. He never treated two fractures alike. He told us how John Hunter cured a woman with a stiff knee- joint by causing her to sit on the edge of a table and swing her leg to and fro. In a long standing unreduced dislocation of the shoulder, he had a Professional Bleeder, at hand, and as the patient fell to the floor from loss of blood, he grasped the arm, and with a single manipulation he had the bone in place in a few seconds. He told us of a girl who sprained an ankle, walked too soon, "to make the joint supple," so that suppuration set in and the patient died. He mentioned Desault's "Fractures," but did not say that Dr. Caldwell had trans- lated that work. "Dr. Physick was, as I have heard, fond of telling this story, winter after winter. A drunken man in Edinburgh was picked up unconscious and carried to the hospital as an apoplectic. Waking the next morning in a strange place, he inquired what was wrong with him, and why he could not go to work. "Hush, hush," said the nurse "you have had a stroke and they are going to trepan your skull at once." "Not on your life," shrieked the man, and picking up his clothes he fled with speed." Lecturing on cataracts, he said that the capsule should be extracted with forceps or a hook. A patient with unreduced PHILADELPHIA AND NEW YORK 171 dislocation of the femur was brought in for reduction. After counter-extension, and rotation, the neck of the femur broke, to the confusion of the surgeons and to the amazement of the class. "I go next," said Dr. Physick, and without ap- parent interruption "I go next to speak of strangulated Hernia, in which a high enema of tobacco is better than mere tobacco smoke." Dr. Physick takes the greatest care to give no merit at all to John Bell, but follows John Hunter ''Toto Coelo." "In tapping, you may get water and you may get JELLY!"; at which the students roared. He then mentioned an actress in London who was tapped, so that both the Mother and the Infant died: it was a case of pregnancy, not of dropsy. He once saw a man drop dead in an instant, from holding his hands above his head; the pus from an abscess in the axilla had run into the circulation. Dr. Rush made much of his lecture on the Mind, men- tioned children who could not talk until they were 8, and then he branched off into ventriloquism. No action of man is voluntary, but became so by use. Man is an automaton, driven to and fro like a ship by the wind. People sometimes distinguish with their eyes, the taste of things, and yet per- ceive colors with their finger tips. " I knew a Mr. Fowler of Virginia who could almost instantaneously multiply men- tally any twelve figures by any other twelve." He also lectured on Natural History, and remarked that the branches of a tree which penetrated a warm room would remain green all winter, even when the rest of the tree out- side was frozen stiff. "When they put down a Land Mark in England, they do it in sight of a dozen boys, call their attention particularly to the fact, and then give them a spanking, so that they will for LIFE, remember the landmark by the whipping." Dr. Rush said "I remember Dr. Shippen saying; The division of the intestines is arbitrary. You allow twelve fingers' breadth for the duodenum, then trace the jejunum along until you are tired and then call it Ileum, until you get to the Coecum." After Dr. Spalding had entered notes of a lecture by Dr. Rush on Sleep, he wrote on the margin of his book "This topic deserves great attention from me." 172 DR. LYMAN SPALDING Dr. Rush often talked on Cookery for patients, and gave us excellent receipts for Potato Soup and for Green Corn Grated, and made into a pudding with eggs and milk. A pound of solid meat cut into pieces and put into a bottle and boiled is good for invalids. His lectures on the pulse with its varities, Synochus IMitis, and Synochus Fortis were amusing. "The pain of a disease" he said, may be located at an entirely different part from its actual seat." He was fond of phrases: "When I was in the Army," "Mr. White tells me;" "An old lady of Germantown;" " Infuse faith in your patient; Tell patients that they can- not die of That disease, and their mind turns to other thoughts." He lectured on Patting, Rubbing and Shampooing, as practiced by the Chinese. After seeing a case of dropsy he said "We cure this with bleeding and purging" and Dr. Spalding adds "This is true, for I have seen the patient many times. Never let a fever patient rest near a wall, but always in the middle of the room. Stimulate him with hopeful- ness, and drive away visitors who talk about other people dying from just such a fever. When a patient is re- covering, get him away from everything that can remind him of sickness, shave him and cleanse him toward recovery. Dr. Rush was enthusiastic over George Cleghorn (1715- 1789) who was a house pupil of Alexander Monro of Edin- burgh. Whilst serving as Army Surgeon in the Island of Minorca, Cleghorn paid much attention to a peculiar fever which was there indigenous, and his work on "Fevers," re- mains a Classic in British Medicine. Many otherwise in- explicable statements made by Hippocrates concerning Minorca Fever only become clear when studied by the light thrown upon them by Cleghorn. Resigning from the Army, he lectured on Anatomy at Dublin. Dr. Spalding purchased Cleghorn's Work for the Library of the New Hampshire Medical Society. Dr. Rush thought highly of John Hunter, but damned his brother William, with faint praise. Here is another quotation from Dr. Rush. "Intermittent Fever, may be cured in its initial stage by a gentle purgative. I had this, Gentlemen, from the Captain of a Mihtary PHILADELPHIA AND NEW YORK 173 Company during the Revolution, who caused all his soldiers to drink a dose of Sea Water, and they escaped the dys- entry." "Martha Pass, Gentlemen, is better to day. The air in her room is, however, offensive, and I have ordered it to be fumigated with muriatic oxide vapor." A maniac remembers all that is said to him, a delirious person, nothing. After ending his lecture and bowing off toward the door, Rush would often turn about and say "One Moment Gentle- men, I have just to add, that one Principle in Medicine is worth a Volume of loose disconnected facts." With the following summing up of Dr. Rush by my grandfather, I finish what he had to say concerning this celebrated man. "His great forte is to prove everything by a string of analogies like Sancho Panza's Proverbs. He never attempts fair and logical reasoning but supports his hypothesis with the idle talk of a Nurse, or of an Old Woman, or of a Sea Captain, or of a Lady in Philadelphia, or of a Patient in the Hospital. Notwithstanding which, he is the ablest practitioner that I have ever met with, he so exactly points out the Seat and the State of the Disease, and attacks it with such Buonapartean Skill as to vanquish it at once." Dr. Coxe's lectures are mentioned but slightly in Dr. Spalding's Note Book. One was concerning Thermome- ters. He performed some experiments which went off fairly well. He produced sound by burning oxygen in a tube, and with a Burning Glass melted metal under water. I suppose that as Dr. Spalding could perform all these ex- periments, himseff, they failed to interest him, and he passes them by without much comment. Barton's Lectures were a comminghng of Natural History and Materia Medica. Syphilis succeeds lepra and is a modified form of the same disease. Gold fishes live in dis- tilled water. Gum arable can alone sustain fife many days. The best Digitalis grows in the shade. Chmate alone has changed the negro's skin. If he had been born in a mine, he would remain white until he exposed himself to the sun. Acetate of Lead was Barton's favorite remedy and com- bined with opium, was, in his opinion unexcelled. " Dr. Barton takes upon himself," writes Dr. Spalding, "the merit 174 DR. LYMAN SPALDING of introducing this Composition and for all that I know," he adds in a foot note, "he is entitled to it." Quassia was named after a negro who first discovered this Bitter: He was created a Prince by the Dutch, and made a great show with his gay uniform and cocked hat. "London Prescriptions are inordinately long in order to favor the apothecaries:" Dr. Barton rarely wrote for more than two remedies in the same prescription, did not favor Bark, but mentioned his Paper concerning it, in Coxe's "Museum." He lectured on Porcupines at one time; "and seemed much interested in that animal," writes Dr. Spald- ing; " and when I talked with him about it after lecture, he begged me to send him the head of one, or if possible, a live one for his Open Air Garden." The space between the eye- brows, the Glabella, indicates Greatness. Washington had the broadest glabella I ever saw. Dr. Barton often eulogized John Brown (1735-1781)1 the author of Brunonianism, or the idea that disease was due to debihty and should be stimulated, not bled. Dr. Barton told us of a parrot belonging to Surgeon White,^ who could laugh, talk, cry and even show signs of reasoning. Dr. Spalding was also present when Dr. Barton dehvered his Eulogy on Dr. James Woodhouse (1770-1809) Pro- fessor of Chemistry in the University. Woodhouse served in the Indian Wars and did great service to the State by demonstrating the commercial value of coal. Dr. Spalding's interest in Anatomy has been repeatedly mentioned and it is probable that his chief aim in visiting Philadelphia was to put himself under the guidance of 1 Brown was a man of prodigious memory, but unhappily endowed with the unfortunate art of constantly putting his colleagues into the wrong. His "Elementa Medicinae" made a stir in the world. Freder- ick the Great invited Brown to his court, and other monarchs conferred honors upon him. Fortune at last smiled on Brown and he was on the way to riches when apoplexy killed him. Few physicians have created greater strife in medicine than John Brown, the son of a weaver of Berwickshire. 2 Charles White (1728-1813) the owner of this remarkable bird was Surgeon to the Manchester Infirmary, and by his original papers on obstetrics revolutionized that branch of practice in England. He first demonstrated Milk Leg, scientifically, and was also a good lithotomist. He became bhnd in 1803, and the parrot cheered him in his lonely hours. PHILADELPHIA AND NEW YORK 175 Caspar Wistar. The Note Book shows that he acted as Demonstrator for Wistar, and also had a private class in Anatomy. From the abundance of remarks on Wistar's lectures, I select a few. The carotids take a sharp turn in the temporal bone in order to break the force of the current rushing into the brain. A patient totally paralyzed from injury to the spine could speak and reason perfectly. Before each lecture he invariably asked a few students something about the topics of the previous one. In fractures he observed, that the Thumb; erect in the splint; proved that the pressure is equal on both bones of the forearm. Clubfoot may be due to an abnormal muscle in the calf of the leg. When you dis- sect, hold the skin tight, and follow the course of the fibres of the muscles. Beginners will start in on the muscles, fol- low to the viscera, continue with the blood vessels and end off with the nerves. One day when dissecting, Dr. Spalding found in the capsu- lar Hgament of the shoulder joint, two floating cartilages.^ On showing them to Dr. Wistar, he mentioned them in his lecture and also spoke of a patient who could voluntarily dislocate both humeri. In lecturing on the Larynx, he used a very large model which made every description plain. Dr. Spalding had long been trying to inject the lymphatics, but did not succeed until December 10, 1809, when he wrote in his Note Book ''This day I succeeded in injecting a lym- phatic with quicksilver. I discovered it in the Saphena Vein, just below the knee, introduced the pipe, the mercury ran to the thigh, where an unfortunate slash had been made and the lymphatic wounded. So rejoiced was I at the dis- covery, that I called aloud "Eureka," and they all came and looked at it. This was the beginning of those unique Preparations of the Lymphatics, which made Dr. Spalding's name celebrated in the history of American Anatomy. Dr. Wistar spoke of cryptic tonsils, and claimed that they might cause diseases elsewhere. "Charity begins at home," he smilingly said, in mentioning the Coronary Arteries. 1 These cartilages may be the "Joint-Mice" of to-day, and are thought to be due to fracture of the condyles of long bones after violent exercise. 176 DR. LYMAN SPALDING "How soon they are sent off from the heart to nourish that organ." Scurvy is due alike to excessive meat or to too many vegetables. Death from a blow on the stomach, or large amount of spirits, is due to concussion of its nerves. "But this explanation" adds Dr. Spalding "is not plain to me." At another dissection, Dr. Spalding discovered three in- stances of intussusception, in three different parts of the in- testines, and later on an instance in which six inches of the intestine had sloughed off, and been evacuated, yet the patient recovered and died from another cause. Dr. Wistar mentioned the toxic effects of bile, and Dr. Spalding told him, later, of an instance in which a moribund child was cured by an emetic which evacuated an enormous amount of bile from the stomach. "December 10, 1809" Three Hundred and Fifty One students were present at Dr. Wistar's lecture to-day, for I counted them." Amongst the friends whom Dr. Spalding made in Philadelphia was John Shelby^ "from the Back- woods of Kentucky," son of Governor Shelby and brother to Sarah Shelby who married Ephraim McDowell, the first American Ovariotomist. Together, they once discovered in a child a left Ureter which was larger than the large intestine. Amongst other preparations made by Dr. Spalding at this time was one of the Cranial Nerves, which will be mentioned later on. Dr. Wistar said, that when in London, three surgeons had tried to introduce a trochar, but in vain. John Hunter came to the rescue and did it successfully. Hunter said to me "Know well your arteries, then cut boldly." Wistar often showed us on the dissecting table, specimens of bad surgery, as a warning to operate well; or not at all. After Dr. Dewees had finished his lecture, he talked with me a long while on Presentations. He had delivered 5300 women and had only twice found occasion to use a crochet. He thinks that the pain of parturition is due to civilization alone. He never saw a child born alive after convulsions in the mother. 1 John Shelby (1786-1859) served under General Jackson as an Army Surgeon, lost an eye in battle, practiced successfully in Nashville and founded a Medical School which still goes by his name. PHILADELPHIA AND NEW YORK 177 Bloodletting often saves life in convulsions. He once bled a negress 100 ounces, and she recovered. "I am satisfied," remarks Dr. Spalding at this point, "that we of New England lose patients by delay and inert remedies." "Attack them more boldly, hereafter, shall be my motto." Dr. James spoke of vicarious menstruation from the lungs, and scratches and showed a large hydatid cyst. Parturition, says Dr. Dewees, generally begins during the hours for sleep. He told us how to talk to a woman with child, and how if she refused to acknowledge her condition we were to encourage her to come again. He spoke of a physician in a lying in room who said to the nurse: "Take this bloody cloth and give me another." This boorish re- mark cost him much practice. "Don't degenerate into an old woman," said Dr. Dewees. "Let the nurse do the cod- dhng and pillow shaking. Give your orders plainly, for you are in charge of the case and not the nurse." "Never mind the Doctor," said a nurse to a bashful patient; "he is only like an old woman." This remark overheard by the phy- sician caused him to cease taking charge of lying in women. Dr. Chapman lectured chiefly on Presentation, Touching and use of the Forceps. Dr. Dewees was the most enthu- siastic and anecdotic of the three Obstetricians: Chapman and James were more practical. Dr. Caldwell talked in flowery style on Animal Life, and after much beautiful language he ended in this way: And yet after aU that we can say, ' 'Life is Life." He daily argued and manifested his spite against Dr. Rush, and Brunonianism, talked on the Vitahty of the Blood and insisted that debihty was not the cause of disease, but the Result. Dr. Dorsey always walked the Wards with his uncle, Dr. Physick, often stood on the platform whilst other lectures were going on, and occasionally gave us a lecture of his own. His talk on Bronchotomy was clever. "In penetrating wounds, apply the dressing so that it cannot faU into the cavity." In a gunshot wound of the thorax he bled the patient to 180 ounces, in twelve days yet he made a good recovery. A bayonet wound of the abdomen was fatal, be- cause in Dr. Dorsey's opinion, the Hquor which the patient had just then been drinking had run into the abdominal cavity. 178 DR. LYMAN SPALDING Several evening lectures on chemistry by Dr. Parrish and Dr. Rogers ^ were also attended, but no notes of them remain. i^fter four successful months of study in Philadelphia, Dr. Spalding went to New York and walked the Wards of the Hospital with Dr. Valentine Mott ^ then beginning his ex- traordinary career. Just home from London, as he walked the wards with Dr. Spalding at his side, he remarked: "Sir Astley''^ beheves this, "Mr. Chne"^ suggests that, "Benjamin Bell" thinks 1 Patrick Kerr Rogers (1762-1828), a brilliant Irishman, whilst living in Dublin, was foolish enough to print some reflections on the Government and had to run for his life. He obtained his medical Degree at Philadelphia, lectured privately on Chemistry, established a Loaning Medical Library and wrote papers of value on "Silver Nitrate" and on "Tobacco, medicinally used," yet despite his industry he was always in financial straits. He moved to Baltimore, obtained success, rose in the profession and was elected Professor of Natural Philosophy and Chemistry at William and Mary College. 2 Dr. Mott (1783-1865) was the leading surgeon of New York and probably of America, for many years. He had great advantages of study at home and abroad, and performed every operation that sur- gery then accepted. After phenomenal successes he retired to Europe for some years, yet on returning, he again dominated American Surgery. No one came near him for skill. No one dared to follow his boldness in surgery. He ligated the innominate, amputated at the hip joint, and removed the clavicle with an immense osteoma attached. He performed 200 successful hthotomies, but his medico literary achieve- ments were trifling. 5 Sir Astley Cooper (1768-1841) filled the largest space in the public eye of any surgeon of his time. Unmanageable as a boy, he gradually came to his senses, and was early chosen a Surgeon to Guy's. He was known everjrwhere by his "Dislocations and Fractures." He was, however, a failure, as a lecturer until he threw Theories to the winds, and confined his remarks to Clinical Cases, in which he fascinated all, with his wealth of illustration. He was one of the handsomest men that ever lived, had a musical and penetrating voice, and at the end of a joke, he would laugh, "Ha Ha," and rub his nose with the back of his hand. This man dominated the world of surgery, medicine, and medi- cal law for years, and his works were quoted and upheld as The TRUTH in every malpractice suit of the era in which he flourished. As a Jury Lawyer in Maine once said to twelve men whom he wanted to convince; "Why Gentlemen, when the KING of ENGLAND is sick, he sends for Sir Astley! " and he won his case. * Henry CUne (1759-1827) was an industrious, patient, and per- sistent surgeon, who made as much as $50,000 a year, and as Sir Astley said, he might have saved something, if he hadn't wasted it on Farms. He wrote but little and during the French Revolution was on the most friendly terms with the ringleaders. PHILADELPHIA AND NEW YORK 179 thus; and so on, until the young Doctor from Portsmouth may have felt that this was as good as seeing those great men in person. During his stay in New York, Dr. Spalding one day made this little note. ''Dr. Mott was very kind to me this morn- ing, showed me new instruments from London, and some especial trephines; he operated twice, especially for me, and then he finished his day's work with a lecture on Varicocele." The last item in this historical Note Book shows the differ- ence in popularity between Philadelphia and New York as medical centers; for there were 351 students in Philadelphia and only 100 at both schools in New York. CHAPTER XIII. Events and Letters Received in 1809-10. Early one morning when in Philadelphia, Dr. Spalding re- ceived a note from Capt. William Yeaton, once of Portsmouth, now of Alexandria, Virginia, to the effect that he had brought from Portsmouth from Mr. Edward Parry ^ of that place some mineral for analysis, that it had been mostly ground to powder during the long voyage, and that what was left could be found at the City Hotel, with the bar tender. When the ore was found in so unfit condition Dr. Spalding wrote to Mr. Parry and soon received an answer to this effect. "Portsmouth, Dec. 28, 1809. Dear Sir: I was sorry to find the ore I sent by Captain Yeaton got loose in his trunk, and I am afraid that you did not get a fair sample of it. I should have sent you a box of it, if there was a vessel bound for Philadelphia, but there will be none these two months. You observed in your letter that Mons'r Goddon^ would annalyze it for 15 or 20 Dollars. I wish you would inform me what it would cost to bring it to a MetaUic Substance in such manner as I could have a small Bar of a few inches long, and what quantity of ore would be needed for that purpose. Mr. Parsons of York says that this Ore is more valuable than cop- per and enclosed you will find a sample of it, after being I^urnt, which he calls Venezzian Red Paint, which I wish you would show to some eminent painter and ascertain its value. You will particularly oblige me in being particular to find out the real value of this Ore, and, if it should be in your power to find out the best method how to proceed to bring it to be productive, you would confer an Obh- gation, On Your Friend and Humble Servant Edward Parry." The following entertaining letters from Rev. Philander Chase were also received during the visit to Philadelphia. ' Edward Parry a merchant of Welsh descent was a son of a former Royal Mast Agent at Portsmouth. * Mens. Goddon, was an analyzing Chemist and Lecturer in Phila- delphia. 180 EVENTS AND LETTERS RECEIVED IN 1809-10 181 New Orleans, Dec. 2, 1809. My dear Friend : Your favor came to hand about 2 weeks ago, and as soon as my cares have per- mitted, I now give it an answer. I am sorry you had no oppor- tunity of conversing with my worthy friend Scott.^ I know you would have liked him, and that he would have been proud and" happy in being acquainted with you, and in communicating to me those nameless minutiae of life which are so gratifying to an old friend, and neighbor. Captain Seward ^ did not call on me; the packet of which he was bearer containing your FAVOURS, being lodged in the Post Office at the mouth of our River. Your Bill of Mortality I think a good and useful thing; to the curious, and to men of your profession particularly so. The Oration,^ especially its Notes, afforded me much amusement. But, who is your Grand Chaplain? You did not remember my being so much out of the world, and that an answer to this question would have been a neces- sary piece of information to give me. Your mentioning your visit to the place of our Nativity affected me more than from the manner or style you seemed aware of. The remembrance of those innocent, healthful and sportful meetings of which you speak serve but to deepen the shades of the dismal prospects, which in this land of Vice and death are continually be- fore me. I felt the contrast and still feel it. This you can easily imagine when I tell you that om- City was never known to be more unhealthy; that Mrs. Chase and myseff had little else to do but to attend on the sick, the dying and the dead, till we ourselves were seized with the dreadful Malady. Who would not, under circumstances like these feel the full force of that contrast which your gentle words raised in our view! So many of my friends and warm supporters have died and moved from the Country, so many more have failed by the effects of our national embarrassment, that I must no longer think it practicable to pursue the object on which I was sent hither. The thing is fixed, and I shall return to the Northern States in the Spring. The Clergy in N. Y., are for placing me in N. Y., but all engagements of this nature I think I shall at present dechne. I love my native State, above all, my native Town. The people there, press me, and did I not think the thing burdensome, I should accept their offer. As you will have abundance of time to write me an answer be- 1 Mr. Scott was clergyman from New Orleans. 2 Captain John Seaward was a revolutionary veteran, a sea captain and finally a Customs Officer at Portsmouth. He lived until 1845, was over 85 when he died and was the last man in the town to wear his hair in a Queue. 3 The "Oration" was delivered by Rev. Mr. Richards at the laying of the Comer Stone of St. John's in 1808. 182 DR. LYMAN SPALDING fore April, the month fixed for my departure, I beg you will not neglect me. Tell me all the news, how your Church flourishes; how goes the wheel of State: I think I shall, if it please God, be in Cornish about the months of June, July and August. Can't we contrive to meet there? When I am again settled it will be for life. Ever your sincere Friend Philan'r Chase." In his second letter Mr. Chase writes: "New Orleans, Jan. 29, 1810. My dear Friend: Capt. Seaward has at length done me the honor of visiting and dinmg with me, and although I wrote you in answer to your favor, by him, I can- not refrain from telling you again that I am in health and prosperity. The time for my visiting my native soil is fast approaching, when, among my sincere friends I hope to embrace yourself. God grant I may find you in health and happiness! My brother Dudley ^ informs me that my sons are quite grown, and much improved in literature. How I long to fold them to my bosom, and give them a father's blessing. Our winter is mild, and although by the date, in the depth of winter, the trees are putting forth, and the flowers in blossom. The crops of sugar and cotton of our land have been and are uncommonly good, this season, and were it not for the restrictions on our trade, we should be unusually prosperous. What shall we do with a War with Great Britain? May God defend and watch over our beloved country for good! I believe I informed you in my last of the great mortality of our past sum- mer. It is generally believed to have been caused by the uncommon overflowing of our River, joined with the intense heat of the suc- ceeding season. Happy are you, who live in a healthy climate. You know not, nor can scarcely conceive, our sufferings; death staring us in the face and no retreat. Our people too wicked to hope for mercy, and too hardened to repent. Yours P. Chase." A pleasant letter also came from William Neil, a genial merchant of Portsmouth. "Portsmouth, 8, Dec. 1809. Dear Sir: It gave me much pleasure to see a line from you handed to me to day, still more to hear that you are satisfied with your journey, and that the object you had in view; viz; Improvement in Medical Matters is worth your pur- suit. I am not surprised at the politeness of the Professors in sending you their tickets. I am more astonished that one of the number omitted that mark of respect. Tell me; is he an Irish- 1 Dudley Chase (1771-1846) was graduated at Dartmouth in 1791, practiced as a lawyer in Randolph, Vormont, and after a long career at the Bar became Chief Justice, and then a Senator. EVENTS AND LETTERS RECEIVED IN 1809-10 183 man!? The diversified practice you have the means of seeing, will no doubt enlarge your Ideas, even if it should not augment your medical skill, which, whatever you might think was never doubted here. I wish to know when you return. Our politicians or rather our Peripatetics who discuss Politics at the Corners, are very high at present. War, War, with the English! Down with the friends of England, etc. Things, however, look serious, if not gloomy at present, and another embargo is dreaded. For deaths, marriages, and other local news I refer you to your other friends, not being much conversant with Town News. I must, however, mention the Death of Mr. Chauncy,^ our good old friend. Yours with Respect, Wm. Neil." On the same day Dr. Pierrepont also wrote the News. "Portsmouth, Dec'r 8, 1809. Dear Friend: To day a letter from you was handed to me by the kindness of Mrs. S. which to me was a very welcome circumstance. Up to the present period of your absence you appear to be in good spirits, among good friends, and I beheve enjoying some literary advantages not to be met with here. From the quantity of matter and the frankness with which you communicate it, I should believe you do not think me susceptible of envy, and at any rate I will so conclude at present. Although you know I deride the political distinctions of society, how do you know but my heart rankles at your literary feasts, where all the various charms of Science solicit you to taste? I am pleased to find you estimate this journey a most fortunate circumstance, and that the Philadelphians are gratified, and take an interest in your visit and please to COAX them to develop all that can be developed at London and Edinburgh. The venerable Chauncy is dead. That cursed case you mention was thus: When I arrived at the house the woman was very com- posedly in bed, having been delivered of a dead child. As I learn from the woman, it was a foot-presentation; the child was rather small and puny. We have nothing essentially important in the news way. To day, the commercial class are dreading an embargo; hurry and trepidation drive them to and fro about town, such of them as have vessels about to sail. I have attended your patients. We have ^ Charles Chauncy (1729-1809) was a descendant of President Chauncy of Harvard, and obtained at that University his degree. He was for a long time confidential clerk to his Uncle, Sir William Pepperell of Kittery. Mr. Chauncy was a very small man, but very erect, alert, full of wit, and highly esteemed. He wrote a great deal for the news- papers and early American Magazines, and in that way obtained a wide acquaintance. 184 BR. LYMAN SPALDING had no Society Meetings, no dissections, and indeed it is as torpid and as murky in this place as in the center of a nine days forest, nothing to rouse the spirits but that damning phrase: Pay me what thou owest. It is a subject of great WONDERMENT what has induced you to take this journey. Some say you have an ap- pointment. Others say you think of removing, and if informed correctly, they are astonished at the Cause. These cold hearted fellows would not give their hundred dollars for the peerless mind of a Newton or the unrivalled erudition of a Bayle. Enquire the opinion of the PMladelpliians of "Sinclair's Code of Longevity," and conclude how it will do for our Library. From his hterary connections, and intercourse, I should think it good. Be so good as to secure for me the Edinburgh Journal for years 1807-S-9. Although I have 3 Nos of 1807, yet it will break the set unless the Volume of that year is purchased. In my next, I shall enclose cash, or Bills rather, for the payment. Your friend, James H. PlERREPONT." In his next communication Dr. Pierrepont sends additional items : "Portsmouth, Feb'y 12, 1810. Friend Spalding: I have glad- ness of heart that you can inform me, yourself, that the journey to Philadelphia is not like to disappoint you. You seem to have divided your studies so discreetly that there seems nothing for a friend to advise, only that you do not let that ardent disposition to obtain information diminish. You undoubtedly pass time pleasantly in Philadelpliia, and it appears you can investigate al- most every object contemplated in a London Hospital, unless per- haps a more perfect research into the lymphatics. I rejoice that you contemplate bringing home some preparations a la mode of Philadelpliia. By the way, ours are safe in the BOOK CASE, which appears well, and will contain a handsome assortment. In one of the doors there is a knot larger than I would have put into the work, had I been able to attend to the workman, but I have been a victim to a violent inflammation in the arm from venesec- tion, soon after which operation I used the arm, and of course twisted out the little plug of agglutinated blood and Ijanph which filled the Orifice. The inflammation ran to high degree, occupying the whole extremity, but it at length subsided. I had had for 4 or 5 months past, some obstruction about the heart, and lately attended with an intermitting pulse. Supposing it might proceed possibly from a plethora I determined on Venesection (with these results). We have had little to do in this place, and I believe you could not have spent your time more usefully, for the pecuniary benefit here would have been nothing worth boasting of. I have received EVENTS AND LETTERS RECEIVED IN 1809-10 185 3rd Vol. of BeU "On Tumors" which is all that has been imported for our society. I wish we had Fordyce's^ "Dissertations on Fever." Please to think of it when in New York. I have noticed in "The Anthology," that Johnson's Dictionary is to be printed in Philadelphia; please to inquire into this, also, in your rambles over the City. I enclose some money to pay for the "Edinburgh Journal," but cannot tell whether it is $6 or $9. If the former, I will pay the other to Mr. Taft. I believe Cabanis,^ "Sketches" is a Treatise of merit. If you meet with it, notice it, and think if our Society will relish it. Oin" District medical meet- ing was celebrated as usual, and eleven members were present. I read a Grand Dissertation, which you will not doubt. Drs. Dwight and Ranney are appointed to read at the next meeting. Our accounts^ "are too extravagant to be allowed." If you visit Washington, deride this paltry spirit of Oeconomy! Yet, I wish you to return sooner than you will be able in that case, for I assure you it will afford much pleasure to see you "Face to Face." Our little Anatomical Institution must become highly valuable, to our- selves, at least; must tend to concentrate our mutual love for science. I am with esteem. Your Friend, James H. Pierrepont." The following note signed Joshua Brackett is from a namesake of the elder Joshua, now dead. The younger man practiced in Portsmouth until 1817, when I lose trace of him "Portsmouth, N. H. Feb. 1810. Dear Su-: You are daily en- riching your fund of knowledge, by experience, and yet according to promise you have never informed me of your reception, oppor- tunities, progress, or friends, which has anxiously been expected. Delay no longer! The other day I saw your patient, whose eye has 1 George Fordyce (1736-1802) studied with CuUen and with Albinus at Ley den, and lectured in London. His "Notes on the Temperature of the Human Body" have much value. He preached "One Meal a day," which he ate in this way; At 4 p.m. he went to Dolly's Chop House and the servant put on the table a tankard of ale, a bottle of Port, and | pint of Brandy. Generally half a broiled chicken, and 1^ pounds of Steak were provided with vegetables and a Tart. Over this Meal Fordyce daUied until 5.45 when he set off for his Chemical Lecture. 2 Pierre George Cabanis (1757-1808) a Senator of France and the physician of Mirabeau, did a great deal for the Hospitals and Medical Schools of France during the Revolution, wrote on "Medical Philos- ophy;" "The Immortality of the Soul," and on " Mirabeau during his last illness." 3 "Our accounts " were for services rendered to the wounded at Fort Constitution. 186 DR. LYMAN SPALDING taken a stand from which as you may well suppose it will not de- part. It is much diminished in size, and exliibits a great dis- figuration. She wishes to have a false one. I wish you to procure the materials, and you shall insert it at your return. Your Humble Servant Joshua Brackett, To Dr. Spalding; vel Sangrado." ^ If Dr. Spalding forgot Dr. Brackett he did not forget to tell Dr. Smith the news from Philadelphia; and was re- warded with the following reply. "Hanover, Feb. 13, 1810. Dear Sir: I have received a letter from 3'ou since you arrived at Philadelphia, which I should have answered before, but much business together with a little bad luck has kept my head and hand busy for some time past. But as I now have obtained a Truce for a time, I will be a more punctual correspondent for the future. Toward the last of our last Course of Lectures, I contracted with a certain person to go to Boston to procure, if possible, a Cadaver, But, instead of going to Boston, he went to Enfield, as it appears, and found a subject, which was taken by an Officer, when about half dissected. The circumstance made a prodigious bustle for a time, and gave me great disquietude, but I beheve we shall survive the accident without material in- jury, either personal or to the Institution. I should have been glad to have taken your advice and come to Philadelphia and spent part of the Winter there, but the circum- stance above narrated, with my usual concerns prevented it. I think, however, I shall visit that City in the course of the next winter. I wish, you to procure for me a Gorget for cutting for the stone, according to the most improved plans, such an one as Dr. Physick will recommend. Though I have operated for the four last times with success, I suspect my gorgets are not right. I have one according to Mr. Cline's plan, and two according to Monro.2 I wish also that you would make diligent inquiry of Dr. Physick respecting his mode of operating on the eyes; what kind of instrument he uses; and everything else which will be interest- ing to me. I am with sentiments of Esteem, your friend and servant, Nathan Smra." * Sangrado was a fanciful name given to Dr. Spalding for his learn- ing. It came from a Spanish Romance, and was copied later in Gil Bias. * Alexander Monro (1762-1817) was the second of that name. He studied with his Father and abroad, where his acquaintance with Meckel of "Meckel's Ganglion" fame, led him to study finer anatomy. "The Foramen of Monro" is his. Monro, like other physicians, owned a farm, but unlike other Medical Farmers, he returned to town at night, subject to the calls of his patients. EVENTS AND LETTERS RECEIVED IN 1809-10 187 Among the early letters which Dr. Spalding received after his return from Philadelphia was the following from Dr. Noyes. "Newburyport, July 25, 1810. Friend Spalding: Thou art wel- come to send for a BUI of Mortality as often as thou vnit by so fair a messenger. But will they come? Yes Sir, in future they shall come, or rather go to you. Verily I thought that I had sent you one, long ago; long before the calling of Miss Jackson. I think I sent by Mrs. . . . Plague on it. I have forgotten her name, but that is no matter, for she promised to dehver it to you. I sup- pose the record of Marriages at the bottom excited her desires for I think the hst of deaths could not tempt her to retain it. I have not sent my BUls of Mortahty by maU, of late, for our Post Master demanded letter-postage, and that, with the envelope would be more than they are worth. But, what am I writing? An APOLOGY for inattention to a FRIEND who could pass by my door four or five times as you have without calling! I can add no more: the messenger has called for the letter: so you must take this, or nothing. Yours etc., N. Notes." The context of the appended note from Dr. Dorsey shows that Dr. Spalding had asked him for powders and plaster but had failed to receive them, owing to lack of a messenger. When, therefore, Mr. Samuel Hazard,^ a resident of Phila- delphia was setting off for Boston, Dr. Dorsey sent by him this note and the plaster. "Philadelphia, 6th Aug. 1810. Dear Sir: After so long neglect- ing to reply to your favor of 22nd of May, you may perhaps sup- pose that I have forgotten it. This I beg to assure you is not the case. An unavoidable occurrence prevented me from sending the plaster in time for your messenger who left the town the day after I received your letter. Since that time I have had no opportunity of forwarding it until the present which I hope will prove a safe and speedy one. The "Antimonial Powders" are prepared in such a variety of ways, that I know not, without particular in- structions, how to order them. If you will take the trouble to specify the formula, I will have them forwarded to you as soon as an opportimity offers. I rejoice to learn of your success in the operations you have performed; may it ever continue! Accept my thanks for the Bill of Mortahty you were kind enough to send me, and beheve me, very respectfully your friend, J. S. Dorset." ^ Mr. Hazard was a son of a former Postmaster General, and after traveUng abroad, he spent the rest of his life compiHng "Registers" and "Annals" of Pennsylvania. 188 DR. LYMAN SPALDING The little note from Professor Silliman, recalls a long lost Memoir by Dr. Spalding. "New Haven, Aug. 10, 1810. Dear Sir: It was not till to-day that I received your favour which was intended to accompany your Memoir on Meteoric Stone, wliich it seems you intended me the honour of sending me. I have to regret that an unfortunate accident has deprived me of the pleasure of receiving it. Dr. Perkins will explain the matter. I need not say how much I regret the misfortune. Should, however, this copy be finally lost, I trust we shall still see the Memoir; in the Transactions of the Philosophical Society. You will find a paper on mineral waters and their artificial preparation in the appendix of the new edition of Kenney's Chem- istry, now publishing in Boston by Wm. Andrews. I am Sir, Re- spectfully yours, B. Silliman." We are now introduced to a new acquaintance of Dr. Spalding's, Dr. Benjamin Clapp, who obtained his degree of M.B., at Dartmouth in 1805, practiced in Gloucester, Mass- achusetts, and was now studying in Philadelphia where he was graduated M.D., in 1810. He settled in Charleston, South Carolina, and died there in 1821, after a successful career. From Philadelphia he wrote this valuable informatory letter. "August 19, 1810. My Friend: Your communication was duly rec'd, and gave your friends much pleasure in the perusal. I im- mediately purchased the sticking plaster as you requested, at 1 dollar a pound. Dr. Coxe has lately sold out his medicines and the other Doctor had left the Hospital, consequently I did not apply to either of them, but paid for it myself. Yesterday I re- ceived your second note, and am now sorry that I purchased so soon, but I presume that you will find a want of it, and it cer- tainly comes very cheap. I have seen Dr. Dorsey and he informed me that he would send half a dozen copies of Cooper's Dictionary to Charles Pierce, for sale, and yours will be among them. There are no medical books of importance out this summer, except the 2d Volume of Astley Cooper, and that is not to be sold at present. It is healthy in this city for the season. The Cholera Infantum is the only disease that has made much progress for the two last months, and that has been very fatal; the deaths in the City and Liberties have been from 50 to 60 a week. The Professors and families are well. Dr. Barton has returned from his tour in Virginia. Dr. Wistar is as poUte as usual. Dr. EVENTS AND LETTERS RECEIVED IN 1809-10 189 Rush and wife, in Statu Quo, They all send much love and good wishes. Dr. James and Robert Hare ^ were elected Professors by a majority of 10 or 12. Dr. Chapman wisely withdrew his name and gave James, his influence. You see by this, that Dr. Rush's influence is not as great as it was at Coxe's election. Dr. James has likewise been elected; Accoucheur to the Hospital. You ask me to explain my object, views, expectations and en- couragement by coming here to reside. This I will do with pleasure. The fortunate termination of my affairs at Gloucester left me com- pletely at liberty to consult my own incUnation in making an estab- lishment in business, where it was most congenial to my feelingSo I therefore, immediately determined on spending the summer months in this City, in studying Botany and Natm-al History, and attending to what business that I coiild with convenience, and in the Fall, when I could with safety to health, go to the South for an estabUshment in business. I shall sail for Charleston, S. C. by the middle of October or beginning of November, and shall put myself into a place where I shall be able to obtain some property. I have always considered it the duty of every man in the early part of his life to make such exertions, even at the risk of his health and life, as would insure him a Hving in old age, when he would not be able to make them to advantage. This City, you know, is filled with the Profession, and it would take a long time to gain a respectable standing. Three young doctors of our acquaintance are doing nothing, but John Vaughan is Anatomizing upon Miss Betsey Pratt to pretty good advantage and it is said that he will marry her this Fall. Permit me to congratulate you on the birth of a Son.2 May he possess the industry and Talents of his Father and the virtue and amiable disposition of his Mother. Yours Sincerely, Benj'n Clapp." This trifling note from Mr. Bill Barnes shows how even in the quiet life, death suddenly intrudes. "Claremont, August 21, 1810. Dear Brother: I rec'd yours of April 1st informing us of your return with Mrs. Spalding to Ports- mouth, where you had joy to find your children and friends well. We were thankful to hear of your return. We have heard from you at sundry times since, as well as by yours of the 28th of July to- gether with a very agreeable present of pamphlets, masonic and ^ Dr. Robert Hare (1781-1858) was an expert chemist, and the in- ventor of the Oxy-Hydrogen blow-pipe. His experiments during the forty years in which he filled the Chair of Chemistry in Philadelphia were brilliant, but his lectures were eccentrically and hesitatingly de- livered from notes on scraps of paper. 2 "The Son" was my Father, Lyman Dyer Spalding, bom July 2, 1810. 190 DR. LYMAN SPALDING other useful information. Your parents enjoy a good state of health. Mrs. Barnes wants very much to see you all and par- ticularly your new born son. As we have made use of your name for OUR son, we should be glad to be useful to you respecting a name for yours. I feel myself wounded when I consider how I have so long neglected writing to you, but hope you wiU excuse me. Major Deyton was instantly killed the 18th of this month, by a dry sapling that had long been bent. It broke and he being under, it liit liis head. Esquire Stone the Clothier of Wethersfield being on the bridge nigh his house when the water swept the bridge away was found dead a mile down the stream. Dr. Fitch's wife died this day of consumption. This week has been the most ex- traordinary for rain and high winds that I can say I remember. With Esteem, Bill Baenes." The various items contained in the letter now arriving from Dr. Ebenezer Lerned of Hopkinton, New Hampshire, illustrate New Hampshire Medical History. Dr. Lerned (1760-1831) was prominent in the State Medical Society, delivered before it an Oration "On the Rise and Progress of Medicine," and was a delegate to the Convention to form the Pharmacopoeia. " Hopkinton, N. H, Aug. 28, 1810. Dear Sir: I received your circular and feel happy in hearing of the improvement making in our profession, and that the N. H. Med. Soc, is tlirowing off its Torpor and assuming a Spirit of Inquiry. I enclose you the Cer- tificates of the two young Gentlemen who were examined and ap- proved at our last district meeting. They wish to obtain elegant Diplomas. I accordingly enclose their certificates and four Dol- lars for the fees as stated in yoiu- former letter, and must ask you to have them ready for the Bearer on his return to Hopkinton. Quere? Would it not be better to write: "THIS" may certify, than "THESE" may certify? And is there any impropriety in inserting the place of residence after the name, as M. Long, Jr.^ of Hopkinton? The fees for examination are not yet disposed of. The Censors conceive it to be their duty to appropriate them for the good of the Profession, by the purchase of Books. Doct. John Preston ^ of New Ipsmch, an associate of the Centre District has written to me, stating that he has received a Letter notifying him that he is indebted to the Society to a large amount. He further states that his Father who has been dead above ten 1 Dr. Moses Long, Jr. (1787-1858) was a Dartmouth Medical Graduate and practiced many years in Hopkinton. ' Dr. John Preston, Sr. practiced in New Ipswich all of his life and his son, John Jr. (1770-1828) was graduated at Dartmouth in 1792. EVENTS AND LETTERS RECEIVED IN 1809-10 191 years was admitted an Original Fellow, that he never joined, but ever declined joining the Society. He, therefore, declines satLsfying a demand against his Father, as he conceives there was no contract. As he has been dead many years, I think it best to erase his name in the Catalogue. 1 return your Book of New York Laws after so long a time. It is healthy in Hopkinton. What is unusual I have had three patients laboring under Phrenitis Idiopathica ^ in the course of a few months. They have aU terminated favorably by the use of large Depletion. Your Ob'd't Serv't. Eben'k Lekned." 2 ^ "Phrenitis Idiopathica" may be Brain Fever. 2 The other young gentleman admitted was Dr. Peter Bartlett of Salisbury (1789-1868) who finally moved west and died in Peoria, Illidois. CHAPTER XIV. Lecturer on ANATOiinr and Surgery and President of the Fair- field Medical School, 1810-1812. The month of October, 1810, brought to Dr. Spalding a great surprise in the form of an invitation to lecture on Anatomy and Surgery at Fairfield Academy, New York, Fairfield was a farming centre of perhaps two thousand people, ten miles from Little Falls on the Mohawk River. The Academy had been founded in 1802, it gradually in- creased in educational importance, in 1809 Chemical and Medical Lectures were added, a Lottery Grant was ob- tained from the State, and Dr. Spalding was now invited to go on with the work so well begun. Those who had known nothing of Dr. Spalding's career may have wondered how a physician from a small place like Portsmouth should have been invited to lecture in a Medical School in New York when there were men of greater public renown in the larger cities. These letters, however, show how well known he had by this time become from his lec- tures at Dartmouth, his studies with Nathan Smith and Dr. Ramsay, his gifted demonstrations of the Lymphatics under Wistar, and the very high personal and friendly esteem in which he had been publicly held by the leading physicians in Philadelphia and New York, in the previous winter. As fortune would have it, Dr. Josiah Noyes (1776-1853) the Instructor in Chemistry at Fairfield at this juncture was a Dartmouth graduate, who had attended Dr. Spald- ing's lectures at Hanover, and knew of his studies with Dr. Smith and Dr. Ramsay, so that when it was proposed to en- large the Medical Department in the Academy, he nomi- nated Dr. Spalding for the new Professorship, and was directed to invite him to look over the field, which he did in this flattering manner. "Fairfield, County of Herkimer, N. Y. Oct. 2, 1810. Dear Sir: I am authorized by the Trastees of this Iiistitution to give you a brief description of the Literary Institution established in this place and to give you an invitation to visit it. 192 LECTURER ON ANATOMY AND SURGERY 193 It is expected that the Academy and Medical Institution con- nected will take the name of College soon. The instruction at present is about the same as is given in the most respectable colleges in the United States. The number of students besides Medical Students is generally from 90 to 115. The Rev. Caleb Alexander ^ is the Principal. There is, besides, one Tutor and an assistant who attends to the lower branches. We have three buildings, one of stone called the Laboratory, containing 14 elegant rooms. There are two lecturing rooms, one for Anatomy, and the other for lecture on Chemistry. These two rooms perhaps are better than any others built for the same purpose in the United States, except Philadelphia. Our Chemical Apparatus is more complete than any in the City of New York, and the Anatomical Museum is equal to Dr. Smith's at Dartmouth. I have given two courses of Chemical Lectures and Dr. Jacob,^ one on Anatomy to between 30 and 40 students. The number this year, will probably be not far from 50, which will be more than they will probably have at both Colleges in the City of New York. This Institution sustains the highest reputation through the State. The Legislature granted 5,000 dollars for the Medical Depart- ment last winter, and will probably grant more the next winter. The situation is pleasant and near the centre of the State. The lectures this season will commence the first of November, and a contract has not yet been made with any one to deliver the Anatomical Lectures. The Trustees are confident that should you add the weight of your reputation and talents to their exertions, the Institution will not only keep up its character, but will soon become much more respectable than it is already. They are sensible that the funds at present are not sufficient to afford very great encouragement to a Professor of Anatomy, but hope soon to have it in their power to offer a handsome compensation. 1 am authorized to suggest a plan, which the Trustees hope will meet with your approbation, and which they think will be ad- vantageous to yourself and to the Institution. There is no re- spectable surgeon in Albany, nor any celebrated physician. All who have oeen consulted on the subject, think you would find that an excellent situation, and many Gentlemen in Albany are anxious ^ Rev. Caleb Alexander (1757-1832) the principal of Fairfield, was graduated at Yale, served as a Tutor there, was a Chaplain in the Army in the War of 1812, and afterwards a preacher. He published as early as 1785, "A New Introduction to the Latin Language," which was fol- lowed by an "Interleaved Virgil." He was elected Principal of Fair- field in 1801, built up that Institution to a high standing and then made a turn-coat of himself for poUtical reasons. He finally settled down aa Principal of Onandoga Hollow Academy. 2 Dr. Jacob was a practitioner at Canandaigua, and afterwards at various settlements in New York. 194 DR. LYMAN SPALDING that some reputable surgeon and physician should settle in that City. An in-\dtation has been extended to Dr. White/ the greatest Surgeon in this Western District, but he has not yet consented to go. I think you would be pleased with Albany. I know of no place in the United States wliich unites more advantages, both to the man of business and man of Science. If you should not think the encouragement sufficient to induce j'-ou to remain permanently in this village, tliis plan is respectfully submitted, for your con- sideration, and should you settle in Albany, we think a handsome compensation can be made you for Two Months spent each year in giving lectures to the students of this Institution. If you can be here by the middle of November, or soon after, everytliing will be ready, so that a course of Lectures may be finished in six or eight weeks, for which, provision is made to pay you five hundred dollars; if you should consider this insufficient, they request that you would, if convenient, make us a visit, and, provided you should not conclude to settle here, or in Albany, as aheady mentioned, the Trustees engage to defray the expense of your journey. You would have had a communication on this subject before this, had we known that you were in this Country. About a year since I was infoi-med that you were about to sail for Edinburgh, and did not know to the contrary till a few days since, being in N. Y., Dr. Perkins informed me that he had been at your house and that you had spent the last Winter in Philadelphia. He was of opinion that you would profit very much by an exchange of Portsmouth for some City in tlais State, as the people here, would find the Light of a Star from the East very useful to them. I wish you to give us an answer by the first mail, if possible; Yours Respectfully, Josiah Noyes, in behalf of the Committee of the Trustees of Fau-field Academy." To this invitation Dr. Spalding replied: "Portsmouth, N. H. Oct. 18, 1810. Dear Sir: The request of the Trustees of Fan-field Academy conveyed by your note was re- ceived yesterday. You surely must know that I am, at present, unprepared to deliver an entire course of lectures on Anatomy. If sufficient notice had been given me, some arrangement might have been made. I am confident that with this notice I cannot do justice to myself, and I fear that should neither meet the ex- pectations of the Institution, nor give satisfaction to so rcspect- 1 Dr. Joseph White (1762-1832) whom we are told had been invited to settle in Albany was a licentiate of the Conneoticut Medical Society, and practiced at Cherry Valley, New York. He wag a shrewd poli- tician. President of the New York Medical Society, and eucceeded Dr. Spalding as President of the School at Fairfield. LECTURER ON ANATOMY AND SURGERY 195 able a Class. However, so polite is your request, that I now see fit to accept the invitation of the Trustees to visit them, to discuss their plans, and lecture to the best of my ability about the middle of November as proposed. Your Obedient Servant, Lyman Spalding. P.S. In the mean time could you please tell me what books and engravings on Anatomy belong to the Academy, or to other persons and what apparatus may be on hand for injecting, dis- secting and preparing." Replying to this acceptance Dr. Noyes sent the following suggestions. 'Tahfield, Oct. 31, 1810. Dear Sir: Yours of the 18th I have just received and am happy to find that you think proper to comply with the request of the Trustees. My lectures on Chemistry com- mence tomorrow evening. About 40 students are already here and a number more engaged. I shall make arrangements for the Anatomical Lectures to commence as soon as you arrive, which I hope will not be later than the time mentioned ki your letter. If you come by stage you will only be five days on the road. When you arrive at the Little Falls, which is seven miles from this place, please to call on Samuel Smith who will furnish you with means to come to this place. I have BeU's "Anatomy," both English and American Edition, and Bell's "Dissections" without plates, a valuable work, and some other things on Anatomy. We have a syringe for injecting, but not made for that purpose. If you have one, it would be well to bring it. I would have you bring all the engravings you can. Your Friend etc., Josiah Notes." As soon as he could make his preparations, Dr. Spalding set off for Fairfield accompanied by his Sister in Law, Miss Caroline Coues, made a stop in Boston, where Dr. Spalding consulted with his friend Dr. Shattuck ^ and persuaded him ^ George Cheyne Shattuck (1783-1854) was graduated academically from Dartmouth in 1803 and Medically in 1806. Whilst there, he made the acquaintance of Dr. Spalding and their friendship lasted for life. Dr. Shattuck became very eminent in the profession, received many honorary degrees, was a Lecturer in the Harvard Medical School, President of the State Medical Society, and very charitable to Dart- mouth, Harvard, and the Boston Athenaeum. He was a prolific writer in Medicine, and more than once carried off the Boylston Prize in Medicine. Dignified in appearance and of pious habits, he was much thought of by the community and profession, alike. He prac- ticed many years in Boston, and has been followed by descendants illustrious in medicine. The present series of letters throw valuable light on his many-sided character. 196 DR. LYMAN SPALDING to come on, also, to Fairfield and to give lectures on Theory and Practice. Dr. Spalding reached Fairfield safely, lectured three times a day for six weeks on Anatomy and Surgery, and accepted from the Trustees a formal offer of the Chair of Anatomy and Surgery at a Salary of $500 and expenses. On his way home he stopped at Albany, and looked over the medical field, but finding no promising opening continued on to Portsmouth. Dr. Shattuck also delivered his course of lectures, returned to Boston, and immediately afterward wrote to Dr. Spald- ing then at Portsmouth. "Boston, Jan. 13, 1811. Dear Sir: I sent j^ou by the stage driver last Monday, fiftj^ catalogues, two letters and twelve dollars, and Mr. Ford's^ receipt inside the catalogues. I have not yet been informed whether you have received them. Do be so kind as to write me whether they have been received. Not having any communication from Fairfield since I left I can- not inform you what we are to expect another year. With much esteem, yoins, etc., Geo. C. Shattuck." As the correspondence between Fairfield and Portsmouth continues we see Dr. Spalding trjdng to build up the School, endeavoring to obtain money for a voyage to Europe and watching the pohtical intrigues between the friends of rival institutions of learning. A midwinter letter from Mr. Alexander is characteristic of the man. "Little Falls, Feb. 12, 1811. Sh: By last week's mail I re- ceived yours of the 23rd. The Committee also had one of the same date. Your nomination of Dr. Shattuck gives universal satis- faction, and accordingly, he is appointed to the Professor's Chair of Theory and Practice of Physic and Physiology, of wliich the Committee will soon send him notice. I wish that your proposal of going to Europe could have been as equally satisfactory. We have conferred on the subject, and it appears to be the unanimous opinion, that, in our present feeble, infantile state, your absence during the next medical term would be essentially detrimental, except you send us a substitute as good or nearly as good as the original. By your personal acquaintance, you know that we are young, feeble, almost tottering, a weak 1 Mr. Ford, was Simeon Ford of Fairfield, a Trustee and the Treas- urer of the Academy. LECTURER ON ANATOMY AND SURGERY 197 sapling not a full grown oak. Besides we have opposers; Union College is unfriendly. The Trustees of Oneida Academy are making the most vigorous exertions this winter to obtain money from our Legislature, with intention to rival us. The Trustees of Canandaguia Academy where Dr. Jacob resides, are now petition- ing the Regents for a College. From envy, or malice, or selfishness or from some other infernal motive, there are some wishing to see us tumble into nonenity. Thus circumstanced our growing edifice would, unquestionably, reel, if a main pillar were removed from under the foundation. The Committee will write you by the next mail, and express their sentiments. It is the universal desire that you should go to Europe. But, this going must not endanger our existence as a Medical School. You will take the subject into serious consideration, and send us your result as soon as con- venient: it may perhaps, be easy to find a substitute. Besides, if there were no objection against your going next July, yet we are not prepared, and perhaps we cannot be. To be prepared we are taking every precaution. A humble petition has gone down to Albany praying the Legislatiu-e to take measures so that we may soon realize the $5,000 granted last winter. Judge Smith writes me, that there is a good prospect of succeeding. Should we fail, we are blown to the winds. Your proposal respecting Major Barrow,^ or Barnot, or Banor (for I cannot tell which by jour writing) is pleasing. I will write to Judge Smith ^ who will obtain the most correct information from the scientific gentlemen of the Legislature. I will also make the trial with my "Diplomatic Skill" on the Philosophical Professor at Union College. Prior to your going to Eiu-ope, you shall be furnished with cata- logues of a philosophical apparatus, and a hbrary. The new building will be erected next summer, and finished in Autumn, 72 by 36, and 35 feet high from the bottom of the un- derpinning. Many trials and much exertion were made to raise the money by individual subscription. It could not be raised, at least, enough to complete the work. The Trustees were convened day before yesterday, and agreed to aUow the undertaker, $4,800. ^ Major Micajah Barron of Bradford, Vermont, was a surveyor, road builder and politician, but the allusion to him I cannot under- stand, nor to the other one concerning John Taylor, who was graduated from Yale in 1784, served honorably as Professor of Philosophy at Union College and died in 1840. 2 Judge Smith was the second "Nathan" Smith in Dr. Spalding's list of friends, and Uved at Fairfield where he was a lawyer and trustee of the Academy. He was now a State Senator and one of the Regents of the University of New York. From him we shall see several im- portant letters bearing on the history of the Fairfield School. 198 DR. LYMAN SPALDING Wm. Smith will be the undertaker and advance all the money. The property will be his. It wiU be rented at nine percent and in- sured: A good bargain, both for the Institution and Mr. Smith. The rooms are much wanted. We are now extremely crowded vnth 106 students. We were much pleased at hearing that you and Miss Caroline arrived safely at Portsmouth. Our affections are presented to her, and say to her, if you please, that we retain a pleasing remembrance of her person and social quahties. My family are well, and com- pliment you mth their esteem. Tho' unacquainted, yet your Lady is saluted with our tenderest love. Accept my Cordiality. Caleb Alexandek." Judge Smith's idea at this time was to get actual cash for Fairfield instead of money from a Lottery, and in writing to Dr. Spalding he describes his successes. "Albany, 9th March, ISIL Dear Sir: Yours of the 23rd Jan- uary came safely to hand. I have deferred answering it in hopes of being able to communicate to you the result of our appUcation to the Legislature for the 5,000 dollars. All I can say at the present, however, is that a Bill has been brought in for that purpose and I have the utmost confidence that it will pass. I have received no communication from the Trustees since I left Fairfield, and am therefore unable to say any thing on the subject of future arrangements made by them. I regret, however, the necessity of suspending lectures^ for next session, as I think it will procrastinate the time that we might obtain a Charter for a Col- lege, but I am sensible that to proceed with incompetent pro- fessors would be worse than doing nothing. You wish to know if we accept Hosick's Garden.^ I regret that ^ "Suspending lectures" refers to Dr. Spalding going to Europe. ^ "Hosick's Garden" was a Botanical Garden established by Dr. Hosack (so spelled, but pronounced as Judge Smith writes it). Dr. David Hosack (1769-1835) with whom Dr. Spalding often consulted after his removal to New York, obtained his degree at Philadelphia and settled in Alexandria, Virginia, expecting it to become the Capital of the Country. Diasppointed in this expectation he went abroad, and on his return in the ship "Mohawk," met with a streak of luck, for fever broke out on board, he took charge of the sick, and arriving in New York the papers were filled with his great performance in curing so many. His name was made. Dr. Hosack was in succession Pro- fessor of Botany; Obstetrics; and Theory and Practice at Columbia. He entertained profusely, wrote copious letters and many medical l)amphlets, and reached the summit of his fame by attending as surgeon in the duel between Hamilton and Burr. In order to illustrate his lectures on Botany, he established in New York City his Botanical Garden bounded by (47 and 51?) Streets LECTURER ON ANATOMY AND SURGRRY 199 I am obliged to answer you in the affirmative. The Regents have now the management of it, but they are at a loss what to do with it. My opinion is, that it will in the course of a few years be cut up into lots and sold. I will write you as soon as the fate of our Bill is known. In the Interim. I am respectfully, Your Ob'd't Servant, N. Smith." Judge Smith's letter from Albany was soon followed by one from the Standing Committee at Fairfield in these words : "Fairfield, March 12, 1811. Dear Sir: Your communication of January 23rd came duly to hand and we should before now have returned your answer, had circumstances been propitious. You are acquainted with our pecuniary resources, and you know that the execution of our plans depends very much on our obtaining from the Legislature the Five Thousand Dollars granted us in a Lottery last session. By petition we have applied to them for an Act enabhng us to reahze this sum. The petition yet lies on their table: at least, they have not answered our Prayer, though there is considerable prospect that they will. As to your setting out for Em-ope, next July, we feel inclined to favor your views as much as may be consistent with the interest and prosperity of this Insti- tution. To advance the dignity and respectabihty of the Academy is a primary object. To this, all other schemes and means ought to be entirely subordinate. Since your departure from us, we have often thought and often conversed together on the subject, and the result of our conversation is; that it would conduce to the good of the Institution should your voyage be postponed one year from next July. For this opinion our reasons are the follow- ing: We are an infant corporation, the Academy has not gained permanency, there are several Academys which are now exerting all their vigor to gain the ascendancy over us, and we have some opponents. Surrounded with these things, it becomes us to unite all our efforts and continue in them to fix our reputation and to gain a stability which cannot be overthrown by the blast of envy or tongue of maUce. Should we in any measure relax our exertions, we fear that our antagonists may gain some advantage over us. Should you, in this situation be absent from us any considerable time, we have our apprehensions that the PubUc mind would sub- side in proportion it has been raised. Your known abihties as an North and South and by 5th and 6th Avenues East and West. Finding it expensive, he offered it to the Regents for $1000, who hesitated, as we have seen to pay this pitiful price. "The Medical & Philosophical Register" for 1811, contains a picture of this garden. 200 DR. LYMAN SPALDING Anatomist, and talents as a Lecturer have much excited popular attention: to keep up this attention we deem very important. Besides, your presence in giving another course of lectures next Fall, in conjunction -R-ith the erection and finishing of the new building, will, we are confident produce for us the patronage of the Legislature, and the good opinion of the Regents, so that the Governor will be induced to grant us the Charter of a College, and the other money, so that we may be enabled to prosecute all our schemes to advantage. We hope to have the new building com- pleted for the use of the Students, next Fall. The fame of this will draw Students, the Academical and IMedical Instruction will draw students. This imited Drawing, will draw the attention of the Regents and Legislature, and we think we shall not fail in our expectations. These are our reasons to induce you to postpone your Journey across the Atlantic: to your candor and mature Judgement, they are proposed for consideration. We -nish to know your Opinion, as soon as convenient. Allow us to add, that we highlj^ approve this plan of your attending the Medical Schools of Europe. We shall give it all the concurrence that its import may demand. But we think that both you and we can make better preparations and arrangements, by delajdng for the term of one year. To conclude: We are not so fixed in our Sentiments as to be deaf to reasons that maj' throw hght on the Subject. We are your friends, Jonathan Sherwood,^ Oliver Ellis,^ WiLLL^i S]\nTH:^ Standing Committee. N. B. On your recommending Dr. Shattuck to us as a person well qualified to give lectures on the Theory and Practice of Physic, and of Physiology, we have appointed him Professor of the same — in our Institution." Dr. Spalding evidently communicated the contents of this letter to Dr. Shattuck at once, as will be seen in reading his letter next in order. "Bo.ston, April 4, 181L Dear Sir: Yours of the 27th Ult. came to hand two days ago. Delay in answering it has been necessary from an indecision of mind in relation to the acceptance or non- acceptance of the Professorship with which the Trustees of Fair- field Academy have honored me. The news of the appointment was to me truly unexpected. Your cautions to me at the con- clusion of oiu- conversation in relation to committing myself by ' Dr. Jonathan Sherwood was already practicing as a physician in Fairfield without a Diploma, but later received one at Fairfield from the hands of Dr. Spalding as President of the new Medical College. 2 Oliver Ellis was a local lawyer of much merit. » William Smith was an architect and contractor living in the village. LECTURER ON ANATOMY AND SURGERY 201 conference with friends on a subject so extremely problematical in the event, as my election, quite abated every expectation of its taking place. On re-surveying the great and important duties which will grow out of an acceptance of the office, the mind is al- most overwhelmed by the greatness of the undertaking. If the Gentlemen Trustees will so moderate their expectations and re- quirements as to make them conform to the feeble talents I possess, rather than to the merits of the subject, and will allow me the privilege of resigning if experiment should prove an incongruity between my duties as a practitioner at Boston, and lectm-ing one month of the year at Fairfield, they are promised my best services; all inadequate as they may be, to the occasion. Respecting the time of year, we may give lectures, and the year on which we shall commence giving them, I have a predilection to the Month of Nov, and the year 1812. If you and myself should continue to reside distant from the Seat of Learning, we should choose to be absent from om" circle of practice the most healthy month of that time which would accommodate the students at Medicine. How- ever, decision on this point I will postpone, to listen to further discussion. . . . When do you go to Europe? I shall wish to send for Books by you. With assurances of my High Respect, Geo. C. Shattuck." This letter of hesitation and doubt was followed by bad news from Mr. Alexander. "Fairfield, April 13, 1811. Sir: I seize the first opportunity to announce to you the failm-e of our petition to the Legislature. Judge Smith arrived at home two days ago, from Albany. He did all a man could do. The Oneida Representatives, favoring Clinton Academy, exerted all their influence against us. They said, that they and other Academies deserved Legislative aid as well as we: that to grant the prayer of our petition was an unjustifiable par- tiahty, and they made the Representatives from other Counties living near Academies, behfe^e their doctrine. We feel disappointed and a little MADDISH. We shall, how- ever, go forward with increased resolution and perseverance. Judge Smith attempted to negotiate a Loan with some of the Banks in Albany. He met with encouragement of receiving assist- ance next summer. We mean not to stop here. Both he and I have this day written letters to some principal characters in the City of New York, to gain their influence to aid us in negotiating a loan with some of the Banks of that City. When lotteries are granted in this State, they are often sold at a discount to some Banking Company. We shall try this plan, and we calculate on success. As soon as we meet with success it shall be announced to you. 202 DR. LYMAN SPALDING Three weeks ago, Dr. W. Jacob, acted a most ridiculous farce in this village. He sued Dr. Noyes and myself to answer on a plea of trespass on the Case to the Superior Court. He took a writ of replevin and with a Sherriff attempted to break open the Labora- tory to take the Anatomical Museum. The doors were barricaded, and guarded inside with a sufficient number of men to prevent en- trance. We knew the property was ours. We knew that his pro- ceedings were illegal. And he, and the Sheriff were told that if they entered it would be at the risque of their lives. After threat- ening, and swaggering, and going often to the tavern for a quantum sufficit of Brandy, he retired. The next day he was as hiunble and as meek as a Spaniel Puppy. He gave up all of his prosecutions, and gave to myseK, Dr. Noyes and the Trustees receipts in full of all claims and demands. I never saw a man who appeared so mortified, so chagrined, so ashamed, so dispirited and so much like a scoundrel as he. He has gone to Canandaigua. I thank you for your letter. The date I have forgotten. Prior to the reception of your last letter we had information that the Character of Major B was suspicious. We are making vigor- ous preparations in expediting the New Building. Esq. Ellis and not Wm. Smith is the undertaker. He will begin to lay the foun- dation on the first of May. Contracts are made on all the materials and for all the work, to be finished on the first of next November. We are not disheartened by the late failure. All our exertions will be used to make this a Respectable Institution. And we de- pend on your concurrence and on that of Dr. Shattuck. Patience and perseverance, and energy, are capable of doing wonders. And a wonder it will be, if a large respectable Medical School should be founded in this new World. My family and seK present compliments to your lady and Miss Caroline. Yours affectionately, Caleb Alexander." Dr. Spalding must at this time have written to Dr. Shat- tuck to the effect that the Lectures from him would be ex- pected in 1811, not in 1812, as he had before suggested, for Dr. Shattuck now sends the following protest: "Boston, April 17, 1811. Dear Sir: You mention my com- mencing a course of Lectures on the Institutes of Medicine this coming Autumn. I am really afraid that such rashness would dishonor the Chair. If it be a possibility with the Trustees to hasten your voyage this Summer, I must decline such an unmedi- ate commencement, of the arduous duties of a Professor. One Month, not six weeks, you recollect, is the period within which a course of Lectures may be completed. At what time, too, does Prof. Noyes begin the Chemical Course? Enclosed is the desired vaccine lymph taken from the arm of a LECTURER ON ANATOMY AND SURGERY 203 young lady belonging to a morally correct family, in the Country. Should not this parcel succeed, inform me, and I will send you more. With esteem, I am, My Dear Sir, your Ob'd't Serv't Geo. C. Shattuck." As time went on and it became evident that the money for Europe would not be forthcoming. Dr. Spalding laid out his plans for the Winter Term of lectures, sent them to Mr. Alexander and in August received the latest news from the Academy and village. "Fairfield, Aug. 19, 1811. Sir: Your letter has been received, communicated to the Cabinet Council, and approved. Dr. Wil- loughby ^ has been appointed Professor of Obstetrics and he has accepted it. To gratify himself, he has determined to repair to New York and gain what partial assistance he can, and return in time to give a course of Lectures next November or December. The new building is covered, and will be ready for occupancy by the first of next November. In stone workmanship it is the best edifice in the Mohawk Country. Of my own accord I have put an advertisement into the Public Papers, when the next course of lectures will commence, fixing the time on the fourteenth day of next October. The Academical Term will commence on the tenth of the same month. I suppose that Dr. Noyes will commence his lectures on the 14th, and that either you or Dr. Shattuck will be on the ground about the same time. I wish that you would com- municate with Dr. Shattuck, on the subject and give me the earliest information of your result. Dr. Willoughby thinks that it will be best to have his lectures terminate the course. Concerrdng this arrangement, you and the other Professors must do as you think proper. Since the last winter. Dr. Noyes has spent a considerable share of his time in the construction of a Steam Engine for cooking. He 1 Dr. Westel Willoughby, Jr. (1769-1844) was born in Goshen, New York and settled in Norway, near Fairfield. He was member, treas- urer, and Vice President of the New York Medical Society, served as an Army Surgeon in the War of 1812, and was also Justice of the Court of Common Pleas in Newport, New York and a Member of Congress. He then moved to the town of Lake Erie and became so prominent that the name of the town was changed hi his honor to that of Willoughby. Here he established a Medical School, the Charter of which still covers a school in Columbus, Ohio. In composing a Farewell Address to the graduating Class at Fairfield in 1830, Dr. Willoughby was so unfortunate as to expose himself to the charge of plagiarism from Dr. Thomas Sewall. Those who are interested in such matters can see "The Deadly Parallel" in the Boston Medical and Surgical Journal of that year. 204 DR. LYMAN SPALDING has not been to Philadelphia to attend to Botany as he planned. The Smiths and he are not on speaking terms. He now boards at a Mr. Baldwin's a silversmith, lately from Dartmouth College, and lodges at the Buck Tavern. Samuel Smith has commenced a Law Suit against Dr. Noyes for pubhcly charging him of being guilty of perjury. The case is thus; Before Dr. Noyes had finished his Steam Engine, Samuel Smith had constructed one, as he said, on different principles. They both went to Washington together: each swore that he was the sole inventor, and each obtained a Patent Right. Whether or not their plans are similar or dissimilar, is not for me to decide. Impartial judges say that they are dis- similar. The affair has made a prodigious noise in the Country. Dr. Noyes has said that Judge Smith connived at the business, so the Judge is very angry, and so is WilUam Smith. You must con- sider this as an imperfect statement. I do not think that the affair will materially affect our Institution. We mean to proceed steadily, as if no brealdng had taken place. The Dr., as you know, is sometimes a little whimsical, amidst all his great skill and cleverness. Wilham Smith is building a house for his Mother, and Polly, in which "an elegant room" is preparing for Dr. Spalding. I have exerted myself to have the Circular printed and sent around the country. It is now written and Dr. Noyes has engaged to go to Herkimer today to put it to the Press. As soon as it is printed, copies will be sent on to you and Dr. Shattuck. It has been de- layed too long. But as it is a subject that does not so immediately concern me, and as Dr. Noyes thinks he, only, can prepare the copy for the Press, I do not think it would have been prudent in me to have interfered in the preparation. I shall depend on you and Doctor Shattuck to make your ar- rangements, and to give me tunely notice. I think it probable that I shall soon write to Dr. Shattuck. I hope you will neglect no time in writing to him. If you have anything new to communicate, send it on as soon as convenient. I will do the same. I do not wish that Dr. Noyes should know that I have written this letter to you. You see, it is written in haste. Accept my cordiahty. Caleb Alexander." Happening to write on the same day with Mr. Alexander, Dr. Shattuck had many interesting questions to put. Boston. Aug. 19, 1811. Dear Sir: Having had many concerns novel to me, but interesting in their nature, I have hitherto fore- born to make certain inquiries of you, which it is important that I definitely comprehend. The proceeds of all the medical Lectures; are they to be equally divided, or is each expected to receive what his own individual popularity may procure him? Is there any LECTURER ON ANATOMY AND SURGERY 205 sufficient Medical Library at Fairfield furnished with the standard elementary books, to which I could have access while giving a course of lectures on the Theory and Practice of Physic? Do you expect to pass the month of Nov., in giving a course of medical instruction? My first course must necessarily be very crude. I am seriously apprehensive I shall fall far below your expectations, and dis- honor my fellow laborers in the field of medical truth. I shall really repose much on your disposition to be charitable. To acknowledge the truth, my mind this summer past, has been much occupied in what necessarily produced a diversion ^ from the sub- ject of giving lectures. The next time you are in Boston, I hope to be so situated as to invite you to become a guest during your short stay in town. Should that be the case, you will find me by calling at the Corner of Cambridge and Temple Street near the Rev. Mr. Loveitt's Meeting House. With much respect, I am, Dear Sir, Yours etc. Geo. C. Shat- TUCK." P. S. I have recently perused a part of the translation of Cor- visart ^ "Sur les Maladies du Coeur" by Dr. Gates ^ of this town, and from the examination I have already made of the merit, both of the matter and style in its present English dress, I must pronounce it a work entitled to a liberal patronage from the medical pubhc. Dr. Channing ■* has just returned, much improved by his European tour. His mind is well stored with the doings of the wise in medi- cal science of the present generation. G. C. S." 1 "The Diversion" of Dr. Shattuck was to fall in love and become engaged. 2 Baron, Jean Louia Corvisart (1755-1821) was a celebrated physi- cian; the right hand man of Napoleon, who was excessively fond of him. The book just mentioned owes its origin to the fact that the Empress Josephine once inquired of Corvisart, in the presence of the Emperor, to what diseases Napoleon was mostly exposed in his cam- paigns, whereupon he promptly replied; "To those of the Heart" (referring to Napoleon's love affairs). The Emperor turned the hint aside by saying "And you have written about diseases of the Heart?" "No" replied Corvisart; "but I will do so at once;" and this, was the promised work. Napoleon used to pull the ears of Corvisart, gently, and say: "Well my good old quack, how many people have you killed today? My battles kill off a good many, but none of them half so many as you kill in your practice." Many anecdotes are reported concerning Corvisart, but space permits only insertion of the interest- ing fact that he used to carry the cane of Jean Jacques Rousseau for which he paid a large price, and of which he was correspondingly proud, ' Dr. Jacob Gates (1774-1839), was a busy member of the Massa- chusetts Medical Society, and wrote many medical papers. ^ Dr. Walter Channing (1786-1876) practiced weU beyond his eightieth year. After graduating at Harvard, he obtained his medical degree in Philadelphia, studied abroad, and on his return was chosen 206 DR. LYMAN SPALDING In his answer to the questions of Dr. Shattuck which we have just read, Dr. Spalchng must have asked as many, again, if we can judge from Dr. Shattuck's next letter, in which he says: "Boston Sept. 9th, 1811. Sir: Your second arrived while I was waiting to get information respecting a system of Anatomy by Dr. Gordon of Edinburgh. Dr. Charming says he knows nothing of such a sj'stem, but told me he would inquire of Dr. Revere ^ or Lnicohi,2 who had returned more recently from Edinburgh than himself. But, he has not comphed with his promise. I have called twice on Dr. Revere with a view to satisfy your inquii-ies, but unfortunately the Dr. has both times been from home. Dr. Gates' translation of Corvisart is to be pubhshed. I have ex- amined a part of it, which I most sincerely recommend. . . . You ask my advice respecting performing sm-gical operations gra- tuitouslj^ during the Lectmes, for the benefit of the Class. My opuiion is, that pohcy dictates such a proffer to all the poor. The question is, whether an active circulation of such a report by all the friends of the Institution would not as completely accompUsh the object. If it would not, it should be advertised. The Boston Professors did attempt tliis, and I beheve on trial they found it to answer the desired pmpose. Respecting my going to Fairfield, I should prefer commencing about the lOtli or 15th of Nov. But, on that subject, agreeably to j^our advice I will make no decision until you may again write me. Mr. Alexander has written me. With Much Respect, I am yours etc., Geo. C. Shattuck." Dr. Shattuck has just mentioned hearing from Mr. Alex- ander and directly afterward Dr. Spalding received from him the cheering letter next following. "Fairfield, Sept. 21, 1811. Sir: By the last mail I received yours of the 6th Inst. Dr. Willoughby has also received his. We have Professor of Obstetrics and Jurisprudence at the Harvard Medical School. He practiced in Dorchester and occupied a high position in the State Medical Society. His "Physician's Vacation" was an ad- mirable record of a tour in Europe, and he was noted for early use of ether in Obstetrics. ' Dr. John Revere (1787-1847) obtained his degree at Philadelphia, studied abroad, and practiced for a while in Boston. He then removed to Philadelphia where he was Professor of Theory and Practice at Jefferson and finally occupied the same Chair at Columbia. He was an excellent instructor and lecturer. ^ "Dr. Lincoln" may have been "Levi" of that name, but he is difficult to place exactly, because there have been many Dr. Levi Lin coins in Massachusetts. LECTURER ON ANATOMY AND SURGERY 207 conversed together on the contents. Money is very scarce. He does not know that he can possibly raise cash sufficient to defray the expense of repairing to Philadelphia. He has a very good opinion of the New Yorkers, and thinks that they are friendly to us. Sixteen days ago we had a visit from Dr. De Witt/ Vice President of the New York Medical College. He appeared to be highly gratified, and at Utica, he spoke in the highest terms in commendation of our exertions. In the course of the past summer several other gentlemen from New York have called to see us, and from other parts. They all appear satisfied. We are yet an in- fant, hardly past the obstetric machine. We want swaddling, feeding, nursing, nourishing. Yom- aid must be directed to keep the infant from dying. Dr. Nott^ and his coadjutors seem to oppose us. Sometime since, I received a letter from a gentleman of the City of Washington, to receive as students his brother and son. The young men set out to come here. On their passage through Schenectady, Nott and his Sailors threw their grappling irons at the barge, and moored it and the two passengers in the Dutch Frog Pond.^ Suitable men are procured to have everything ready for you on your arrival. It is calculated to have you here exactly in four weeks after the 14th day of next October, which is the day that the medical course begins, as you may see by the Circular sent you. I would suggest whether you could not make it convenient to prolong your course through five weeks instead of four. It is now a very critical time with the Institution, The more noise we make next winter, the better for us. The eyes of the whole State are fixed on this Institution. It is best to do all in our power next winter and give as good a Course as possible. We must sacrifice time and money and convenience to build up this Seminary. Re- member the Quaker Sermon; "Hold on and hold out, and you shall have a dram by and bye." Should you determine to prolong your lectures five weeks, it would be no detriment, but a great help to have Dr. Shattuck, giving his lectures one week before you end. It would, I consider, 1 Dr. Benjamin De Witt (1774-1813) Professor of Theory and Practice in Columbia, wrote papers on "Oxygen," and dehvered many orations before the learned societies of which he was a member. 2 EUphalet Nott (1772-1866) who was robbing Fairfield of students was graduated at Brown, preached at Cherry Valley and then at Albany, where his eloquence, piety and ability attracted so much at- tention, that he was chosen as the First President of Union, a position which he held for sixty years. He was world renowned as the inventor of the base-bumiiig Hard Coal stove. 2 The Dutch Frog Pond was Lake Schenectady near Union College. Mr. Nott actually assisted Fairfield at another time by engineering legislative lotteries for five Institutions, Columbia, Fairfield, The African Church, Hamilton, and a New York Medical School. 208 DR. LYMAN SPALDING add much to the Celebrity of the Medical Department by leaving a good impression on the minds of the medical students, and when they dispersed home they would, unquestionably, blow the Silver Trumpet. I pretend not to dictate. You must consult your own convenience, in conjunction with the fame of our Academy. It is calculated to have Dr. Shattuck commence his lectures in eight weeks after the 14th of next October. Of this, you will give him notice. I wish he would write me, if he has anything special to communicate. Write me yourself. You see that I am in a great haste, and your Friend, C. Alexander." Mr. Alexander's letter was followed by one from Dr. Willoughby, in which he defends his proposed visit to New York in order to prepare for his lectures. "Newport, N.Y.Oct. 10, 1811. DearSir: I have had the pleasure of receiving your letter of the tenth of September, and should have answered it before this, had it not been for absence from home, at the time your letter reached Fairfield. Permit me, Sir, to return you my sincere thanks for the polite manner in which you are pleased to approbate my appointment as Professor of Obstetrics at Fairfield Academy, and be assured of my best exertions to main- tain your confidence and that of the Trustees who have seen fit to appoint me. The honor of the Institution shall be my primary object; whether my feeble exertions are to be crowned with suc- cess is yet to be determined. While you applaud my exertions, to improve my obstetric knowledge, you cannot approve the means: or, in other words, while I propose going to New York, you prefer Philadelphia, for two reasons; First: because the New York schools view us with jealousy; and Secondly, because they are not so competent. I cannot fully persuade myself that the first objection is correct, but am sensible of the weight of the latter, and should certainly go to Phila' rather than N. Y. if my circum- stances would allow it. Although I possess property I cannot command much cash. At N. Y. I shall not be at any expense for instruction whereas at Philadelphia I should. In N. Y. I am per- sonally acquainted with several of the professors, and am on terms of intimacy and friendship; particularly with the former profes- sor of Obstetrics, to wit, Dr. Rogers, and the latter Dr. Hosack. I have had personal views with Doctors De Witt, Romayne, Mitchill, and Stringham^; they have always spoken very respect- 1 James Sykes Stringham (1775-1817) at this time Professor of Jurisprudence in Columbia was bom in New York, but died in the Island of St. Croix, where he went in search of health. He studied Theology originally, but abandoned it for medicine. On his return from medical studies in Edinburgh he settled in New York and was chosen Professor of Chemistry. He wrote chiefly on the Absorbents. LECTURER ON ANATOMY AND SURGERY 209 fully of our Institution, and have always pledged themselves to render us whatever assistance was in their power. I have this day, received a letter from Dr. Hosack congratulating me on my appoint- ment as one of the professors, and promising me every assistance in his power, whether by his pubUc lectures, or private interviews. The above, is the evidence which gives me some reason to beUeve you may labour under a mistake as to the opinion formed of some of the N. Y. Professors on the score of Rivalship. But, Sir, your superior opportunity in forming an opinion, would incline me strongly to give up mine and follow your dictates, if it was in my power at this time, but as it is not, I must do the best I can, and perhaps I may in future go to Philadelphia. Will you be so good as to write me in N. York, your opinion of the best writers on the Obstet: Department? Mr. Alexander and Dr. Noyes are to advise the time when your lectures are to commence. With much respect, your Ob'd't. Ser't. Westel Willoughby, Jun." A few days before setting off for Fairfield Dr. Spalding informed Dr. Shattuck of his plans and must have been glad to receive this interesting answer. "Boston, Oct. 16, 1811. Dear Sir: I will endeavor to be at Fairfield the Wednesday preceding the 9th of December. The Albany Stage leaves Boston on Mondays, Wednesdays and Fri- days at 6 O'c, A.M., and at this season of the year arrives at Albany the third day after its departure from Boston. I shall say nothing of our obligations for your kind congratulation on our marriage, but refer the exercise of that duty to the time when we shall have the pleasure of seeing yourself, with or without Mrs. Spalding, as may be the case, at our house, where you may be certain of a hearty welcome from Mrs. Shattuck and myseK. With much esteem, etc, Geo. C. Shattuck." Dr. Spalding spent an October day with the Shattucks, proceeded to Fairfield where fifty students attended and a number of operations were performed by him. Dr. Shat- tuck as before followed on, and gave his course of lectures and for a second year in succession wrote, upon his return, to Dr. Spalding who was now home again. "Boston, January 5, 1812. Dear Sir: In consequence of an anxiety among our Fairfield Medical Students to return to their homes on or before New Year's Day, I was requested to meet the class three times a day which completed my term of giving lectiures last Saturday. In so doing I gratified three fourths, and did not disobUge the remaining fourth. Respecting Fairfield, nothing 210 DR. LYMAN SPALDING prospective has to my Knowledge yet transpired. Rev. C. Alex- ander sends his respects, says he shall wiite to you as soon as the fate of the contemplated Oneida project ^ shall be kno-v\Ti. On the arrival of the next mail from Albany I expect to learn the result. This is certain, that General Piatt ^ is engaged with gi-eat zeal in promoting the undertaking. I left this impression on their minds; that, should the Fairfield Medical School go completely down, and another more flourishing Institution be built on its ruins, we should probablj'' feel disposed to co-operate with them; otherwise, we should retire. I collected Manter's bill,^ and by the bearer send the amount. Two dollars of counterfeit money, which Mary Smith ^ said she received of you, I exchanged for other money, and this gives you but $10.50/100 of good money. The bills of the remaining delinquents I left with the Treasurer and send his receipt. About an hour after your departure from Fairfield, a letter came to you by mail. Agreeably to the advice of the Hon. Nathan Smith and of Wm. Smith, I opened it to learn if its contents ren- dered it necessary to send it by express to you at Little Falls. Not finding any necessity for taxmg you with so much expense, I re- tained the letter and now send it to you. A number of the printed Catalogues I now forward. I will send you, hereafter, the outline of a College which I drew up, in which I took due care to mention your voyage to Europe at the expense of the Institution to procure Library, etc. Mrs. Shattuck and my friends are highly gratified with your call, on your return, for which be pleased to accept the tender of my acknowledgements and likewise of my best wishes in every event that may await you. Geo. C. Shattuck." A few days later an upheaval occurred in the Legislature which greatly affected the fortunes of Fairfield. Mr. Alexander wrote concerning it to Dr. Shattuck and asked him to pass the news on to Portsmouth. Judge Smith also wrote on the same day to Dr. Spalding and to Dr. Shattuck, but his letter failed to catch that week's mail. Immediately after the arrival of Mr. Alexander's letter, and one from Dr. Spalding on other topics, Dr. Shattuck wrote to this effect: ^ The Oneida project was to obtain a College Charter for Oneida Academy, instead of Fairfield. 2 General Jonas Piatt, as a politician. Member of Congress, Judge of the Supreme Court and General of the Militia, carried everything before him. ' Mantcr, was a medical student. * Mary Smith, was daughter of William, with whom Dr. Spalding boarded, in the "elegant room" before mentioned. LECTURER ON ANATOMY AND SURGERY 211 "Boston, Jan. 22nd, 1812. Dear Sir: Yours arrived yesterday. I rejoice at your successful prosecution of your anatomical studies^ since your return from Fairfield. I verily believe that at no very distant period you will not only merit, but actually enjoy the fruits of the highest reputation as an Anatomist in the United States. There is one Mr. Pons in this town who sells the plano-convex lenses adapted to the vision of those who have lost the crystal- line lens. His skill in adjusting the convexity of the glass to the flattened state of the eye, and his price are alike unknown to me. This, I know, that they are usually sold at an extravagant price. All the facilities to your removal to N. Y., within my power you may command: should opportunity offer I will send you a pur- chaser. To day I received a letter signed by C. A., J. M., and J. N.,^ apprising me of what had been done in Oneida County. "The Corporation of the New College selected from the most influential of all parties in Oneida County and the Western District have chosen C. Alexander, President; J. Noyes: L. Spalding; G. C. Shattuck; and W. Willoughby, Professors in the Medical De- partment as at Fairfield; J. Montague, etc, Tutors. Gen. Piatt, is understood to be at the head and the assurances of him and his coadjutors to confirm the above, when a Charter may be obtained, are so satisfactory to the instructors of Fairfield, that they have written to me." "To morrow (15 Inst) we shall resign offices in this Academy and accept the honorary appointments." "Dr. Willoughby was with us to day and has left in writing his acceptance. If you and Dr. Spalding concur, you will please to send in, as soon as you think proper, your resignation of the offices you now hold in Fairfield Academy, and the acceptance of the ap- pointments in the contemplated College." I shall delay my reply until I learn your disposition in relation to the change. Respecting resigning our offices at Fairfield, I pre- sume you will not hesitate a moment, to declare your assent, as, after Noyes and Willoughby have left, it can be no object for us to remain. Willoughby declared his full confidence in the success of the Oneida Enterprize of Gen. Piatt, and his friends became its zealous advocates. Gen. Piatt, and friends, I understand, take the lead. Willoughby was of the opinion that the Trustees of Fairfield would nevermore think of re-instating the Medical De- partment. All these are received as Facts. What is your opinion of the course to pursue? Your answer is desired soon. With much Esteem, Your friend G. C. Shattuck." 1 The initials by Dr. Shattuck refer to C. Alexander, J. Montague, and J. Noyes, whom Dr. Shattuck wished to conceal. 212 DR. LYMAN SPALDING This letter and the reply throw light on the educational histoid of New York, for it is still said that "Hamilton Col- lege was founded in spite of the vicious opposition of Fair- field" yet here we see a plot to ruin Fairfield, a flourishing Academy. The Charter for a College should have been granted to Fairfield, but politics threw it as a sop to Oneida. A compromise was finally effected, Oneida Academy be- coming Hamilton College, and Fairfield obtaining a Medical School with power to grant degrees. Dr. Spalding's very sensible reply to Dr. Shattuck is un- dated in the copy before me. "My Friend: Your letter of the 22nd inst., was one of the most unexpected events in my whole life and as you request an answer, soon, I shall communicate my present ideas by return mail. Tak- ing all for granted that you communicate to me, I see no necessity for resigning om offices at Fairfield before we are officially notified of our appointments in Oneida College after it shall have been chartered. For, if ever chartered it will be at the present session of the Regents. The Trustees of Fairfield have treated me honorably. I am boimd to return the same treatment to them. I accepted my office conditionally: i.e. that I should go to Europe. They have not refused complying with their part. If they should refuse I am exonerated. Another condition was, that if the School should not succeed, I should be at liberty to resign at any time. Now, if Willoughby and Noyes go off, and another school is founded with better funds, I think that Fairfield cannot succeed, and I should resign on that ground. If I should be honored with an appointment in the Oneida College, after it is Chartered, I certainly should not accept it under less favorable cncmn- stances than I accepted the Fairfield appointment; i.e.. Ticket fees, rooms furnished, a salary from the funds, and a European Voyage. Again: as honourable treatment has been extended to me from the Fairfield Academy, and as a matter of policy too, I think that the removal of the School ought to be accomplished with the en- tire satisfaction of the Trustees, say, the Museum, Chemical ap- paratus, etc, should be bought by the Oneidas. Fairfield should be allowed the whole of the 5,000 dollar grant to defray the ex- penses they have been at in erecting buildings, for the accommo- dation of students, and every other means, to render them satisfied with the removal of the Medical School to Oneida, should be adopted. As this is a matter of so much importance to us both, I \vill thank you to make me acquainted with every circumstance relative to it, that may come to your knowledge, and I will not faU to ad- LECTURER ON ANATOMY AND SURGERY 213 vise you of every communication that I may receive touching it. Lyman Spalding. P. S. I shall write to Judge Smith in a day or two concerning a weaving machine; but shall say nothing of this." No sooner had this letter been forwarded than Judge Smith's letter of the same date as that written by Mr. Alexander arrived. "Fairfield, 16th January, 1812. Dear Sir: Yesterday morning, precisely at the time the quarter was to commence in our Insti- tution, Mr. Alexander, Mr. Montague and Doct'r Noyes sent in their resignations to the Senior Trustee of this board, without hav- ing previously given the least intimation to any person here of their intention. Such an unexpected and unlooked for occurrence has occasioned no small degree of embarrassment to the Trustees. They have, however, taken such measures as I doubt not will very soon supply their places with characters at least their equal. As to Dr. Noyes, and Mr. Montague I have nothing to say, be- cause their resignation, sudden as it was, is not calculated to pro- duce such immediate difficulty and embarrassment, as that of Mr. Alexander. The Transaction on his part meets the disapproba- tion and Censure of every one. Had he given proper notice to the Trustees of his intention to resign, so that they could have had an opportunity to procure a successor in time to meet his departure, I should have attached no blame to him; the Trustees would not; he might have gone with Honor. But the step he has taken ex- cites resentment in all. He will go, but he leaves not a friend be- hind. The procedure carries with it irresistible conviction, that with his secession, he meant to draw down inevitable ruin and de- struction on this Institution. But, thank God, the Trustees are spirited, the people are spirited, and I have the fullest confidence we shall yet rise superior to intrigue and treachery. By tliis time, you may think it necessary that I tell you where they are going. I will tell you. They are going to Clinton Academy, the trustees of which have always considered us as their rivals, and who, it seems, despak of the success of their institution, except by the de- struction of OURS. A subscription is on foot here, to aid in the endowment of a College, very considerable sums will be raised, and a Petition presented to the Regents for a Charter. I have thought proper to communicate the above to you, be- cause I am told they intend to apply to you and Dr. Shattuck to join them, and accept Professorships in that Institution. Should that be the case, I beg you to defer an answer until you hear from me at Albany. I am Respectfully, Your Ob'd't Serv't N. Smith." 214 DR. LYMAN SPALDING Whilst these letters were speeding to and fro, Dr. Spald- ing wrote to Judge Smith concerning Mr. De Witt Clinton, and Judge Smith, ignoring the Academic Crisis, devotes his letter to an account of this great statesman and friend of Dr. Spalding, when he moved to New York. "Albanj^, 6th Feby. 1812. Dear Sir: Yours of the 1st Inst, came to hand this morning. I will endeavor to answer your in- quiries respecting Mr. Chnton as well as I am able, although you, as well as we here, have been deceived in the report that Mr. Clin- ton has been nominated. But, as such a thing may happen, per- haps the information you ask, may yet be important. De Witt Clinton is the son of General James Clinton of the County of Orange in this State. He is nephew to the Vice Presi- dent, George Clinton, and cousin to the Surveyor General. His parents and connections, originally, were not of that Class who were considered to be wealthy. He is not connected in any way with the Patroons, either of the Rensellaer or Livingstone families. He commenced his career in pubhc life about the year 1796, and since, has been to the best of my recollection, constantly, either in the Legislature of this State or in the Senate of the United States. He has been Mayor of the City of New York (excepting one or two years) for ten years past, and he is now Lt. Gov'r of this State. Thus, Sir, I have endeavoured to answer your inquiries respecting Mr. Chnton. Whether he wiU be ultimately nominated for Presi- dent, I am doubtful. I rather think there will be no nomination made at Washington, and if this should be the case, I apprehend Mr. Clinton wdU stand a great chance to be our next President. This, however, is aU conjectiue.^ I wrote you a few days before I left Fairfield, but from your silence on the subject of my letter, I presume you have not rec'd the letter I 'WTote. It was relating altogether to our Institution, but as I presume you must have rec'd it before this, I shall say nothing on the subject than barely to state, that we are making every exertion in our power to improve the situation of our affairs, and Mr. Alexander is here, making all the opposition in his power. I shall wTite you in due time, of our good or ill success. I am Y'r Humble Serv't. N. Smith." A few items from Dr. Shattuck arriving about this date make up for the reticence on the part of Judge Smith. * De Witt Clinton (1769-1828) was graduated at Princeton, studied law and acted as Secretary to his Uncle, the Vice President. During his many governorships he obtained repeal of laws against the Roman- ists, a Charter for the first American Fire Insurance Company, and he completed the Erie Canal, which was known as "Clinton's Big Ditch." LECTURER ON ANATOMY AND SURGERY 215 "Boston, 16 February, 1812. Dear Sir: Yours, comprising the pith of the Hon. Nathan Smith's letter, arrived in due time for which be pleased to accept my thanks, although the same, verba- tim, had previously been received, which I should have communi- cated to you, but from the presumption that he would write you at the same time. Dr. Noyes has just written from Albany, dilating somewhat more at large on the proceedings of the Chntonians and Fairfieldians. He says, for the Clinton College, above $12,000 have been subscribed, and that $25,000 would probably ultimately be raised by subscription; that Messrs Alexander and Hart ^ two pohticians had been appomted by the Trustees to petition the Regents for a College, that he would communicate to me from time to time, the progi'ess of their joint proceedings. From what Gov. Tompkins said about Mr. Alexander diu-ing a short inter- view I had with him in company with Mr. Tiffany and Dr. Noyes at Albany on my return in December from Fairfield, I think he is desirous of seeing him the President of a College. Policy, may, however, prevent his lending his influence to effect it. In haste, but with much respect, Yom-s etc, G. C. Shattuck." The end of March brought a great bit of news from Judge Smith as the readers of his letter will admit. "Albany, March 12th, 1812. Dear Sir: I have delayed answer- ing yours of the 13th ult. some time longer than I should otherwise have done, in hopes of being able to give a satisfactory and con- clusive answer to all your inquiries respecting College, Academies, etc, but as I see no prospect of a decision of the Regents being had in less than two or three weeks, and the possibility that a longer silence might be construed into neglect, I am induced to give you the little information I possess on the subject, and more, when I can obtain it. As to Colleges, I am of the opinion there will be none granted anywhere, this year, but I do believe we shall obtain what you thought of so much more importance to the Medical School, to wit, an Ordinance of the Regents to confer degrees on the medical students. I have called once or twice on the Governor ^ to converse with him on the subject of your removal to N. York, but he was so en- 1 Tiffany, Alexander and "Eph" Hart, were politicians, very active in behalf of Mr. Clinton. 2 Daniel Duane Tompkins (1774-1835) (The Governor) was a graduate of Columbia, a lawyer and politician. He had been Member of Congress and Justice of the Supreme Court, when he was chosen Governor. The money which he personally advanced to the Govern- ment during the War of 1812 was of untold value from a military point of view. He was twice elected Vice President of the United States, but at the height of his popularity, he was accused of juggling State 216 DR. LYMAN SPALDING gaged with company that I could not do it. I shall, however, take the earUest opportunity to converse with him and write you the results. I have seen Mr. Clinton. He says that there are not more than one or two surgeons in N. Y., of any importance, that he thuiks it would be a very good place for you, but that it would take some time to gain such an acquaintance as to obtain an ex- tensive practice. He expressed his readiness to do you all the service in his power, and said he would endeavor to get you ap- pointed one of the Trustees of the College of Physicians and Sur- geons, which would give you a respectable standing at once. I shall -v^Tite you again more particularly in a few days — in the meantime, I am Your Ob'd't Serv't N. Smith." The appointment to the Trusteeship soon arrived and proved of material benefit in obtaining for Dr. Spalding im- mediate medical recognition upon his arrival to the metrop- olis. A few days later Dr. Josiah Noyes wrote in this triumphal tone concerning the Charter granted to Oneida Academy as Hamilton College. "Albany, 21 March, 1812. Dear Sir: Some time since I ad- dressed a letter to Dr. Shattuck, and beipg very much engaged, requested him to transmit the substance of it to you, which he informs he has done. Since that time I have thought proper not to trouble you with conjectures, knowing that I could not induce others to place the same confidence in certain measures, which I felt, myseK. But, now all this is settled. Last Monday the Regents authorized the Governor to issue a Charter of a University, as soon as he should be satisfied that the funds should amount to 50,000 Dollars, including what they now have besides buildings; to be placed at Clinton; and to be called Hamilton College. Judge Smith, Doctr. Sheldon,^ and Judge Gates ^ voted against it, all the rest for it. I came to this City before the Legislatm-e assembled and have been here ever since. Soon after I came, I called on the Gov :, and Lieut. Gov:, and satisfied myseK that they would do much for the people in Oneida Co :, but nothing for Fairfield, and they have Money with his own, some years before. His home was seized by the sheriff, and his wife, but lately confined, was thrust out into the road with her new born infant. Vice President Tompkins fell into ignominy, and died insane. The Courts at last decreed that he had been wholly innocent. But their opinion was too late. A more villainous perse- cution was never known in American Politics. 1 Dr. Alexander Sheldon (1766-1836) had long been a physician in Montgomery Co. N. Y. and was at this time Speaker of the House and one of the Regents of the State. 2 Judge Seth Gates Uved at Winfield, Herkimer County. LECTURER ON ANATOMY AND SURGERY 217 not deceived us. The Fairfield people have made great efforts to gain a Charter, but had we all remained there and united our ex- ertions, we should have gained nothing. I am told, that all say that I have acted honorably, but Mr. Alexander is cursed by night and by day and I expect they will soon call on Hercules to help curse him. He is not, however, moved, having sufficient testi- monials of his giving reasonable notice of his intention to leave them, unless they comphed with his request. He is going home to morrow to settle his affairs at Fairfield, and to move inamediately to Clinton. A Bill is before the House for funds, has passed a second reading. The blank sum is not filled, but we are in hopes of getting 100 or 200 Thousand Dollars. There is no doubt of getting a handsome sum, as the whole business is very popular with the Legislature, and people in general. I expect to stay here till the fate of the Bill is decided, which must be in three weeks as the Legislature will rise at that time. We are daily making arrangements for the next course of lectures. As soon as the Trustees who are here and members of the House go home, a meeting of the Trustees will be called, and you and Dr. Shattuck will receive official commimica- tions, which cannot be done short of four weeks. All the steps which have been taken meet with general appro- bation, and that it will be the greatest college in America, is an observation frequently made by men of good understanding. As yet, every attempt to brand any measure with the character of party spirit, has failed. The Gov:, has repeatedly declared himself satisfied with the professors, and appears to have a high opinion of Mr. Alexander who has called on the Gov:, L't Gov:, and other officers once, twice, and sometimes three times a day, until, in my opinion, they must be a httle fatigued, and will rejoice when the business is finished. Shall write you as soon as anything is done. In the meantime, would receive a communication from you: if in two weeks, at this place and after, at Clinton, in Paris.^ Yours Respectfully, Josiah Noyes. P. S. Mr. Clinton is to be the next President of the U. S., and to unite both parties. Please to remember me to D. Webster, Esq., 2 who I hope is rising in the scale of honor and justice and will soon become a star in the East of the first magnitude. No time for more on Politics. J. N." ^ "Paris" may have been, at that time, one of the Counties of New York. 2 Daniel Webster was in Dr. Noyes' Class at Dartmouth, and lived on intimate terms with Dr. Spalding in Portsmouth. Dr. Spalding's son and Webster's son continued this friendship through another generation. 218 DR. LYMAN SPALDING It is verj^ plain, from previous letters, that the assertions bandied about so freely by Mr. Alexander and others, that Dr. Spalding and Dr. Shattuck had joined forces with the new Medical Department of Hamilton College, had much to do with the legislative preference for Clinton over Fair- field. Mr. Alexander also seems to have written to Dr. Shattuck much to the same effect as had Dr. Noyes, if we judge from his letter to Dr. Spalding. "Boston, March 23rd, 1812. Dear Sir: The mail this day brought me a letter from Mr. Alexander, which informs us that a College has been chartered at Clinton under the name of Hamil- ton College, on condition that theii' present fund, amounting to 28,000 dollars is increased to 50,000. He further informs me, that the Legislature seems favorably disposed toward such an Institution ; that a petition is prepared to soUcit their aid; that he entertains not the least doubt of success in the application for pecuniary aid to the amount of 22,000 dollars. All this information, together with his compliments he requested me to forward to his friend Dr. Spalding. It is quite healthy in Boston for the season, and has been ever since my return from Fairfield. The most news here, has been derived from the petty collisions among our aspii'ing Faculty. Hitherto, I have found no one to advise to Portsmouth for the purchase of your Estabhshment. Our young physicians, you know, are generally too poor to make purchases to any considerable amount. — I am. My Dear Sir, Your Obdt. Servt. G. C. Shattuck." Dr. Shattuck returns to the topic a few days later and his remarks concerning the voyage to Europe are worth reading. "Boston, March 27, 1812. Dear Sir: Yours of yesterday just came to hand. Respecting the point you are so poUte as to re- quest my opinion, I can answer little else than that much may be said on both sides. The interest of Hamilton College requires your voyage to Europe, not so much to increase your eclat as a Professor as to procure a well selected medical library, philosophical apparatus etc. I entertain Uttle doubt that you would be liberally furnished, even the present season with the means, as Dr. Noyes writes (by the last mail) "A Bill for funds is now before the House; passed a second reading, and will doul^tless pass, with 50 or 200 THOUSAND: the last sum, we hope." Gov. T., L't Gov. D. C, and the Chief Justice have been the efficient patrons of this new University, in procuring it a Charter, LECTURER ON ANATOMY AND SURGERY 219 endowment, etc. All the principal men in Oneida Co. are en- gaged with zeal in building it up. On this, I predicate the ex- pectation that you would be furnished the means for a voyage, but, after all, I think your interest hardly requii-es you to go abroad. You will lose a year by it, and, after your return your claims will be little altered in relation to the patronage of the public. A man who bears the marks of middle age, and who has furnished proof so convincing of a well directed diligence in all his labors to acquire the power of usefulness has Uttle need of aid to his fame by the reputation of having "gone abroad." As the friend of Hamilton College, I wish you to go abroad, as a friend to the interests of your family, I think you will be likely to lose quite as much as you will gain by the enterprise. Now is the time to improve Mr. Clinton's disposition to patronize you. To the First Chair of State he aspires. New England politics are a necessary item in the general account which places him there. The hope that you will successfully exercise your influence in directing New Hampshire in his favor, will probably give him zeal in the use of all convenient means to give you currency as a practitioner in the healing art in New York City. On writing to Judge Smith I will improve your hint. With unabated desires for your prosperity, I am, Dear Sir, Your Friend, Geo. C. Shattuck." At this interesting juncture we have another letter from Judge Smith. "Albany, 18th. March, 1812. Dear Sir: I have now to inform you of the event of the Oneida apphcation for a College. They have succeeded in obtaining a Charter on condition they can obtain a fund of 50,000 dollars. About 13,000 of this sum they had already obtained by individual subscription. The remainder, I presume, they intend to obtain from the Legislature. I should say I doubted their success with the Legislature, but as I have been so much disappointed in the decision of the Regents, I will not pre- tend again to predict what may be done. I have been disappointed because from a frequent conversation with a majority of the Board, who expressed themselves against granting any Charter for a Col- lege, I did conclude there would have been none granted. But so is the fact, they had a majority of 2 in their favor. No decision has been made on the apphcation from Fairfield to confer degrees on the medical students, and none can be expected for some time to come, for reasons which I shall hereafter mention. Whether if this could be obtained, it would be any advancement to yourseK and the other Gentlemen Professors to continue at Fairfield, must be left for you and them to determine. I have not had an opportunity to converse with the Gov., on the 220 DR. LYMAN SPALDING subject of 3'our removal to N. Y., but have again conversed with Mr. Clinton who I am persuaded will give you all the support in his power, and as an earnest of this I have the pleasure to inform you; that at the last meeting of the Regents, he proposed you as one of the Trustees of the College of Physicians and Surgeons in N, Y., and you were unanimously appointed. 1 must tell you why I thmk we shall not get any decision on our Fairfield apphcation very soon. And to give you a more correct idea of the state of things here, I will first premise that the Citizens of N. Y. presented a petition for the incorporation of a Bank, against which Gov. and Judge Spencer ^ have, as the saying is, set dowTi their foot. But as there was no remonstrance against it, from that City, or any other quarter it passed the House of As- sembly, and m Committee of the whole in the Senate, and accord- ing to the usual course would have had its third and last reading on Friday morning last; to prevent which, the Gov'r prorogued the Legislature to the 21st May next.^ This is a simple state of facts on which as I have given no vote, I shall give no opinion. I have been confined to my room a number of days by indisposition. I will only remark, further, that the reasons given by the Gov'r are, that some attempts have been made to bribe some of the mem- bers to vote in favor of the Bank. Nothing has yet appeared to prove that any member has been improperly influenced in this way. I am. Your Ob'd't Serv't. N. Smith. N. B. I am in hopes to be able to return to Fairfield soon, when I shall expect to hear from you." The whole affair remained quiet for a couple of months when we hear of it again in a letter from Dr. Shattuck, in which he amiounoed his final determination to leave Fair- field. "Boston, May 20, 1812. Dear Sir: Your arguments in relation to the shipwreck of my professional reputation by resigning at this moment from the Fairfield College of Physicians, have been duly weighed. On balancing all the motives that ought to enter into a consideration of this subject, a sense of duty to my friends has finally preponderated, and after deciding no time ought to be lost in making that decision known to the Trustees. Accordingly, I ' Judge Ambrose Spencer (1765-1848) was Chief Justice of the State. His principal Decisions were against the Bank of North America, in favor of kind treatment of the Indians and against a short term service of the State Judiciary. 2 The Governor's prorogation was legal, but had never before been exerci.sed. Gov. Tompkins deemed it necessary in order to prevent financial ruin by the illegal powers conferred upon the Bank of North America and which he declared had been obtained by bribery. LECTURER ON ANATOMY AND SURGERY 221 have sent my resignation to the Senior Trustee of Fairfield Academy. To have resigned sooner, would have been a departure from the request of the Hon. Nathan Smith, communicated last winter. To have delayed longer my resignation would have been unkind- ness to my Faii-field friends, as they now have none too much time to procure a successor. Not to have resigned, would have sown dissatisfaction, and distrust, among my nearest and dearest friends. These considerations will doubtless convince you, that this step is necessary on my part, and therefore reconcile you to it. With the veiy best wishes for your weKare and happiness both in New Hampshire, and New York as well as in Heaven, I am Dear Sir, Your Friend, Geo. C. Shattuck." The Legislature of New York convened again in May and decided the differences between the rival Institutions as now detailed by Mr. Alexander to Dr. Shattuck and in these words communicated to his friend in Portsmouth. "Boston, June 24th, 1812. Dear Sh : "The Legislature of (N. Y.) this day passed an Act endowing Hamilton College with $50,000. This with their former sum, makes $100,000." The above is contained ia a letter from Mr. Alexander, of the 9th. He further writes, that on the 14th of July the Trustees meet, when Drs. N., Sp., W. and Sh., will be elected to the same places they held in Fairfield Academy. He also writes, that through misrepresentation, a medical College has been estabhshed at Fair- field, the Regents having been assxu-ed that Dr. Spalding and myself would continue our places. It has been said that you and I had written to that effect to Judge Smith, but the Trustees of Hamilton will unquestionably have the medical lectures begia next FaU. The package by Dr. Lincoln, I sent you by stage. If I can bor- row Corvisart for that purpose I will send it to you in the original. Truly yours, etc, Geo. C. Shattuck. N. B. Do you intend to accept your place in Hamilton College?" It is a pleasure at this point to be able, through the kind- ness of Dr. Frederick C. Shattuck, to insert an important note which Judge Smith now wrote to Dr. George C. Shat- tuck. "Fairfield, July 13, 1812. Dear Sir: I should have written you sooner but am in hopes to see you in the course of ten days. We have obtained a Charter for a Medical College with an en- dowment of ten thousand doUars. The Trustees will depend on you and Dr. Spalding to continue here. I will give you a particular account of everything about the premises when I see you. In haste, your sincerely, N. Smith." 222 DR. LYMAN SPALDING And on the 20th July Dr. Shattuck wrote to Dr. Spalding : "The Hon. N. Smith is in town. To morrow he goes to Mendon and Bridgewater, and on Friday at noon he will again be in town. Can you not be here at that time? Write me about it by next mail. The Judge says, Gov. Tompkins told him he would employ you as his family physician during his stay in New York, after your re- moval there. With such friends you cannot fail of success. With much respect, Yom* Friend, Geo. C. Shattuck." Dr. Spalding being unable to go to Boston, Judge Smith visited him at Portsmouth, where Dr. Spalding said to him on parting "So long as Fairfield stands by me, so long will I stand by Fairfield. When Judge Smith reached Boston he found an important letter from Fairfield, the substance of which Dr. Shattuck sent on to Portsmouth in these words: "Boston, July 31, 1812. Dear Sir: Hamilton College has elected Mr. Miller,^ President, and concluded to dispense with the thought of building up a medical school, as an appendage of their University. So writes Mr. Ford to Judge Smith. My friends be- ing irreconcilable to my absence another winter, I am forced to a decision to resign my place in the new College of Physicians and Surgeons. I give you this previous notice and accompany it with a tender of my assistance in commending a candidate for supplying the vacancy. Do you not beheve Surgeon General Mann ^ will be most useful? Or think friend Willoughby, will best promote the designs of the Institution as Professor of the Theory and Practice of Physick? Write me immediately on this subject that I may make some suggestions to the Trustees on sending in my resignation. Your Friend, Geo. C. Shattuck." Although Dr. Shattuck had resigned from the Medical Department of Fairfield, Dr. Spalding now appealed to him to accept a Chair in the new College, independent of the 1 Mr. Samuel Miller (1769-1850) later Professor in the Princeton Theological Seminary, may have been elected President of Hamilton, but the first President to serve, was Rev. Azel Backus (1764-1816) a graduate of Yale, an excellent teacher and a man of delightful wit. He once said of a polemical paper: "I taste no Attic Salt in that; nothing but Shad Brine." 2 Dr. James Mann (1752-1832) declined the offer on account of his duties as Army Surgeon. He practiced earlier than this, in Boston, and later in Dedham, was an original member of the Staff of the Mas- sachusetts General Hospital, and author of an excellent work, entitled "Medical Experiences in the War of 1812-14." LECTURER ON ANATOMY AND SURGERY 223 Academy, and with power to grant degrees. This admirable letter (kindly loaned by Dr. Frederick C. Shattuck) adds color to the portraiture of my Grandfather. "Dear Sir: I can only say that I regret exceedingly the opinion of yourself and friends, that your avocations will not suffer you to visit Fairfield once more. I acknowledge that, at present, the compensation is not adequate to the output and the loss of busi- ness, but. Sir, I do really beheve that this School may be made second to none but Philadelphia. If not, I will join with you in resignation. What effect has the Professorship aheady had on you? It has compelled you to pay close attention to your pro- fession, to pass the whole of CuUen's "Nosology" in review, be- fore you annually, and thereby qualifying you for the practice of your profession more than any other way in which you could have spent your time. It is the high road to fame, and usefulness. I know that my sacrifices have been great. I know that yours must be. But, show me the man who has risen to be a Prince of Physi- cians, while slumbering on the couch of idleness. Soon after I came to Portsmouth, I resigned my office of Pro- fessor of Chemistry in Dartmouth, no doubt from the same motives that now influence you, with this addition, that my lectures there, had to continue three months. I soon found myself slumbering on my oars and relaxing my pursuits. In fact, so far from im- proving, I hardly kept pace with the others. A kind of indifference for science pervaded me: indignant I aroused, I went to Hanover to see Ramsay, I went to Philadelphia, and I planned a voyage to Europe. This change, Sir, I consider the most happy circum- stance in my whole professional career. Admit that you resign your office. Man is an indolent animal. What inducement have you then, to labor incessantly? None! Yowc reputation is as high as that of your contemporaries. Then, wrapped in the lap of affluence and ease, you wiU slumber and sleep till old age creeps upon you, when you will find yourself outstripped in the race of usefulness and fame, your opinions so antiquated as to be regarded not, and yourself a mere old Granny. Look at the Princes, or rather. Fathers of Physic. Who have they been or who are they now? So far as my memory serves me ; Teachers of Physic. Booerhaave,^ Cullen,^ Desault. Look at 1 Booerhaave (1668-1738) was a Dutchman of immense learning; a great physician and writer. 2 WiUiam CuUen (1710-1790) acted as Ship's Surgeon and practi- tioner in London long before obtaining a degree. He was renowned aa a cUnical lecturer and in the wards of the Hospitals discoursed elo- quently on the common types of disease. His last years were em- bittered by the attacks of his former associate, John Brown of "Brimo- 224 DR. LYMAN SPALDING Rush, Warren and Smith. What has put them at the head of the profession? Nothing but their being compelled to labor, and an- nually to review their profession, and incorporate with their old stock all the new improvements. Show me a man in private prac- tice who does this, annually. He is not to be found. But, your friends say that you can do this, yet stay at home. I acknowledge this, but tell me honorably, Will you do it? No, Sir, you have no inducement. For a man to be pre-eminently great, there must be a great occasion. What made Washington great? Opportunity, You are now on the same high road to reputation that every Prince of Physicians has travelled. If you turn aside, you are lost forever. These in conjunction with those in my last letter are the reasons wliich ought to inilueuce j'ou. You can have no doubt of my wishes on the subject. The time for the commencement of the lectures is so near at hand, that no successor can be appointed in season for the next course. I therefore beseech you, on my ac- count, if neither honor nor fame will move you, to deliver This One Course, and I will consent to any arrangement that you may then choose to make. If notliing farther, as a mere matter of policy, I wish you to withhold your resignation till the meeting of the Trustees of the New Medical College and let us see what they will do for us. Dr. Mann, I knew had been appointed a Hospital Surgeon, but I did not know that he had been made Surgeon General. He must be with the Army by this time, and caimot be prepared for the ensuing course. I have no objection to this man, but must for want of room decline saying anything about your successor until I hear from you again. Your Friend, Lyman Spalding." To Dr. Spalding's appeal Dr. Shattuck replied in a letter undated, but postmarked August 11. "Sir: Your frankness entitles you to my warmest acknowledg- ments. The letter, I have exhibited to my friends, in hopes thereby to procure the acquiescence in my continuing at the Fairfield Col- lege. I have exhibited additional arguments illustrating the pohcy of such a course. They have surveyed the advantages of my con- tinuing, the disadvantages of mj'- withdrawing at this moment, and all, mifortunately for my professional career does not satisfy them that I ought to prosecute giving lectures at Fairfield. The delicate health of Mrs. Shattuck, the infirmities of age under which her Mother labors, the state of her Uncle Derby's family, he being more than seventy years old, and having been all that a kind father nianism," but THAT is dead whilst Cullcn's fame continues. Cullen made money, left his money drawer open, kept no accounts, and died penniless. What else could be expected from such loose financingl LECTURER ON ANATOMY AND SURGERY 225 could have been to my wife, are considerations too trying to my sensibility not to shake my resolutions in relation to retaining my place at Fairfield. The ignominy that may be thrown on my good name I must trust yourself and other friends to wipe off, that the Trustees of Fairfield academy may not feel that they have been injuriously treated by me. Once more, I call your attention to the avowal of your feelings in relation to my successor, that I may show to the Trustees that I am not negligent of their interests. Your Friend, Geo. C. Shat- TUCK." The newspapers in the Summer of 1812 printed the re- port that Mr. Alexander had been chosen President of Hamilton but Judge Smith wrote to Dr. Spalding to tell him the exact state of affairs. "Fairfield, 10th Aug. 1812. Dear Sir: Mr. Alexander is not President of Hamilton College. He was unanimously chosen, but dechned this merely as a stipulation to save his reputation. But the thing is well understood : they, however, pay him the price of his bad faith to us. Dr. Noyes has gone to Utica and into partner- ship with another physician. All idea of a Medical School is given up at Clinton. Whether Dr. Noyes would come here again, if in- vited, I carmot say, but his conduct has been such, and his stories so variant, that I conjecture, nothing but necessity would induce the Trustees to call him back. I made inquiry in Connecticut of Dr. Tully.^ I find he studied with Dr. Smith at Hanover, and has since been with Dr. Silliman attending his Chemical Lectures. He is said to be a good doctor, and well educated for a Professor. Perhaps you can make such iuquiry respecting him, as would be satisfactory to you; whether he would answer the purpose. Four young gentlemen have written to me expressing a wish to come to this place to pursue the study of medicine and attend lectures. I presume there will be many more. Pray let me hear from you soon. In haste, Your Ob'd't N. Smith." 1 Dr. William Tully (1785-1859) was licensed to practice by the Connecticut Medical Society in 1810, and after practicing in several villages settled in Albany, in 1826. About this time he was elected President of the Castleton, Vermont, Medical School, and later on Professor of Botany and Materia Medica at Yale. He had an offer of a Professorship in South Carolina, but declining it, travelled South in search of medicinal plants. His "Treatise on Materia Medica" had great vogue, as did his Fever Powders. 1 do not find that he ever lectured at Fairfield, but his name is often mentioned as an Orator at Medical Graduations. A recent monograph on Dr. Tully by Dr. Kate Campbell Mead of Middletown, Connecticut, throws new light on his life. 226 DR. LYMAN SPALDING When it was finally decided that Dr. Shattuck would not lecture again, the Trustees looked about for a successor and Dr. Willoughby offered these suggestions. "Herkimer Co. Sept. 10. 1812. Dear Sir: Dr. Shattuck's resig- nation is very much to be regretted. One misfortune rolls upon the back of another. The little mind, only, faints at misfortunes whilst in pursuit of a good object. I fully agree with you. Sir, that it is the professors who make the school. Unless they are com- petent, the School must faU. But, if there is a good choice made, I am fuUy persuaded that the school will flourish, notwithstanding the misfortune and bustle which have taken place (the particulars you must have learned from Judge Smith). I am sorry that Dr. Noyes could not have been retained as Pro- fessor of Chemistry. The Trustees are not absolutely certain of any one in particular, but are calculating upon a young Gentleman from Connecticut. His name I do not recollect. He has been sohcited and is daily expected in Fairfield in Company with a Mr. Hotchkiss ^ who is calculated upon as the Successor of Mr. Ale.x- ander. If he should Fail, could you not procure or recommend one to the Trustees in whom you would be pleased? They would rely much on your judgment. In lieu of a better, Dr. Hadley ^ has been talked of; the favorite pupil of Dr. Noyes, he is said to be a very accurate scholar and Good Chemist. Some of the scholars who have attended Noyes' lectures think him not a whit behind Noyes in point of Chemical knowledge. The Trustees have not as yet obtained the Charter of the Col- lege. His Excellency, the Gov., has for some time past been at New York, so that his signature could not be obtained. He has, however, returned and the Charter will be up this week. So says Judge Smith. The Trustees will then immediately meet and issue their circulars. Private Letters and News Papers, only as yet, have promulgated the intended course of Lectures. Dr. Sherwood informs rae that there has already arrived 10 or 12 Med. Students; to attend the lectures. The power of conferring degrees will oper- ate as a pretty powerful inducement to many of the young gentle- men. 1 have written to New York for an obstetric machine and some drawings, if they can be obtained. I am unwilling to attempt an- • Hotchkiss is probably Hotchkin a leading clergyman in Con- necticut who, however, failed to report. 2 Dr. James Hadley (1785-1869) was Grandfather of President Hadley of Yale, a graduate of Dartmouth, a practitioner at Weare, New Hampshire and later on at Fairfield, where he lectured on Chemistry until the school fell into ruin, when he continued hia labors at Castleton and at Hobart. LECTURER ON ANATOMY AND SURGERY 227 other Course unless I am prepared to make them useful. It is ex- pected by the Trustees, that the Lectures will commence on the 2nd Tuesday of November, beginning with Chemistry first; and if Dr. Mann should conclude to lecture on the Theory and Practice of Physick, (as is expected at this time by some) it is thought best to have him begin with the Chemical Professor. If Dr. Mann should not attend, your advice will be taken, and no Professor of Theory and Practice will be chosen this Fall, and in that case it will be expected of the other professors that they will make their lectures as practical as possible. If I do not commence my lectures before yours, and there should be a professor of the Theory and Practice, to commence with the Chemical Professor, I think I shall again go to N. Y., and attend their lectures 4 or 5 weeks. If you have anything new appertaining to the branch which I am to teach, will you be so good as to communicate it. With Much Esteem, Sir, Yours etc, W. Willoughby, Jr." A month later Dr. Spalding heard of heavier burdens to bear; this time from Dr. Sherwood. "Fairfield, Oct. 12, 1812. Dear Sir: I have this morning con- versed with Judge Smith and some of the Trustees on the subject of the commencement of your lectures, and it is concluded that it is best to have them begin the 4th Tuesday in November, at which time we shall expect your arrival here. I am fearful there will be no lectures given on Chemistry, or the Theory and Practice of Physick, unless you will consent in addition to your other lectures to give a course on one of these branches; though we have sent a man to New York to obtain a principal of the Academy, and other Professors, if any can be found capable. Dr. Mann, from your recommendation has been apphed to, to give Lectures on Theory and Practice of Physick, but did not consent as he some expected to be wanted in Canada at the time of the lectures in Fairfield; though, it is possible he may be yet obtained. With Much Re- spect, Jonathan Sherwood." In spite of the dismal outlook at Fairfield and the chances that the entire School would rest upon his abilities alone that winter, Dr. Spalding informed Dr. Shattuck of his in- tention to set off soon, vdth Mrs. Spalding and had from him this charming reply. "Boston. Undated. Dear Sir: Your last letter would have been sooner rephed to, had information been obtained in relation to the inclination of a meritorious young physician to be regarded for the Chair of Theory and Practice at Fairfield. When that infor- mation is received I will write his name. Corner Cambridge and 228 LR. LYMAN SPALDING Staniford Streets is our location where Mrs. Spalding's arrival and yours "nill be greeted with a hearty Welcome. The Lord prosper you. Geo. C. Shattuck." Inasmuch as Mrs. Spalding could not go as planned, Dr. Spalding wrote to that effect and before starting was greeted with another laconic note from Dr. Shattuck. "Boston, Nov. 20, 1812. Dear Sir: Yours was duly received; your articles shall all be ready for you at my house. Your name is on the Albany Mail Stage. Now, as I want much conversation with you, and as a Tavern at a late hour of the night is a cold and dreary place, I must sohcit the favor of your coming direct to our house on Sunday night where a warm fireside, and those who will be glad to see you, will greet your coming with a hearty welcome: Yours, etc, Geo. C. Shattuck." The third course of lectures was successful after all. Fifty scholars attended, Dr. Willoughby took charge of Obstetrics, Dr. Hadley of Chemistry and Dr. Spalding of all the rest: Anatomy, Surgery, Theory and Practice, Dis- sections and Operations. From there he went to New York, opened an office in February 1813, at 175 Broadway, and then paid a visit to Dr. Rush in Philadelphia. CHAPTER XV. Pbesident of the College op Physicians and Surgeons of the Western District of New York, 1813-1817. Dr. Spalding would probably have moved to Boston after his visit to Philadelphia, had he not been invited to Fair- field. Finding that the School seemed a permanency owing to its new Charter, he decided to settle in New York, because from there he could easily keep in touch with Fairfield. He had also been promised the patronage of prominent citizens, he had had large experience as a physician and surgeon, anatomist and lecturer and probably hoped by the magic of a metropolitan residence to become famous in medicine. He was now settled in New York but wishing his wife to assist him in choosing a home, he asked Dr. Shattuck to look out for Mrs. Spalding on her journey to New York. In answer Dr. Shattuck writes: "Boston, March 25, 1813. My dear Sir: Mrs. Shattuck learns with pleasure your kind remembrances and requests the pleasure of Mrs. Spalding tarrying with her while it may be convenient for her to remain in Boston on her way to New York. You will be kind enough to inform me when Mrs. Spalding will be in Boston, and where she may be found on her arrival. In relation to the N. E. Dispensatory Author, he is very aged, and reading lectures would be a novel employment to Mm. He is exceedingly deaf. Of course, conversation with htm must be diffi- cult. If a natural death in the course of a very few years is to await the institution, a Professor whose natural death may be ex- pected soon, will best answer the purpose. But, if you desire a man whose increasing talents would shed lustre on the Institution, and contribute to its reputation you will select a younger man of greater talents, and of more popular manners. Not that Dr. T.^ ^ Dr. Shattuck does not name "The New England Dispensatory Author," but he was Dr. James Thacher (1754-1844) who had acted as surgeon in the Revolutionary Army. During his services he marched on foot from West Point to Portland, Maine, and thence to Yorkto^vn, Virginia. He was at one time in charge of a Hospital with 500 patients to whom Washington paid a visit. Thacher's "Military Journal" is a work of art, and his "American Medical Biography" a superb and 229 230 DR. LYMAN SPALDING is not an able man; industry has rendered him respectable in the profession, and he doubtless would readily accept such offers, as you remarked that the Trustees would tender to me. That your blind man^ may depart seeing and sounding the praises of Lyman Spalding, M.D., is the wish of Geo. C. Shat- TUCK." The next letter after that written by Dr. Shattuck comes with good news from Judge Smith now attending the Legis- lature. ''Albany, 10th April, 1813. Dear Sir: The appointments for our College have been made agreeablj'' to the list given in your letter. The blank for President, I have filled up in my own way, with the name of Lyman Spalding, M.D., and in doing so, I am sure I have met the wishes and intentions of the Trustees. Permit me now to solicit your exertion to procure a Principal for our Academy, as soon as possible. It is important that the School should open in May and the Principal ought to be there sometime previous, to make the necessary arrangements. Dr. Sherwood will hand you this, and can tell you everything about the situation of things at Fairfield. By him, I also send several letters of introduction to gentlemen in N. Y., which if you think it worth your while, you can deliver. The Bill relating to Trinity Church ^ has passed both houses of the Legislature, and is now before the Council of Revision. It is expected that it will be returned with objections, if so, the only hope left is that two thirds of both houses may agree to it, notwith- standing the objections of the Council. For my own part I cannot discover any objection to the Bill, and should it be returned in that way, I flatter myself it would still become a law by the Consti- tutional Majority of both Houses. Col. Troup who is here as the agent of the Church, is doing all in favor of the Bill that could be done by an individual, and myself and several friends are offering him all the assistance in our power. I sincerely hope the Bill will pass, because I tliink it Just. I am Your Ob'd't Serv't. Nathan Smith." unique collection of the lives of eminent physicians. His "Dispen- satory" was a meritorious work, and his essay "On Demonologists " attracted much attention. Dr. Shattuck calls him "AGED," but he was at this time only 59, and lived to be 90. ^ " Your blind man " suggests that Dr. Spalding had been operating for cataract in New York. * The Trinity Bill provided that $750 should be granted to Fair- field, annually, on condition that the Principal should be an Episcopa- lian, and that four Divmity Students should have free tuition. COLLEGE OF PHYSICIANS AND SURGEONS 231 When Dr. Sherwood reached home, he thus informed Dr. Spalding that the conduct of the School was to fall almost entirely upon his shoulders as in the previous winter. "Fairfield, May 5, 1813. Dear Sir: Immediately after my arrival at Fairfield, I called on Dr. Willoughby, and made him ac- quainted with what I had done as to the printing of the Circulars, and of your consenting to give a course of lectures on the Insti- tutes of Medicine, should the Trustees nominate you to fill that oflfice. He immediately called a Meeting of the Trustees, and giv- ing six days previous notice, a suflacient number assembled on this day, being the day appointed to form a Board for the transaction of business. After the meeting was opened, the Ballots were taken for the nomination of a Professor of the INSTITUTES OF MEDI- CINE and on canvassing the VOTES it was found that Lyman Spalding was unanimously chosen. The Trustees will therefore, depend on you as a Professor of Anatomy and Surgery, and Lec- turer on the Institutes of Medicine. I shall, by the next mail, dis- tribute the Circulars to all parts of the Country, and I shaU spare no pains to give general Information, and do all in my power to promote the best interests of the Institution. We are much pleased with Mr. Judd's acceptance as Principal of the Academy.^ It is the general opinion we could not have obtained a better man. He has promised to return with his family, as soon as he can settle his business in Connecticut. He has engaged to send on a Young Man to take charge of the Academy until he can arrive, himself. I flatter myseK we shall have a great many students, both medical and those who will attend the Academy. You have undoubtedly heard of the taking of Little York, the Capital of Upper Canada by our troops. On the 27th of April last Commodore Chaimcy 2 attacked the town by water, and Gen. Pike ^ landed and commenced the attack in the rear. The action continued from sunrise until 2 O'clock p.m. when the British sur- rendered. A great number of MHitia and Indians were made prisoners. Gen. Sheaffe* with a few of his Regulars made their 1 Bethel Judd (1776-1860) the new Principal was Rector of St. James' Parish, New London, Connecticut, at this time. After serving as Principal of Fairfield he became President of St. John's CoUege and Rector of St. Anne's Parish in AnnapoUs, Maryland. Later still he preached as a Missionary in the South and was stUl living in Rochester, New York in 1860. ^ Commodore Isaac Chauncy had a long and successful career in the Navy, ^ Gen. Zebulon Pike (1779-1813) was a soldier of great mihtary re- nown, and noted as a Western Explorer, and the discoverer of Pike's Peak. * Gen. Sir Roger Hale Sheaffe (1763-1851) entered the British Army in 1780, and rose to be a Major General. Although defeated at 232 DR. LYMAN SPALDING escape. There were more munitions of War and Indians, goods, than 12 vessels could bring away. We have to lament the death of the brave Gen. Pike, who with 200 of his men and 50 of the British were blown up by the explosion of powder concealed under- ground. We had between 2 and 3,000 men in action. I am Yours Respectfully, Jonathan Sherwood." Although Dr. Spalding had agreed to lecture on Medicine he was still looking out for a substitute and with this in view wrote to Dr. Joseph Klapp ^ who replied to this effect. "Philadelphia, June 11, .^813. Dear Su-: Your letter would have been sooner answered had I not been prevented by the occur- rence of a severe indisposition, from which I am just now recover- ing. For some months past, cases of fever assuming various types from the simple intermittent to a continuent, of the most danger- ous kind have been unusually prevalent in the City of Philadelphia, and in South Wark. During the last two or three months I have had as much as a hundred persons under my care with different denominations of fever. The prominent symptoms are a violent chiU, in general of some hours continuance, followed by great arterial excitement, pain in the head, back, extremities, and sides, mostly in the right side. In about forty eight hours, the febrile commotion begins to subside, and in a short time is succeeded by a prostrated or sunk state of the whole system. Your information of the Oeconomy of the Trustees of your Col- lege did not surprise me. They have acted from what they con- ceive to be correct motives, and no doubt think it most politic to be very moderate in the use of their funds. They may yet meet with a suitable character for the situation, who may find it con- venient to afford his services on more moderate terms. At any rate, as respects myself, I must say that my professional engage- ments are such, that anything less than a thousand dollars, inde- pendent of travelling expenses, will be regarded as an inadequate consideration. Your Friend, etc, Joseph Klapp," Midsummer brought later news from Fairfield in the shape of letters from Dr. Hadley and Dr. Sherwood. Dr. Hadley's letter shows the lack of ready money. Little York (now Toronto) his gallantry before an overwhelming force procured for him a Baronetcy. ^ Dr. Klapp was graduated at Philadelphia in 1805, presenting a Thesis, with the odd title: "On the Non-existence of an aeriform function of the skin." He wrote voluminously on medical topics, and delivered an oration "On the Modus Operandi of Cold" before the Philadelphia County Medical Society. COLLEGE OF PHYSICIANS AND SURGEONS 233 "FairJ&eld, July 18, 1813. Dear Sir: I have received your papers by Mr. Judd, together with the Platinum and Thermometer- stem, for which the money shall be forwarded as soon as an opportunity may offer. The mercurial apparatus cannot be dis- pensed with. You will do well to purchase the mercury, and if the money can be procured, it shall be sent on. There is some probabUity that I shall be able to obtain the money, either from the College or from my own resources; buy fifty pounds. One roll of tinfoil will be sufficient, which in time of peace and plenty would have cost 6 or 8 shilhngs. I am now engaged in making re- pairs in the College building; the old chimney is already removed and the workmen are to begin the new one to morrow. The skylight is to be finished in the month of August. Every other repair shall be made and in due time. No means are neglected to get the ad- vertisement inserted, according to your directions. Yours, etc, J. Hadley." Dr. Sherwood now tells us farther news concerning the College, and introduces our old friend Dr. Ricketson. "Fairfield, 8 Sept. 1813. Dear Sir: After considerable exertion we succeeded yesterday afternoon in getting a sufficient number of the Trustees together to form a Board and the result of the meeting was : That the Trustees of the College purchase from the Trustees of the Academy for $4,500 the Laboratory, Museum, and Chemical Apparatus; buy half of the New Stone building and ground on which it stands and pay half of the rental to the stockholders; and that a committee be appointed to confer with Dr. Shadrack Ricket- son on the subject of his taking a Professorship in the College. The day preceding the meeting Dr. Ricketson came to my house, and attended the meeting. I told him that nothing could be done as to his giving lectures that winter, as previous arrangements had been entered into with you, and that you were making calculations to give lectures on the Theory and Practice of Physick at the next term. Next day, when the Trustees came to see and converse with Dr. Ricketson, I found that there seemed to be an opinion among them, that he would do to fill the vacancy, though no one suggested the least idea, that it would do to give him the least encouragement of giving lectures at the ensuing Term. Neither did he wish or expect it himself, since you were already elected. But, the question was asked by one of the committee appointed to confer with Dr. R., whether or not it would suit you to have Dr. Ricketson come in as Joint Professor in lecturing on the Institutes of Medicine, next winter, as it was supposed that you would wish to return to New York as soon as possible. I was directed to simply mention the thing to you by letter but, at the same time, no one had the least wish to have you enter into any such engagement 234 DR. LYMAN SPALDING unless it would suit you better than it would to give the whole course, as the Trustees are perfectly satisfied mth your election, to that oflBce. Neither do they think of electing Dr. Ricketson, or any one else, to give lectures another year, without consulting you and getting your Opinion on the Subject. They would therefore hke to know your opinion as to Dr. Ricketson. For, if he would do, he might be elected so as to give lectures after the next term. As you have some acquaintance with him, the Trustees will expect your opinion on the subject, before they give him any encourage- ment whatsoever. Dr. Willoughby tells me you are wanting the use of some Books during your stay in Fairfield. I have Cullen, Darwin, Townsend, Thomas, and Rush, together with a number of periodicals, and other books. But, I have three students that will attend the Lectures and will want the use of my books, but you shall have the use of them all the time they can possibly spare them. How much of the time they can spare them, I cannot tell, but I suppose they •^•iU want them a considerable part of the time. I will, however, accommodate you as far as possible. Yours Respectfully, Jona- than Sherwood." After all these preliminaries the College of Physicians and Surgeons of the Western District of New York was formally inaugurated December 13, 1813, with an address in Latin, a Ball and Banquet, and an Address by the Presi- dent, Dr. Spalding; the theme of his remarks being that industry would carry every man far, and that new Medical Schools would discourage quackery. The winter term went off well, fifty two students attended, and by January 20, 1814, Dr. Spalding was in Portsmouth preparing to take his family to New York. From there, they made their way overland to Cornish, where finding his father very low, Dr. Spalding left his family and set off for New York alone. Col. Spalding died on the 27th of April, and Mrs. Spalding and the childi'en reached their new home on the 4th of May. I find but few letters in this year that throw light on Fair- field personages, but one from Judge Smith concerning Robert Fulton is worth inserting. It is pleasant to know that Robert Fulton and my Grandfather were introduced to the New York Historical Society at the same meeting. "Fairfield, Aug. 24, 1814. Dear Sir: In my last letter I men- tioned to you that I intended going to West Florida the ensuing Fall. My present calculation is to go from here to Pittsburgh, COLLEGE OF PHYSICIANS AND SURGEONS 235 and thence down the river by water, and as I understand there are Steam Boats already in operation to run regularly from Pittsburgh down, I wish to get a passage on one of them. Having been told that Mr. Fulton is a principal proprietor in these Boats, and pre- suming he may be able to say nearly at what time they will leave Pittsburgh, this Fall, I take the hberty to ask the favor of you to ascertain from him this fact, and to write me as soon as convenient. Your compliance will much obhge your friend, N. Smith." An unexpected letter at this juncture from Dr. Alpheus Greene (1787-1851) for many years a physician at Water- town, New York, throws welcome light on Dr. Spalding's character. "Brownsville, Near Sackett's harbor. New York. Oct. 3, 1814. My Worthy Friend: In consequence of my absence from Newport when your favor arrived, I did not receive it tiU long after. I therefore hope you will not charge me with neglect for not giving you an earlier reply. It was very unfortunate for me that I did not receive your letter sooner, as it might have influenced my arrange- ments very materially, and perhaps favorably. On the death of my Father which happened in April, I found my pecuniary circum- stances such as to deter me from prosecuting my studies any farther. I found myseh under the absolute necessity of taking immediate and effectual measures for improving my exhausted finances. I accordingly took license, and entered on the practice of medicine, and have pursued it since the first of June, but the avails of my business are trifling indeed, so that my circumstances are very httle improved. I feel myself under infinite obligations to you for the generous proposals you have so often made me and regret sincerely my in- abihty to accept them. I can duly appreciate the important ad- vantages to have been derived from the situation of an assistant, in which your goodness would place me, but am unable to surmount the obstacles which prevent my turning those advantages to my own account. I feel a real pride in acknowledging your kind at- tention to me, and the favorable manner in which you were pleased to notice me while under your tuition. The sohcitude you manifested for my future welfare and the wel- fare of the class, generally, made a lasting impression on my mind. It will ever be held in grateful remembrance, while gratitude is considered a virtue and its opposite, a vice of the deepest dye. With sentiments of the highest consideration, etc, Alpheus Greene." Just before the winter term began Dr. Willoughby showed cause for his non-attendance and made suggestions for carrying the lectures along in regular order. 236 DR. LYMAN SPALDING "Trenton, N. Y., Oct. 9, 1814. My dear Sir: I am now on my way to Sackett's Harbor, with my Regiment. I wrote you in much haste from Herkimer, stating the necessity of my absence, and the uncertainty of my returning by the first of next month to resume my lectures: requesting you if possible to be on hand and commence your lectures on Theory and Practice, gi\dng me an op- portunity' of meeting the Obstetrical Class after the close of your lectures. You will recollect, there is no ordinance regulating a preference of time to either Professor. This is left altogether to be agreed upon by the Professors themselves. I regret that there should be a necessity of changing the time, but this, I fear, is un- avoidable. It is the opinion of the Commanding Officer, that we shall not return before the Fall Campaign closes. If so, I shall not be able to see Fairfield before the last of November. The prospect of a good class should stimulate the Professors to every- thing in their power to meet the expectations of the Scholars. There are several who are calculating to be prepared to receive a Doctorate in Medicine. Should my course ultimately fail, they will be disappointed, as in that case they could not comply with the requirements of the CoUege. I presume, Sir, you will without hesitation endeavor to meet my wishes by being at Faii-field at the conamencement of the Lectures. I had completed my arrange- ments so as to have spent the winter at Philadelphia, and shall not fail of going if I can return from the lines in season to give my lectures as usual. The Officers of the Regiment are among my friends; they have confidence in me as a medical man, and will not receive a sub- stitute. I have endeavored to make arrangements in that way, but it Is in vain. There is no alternative but follow the Regiment. Be so good as to let me know your pleasure, and direct your letter to Brownsville, where we shall be stationed. I think your tour would be more agreable to come on early, as the traveling will be much better, and my being on the lines may be a convenient thing as it respects subjects. In haste. Yours Respectfully, W. Wil- LOUGHBY, JUN." The last sentence in this letter suggests that Dr. Spalding was planning to visit the Army with a view of obtaining dis- section material. Whether he went or not I have never discovered. The winter course of 1814-15 was attended by sixty students, three of whom obtained a degree, the first time in the history of the School in which this had occurred. Amongst the operations performed by Dr. Spalding, I find one mentioned in a letter from Dr. Calvin Smith (1778- 1839) a physician of high standing at Little Falls. COLLEGE OF PHYSICIANS AND SURGEONS 237 "Little Falls, Dec. 8, 1814. Dear Sir: I have a soldier under my care in this Village who received a wound in the thigh at Fort Erie, which has been ill attended to and became so bad that he was obliged to be left in this place. I find the limb must be amputated immediately to save the man's life. He is anxious that it should be done to-day if possible. If you can possibly make it con- venient to come down tomorrow and perform the operation, he would be extremely glad. The U. S., will compensate you for your services. If it will be possible for you to come, if you can send me word what time you can be here, you will confer a favor on, Your Ob'd't Serv't. Calvin Smith." Dr. Spalding returned to New York soon after attending to this case and practiced steadily there until it was time for another term at Fairfield in the autumn of 1815. The only material at hand concerning affairs at Fairfield during all this time is a letter written by Dr. Spalding to his wife in January, 1816. "Dear Wife: I wrote you last week but the gentleman who promised to carry it to you did not call for it. I had also written for the same conveyance letters to each of our daughters. If no private hand offers I shall bring them myself. I was much de- lighted to hear that you were so well and that the repau-s had been made to the house. I have written you three times by private hand, but this is the first letter by mail. By Samuel Smith I sent butter and cheese and by Dr. Willoughby some money. If you need more before I return, call on Mr. Brackett. I wish you to call the attention of the children to their lessons, and this, every day, or they will forget them. During the long afternoons and evenings I think they ought to work: knit, or make collars and wristbands for cotton shirts or cotton shirts themselves, which may as well be bought now, as next summer. Last Sunday I went to Hasenclever Hill and amputated a man's thigh with a shoe knife and joiner's saw. I also took out the whole of the shin bone of a girl nine years old, and operated for hydrocele : all to the satisfaction of the patients, the students and myself. A pretty good day's work. On the top of the Hill where I amputated, I found a family by the name of Page who once lived within half a mile of my Father's in Cornish. I was glad to see them as I had not seen them for twenty years. , I have just completed my course on the Institutes and Practice of Medicine, and I believe to the perfect satisfaction of every student who has done me the honor to attend: certainly, much to my satisfaction. To morrow I begin on Anatomy and Surgery and expect to close 238 DR. LYMAN SPALDING on Thursday the 2Sth, going to Little Falls that night and taking Friday morning's stage for Albany. I shall be in N. Y., as soon as the stage can carry me, which you know will depend on the roads. I have been treated with unusual politeness; with the single exception of what arose from the conduct of the gentleman who wants to be President, I have never passed a session so pleasantly. I shall soon be with you, I hope, to part no more. Write to me under cover to Jedediah Rogers, Albany.^ Exercise on horseback, and milk diet have improved my health very much. Do not forget my love to the children. If they study well we will soon begin French. If Lyman studies well at home and in school I will bring him a new pen knife. Yours, etc., L. S." Dr. Spalding now resigned the Professorship of Theory and Practice and was thinking of resigning the Presidency also, owing to the intrigues of Dr. White of Albany, who complained that the performance of operations interfered with his Territorial Rights. He had already won over two of the Trustees and had hopes to be chosen President if Dr. Spalding could be forced to resign. How much these in- trigues had to do with the inability of the Trustees to pay the President's Salary is difficult to decide. Soon after reaching home in 1816, he received this delight- ful letter from Dr. Willoughby, which although hardly germane to Fairfield affairs deserves insertion as illustrating the politics of the day. "Washington, January 27, 1816. Dear Sir: I was pleased to learn that you left the Med. Sch., at Fairfield well pleased. I was fearful you might be troubled to procure subjects, but rejoice that not anything happened to disturb your wishes or the expectations of the Scholars. I have not heard anything directly from Fairfield since I left there, except what you write me. But I have received a letter from Dr. Sherwood, of Newport wherein he mentions that the Small Pox had broken out at F, among the Scholars, in conse- quence of a subject which had been procured and of which disease they supposed he had died. I am pleased to hear that your good wife has passed safely through the perilous hour of Child bed, and that she is recovering therefrom; may the promising son live to become a Parent's bless- ing, and compensate abundantly for all anxiety and distress. ^ ' Jedediah Rogers was Captain of a Packet, on the Hudson River, and a brother of Mrs. Sally Rogers who kept the boarding house in New York in which Dr. Spalding first opened an office. * The son bom at this time was Edward Jenner Spalding. COLLEGE OF PHYSICIANS AND SURGEONS 239 I am heartily sick of my new life, as we are doing little else than wasting our time in fruitless and unnecessary debate. We have Members in abundance who believe that they are to be credited, in proportion to the noise they make, and not in proportion to the good sense offered. Mr. Randolph has occupied the floors more than 3/4 of the time for this two weeks and I deny that any one could possibly divine from his observations, the subject before the Committee for discussion. He is against the Army, the Navy, the Bank, the Manufactories, Taxation, etc., and it matters not what is before the House for consideration, he speaks of the rise and fall of Political parties, of ancient and modern History, of Profane and Divine. In short he abuses everything and everybody; Himself and his Beloved Virginia, excepted. If he is to be credited, he is the only wise and good man in the Nation. Everything went well while he dictated, but since the Government has omitted his Council, and advice, they have wandered from their true happiness, and been wilfully blind to their best interests. I have no doubt he is politically insane, and am certain that a Mad House rather than a Congress Hall should have received him. There is so much local prejudice and so many selfish views to be answered that I am fear- ful we shall waste away the Session to very little purpose. But, it may be, that my fears are groundless- I pray God they may be, but if I am to judge of the future, from the past, we shall not deserve well of our Constituents. Your friend, W. Willoughby Jr." The few papers which remain to throw light on the state of affairs at Fairfield show steady friction between the two Trustees who favored Dr. White for the Presidency and those who clung to Dr. Spalding. None of them, however, had any money for this last year's salary. It is true that Dr. Spalding had expressed satisfaction with the last course, but he did not know at the time of writing, that the Trustees would not be ready with his salary when he left for home. Dr. Willoughby' s letter of August helps us a Uttle amidst this uncertainty. "Fairfield, August 4, 1816. To Dr. Spalding. Dear Sir: Dr. Hadley has this evening showed me your letter to him in which you solicit the balance of your acct, and your not having received it given why we have been kept in a state of suspense relative to your resignation. The balance due you will be forwarded to you whenever you present your acct, for payment. Mr. Ford says he has never received any order for the payment of money, except the $200 which I paid you. You have repeatedly had my senti- ments relative to your leaving the College, and it is unnecessary for me to repeat them. If you cannot consistently with your in- 240 DR. LYMAN SPALDING terests remain, we have no wish that you should sacrifice too much to obhge us. But, one thing is absolutely necessary; that you keep us no longer in this state of imcertainty; you will, certainly have the goodness, either to forward your resignation, or a promise of your services this Fall. It is incorrect that we have a Pro- fessor to fill your Chair. Dr. Wliite is only proposed in case of your resignation. Yours, etc, W. Willoughby, Jun." Directly afterward, Judge Smith came to New York, promised to send the money that was due, and Dr. Spalding agreed to lecture again. But as no money was forthcoming in November he once more appUed for it and received word that there was none to be procured owing to the hard times. At this juncture Dr. Alexander Ramsay was lecturing in New York, and Dr. Spalding having several difficult cases on hand, sent him to Fairfield as a substitute and took Ramsay's lectures upon himself. Dr. Ramsay began well, wrote enthusiastically of his good fortune, and yet inside of a week later, he in some way so aroused the animosity of the entire village that he was forced to leave, unpaid. To add to the difficulty the disaffected Trustees complained in writing that Dr. Spalding had treated the School unfairly in sending such a substitute. Thereupon in his own defence he felt com- pelled to forward the following letter, to Dr. Hadley — "Dear Sir: I am much mortified to think that any Trustee should have suspected my motives in sending Dr. Ramsay. His reputation as a Lecturer stood higher than that of any other man in America. Most of the physicians of this country who had been in Europe had attended liim at Edinburgh. All spoke of him in the highest terms as an Anatomist. They knew nothing of his private character. He taught in Columbia in 1804, in Dartmouth in 1808, and negotiations were on foot between the N. Y. Medi- cal College and Dr. Ramsay to lecture for Dr. Post,^ but they could not agree on terms. Dr. Bruce ^ next took him up, and gave him a class of more than 20. In this situation I engaged him to take my place. I knew that he was "Waspish," but that he could conduct himself in the manner in which you relate, required greater ' Dr. Wright Post (17G6-1828) lectured on Anatomy and was Professor of Surgery at Columbia. He became noted for ligating the Subclavian, and was the first to ligate, successfully, the Common Carotid. 2 Dr. Arcliibald Bruce (1777-1818) established, with others, in New York, a Private Institution for Medical Instruction. He later became Profes-sor of Materia Medica in the College of Physicians and at Rutgers. Ho was a particular friend of Dr. Spalding and nominated liim as Corresponding Secretary of the New York Historical Society. COLLEGE OF PHYSICIANS AND SURGEONS 241 talent than I possess to presuppose. He had, to be sure, recently delivered lectures on Natural History, which did him but little credit; something like his talks to you on Sunday Schools, but I supposed I was rendering the College a service by sending so wonder- ful a substitute. As to the " Advantages " to myself, you can judge, when I say that my agreement with him was to pay bis expenses out and back to Fairfield, to take his Class into my own house, to find furnished rooms for dissection for three months and to lecture to his students, daily during his absence. We did not dissect one or two subjects, but FOURTEEN. Now I ask you, or Willoughby, or anybody else in your village, vv^hat would you ask for one half of your dwelling house to become an Anatomical Theater for three months, with 14 subjects to dissect and 20 students running in and out. I should have made nothing by that arrangement, even had every farthing been paid. But, long before Dr. Ramsay returned I found the vexation of teaching pubHcly, in my own house, so great, that I repented of my bargain, and when I found that in- stead of doing you a service, he had failed to give any satisfaction, I wished most heartily that I had never sent him at all. Your Ob'd't Serv't, LyI'IAn Spalding." After Dr. Ramsay left Fairfield, the two opposing trustees petitioned the Regents to ask for the resignation of Dr. Spalding, which he declined to offer until he had been paid. He finally caused a Memorial of the state of affairs to be read at a meeting of the Regents in October, 1817; his resignation was then handed in and accepted by an unani- mous vote of the Regents and all mention of the affair was ordered to be erased from their records. With this step his legal connection with Fairfield ceased, but he remained on good terms with the majority of the Trustees, and represented the College as a Delegate to the Pharmacopoeia Conventions. The stumbling blocks in the way of success at Fairfield were lack of money, and pohtical intrigues. Dr. Spalding's career in connection with the College may be summed up in this way: For six winters in succession, involving journeys of some two thousand miles, he dehvered lectures on all the branches of medicine and surgery then taught, operated on a large number of patients, and carried on considerable classes in dissection. His position in con- nection with the coUege gave him a National Reputation, With the improved finances of the country from this time on, Fairfield progressed under the guidance of Dr. White 242 DR. LYMAN SPALDING and Dr. Willoughby, until 1839, when it went to pieces, owing to disputes concerning the division of lecture fees. The largest class that ever attended was 217, the largest graduat- ing class 54, the entire number of graduates was 555. The notable teachers were Dr. Spalding, Dr. Shattuck, Dr. Beck, Dr. Reuben Mussey ^ and Dr. Frank Hamilton (1813- 1886) United States Medical Inspector, Professor in many Colleges and best known for his works on Fractures. I lately made a pilgrimage to Fairfield, and took a look at the lonely deserted Cross Roads, for village, the settlement cannot be called, with its old tavern, and its few decrepit houses. After the times I have just described, two build- ings were added to the three of that era, but they have dis- appeared. All that remains of the Institution is the ruins of the old wooden Academy, the Stone Laboratory, and the Stone Lecture Hall built for Dr. Spalding. Looking at these and then at the scattered dwellings it seemed impos- sible that an Institution of medicine could ever have flour- ished there at aU. Yet, Fairfield was one of those advanced posts of civili- zation, arising in the history of every growing country. It was the only Medical School outside of Boston, New York or Philadelphia, and eager students flocked to it in spite of its unfortunate situation high up on a rolling hill, and ten miles from Little Falls, where it should have been originally founded, to obtain success. When Albany and Geneva in- creased in population, and a hospital offered a better chance for bed-side teaching, Fairfield died a natural death. Its record, however, was splendid. In recalUng its early years, let us give honor to those men of New England, who en- dured difficulties of travel, lack of material, and small re- wards, for their courageous efforts to advance the medical education of the era in which they lived. 1 Reuben Dimond Mussey (1780-1866) was professor of Surgery in other Medical Schools than Fairfield, and both bold and fearless as in operator. He ligated both carotids, and performed innumerable lithotomies. He was a vegetarian, and the Records of the New Hampshire Medical Society show that on one occasion he was so emphatic against tobacco, that, on the spot, "several members threw away their quids." He was also fond of music, and played the Double Bass with great success. It is said of him, that he once carried his Big Fiddle from Hanover to Portsmouth, to show off his skill upon it before the Medical Society. CHAPTER XVI. Review of Events Between the Return from Philadelphia, and Removal to New York, 1810-13. After this detour to and from Fairfield and New York, and which it seemed best to follow in one connected narra- tive, we now retrace our steps to the time when the invi- tation to Fairfield was received. Just then Dr. Spalding had written to Dr. Dalcho ^ for medical pamphlets, and here comes the answer: "Charleston, So. Ca., Oct. 12, 1810. Dear Sir: I regret very much that it is not in my power to serve you in this instance. We have no medical publications in this City, except, occasionally, an anniversary Oration or rather Diary. That for the last year has been ordered by the Medical Society to be sent to you. We have little to do with the Sciences here; every one is immersed in the art of money making and even our friend Dr. Ramsay ^ feels a deeper interest in writing upon vulgar topics, to raise the cash, than in pleasing the learned few, by professional improvements. Our Society are about to publish a Volume of their Memoirs which I suppose will be ready for the press in a few weeks. Yours Re- spectfully, Fred'k Dalcho." An epidemic of small pox so excited the people of Ports- mouth in 1810, that they flocked to be vaccinated, but Dr. Spalding being unprovided wrote to Dr. Bigelow ^ for a supply, with this result. 1 Frederick Dalcho (1770-1836) was the son of a German Officer, who, after the Seven Years War, settled in London, where he was born. When his father died he was taken to Baltimore to hve with an Uncle, studied medicine and obtained an Army Medical appointment. When challenged to a duel he resigned from the Army, practiced in Charles- ton, South Carolina, established a Botanical Garden, drifted into Journalism, and in 1814 entered the Ministry. The work on which his fame serenely rests is "A History of the Protestant Episcopal Church in South Carolina." A tablet to his memory can be seen in St. Michael's Church in Charleston, of which he was Rector. 2 "Dr. Ramsay" is David; not Alexander. * Dr. Jacob Bigelow (1787-1879) obtained his degree in Phila- delphia when Dr. Spalding was also studying there, and then settled in Boston. He was a fine draughtsman, illustrating his own "Botany" 243 244 DR. LYMAN SPALDING "Boston, Oct. 25, 1810. Dear Sir: I have been prevented at- tending to yqur favor by a ride from town, and by many of my applications, elsewhere, for kine pock matter being unsuccessful. I now send you some which is quite recent. I am undergoing the preparatory starvation which is the fate of most young men be- fore acquiring business. I trust, by the help of a httle patience, that I shall, sometime, stand a chance among the crowd, and so, am quite resigned. Yours, etc, Jacob Bigelow." A few days later came acloiowledgment from Dr. Warren of a medical paper which Dr. Spalding had sent him. "Boston, 30th Oct. 1810. Dear Sir: I send you bj'- the mail a copy of the Report on Petecliial Fever, with oiu thanks for your communication on the subject. At the same time, I may take the opportmiity of making my acknowledgments to you for your annual Report of Diseases in Portsmouth, which constitute im- portant and useful documents. ... I nominated you as an Hon- orary Member of our Society,^ but the friends of Dr. S., got the start and as the law admits no more than three of each State, the other places being filled by Dr. Cutter and Dr. Tenney, the thing must rest at present. Your preparations got safe to you, I hope.^ I would wiUingly have had to repack them, for the pleasure of ex- amhiing them. I wrote to England a year since for a preparation of the absorbents, not having any at all, but find it impossible to get them. It is pretty important to me to have something of the kind, and if anything would induce you to part with one of yours, I would venture to make you some offer on the subject. Should you listen to anything of that sort, it would afford an opportunity of increasing the usefulness of your preparations, and the reputa- tion of the preparer. I am Sir, with esteem and Respect, your very Humble Serv't, John C. Warren." We may at this point introduce a new fiiend who was previously mentioned in a letter from Portland, Dr. Oliver Hubbard (1770-1849), who practiced in Portland, Maine, and when he was Forty, obtained a degree at Dartmouth when issued. He served as Professor of Botany and Materia Medica in the Harvard Medical School, and as Professor of the Application of Science to the Useful Arts in the University. He was of great assist- ance in the Pharmacopoeia, wrote much on Botany, and was the virtual Founder of the Massachusetts Institute of Technology. ^ "Our Society" is the State Medical, and Dr. S. is Nathan Smith, but both Dr. Warren and Dr. Spalding seem to have forgotten that Dr. Spalding had been a member since 1797. 2 "Your Preparations" were those of the Lymphatics made in Philadelphia, and loaned to Dr. Warren on Dr. Spalding's way home. EVENTS 1810-1813 245 and Philadelphia and finally settled in Salem, Massachu- setts. He now wrote from Philadelphia where he was studying. "December 31, 1810. Dear Sir: A few days previous to our leaving Hanover, I took the liberty of acquainting you with my de- termination of spending the remainder of the winter in Philadelphia. I also, upon the credit of your former goodness requested the par- ticular favor of a letter to one of the Professors, as my stay in Hanover after this determination did not enable me to obtain letters from home. Not having heard from you since being here I am induced to think you have not received my letter. As a letter from you to one or more of the Professors as you may think proper, barely to acquaint them I am known to you, will afford me much pleasure. If agreeable to you, direct your letters to them, post paid, and charge me with the postage which shall be satisfactorily adjusted at the grand day of our meeting. I am delighted v/ith the situation in Philadelphia, and its medical advantages: so far exceeding anything heretofore, that there is no comparison. "Dr. Spalding," "Dr. Spalding," "Dr. Spalding," is aU the rage here! I assure you. Yours Very Obediently, 0. Hubbard. N. B. The Medical Class is larger than at any former period. Lectures very interesting; Subjects plenty; everything relating to the Course goes on pleasantly. Dr. Perkuis is here. Your pres- ence would contribute very much to my happiness. Class 4.34. We passed a day in N. Y. but found theh medical institution in a disordered state." In the previous Autumn we heard of Dr. Spalding asking Dr. Bigelow for vaccine, and now the favor is asked by Dr. Bigelow. It is pleasant to see his remembrance to my Grandmother whom he had met in Philadelphia. "Boston, Feb. 17, 1811. Dear Sir: You are undoubtedly ac- quainted with the old proverb, that one good turn deserves another. I sent you sometime since some kine pock matter, which I hope answered your purpose for two reasons; 1st, Because in that case your own wishes are gratified, and 2ndly, Because it will be in your power to supply me, again. As I am now sadly in want of some of the virus, for my own use, and that of some Brothers of the Pill Box, I request you would send some to me BY MAIL, as soon as possible. I cannot find any, at present, in Boston. I heard of your being in town, lately, and was sorry you did not honor me with a Call. My respects to Mrs. Spalding and Parson Bur- roughs.^ Yours truly, Jacob Bigelow." 1 Rev. Charles Burroughs (1787-1868) Rector of St. John's Parish in Portsmouth for almost fifty years, President of the State Insane Asylimi, and of the General Theological Library. One of my earUest 246 DR. LYMAN SPALDING After sending the letters of introduction requested in a former letter, Dr. Spalding received this interesting reply from Dr. Hubbard. "Philadelphia, Feb. 21, 1811. Dear Sh: For your polite letter I am very much indebted to you. My only apology for neglect in answering it, has been an apprehension that my letter would not pay the postage. I assine you, Doctor, it affords me pleasure that your -^dsit to Fairfield has been so pleasant as you mention. I however, had been made acquainted with your School, through a young Gentleman from that Vicinity, now residing in Philadelphia. It would be vanity in me to mention the honorable things said of Dr. Spalding's Lectures. Our Lectures, you would like to hear something about. Some little difficulty during the commencement of Dr. Wistar's course, in obtaining subjects, has occasioned some delaj^, which will occasion him to lecture until the 10th of March. The other Professors will close, as usual, on the 4th. You will not hesitate to conclude that they have been a source of great enjoy- ment. I fear, however, I shall not leave the City with that satis- faction I could wish. I regret I cannot spend more time here, and extend my acquaintance with medicine a little farther. My finan- ces will not admit of it. Dr. Rush is thought unusually brilhant this winter. He has mentioned you several times in his Lectures, as has also. Dr. Barton. Dr. Caldwell of this City has been very busy this winter as a Lecturer in opposition to Dr. Rush, endeavor- ing to support the locahty of fever: a man of handsome talents, but something of an evil nature is lurking about him, I suspect. There have been very few operations this winter, but considerable dissection; fifty subjects. All the Professors are so in the rear that several of them give two lectures a day, and that my walks are circumscribed between the walls of my Lodgings, and those of the University. You doubtless have not forgotten your old lodgings at Mr. Carr's. Four Yankees room together; yourself and your good wife are often mentioned by them. Immediately upon read- ing this, you will have the goodness to commit it instantly to the flames. Yours affectionately, 0. Hubbard. N. B. Dr. Clapp has removed to Carolina, in expectation of a handsome establishment. . . . Burn this!! 12 O'Clock. Sleepy." After a long interval the Spring of 1811 brings a letter from Dr. Mitchill. It may be remarked in connection with recollections is of listening as a child to "Old Burrough's" favorite sermon on "The Spirits of Just men made Perfect." In his black silk surplice, and black kid gloves he used to climb the ten steps into the pulpit and harangue interminably. A man of magnificent adjectives, he preached his erratic sermons again and again, until they were as threadbare as the sails of the Flying Dutchman. EVENTS 1810-1813 247 this letter, that although these two friends had corresponded for years, they had never yet met. It would also seem from the context, that Dr. Spalding had made two visits to New York. "Washington, Feb. 22, 1811. Dear Sir: I learn by your letter that you have again been in New York. When you were there before, 1 was absent on an excursion to Upper Canada. 1 am equally unlucky again, in being away on a mission to Congress. I hope that we shall one day meet, each other, face to face. Your improved Bill of Mortality reached me safely, and after having been perused has been put on the file of my valuable papers of the original and scientific class. Meyer is a calculating man. Being a stockholder in the Eagle Company where he is employed, I frequently consult him at the office. I have found that he pos- sesses a scientific knowledge of the Tables of Mortahty. It is the desire of that Association to grant annuities to people, on a cal- culation upon lives. This would be an admirable improvement in Society. A Maid, Bachelor, Spendthrift, might for a given sum laid down, purchase a pension to a definite amount for life and be perfectly secme against squandering by executors, etc, or mis- management by the person himself. While 1 was a member of the Legislative Assembly of N. Y., at Albany, last Winter, I en- deavored to effect an alteration of the Company's Charter, for that purpose. But there was a disinclination to grant the request, because such a privilege involved in it an unlimited duration of the Corporation, and the Legislature was not in a humor to aUow an indefinite continuance of the Charter. They are, I under- stand attempting it again, this Session, and I wish them success. Should they engage in this business, documents of this kind with your annual tables will be invaluable to them. Mr. Van Renssalaer informed me a few days ago, that you had visited Fairfield Academy in Herkimer. Five thousand dollars are to be raised for the anatomical and medical department of that Institution, by the management of the "Lottery for the promotion of Medical Science," of which I am one. For intelligence, I could write much, if I had time. A Session of Congress is always a harvest of Science for me. I have forwarded part of the collection to Dr. Miller for insertion in the Feb. No. of the "Repository," and to that I must refer you for particulars. Sam. L. Mitchill." When Dr. Spalding as Secretary of the State Medical Society asked Dr. Nathan Smith the title of his proposed Oration to be read before the annual meeting in 1811, he received this characteristic answer. 248 BR. LYMAN SPALDING "Hanover, April 19, 1811. Dear Sir: I received your favor by Dr. Perkins, respecting an Oration, as you are pleased to call it, which I shall deliver to the N. H. Med. S. You know what my former habits have been viz, to deUver my sentiments in as plain and simple a style as possible and, as this method has raised me to honor, and my pupils to a rank at least equal to any medical man's pupils in New England, I should not like to depart from my former practice, and especiallj'', as what I have to say to the Society will be wholly confined to the theory and treatment of one or two diseases which can onlj^ interest medical men, I should thinlc it highly improper to deliver my sentiments before a public audience. You will therefore advertise that the discourse (for I should not like to call it an oration, lest from the name I should be inclined to try to play the Orator) will be dehvered before the Society, in their Hall.^ Your Friend, Nathan Smith." After Dr. Hubbard had obtained his degree in Phila- delphia, he went to Portland, caUing at Portsmouth both on going, and returning to Salem, from which place he wrote again to this effect. "Salem, June 13, 1811. Dear Sir: Immediately upon coming to Salem I went to Boston, where I tarried a few days with friends, with an expectation upon my return to Salem that I should have the pleasure of hearing from you. I am however, so far, deprived of that pleasure. Dr. Cutter appeared very pleasant upon the subject of my loca- tion and expressed a willingness to pay all the attention which I requested or the value of the subject required. I regi'et that I did not see him again, when I came through Portsmouth, and also Dr. Pierrepont. I was, however, so situated that a longer stay was impossible. I cannot say that I shall tarry here permanently. Dr. OUver^ is very particular in his inquiries for your health and happiness. Had I known of your acquaintance with him, I am 1 Dr. Smith's papers were entitled "Pathology and Physiology of Arteries," "Spontaneous Stopping of Hemorrhage in wounded Arteries," "Spontaneous Hemorrhage" and "An Artificial Joint in the Thigh Bone Cured by an Operation." 2 Dr. Ohver and Dr. Mussey were in partnership at Salem, but Dr. Mussey had just gone to Philadelphia to walk the Hospitals. Dr. Daniel Oliver (1787-1848) was very much in evidence in Dart- mouth College for many years, being Lecturer on Chemistry and Materia Mcdica, Professor of Intellectual Pliilosophy, and at one time mentioned for the Presidency. He also lectured at the Harvard and Bowdoin Medical Schools and at the Cincinnati Medical Colloge. He was the "Ohver" of "Pickering's and Ohver's Greek Dictionary." He was too versatile, however, to be a great man. He explored the Law and Medicine, and was planning for the ministry when he died. EVENTS 1810-1813 249 seriously apprehensive that I should again have thrown myself on your favor for a letter of introduction. Will you also acquaint me, when or where, you heard from Dr. Taft? ^ I intended inquiring of him before. Somebody here, mentioned him being in the Western part of N. Y. With High Esteem, 0. Hubbard. N. B. The report of Dr. Smith removing to Boston gains credit there and at Salem. Dr. Mussey is on a journey to Philadelphia. After attempting to read this imperfect scrawl, be good enough to commit it to the flames." The following letter from a Fairfield pupil, whom I am unable to identify, shows the discouraging state of medical study a century ago. "Dracut, Massachusetts, July 16, 1811. Dear Sir: Having at- tended two courses of Lectures at Fairfield, one of which was under your instruction, and not having opportunity to see much practice in that quarter, early in the Spring I returned to Dracut, where I have read and seen some practice with Dr. Bradley,2 whose library is small, and whose skill depends on his experience, not his theory. There are so many physicians in the country without Libraries who pay no attention to the late discoveries in medicine, and who have lived and grown up with the people, who detest Theory, and are so prejudiced in favor of their own skill, that their aid is hardly worth soliciting. I have been supported thus far in my studies by the patronage of my parents. I would how- ever wish to procure some privilege, under which I could progress, in the Science of Medicine, without calling on their pecuniary aid. Therefore if you could employ me in compounding or vending medicines, in making any apparatus with which 1 am acquainted, or in any business that would accrue to the defraying of my ex- penses in my pursuit, and at the same time could have an oppor- tunity of attending to some of the theory and practice of medicine, it would be welcome. If you could favor my request and would write me a line, you would oblige your most obedient Servant, Jesse Fox." One of the most precious autographs of the unique col- lection upon which this Life is based, is the following from Dr. Warren, written on the reverse of a "Proposals for Pub- lishing a Work to be Entitled, The New England Journal of Medicine and Surgery, and the Collateral Branches of Science. Boston, Sept. 1811." 1 Dr. Hubbard was interested in Dr. Taft, for they both received their Medical Degrees from Dartmouth in 1811. ^ Dr. Bradley was a practitioner who was succeeded by his son Peleg, a member of the Massachusetts Medical Society. 250 DR. LYMAN SPALDING "Boston, Sept. 23, 1811. Dear Sir: I enclose you 'the pro- spectus of a new work, with a view of requesting yours and Dr. Pierrepont's aid in carrying it on. It is to be the genuine Yankee, and as such, I hope you will cherish it. We shall await your com- munications. I hear nothing of your going to Europe. Should you still think of it, there are two or three Gentlemen lately from the Schools, who can give you much information on the subject. I shall be happy to give you such letters as may be in my power. Please to make every body subscribe to our Journal, whom you can lay hands on. A notice in your newspapers of the Work would help us. I am with respect and Esteem, Yrs. J. C. Warken. (Editors not to be made known!!)" A note at this time from Professor Silliman mentions an injury of which I find no suggestion in any "Life" of that gentleman. "New Haven, Oct. 9, 1811. Dear Sir: I ought to have thanked you, long since for your attention in forwarding your paper on Meteoric stones, and for offering to execute commissions in Europe, for me. For three months past, however, my eyes have been rendered nearly and for part of the time, wholly useless, by a dangerous explosion of fulminating powder. If I am not too late at this date, be so good as to inform me when you go to Europe, to what Country, what Capitals you propose to visit, and how long you propose to remain in each? Your Ob'd't. Serv't. B. Silliman." The year 1811 terminates with this brief item concerning New Hampshire Medical affairs. "Epsom, N. H. Nov. 23, 1811. Dear Sir: Mr. John Carr, a student in Medicine, was at Salisbury, the 2nd Oct. last, Examined by Dr. Ebenezer Lerned and myself. Censors of the N. H. Medical Society, and found duly qualified to practice Physic and Surgery. This, is to request you to prepare him Letters Testimonial, and in- form me when he may call on you at Portsmouth and receive them, at which time he will leave with you the Answers to the Questions proposed to him by the Censors, together with their Certificate of Approbation. I have never yet rec'd a Certificate of my Fellow- ship with the N. H. Medical Society. With much respect and esteem your Obedient Servant, Sam'l Mobrill." ^ 1 Dr. Morrill was admitted to the Society in 1807, and officiated Bome time as Librarian. He was a Phillips-Exeter Boy of 1797 and survived until 1858. Although John Carr was now examined and ap- proved for membership, he did not claim it until 1817. CHAPTER XVII. Last Year in Portsmouth — 1812. The year was ushered in by the arrival of an agreeable letter from Dr. Taft, a former pupil and intimate friend of the family, of whom we have heard before as attending Ramsay's lectures at Hanover. "Nixonton, N. C. Jany. 27, 1812. Honored Patron: I beg you to excuse me for not writing you ere this, as I render as an excuse, my not having settled myself till now. I am now in the above place, County of Pasquotank, North Carolina, a place as un- healthy as a Physician could wish, if he had any love for his own life. The Fall months are a great harvest to him, if he did not fall a prey, himself. The land is low, very level, and very rich. There- fore, the farmers are wealthy. The people are luxurious in their drinks and diet, their water is intolerably bad, which produces sad work with the intestines. The charges of physicians are very high, 40 or 50 cents per mile for travel, emetics 40c, and all other medicine in proportion. I have met with a most cordial reception among the first inhabitants of the places which I have visited; among the common people I succeed, to my mind, by endeavor- ing to please them with those httle assiduities, which hardly ever fail to please ANY ONE. By these means and the advantages I had while under your instruction, and the intense study (which I am determined to pay) I think I shall succeed to the utmost of my wishes in point of employment. ... I had a hundred dollars on my books before I had determined on settling here in the space of One month, notwithstanding their Winter, Spring and suncuner are considered very healthy, and the sickly season over before I ar- rived. I wrote you from Norfolk. What I wrote I know not. I have forgotten. Something was requested by way of information. I could wish you to reply to them if you have not lost the scrawl; Particularly on whom I can most depend for medicine of the first quahty and honest price in N. Y.; 2d; where I could best get my books, in future. I have sent to New York for $50 worth on credit but those only which you marked. Third have the goodness Sir to give me what information you may think proper to com- municate, particularly how your operation at Exeter succeeded, the Boy at N. Hampton, and the Negro Boy and so forth. I much wish you to oblige me in one respect, and hope you will not deny me; Viz., to sell me some of your preparations. They 251 252 DR. LYMAN SPALDING will be of much consequence to me, you may depend, and not only in point of sound knowledge, but also of information. I cannot make any here. The weather is too hot, even in winter. Set your owTi price. Only send them to me, and you shall have your money. I leave it to you, what of them to send. I know you will send those that wall be of most benefit, but I beg you to send them, as you may never have an opportimity to make more, there, or at Fair- field. Send them to Norfolk by the first vessel from your Port. . . . Mrs. Spalding will please to accept my most grateful acknowledg- ments for the kind treatment by me received while in your house, and I hope you will, both, be pleased to consider me worthy a share of your esteem, which I will endeavor not to forfeit. Remember me to Miss Caroline, Nancy, and to Master Samuel,^ as also to Capt. Coues, also to the children, and suffer me to subscribe myself your Grateful Pupil, and Humble Servant, Chas. Taft." Dr. Mitchill's next letter shows Dr. Spalding planning to settle in New York, and receiving encouragement from his old friend. "Washington, 27 Jan. 1812. Dear Sir: I have waited several days since the receipt of your letter, to converse with Dr. Bartlett, but he is rather too unwell to discourse on the matter of your letter, and though I visited him yesterday in his chamber I did not mention your intended removal. As to success in N. Y., there can be little doubt, that with patience and perseverance you will suc- ceed. But I think you will find it tedious "to beat your way," as the sailors term it, against wind and tide. You will desire, of course, to figure in genteel circles, and to associate with the middle and higher classes of society. The Famihes of these orders are you know, pretty much bespoke already, and it is chiefly by a death, or removal, or a quarrel, that a new physician can gain admission, and knots of medical men are formed, who throw into each other's hands as much of the consultation business as they can. For my own part, being not among the competitors for practice, I look on with a good deal of unconcern, and let them scramble and divide the spoils in their own way. ... I know not the extent of the coimection you may have formed amongst the New England ^ Caroline, Nancy and Samuel were children of Captain Peter Coue-s and con.sequently sisters and a brother to Mrs. Spalding. Samuel Eliot Coues (1797-1867) became a merchant and ship owner of Portsmouth, was a man of great breadth of mind, wrote a great deal for the Magazines, lectured on Philosophy, wrote a "Re- search into the Laws of Force," liked to argue that Newton was in- correct in his philosophy, and was an excellent conversationalist. He was much interested in the Insane, and was for many years the Presi- dent of the American Peace Society. LAST YEAR IN PORTSMOUTH 253 people, and others, in our City, but, at any rate, I think you ought to calculate on being at least two or three years expending more money than you will earn. As to myself, I shall consider a man of your character and information, a real acquisition to our Society in New York, and extend to you the right hand of fellowship, accordingly. I am glad to learn that so much good is doing at Fairfield, and it pleases me, that my Legislative Efforts to serve that Institution, during the winter of 1810, were of avail. Yours with great esteem and regard, Sam'l L. Mitchill." When Dr. Spalding had made up his mind to leave Ports- mouth, he tried to sell his practice and amongst many- offers received, I make use of a few. Dr. Matthias Spalding of Amherst, wrote him this ex- cellent note : "Amherst, N. H. Feb. 4, 1812. Dear Sn: A few days since I rec'd a hne from you, in which you say you contemplate a removal to the City of New York in the course of the present year; provided you can dispose of your present stand, part of your Library, Ana- tomical Museum, and Physician's Stock of medicine. The Stand you say, is now, or soon will be the first in the State. I never in- tended to make tliis place a stand for Life, but intended removing either to Boston or Salem. But I have no objection to remove to Portsmouth, provided you and I can agree on the disposal of your property. ... In the First place, I have a good and I beheve a well chosen Library, and as many Anatomical Preparations as would perhaps be useful to me, as I probably could dispose of mine in this place. I consider my stand here as good as any in the Country, but it is too fatiguing for me. My rides are too long and the Society of physicians is not so good as could be wished. Will you have the goodness to write me again, and tell me what the in- come of your practice in Portsmouth is, and what your situation will be estimated at? Also, when you would wish to leave your Situation, provided you can dispose of it to your mind? WiU not our Medical Meeting be at Exeter in May, and wiU not that be a proper time for an interview on the subject? Please to write to me on the subject, and accept of my acknowledgments for your polite attention in forwarding to me the Testimonials of Fellow- ship in the N. H. Med. Society. I am, Sir, with much esteem and respect, Matthias Spalding." The letter is endorsed, $1046 (including $100 as Work House physician and $100 for public vaccination) , from which I surmise that those figures were returned to Dr. M. Spald- ing, as the income for 1811 of Dr. Lyman Spalding. 254 DR. LYMAN SPALDING This bargain fell through, as did another attempt with Dr. Edmund Carlton of Haverhill, New Hampshire, a quaint and humorous physician as the chronicles tell me, fond of minute doses of medicine. He practiced in Haver- hill until his death in 1838. Dr. Benjamin Hunking (1782-1868) who finally took over the practice was an odd sort of a man, who practiced at Lancaster, New Hampshire, after graduating at Dartmouth in 1808. After removing to Portsmouth in this year, he obtained an appointment as Assistant Surgeon in the Navy and when peace was declared, he returned to Lancaster where he not only practiced medicine, but was Post Master and Judge of Probate the rest of his life. He had a tower- shaped skull like Sir Walter Scott, and was a Character. Three of his notes concerning this affair may be put into the following shape: "July 9, 1812. Dear Sir: My friends have long been solicitous that I should leave the most laborious business in the world or re- move to a place where it could be attended to with less fatigue. I should be unwilUng to obligate myseK to respond to any sum till I had made a trial in the place. If at the end of a year, I should see only a bare competence, I should entirely abandon the place, rather than pay the sum you name. On the other hand, if I should think there was a tolerable prospect of doing in the course of a few years, business to the amount of $1500 or $2000, I would pay the sum mentioned in yearly payments of $200 or $300. Of the chances for such circumstances you are the best judge. Your Friend, Benj. Hunking." Writing August 18, he adds: "I think I shall so far arrange my business here as to be in Portsmouth the first of October. Nothing shall prevent except as a result of health and that is better than when I saw you last. Should it continue as good, or improve, it is my determination to remove to your place. B. H." After dechning the offer of the Anatomical Cabinet, in August, Dr. Hunking settled in Portsmouth in October, left there in the early Spring of 1813, and his office was occupied by Dr. John Thurston, formerly practising in Castine. Dr. Thurston remained in Portsmouth some years, and then re- moved to Newburyport where he died in 1835. His letter expressing a desire to come earlier to Portsmouth did not arrive until an agreement with Dr. Hunking had been LAST YEAR IN PORTSMOUTH 255 signed, but as it is so informatory concerning both the writer and its recipient, it shall find a place here. "Castine, Maine, Sept. 6, 1812. Dear Sir: Since I had the pleasure of seeing you, I have formed a determination to leave this place, provided my prospects do not brighten in the course of three months. I have of course, busied myself in looking for a residence, elsewhere. You having informed me, that you would probably leave Portsmouth in the Fall, it occurred to me that you must leave room for a successor. Though you are not satisfied with your situation, yet as my expectations at this time are small, and would be answered by a decent livelihood, perhaps the prospects afforded by the business of the town, and the patronage of such as might be inclined to exert themselves in my favor would accomplish the object desired. If you have determined to leave, and have not disposed of your influence, which must be extensive, if it is agreeable to you, I would ask, whether, and on what terms, you would be willing to exert it in my favor. Your acquaintance with me you may think insufficient to authorize you to recommend me. I would refer you to Dr. Nathan Smith, or Dr. Noyes of Newbury. Wishing you all the success in your scientific pursuits which your researches merit, and that you may be enabled to find a place more congenial with your views, I cannot but regret that you have been so poorly rewarded. Yours Respectfully, John Thurston." A brief note from Dr. Mitchill shows him still remindful of his young friend in Portsmouth. "Washington, Feb. 21, 1812. Dear Sir: I regret that before the arrival of your note. Dr. Bartlett had left the seat of Government. Finding himself too unwell to perform the duties of his station, he had obtained leave of absence for the remainder of the session. Your BILLS of Mortality have been respectfully quoted by Mr. Meyer of N. Y., in his Work, "On Insurance Upon Lives." Your Bill for 1811 contains the melancholy record of almost a fourth of the people dying with consimaption. Is there no Balm in Gilead! Yet, why not die of that disease as well as any other!! Re- spectfully Yours, Sam. L. Mitchell." Medical interest at this time was concentrated on artificial mineral waters, and as Dr. Spalding had been the leader in introducing them, he had frequent inquiries concerning their composition. I offer at this point a letter from Dr. William Thorndike (1785-1818) of Portland, Maine, which mentions the subject. "Portland, Maine, March 28, 1812. Dear Sir: I took the liberty of writing by my friend to you, for information on the subject of 256 DR. LYMAN SPALDING preparing artificial mineral waters. My Friend not having been so fortunate as to have the pleasure of seeing you on his return from Boston^ I hope you will excuse me for renewing my request, by writing. I have conversed wdth Mr. Cleaveland/ Professor of Chemistry at Bowdoin on the subject. He is of the opinion these waters may be accurately prepared by repeatedly combining the materials wliich^ compose them. This method, however, would of necessity occupy considerable time, and likewise incur considerable expense, which induces me to ask you to point out to me the most ehgible method of obtaining information on the subject. The sale for those Waters in this place would probably be very small, but as I am in the Practice of Physic, it might be of some consequence to me. If you would be so obhging as to write to me a few lines about the subject of my request, you will not only confer an obhgation of friendship, but I shall feel myself in duty bound to make you ample remuneration for your trouble. With profound respect, etc, Wm. Thorndike."^ Soon after his recovery from the affection which had caused him to leave Washington, Dr. Josiah Bartlett re- called the fact of Dr. Spalding's intention to leave Ports- mouth, and sent him this charming note. "Stratham, April 14, 1812. My Dear Sir: Learning with re- gret that you contemplate a removal to the State and City of New York, permit me, my friend to avail myself of this opportunity to assure you of my respectful esteem. Your labors in the study and practice of medicine since your residence in our vicinity have called forth the gratitude of the people and the esteem and friendship of your professional brethren. Our Society will lose the services of an able, active member and Officer, and one to whom it is beholden for many of its useful regulations. For myself, I assure you that ray expectations of your usefulness in the first commercial city in the United States, alone mitigates the sorrow I feel at our loss. May you still pursue scientific truth, both theoretically and practi- cally, and continue your beneficial career; is the sincere wish of Your Friend, Josiah Bartlett." 1 Professor Parker Cleaveland (1780-1858) was graduated at Har- vard in 1799, served there as Tutor some years, and then was elected Professor of Mathematics, Natural History and Chemistry at Bowdoin. He was a very eccentric, yet able teacher and received many honorary degrees. His "Text Book on Chemistry" attracted world wide attention. Painfully accurate as a lecturer, all of his chemical experiments were neatly planned and successfully carried out. ^ Dr. Thorndike was appointed Surgeon's Mate in the Army, and after the War of 1812 he settled in Milford, Ohio, where he died. LAST YEAR IN PORTSMOUTH 257 A letter written at this time, by Mr. John Jackson, already mentioned as a cousin of Dr. Spalding's living in New York, gives much information concerning physicians' offices and rentals at that time. "New York, 15th April, 1812. Dear Sir: I have this day pro- cured for you the refusal of two Rooms, on 2d floor of a House situated in Broadway No. 197, between St. Paul's and Trinity Churches, in an eligible situation, one of which is a small bed room in front, directly over the front door leading into the house, with a sitting room back, and well calculated for a Study, and Office at the moderate rent of £45 per annum for both: to be furnished with everything needed in a decent style, say Bed and Bedding, Chairs, Tables, Looking Glass, Andirons, shovel and tongs, washing uten- sils, and Carpet, mth a privilege of breakfast and Tea in your own room or with the family, at an addition of Three Dollars a week, optional, however, with yourself. The sitting room is a handsome square room about the size of the Sitting room in Capt. Coues' house. It is also optional for you to furnish your own rooms, in which case you can have them at £40, equal to $100. The landlady is a Widow and has 8 or 9 steady boarders, all yoimg men in busi- ness. She appears to be disposed to accommodate on favorable and easy terms, and it is also a pleasant and agreeable Lady. I obtained the rent low, her principal object being to secure a perma- nent tenant for a year. If you should require but the one room on your arrival here, she will make a reasonable reduction for the other. An answer must be given in 8 days that she may not be deprived of obtaining another tenant, if any offer. My opinion is, they will suit your purpose, and you will have occasion for both the rooms, which will be ready on May 1st. Also there is privilege of the servant to answer your calls, and keep your rooms in order, and privilege of the cellar sufficient for your Wood. I called on the landlady who is to occupy the house in which the late Dr. Miller hired apartments. She could not accommodate you without boarding in the family, and the price $500 for board and one room. The Family is Mrs. Rogers, a pleasant family. The board, I am well acquainted with, it being my last boarding house. The room that would be given you is about the same size as the sitting room before described, and on the 2d floor next adjoining the front room, with privileges that you have stated in your letter. You will not delay answering this by return of Mail, in which case I can secure the apartments here described, as the refusal is Umited to 8 days. Please also say when you are coming on. Yours Re- spectfully, etc., John Jackson, Jun. N. B. A few letters from some of your principal characters may be of considerable advantage in establishing yourself here. Dr. 258 DR. LYMAN SPALDING McNeven ^ is appointed Resident Physician in place of Dr. Miller. Mrs. Rogers' is a BRICK house; the other a wooden one. Dr. Spalding decided in favor of Mrs. Rogers', 175 Broad- way, and lived there until his family reached New York, when they moved to No. 8 Fair St. (afterward Fulton), and finally to 81 Beekman St., on the corner of Chff St., for which a rental of S500 was paid. Dr. Wistar was also consulted concerning the proposed removal to New York, and expressed his opinion in this way. "Philadelphia, April 18, 1812. Dear Sir: I am sorry that it is not in my power to offer you any advice or to give you any in- formation relative to the subject of establishing yourself at N. Y., as I am altogether without information respecting the real state of the Practice of Medicine in that City. It may be observed, how- ever, that several medical Gentlemen who are very prominent as practitioners removed to N. Y. after they had been established at other places. The late Dr. Miller was an interesting example of this kind. Dr. Osborn 2 affords a similar example. Dr. Smith,^ one of the Professors of Anatomy, was also a stranger there. 1 Dr. William James MacNeven (1763-1841) was bom in County Galway, Ireland, and graduated at Vienna. He first practiced in Dublin and was at one time imprisoned there for political offenses, and amused himself during his detention by translating Ossian. After escaping, he served with the Irish Brigade in France, and after many adventures reached New York, where he soon obtained success in medicine. He lectured on Obstetrics, Materia Medica and Chemistry, published an American edition of Brande's "Chemistry" and was of much assistance in composing the Pharmacopoeia. His "Rambles in Switzerland" were highly prized, and as he spoke German, French, and Irish, he was considered a miracle of learning. 2 Dr. John Churchill Osborn (1766-1819) was a Grandson of Dr. John Osborn, a Harvard man of 1735, and a son of a second Dr. John Osborn (1741-1825) who served in the Colonial Wars and practiced for sixty years in Connecticut. John Churchill Osborn practiced first in New Berne, North Carolina, and then in New York, where he was elected Professor of the Institute of Medicine and Obstetrics. He owned a fine miscellaneous library and was intimate with the Literati, including Joel Barlow, whose celebrated poems he revised for publi- cation. * "Dr. Smith" was John Augustine Smith (1782-1865), a graduate of William and Mary, who studied abroad and then practiced in an obscure hamlet in Virginia. He moved to New York and prospered. He was elected President of William and Mary, but resigned, owing to an attempt to remove the college to Richmond, and returned to New York, where he served as President of the College of Physicians and LAST YEAR IN PORTSMOUTH 259 I ought not to allow this opportunity to pass without offering you my thanks for the Bills of Mortality you have kindly sent me for several years, which I assure you are most invaluable and in- teresting documents. I have the pleasure of sending to you by the Rev. Dr. Alden the first volume of "A System of Anatomy," with which I have been for some time engaged, and I shall be greatly obliged by your observations on the subject, with a view to the futiire amendment and improvement of the work. When the other volume is published, it will be a great gratification to me to send it to you. With best wishes, I am Truly and Respectfully Yours, C. WiSTAR." Dr. Nathan Smith likewise did his part in forwarding the removal to New York, and after writing to the following effect, added a Testimonial. "Hanover, May 16, 1812. Dear Sir: I have rec'd your favour respecting your recommendations. I will most cheerfully comply with your request, but being absent from home when your letter arrived, I was absent (in his haste Dr. Smith forgets the connec- tion of thought) and have now but a moment before the mail goes, and do not feel sufficiently at leisure to write all that will be proper and necessary for you, but will forward it by the next mail. . . . Not long since I received a package from London containing among other things a Letter from Dr. Lettsom, in which he observed you were elected a Corresponding Member of the London Medical Society, with due honors. My package was dated in March, 1810, was directed to New York, but at last came from Philadelphia to Boston, and then to me. If you have not received your Diploma,^ please to write to me and I will cause your appointment to be pub- lished in the paper. Your Friend, Nathan Smith." The Testimonial arriving by the next mail reads in this way: "To Whom It May Concern: This may certify that the bearer. Dr. Lyman Spalding, after completing his preparatory studies, commenced the study of Surgeons. His quarrels with colleagues created a tremendoua dis- turbance in medical circles, the vilest epigrams being bandied to and fro in the public press. Dr. Smith brought out an Edition of Bell's "Surgery" and was an able, but obstinate practitioner of medicine. ^ This diploma was finally received in 1813 through the kindness of Dr. George Parkman (1791-1849) on his way home after receiving a degree at Aberdeen. He obtained from Dr. Spalding much in- formation concerning the Maniac Hospital in New York, and utilized it for his essay, "Proposals for establishing (in Massachusetts) a Retreat for the Insane." Dr. Parkman devoted much of his time to humanitarian purposes, and as will be remembered, was murdered by a fellow physician. 260 DR. LYMAN SPALDING medicine under my instruction and continued with me Three Years; during which time he attended two annual com'ses of- Medical Lectures at Harvard University, where after examination he re- ceived a Medical Degree. Dr. Spalding was afterward appointed Lectmer on Chemistiy in Dartmouth University, in which situ- ation he officiated with honor to himself, and to the satisfaction of those who attended his lectures. Since that time Dr. Spalding has attended the Medical Professors at Philadelphia, where he dis- tinguished himself in the Science of Anatomy, especially in his Demonstrations of the Lymphatic System. He has also given two courses of Anatomical and Surgical Lectures in the College of Physicians and Surgeons at Fairfield, N. Y., with great abihty and success. As a practitioner of medicine and surgery he has long sustained a proud rank in his native State, having performed with Skill, all the critical and important operations in surgery, and re- ceived as the reward of merit an Honorary Degree of Doctor of Medicine at Dartmouth College, and elected Honorary Corre- sponding Member of the London Medical Society. From a long and intimate acquaintance with Dr. Spalding, I do most sin- cerely recommend him to the public as a man of distinguished merit in his Profession, and one in whom they may repose great confidence. Nathan Smith, M.D. Prof. Med. and Surgery at Dartmouth College, October 9, 1812. As summer drew on this additional news from Dr. Taft, in North Carolina, must have been welcome to his Ports- mouth friends. "Nixonton, June 22, 1812. WAR! WAR! WAR! My respected Friend: I answer yours with the receipt of the preparations, and a number of others that I have forgotten to acknowledge before, perhaps through hurry of business. The preparations arrived in this place 2 weeks since. They were in Norfolk some time before I could get them brought here, the box having been opened and contents known to the carters going to and from this place. Some were removed. I was much disap- pointed in the small subject as it was an unhappy injection, being of wax. For the situation of the brain and its meninges it is ex- cellent, for the heart tolerable, the rest of not much account. Had you sent one in which the branches of the arterial system had been happily injected, a tribble price would not have been any objec- tion, for the weather is too variable here to make anything like an attempt in dissection, summer or winter. For the Recipes and for Dewees' "Instructions" I am very thankful, and Mrs. Spald- ing's remuneration for your Nocturnal Quill Driving, shall be duly attended to, though the distance is so great that I fear the sweet LAST YEAR IN PORTSMOUTH 261 Carolinians ^ will have been decomposed ere they shall arrive. I shall send them in the Fall season should I live so long. That your patients should have the good fortune to recover their sight, and the use of their limbs, gives me great satisfaction, but that Dr. Pierrepont should desert his best friend really aston- ishes me.2 As you learn more of the Fairfield troubles, let me have them. Dr. Josiah Noyes will never answer as Professor to any Institution; he will always be a Disturbance. I wish you were in New York! for I find great difficulty in getting medicines. My practice is more extensive than that of any other Practitioner in the County. Notwithstanding that from November to July is the most healthy part of the year, yet, I have, at very moderate chargings booked Eleven Hundred Dollars in six months from the time that I settled here. I have been quite fortunate in my pa- tients; have had one case of Necrosis of the radius and ulna dis- missed cured, and a number of small operations. Yesterday a patient was iDrought me bitten by a venomous beast called the mongoose, a horrible creature indeed. His fangs were driven into the baU of the great toe. I took out with a scalpel a large piece of flesh, then applied the lunar caustic, lustily. The foot having been corded: it was bitten 2^ hours before I saw him. I saw his father this morning: the symptoms were as favorable as could be expected. My popularity here has acquired me many enemies and back biters, but many good friends. Do write me soon. Your Grate- ful Pupil. C. Taft." Portsmouth suffered from a considerable epidemic of Spotted Fever in June of this year, and an "Account," of it by Dr. Spalding having been sent to Dr. Caldwell brought this characteristic reply. "Philadelphia, July 14, 1812. My Dear Sir: Your letter came to hand by favor of Mr. Woodward. I thank you for the hint it contained on the subject of spotted fever, but would have been more gratified as well as instructed had it gone more extensively in detail into the history of the colossal and interesting disease. I have never yet, I confess, met with such an account of it as was, by any means, satisfactory. I speak in relation, both to the history and philosophy and treatment of the complaint. Being, in our country, somewhat of a new form of disease, I feel not a little Solicitous to become, although not practically, better acquainted ^ "Sweet Carolinians" is probably a play on the sweet potatoes of the South and Miss Caroline Coues, of whom we have already heard. ^ Dr. Taft here goes into minute details of bitter quarrels between the leading Portsmouth Physicians, which may be omitted as they show a story on one side only. 262 DR. LYMAN SPALDING with it. I believe it to be nothing but a modification of the same complaint to which strangers are subject in Russia and other cold northern countries, who neglect the use of furs during the winter season. I am decidedly of opinion, that were the inhabitants of the Northern State more attentive to the character of their winter ap- parel; were they to adapt it more accurately to the temperature of the weather, so as not to allow themselves to suffer from the in- tensity of the cold, either in their houses, or in the open air; were they, I say, to pursue this course (and I am sure notliiag would be more easy) I am persuaded that Bonapartean Evil, the Spotted Fever would be less frequent and less fatal. This disease is to your winters, precisely what the yellow fever is to our summers. In- tense heat, only, produces the latter and intense cold, the former. The operations of the extremes of these two (heat and cold) on the hiunan system, is much more assimilated than is commonly sup- posed. In fact, it appears to be almost the same. So absurd is the doctrine settmg forth that the one is a stimulant, the other a sedative! There exists, however, this difference, and it is altogether in your favor, that it is much easier by artificial means to protect the body from the cold of winter, than the heat of siunmer. Were not this the case, I think it probable, that Russia, Norway, etc., would be as subject to the Spotted, as the West Indies are to the YeUow Fever. You ask, what, medically speaking, we are doing in this City. I answer: Nothing! Nothing, I mean, towards promotion of the medical hterature of our country. For at least six months past, so completely nauseated have I been with the sycophancy and sub- ser\iency of our physicians to the dogmas of a certain character,^ whose name I will not, because I need not mention, that I have, dm-ing that period abandoned medical reading as well as writing, and amused myseK with pohte and classical literature.^ It ia lilcely, however, that the winter will bring me back to my former habits. Yoiu- Obedient Servant, Ch. Caldwell. P. S. How do you and your neighbors bear the two greatest national calamities that Heaven could inflict on us British hostihties and French Fraternity! Are we not cursed even beyond the measure of our sinning? If not we are deeply gone in iniquity, indeed. C. C. N. B. Pray, what is gone with our friend Clapp? He promised to write to me, but since he left the City I have neither heard from 1 The "Certain Character" was good Dr. Rush, whom Dr. Caldwell detested for his success, and for the admiration universally expressed for him. * Caldwell's "PoUte Literature," was a "Life of John Smith," and a "Life of Commodore Barry." Oiy^'->^< A^ >?/ /^/^ OFFER OF SERVICES FOR THE WAR OF 1812:— RARE AUTOGRAPH OF DR. SPALDING LAST YEAR IN PORTSMOUTH 263 him or of him. In case of your correspondence with him, make known to him, the miimpaired state of my Good Wishes. C. C." It may here be said that during the War of 1812, now raging. Dr. Spalding offered to the Government his services as well as those of his pupil, Dr. Langdon, for duty at Fort Constitution, or for the proposed invasion of Canada. Dr. Spalding also offered his services to Governor Tompkins, in New York, in 1814, but I do not find that either offer was accepted. It is pleasant once more to come across the news from Dr. Noyes of Newbury, as exhibited in two brief notes ar- riving at this time. "Newburyport, July 19th, 1812. Friend Spalding: I had the pleasiu-e of receiving your letters and request for Morgagni. But not, till it was too late to send the books that day. They are not yet packed, but to morrow I intend to pack them and send them. It is long since I had the pleasure of hearing from you, and now the pleasure is much alloyed by hearing that you suffer by the war. Pray, how does Mrs. Spalding and the little ones? Are they frightened? If so, invite them to come to Newbmyport, for John Bull will not ventm-e over our bar, though his friend Old Davy has got Fort Joseph fast in his locker. Besides, we have voted, that "The seas are his own," so that he wiU have enough to do to stay and keep possession, unless, now and then he may find leisure to visit such wicked democratic open-mouthed harbours as yours. But, for us why, I tell you. Sir, we have our peace, beforehand! and our pious Governor has issued a Proclamation for us to pray that the whole State may be hidden till the danger has passed! What a pity that your residence has not been on this side of the N. Hampshire Une! Then, might you have had a hiding hole, too, without disgrace : or that you should not Uke us have coaxed John Bull, have stroked his dew lap or have kissed his feet. ... Be kind to Morgagni: shelter him from all the horror and depredation of war — remember, that he, as well as yourself are the old friends of Yours, etc., N. Noyes.^" 1 Dr. Noyes is here alluding to the British fleet lying threateningly off Portsmouth, with its wide open river, whilst the Bar at Newbury kept it at a distance. "Davy Jones" is a nautical Myth, with a "Locker down below," and Fort Joseph was an earthwork, now sub- merged by the ocean. Caleb Strong, the pious governor, opposed the War, wrote Proclamations advising the people to pray against it, and refused to call out the MiUtia for National Purposes, though willing to use it for home defense. Morgagni (1682-1771) was a famous ItaUan anatomist: and a profound and profuse writer on pathology and anat- omy. 264 DR. LYMAN SPALDING Dr. Noyes continues in a facetious way on August 23. "Friend Spalding, how do you do? You never were such a sober Mill-Horse-ical kind of an animal as myself who could content my- self with one crib and the same cart all the year. But you, you must go capering and kicking all about the country, even to the land of the Mohawks, while my paths are so well trodden as never to puzzle me in the dark. Well; say you, and what happiness can the same duU routine afford you? Ask the mussel or the snail! ! And if you cannot translate their language, read once more Gold- smith's "Village." I must confess that my affection never soars so high as a Genius or a Species, but must have one individual object on which to fix and vegetate. Friend Spalding; ambition is a meteor-flame, a will o' the Wisp, that lures us from happiness, and then plunges us headlong from some precipice or sinks us in the mire. Pursue your own propensities and I will follow mine. Hence it will follow, that you will come to Newburyport whenever you wish to see. Yours, Nathan Noyes." Dr. Noyes nevertheless soon proved that he had am- bition, like others, and was glad to accept, in 1813, the Professorship of Theory and Practice left vacant at Dart- mouth by Dr. Smith. Whilst looking about for a purchaser for his practice, Dr. Spalding must have been pleased to get this clue from Dr. Warren. "Boston, Sept. 6, 1812. My dear Sir: In coincidence with your request, I mentioned your propositions to my friends here. The only gentleman who has thought much of the subject, is Dr. Burge,i a very promising and well educated young man, but he has not funds at his disposal, and thinks of settling somewhere in the neighborhood of Amherst. I wish that you had favored us with some of yoiu communications for our Journal, not because we were deficient in matter, but wish for variety. The thing has succeeded better than could be expected; the whole impression of the first N? was sold and the printer could have issued a second edition if he had enterprise. We are anxious to discover whether the pubUc sentiment is in favour of a careful selection of the best European articles; reviews, etc., or whether the work is preferable in its present state. The ' Dr. Benjamin Burge (1782-1816), a medical graduate of Harvard, acted first as Tutor at Bowdoin, and received from that College an Honorary degree in 1815. He then practiced briefly at Vassalboro', Maine, but declining health drove him to Hollis, New Hampshire, where he died from tuberculosis. LAST YEAR IN PORTSMOUTH 265 former plan would be a great saving of labour. — Our Medical School is delivered of Professor of Theory and Practice, and prin- cipally by his own exertions, for, sure, never man laboured harder to sink and debase himself. We shall now have a little comfort, whether we have success, or not. The College of Physicians busi- ness is at an end,^ and its projectors in general contempt. The plan never can be revived by the same men, vmless the State should sink into a worse Democracy than ever. The death of Dr. Miller in New York induced me to believe you would accelerate your departure for N. Y., but not hearing from you I have supposed you might relinquish the plan. At any rate, I shall be glad to do whatever is in my power. Should you sell your books and Preparations I should be desirous of being informed of it. Please to give my compliments to Mrs. Spalding, and believe me With Great Regard, Your Friend, John C. Waeren." An interesting paper now at hand is a Circular of the Col- lege of Physicians and Surgeons of New York, upon which the Secretary of the Board of Trustees has written a letter which verifies the promise made to Dr. Spalding by Gover- nor Clinton, as may be recalled from the Fairfield Chapters. "September 23, 1812. Dear Sir: When Dr. Lerned was here, he showed me a letter from you in which mention was made of your intention to move to this place: This I had before supposed from the circumstance of your being appointed a Trustee of our College. As this is the case and you probably take an interest in the success of our Institution, I have taken the liberty of sending you one of our Circulars, and enclosing one to Dr. Lerned, not knowing his address. Yours with Due Respect, J. Aug. Smith." This circular outlines the approaching session, and names as lecturers. Dr. De Witt, Smith, Hosack, Mac Neven, and Mitchill. A brief note from Mr. Bill Barnes, here, throws a little light on family history. "Claremont, Sept. 24, 1812. Sir: I am favored with an oppor- tunity at this time to write to you by the Rev'd Mr. Ballou,^ and have the pleasure to inform you that I and my family are all in health, and that your Father and Maam were at our house within ^ "The College of Physicians" in Boston was for a while a threaten- ing rival to the Harvard Medical School. 2 "Mr. Ballou": Rev. Hoseal Ballou a celebrated preacher first in the Baptist and afterwards in the Universalist Denomination. For many years he preached daily, all over New England, and was at this date on his way to Portsmouth where he settled permanently. He lived until 1852, active to the last day of his 82d year. 266 DR. LYMAN SPALDING a few days, and Sanford ^ came to day. So that I think your rela- tions and friends about us are all well. I hope these lines will find you and your family all in good health, and prosperity. Your sister, and Eunice in particular wish to be remembered. Your sister says she is fixing a square of flannel which your children are to have part of, if by your means or ours we can get the flannel to them. With respects your sincere friend, Bill Baknes." When it became definitely known that Dr. Spalding was leaving Portsmouth, his friends came forward with many testimonials, one of them taking the form suggested by Dr. Bartlett of Stratham: "My Dear Sir: Being absent when your billet was left at my former dweUing, I did not see it till the Monday following. Being on that day at Exeter, Gen'l Peabody suggested the propriety of a number of Medical Gentlemen uniting in presenting you our testi- monial of respect for your talents and industry in the Profession, and regrets for your proposed removal from our vicinity, which suggestion met with my cordial approbation. Not at this time recoUectmg any who resided in or near to the City of New York, to whom you are not known, yet perhaps a letter to you which may (as you shall find occasion) be shown to any who may be acquainted with me, either personally or by reputation, might be of some use; therefore I take the liberty to write you, accordingly. Yours with Respect. Josiah Bartlett." The testimonial presents the departing physician in a flattering light as a leader in Medicine and is signed by: Ammi H. Cutter, James H. Pierrepont, Josiah Dwight, Joshua Brackett, Joseph Tilton,^ Josiah Bartlett, Joseph Good- hue, Nath'l Peabody,^ Sam'l Tenney," and WiUiam Cutter. 1 "Sanford" was Dr. Spalding's nephew, and "Eunice" Mr. Barnes' sister. 2 Dr. Joseph Tilton (1744-1838) of Exeter served as surgeon during the Revolution and practiced over sixty years in Exeter. 3 "General" Peabody (1741-1823) of Exeter, also, "the only phy- sician who ever practiced from a County Jail as his Residence and Office," studied medicine with his Father at Plaistead, New Hampshire, and began practice when he was but 18 years of age. During the Revolution he served as Adjutant General of New Hampshire, from which office his title originated and clung to him for life. He was very capable, but extravagant in his mode of life, contracted debts which he could not or would not pay, and was thrown into jail by his creditors; living there for years. He was, however, permitted to see his patients, there, or at their homes, at certain hours daily. He was a charming man of great promise hut small fulfilment. * Samuel Tenney (1748-181G), an original founder of the New Hamp- shire Medical Society, a Harvard Graduate of 1772 and a surgeon in ^yfel^^J^OL^i 4o\ ^ runy^ fAA-C THOMAS JEFFERSON'S ACKNOWLEDGMENT OF THE SCULL CAP PAMPHLET THE CASE OF JAMES CANN 327 famous Dr. Frank/ and hoping that he will accept the gift of some enclosed, and adds that: "By using our Granules in your practice you will be an antagonist to those many dangerous medicines with which the world is now flooded." The Post Script adds: "Our chief reason for writing you, from whom the Baron Larrey has most recently received your pamphlet on Scutellaria Lateriflora, is to beg you to send us a specimen of the plant. We do not doubt its efficacy, but would be pleased to prove its value in the face of many other remedies likewise claimed as specifics. All that is done in Paris for a preventive is to cauterize the bite and to give mercurials abundantly." A copy of the Pamphlet was also sent to Thomas Jefferson, who returned an admirable autograph, in which he regretted the ravages of hydrophobia, and hoped that the remedy for this afflicting disease had at last been discovered. The medical magazines and newspapers of the United States continued to publish notices of the Pamphlet on Scull Cap, long after the death of Mr. Cann, but its real aim to prove, that the suggested remedy amounted to nothing as a prophylactic or cure, seems to have been entirely mis- understood, for it was still lauded to the skies as a great discovery. In order, finally, to set the profession and the public aright, Dr. Mitchill was obliged to come forward in the "Repository" with the following Statement: "Of the famous Scull Cap, we should have nothing more to say, had not "Le Journal Universal de Paris" brought it once more to our notice with its thousands of wonderful cures from the Pamphlet of our Dr. Spalding. As the French Editor apprehends that de- spite this, it will soon be laid aside and forgotten, we are surprised that he should ask for the quantity to be given. But, our Author has not been understood by the French, and that he should no longer be at variance with them, we subject his letter to the editor of the journal just mentioned." "Sir: I am constrained to say, that my pamphlet on Scutellaria, was written for the express purpose of bringing together all the 1 Johann Peter Franlc (1745-1821) wa& a great man of that era in the courts of Europe, lecturing on medicine at the Universities of Pavia, Petrograd and Vienna. He directed many army medical reforms in Austria and had reserved for his use a suite of apartments in the Im- perial Palace at Schoenbrunn. He wrote "A Complete System of Medi- cal Polity" which contains all of the public health ideas of today. The Granules of Health were exploited privately from his prescriptions. Beethoven often visited Dr. Frank with recent musical compositions. 328 DR. LYMAN SPALDING evidence on which the public reputation of the herb rested, in order that the medical public might be better able to judge of the anti- dotal powers attributed to the plant. I did not pretend to arrogate to myself the right of intruding my opinion upon the public. But you have in your journal drawn an erroneous inference when you say that Three Hundred persons and a Thousand animals have been cured by the plant. What I did say, was, that it had been employed by Three Himdred and Fifty persons believed to have been bitten by rabid animals, and that in only Three instances did hydrophobia supervene, AND, that it is said to have been administered to more than a Thousand animals bitten by brutes supposed to be mad. You also say, that I pretend that Scull Cap is a specific against Hydrophobia. But, my pamphlet does not express any such opinion as being entertained by me. For, I have invariably de- clared both before, and since the publication of my pamphlet, that there was not sufficient evidence available to convince any medical man of the prophylactic or antidotal powers of Scutellaria. Lyman Spalding, M.D." So far as can be discovered this was the last public mention of Scutellaria Lateriflora in Hydrophobia. Yet it is plain to understand that, what with all these public discussions on this dreaded disease, the Case of Cann, and the proposed Pharmacopoeia of the United States, now well under way, the name of Dr. Spalding must have been very well known throughout the civilized world. CHAPTER XXI. A Brief Summary of what Dr. Spalding Accomplished in New York City, with Notes of Some of the Physicians with Whom He was Most Intimate. 1813-1821. Immediately after arriving in New York, in 1813, Dr. Spalding delivered his letters of introduction, went about making acquaintances, attended the meetings of the Trus- tees of the College of Physicians and Surgeons, and made frequent visits to the New York Hospital, as his Case Books show. He called upon Mr. DeWitt Chnton, the Jays, Dr. Hosack, was made much of by Dr. Mitchill, and by these friends was introduced to the Literati, Coleman, Drake and Halleck. He was chosen Secretary of the State Historical Society, and read papers before it ''On the Connecticut River Valley," and "On New England Chmate" in which he mentioned a fall in temperature of 52° between sunset and sunrise in Portsmouth. In company with Dr. MitchiU and Dr. Vancleve, he measured the temperature of the water of a well on Broadway, finding it 54° whilst the August air stood at 80". He wrote for the Newspapers, reviews of lectures by Dr. Mitchill and Dr. Ramsay on Natural History, notices of a new Comet and a recent earthquake, and during an epidemic of fever he defended physicians who had been censured by the papers for trivial causes. When a physician of standing publicly claimed that quacks were curing the fever with "Catnip and Olive Oil," he inquired why that physician was not treating his patients in the same way and complained that it was unfair in this way to create false im- pressions against other physicians who were doing their best to find a remedy for the pestilence. Dr. Spalding was also elected Secretary of the County Medical Society, a position which he held for fife, and at its meetings read papers "On Fever," "Cataract," "Hernia" and "Amputations." Amongst his "Open Letters" to celebrated physicians, I find one to Baron Larrey "On Buf- fing and Cupping of the Blood," and to Dr. Wistar, one "On 329 330 DR. LYMAN SPALDING Calcareous Concretions in the Knee Joint," and a second "On Preparations of the Nerves." In this he says: "It is something magnificent I assure you. You can see every nerve of its natural size." "The cerebral nerves are painted after the natural colors of the Rainbow, Red, for the 1st pair, Orange for the 2nd, and so on, whilst the 8th and 9th are painted in shades of Gray and Blue. The sympathetic is Canary, the Phrenic Greenish, the cardiac Bright Orange. The moment you cast your eye on this Preparation which I have succeeded in making, you recognize each nerve and its branches from the Colors. Dr. Spalding was much interested in the study of tuber- culosis, and fancied that, in addition to fresh air, he had found a cure in Sulphate of Copper. The only Obstetrical paper which he wrote was concern- " Interlocked Twins." His earliest medical paper was one written at Portsmouth on vaccination, in 1800, and his last paper was on the same subject in New York, in 1820. His only physiological paper was "On the Accommodation of the Eye," in which he argued that the crystalline Lens was moved to and fro by the extrinsic muscles of the Eye. He made frequent Post Mortem examinations, and reported an instance of the pelvis of a child of 5 containing in a cyst a well-formed foetus. As a student and teacher of Chemistry, he stood in the front rank at Hanover, and at Portsmouth, but after remov- ing to New York he seems to have given more time to Anatomy, Surgery and Internal Medicine. Amongst the physicians of New York with whom Dr. Spalding consulted and whom I find mentioned in his medical papers, was Dr. Richard Sharp Kissam (1763-1822), a fashionable surgeon and medical leader in New York for thirty years. He performed, for instance, 69 lithotomies with but three deaths. He was devoted to Horace, and to Zimmerman, the Mystic and Poet, whom he had met in Germany and who had presented him with a copy of his "Solitude" which Dr. Kissam highly prized and often showed to his friends. Dr. Ansel W. Ives (1787-1838), another warm friend and frequent consultant, was a favorite scholar of Mott's, and noted for his very successful translation of Paris' "Pharma- cologia." A BRIEF SUMMARY . 331 Dr. Thomas Cock (1782-1869) with whom Dr. Spalding left his patients when out of town, was Professor of Anatomy and Surgery at Rutgers, and later, President of the College of Physicians and Surgeons, in New York. The City of New York gave him a Silver Service for his labors during an epidemic of Yellow Fever, but his final reputation was based on his skill as an obstetrician. Active in practice for years, he left few if any papers on medicine. Dr. Hugh Williamson (1735-1819) with whom Dr. Spalding often served on Medical Committees of the County Medical Society and in consultations was a Nestor of the profession in those days. He had been in early life a Professor of Mathematics in the University of Pennsylvania, but his mind finally turned to medicine, and he practiced for a while in North Carolina. He ultimately studied abroad, and after his return he settled in New York and was a famous man. That he was highly esteemed was proved by the fact that both Dr. James Thacher and Dr. David Hosack wrote a "Life of Dr. Williamson." Dr. John Cummings Cheeseman (1788-1865) had the reputation of a conservative surgeon of high standing on the Staff of the Hospital. In an old notebook here at hand I observe that as he and Dr. Spalding were once walking from some consultation, they met Dr. Mott, Dr. Smith and Dr. Dykeman on a similar errand and as they sauntered along they talked of their respective Cases. Dr. Joseph Mather Smith (1789-1866), just mentioned, took much of Dr. Hosack's practice upon his retirement, was a Lecturer on Clinical Medicine at the College of Phy- sicians and Surgeons, and wrote many medical papers of considerable value at that time. Dr. Jacob Dykeman (1788-1822), the third of this group of consultants, was a favorite student under Dr. David Hosack, and at an early age obtained a high position on the Board of Health of New York City, in which position he did a great deal of good by his energetic perseverance. He found time, additionally, to edit Duncan's ''Dispensatory" and was re- garded as a most promising young physician, when he sud- denly died from overwork and a resultant acute tuberculosis of the lungs. Dr. Valentine Seaman (1770-1817), a very kind friend to Dr. Spalding, is asserted to have been the first physician to vaccinate in New York, obtaining his vaccine personally 332 DR. LYMAN SPALDING from Edward Jenner. He twice contracted Yellow Fever during his investigations to prove that it was not a con- tagious disease. Dr. Seaman early analyzed the medicinal value of the waters of Saratoga and wrote much concerning them, and he is also beheved to have been the first physician to estabUsh a School for Nurses in New York. Dr. James Ludo^dck Phelps (1785-1869) often assisted Dr. Spalding in operations of various sorts. He had been one of Dr. Spalding's earhest pupils at Fairfield, but as that School did not at that time have power to grant degrees, Dr. Phelps obtained his at Philadelphia, served as Ship's Surgeon on a Privateer in the War of 1812, and then settled in New York. He wrote various medical papers which obtained considerable mention, one of them being "On Rehgion as an Element of Medicine," and another "On Spontaneous Reduction of Hip Joint Dislocations." Dr. Eh Ives of New Haven, Connecticut (1779-1861), was fond of Dr. Spalding, gave him much assistance in forming the Pharmacopoeia, demonstrated for Dr. Nathan Smith at Yale, became Professor of Theory and Practice at the Medi- cal School at Yale, and was at one time President of the American Medical Association. He is said to have ad- ministered chloroform to insensibility as earlj^ as 1839, but did not use it surgically, at that time. From a Notebook at my desk as I write, I find that Dr. Ives once caUed in Dr. Spalding for ad^dce in a case of Lumbar Abscess when he was in New Haven. Amongst other societies to which Dr. Spalding was elected a member were the American Antiquarian, The American Philosophical, The Preston (England) Literary and Philo- sophical Society, and the Societa Economica Agraria, del Georgofili, of Florence, Itaty. Dr. Spalding was deeply religious, belonged to St. John's Parish in Portsmouth and St. Paul's Parish in New York, taught in the Sundaj'^ School of both Parishes, and was a Trustee of the Free Schools of New York. It was a bright day in his life when his friend, Dr. Mitchill, as President of the Trustees, presented to his daughter, Ehzabeth, a Gold Medal for Scholarship. When Dr. Spalding moved to New York only one physi- sician. Dr. Bard,' drove to visit patients, but later on all ' (1742-1821;; First President of College of Physicians and Sur- geons of New York. A BRIEF SUMMARY 333 fell into the habit, as it saved being buttonholed on their rounds. A bit of paper informs me that Grandfather's income for one year, his second in New York, was $1646. Beyond that I have no knowledge of what he made in practice. He was asked at one time for the sake of pubUc health to report the condition of Beekman Street, and here is a Hst of what he observed : Offal of fish and fowl, beef bones, barrels of sha\dngs, potato peelings, decayed apples, corn cobs, crab and clam shells, chimney soot, pea pods, cellar rubbish, six loads of cow manure standing in the roadway for 24 hours, bricks, mortar, a dead hog, ■with a dead cat and hen Ijing alongside. My Father, as I have said, used to fish off of Wall Street wharf as late as 1821, and once he followed with the crowd a cart containing a man with a rope around his neck and seated on his coffin, on his way to the foot of Wall Street where he was hanged from the yard arm of a brig. A Portland, Maine, "Argus" of November 11, 1819, dates this occurrence for me. One of the houses occupied by the Spalding Family was not far from the rear of one belonging to Aaron Burr, and the boys used to peep through the fence and if they saw ■Mr. Burr they would occasionally have courage to cry out: "Who killed Hamilton?" and then run for dear life. The amusements of the Spalding family were few: a lecture, a concert, fireworks at Delacroix's Garden and, per- haps, a play, filled out the list. The family generally passed the summer in Portsmouth, but one year they lived on a farm at Bergen, Dr. Spalding coming over once a week on the ferry and then walking the rest of the way. On one occasion the family ^'isited the Frigate "President" just be- fore she sailed out to be captured by four British vessels, early in January, 1815. Lieutenant Babbitt, who had given them the in\'itation, was killed in this action. CHAPTER XXII. The Pharmacopoeia of the United States: its Origin and Col- laborators. Accident to Dr. Spalding. Return to Portsmouth, and Death. 1817-1821. For ten years during the daily interruptions of an active practice, I have done my best to elucidate the old docu- ments on which this work is founded and to throw light in that way on the career of my Grandfather. I have fol- lowed in his footsteps with hardly a score of his own letters as a guide, and it is now my final task to mention what I have discovered concerning the composition of the Pharma- copoeia of the United States, his closing work in medicine. I think that Dr. Spalding first obtained the idea of a National Pharmacopoeia from Barton's "Collections for an Essay toward a Materia Medica for the United States" read before the Philadelphia Medical Society, February 21, 1798. For in mentioning certain drugs. Barton says, "They should have a place in the Pharmacopoeia of this Country, when such a Desideratum shall be supplied." In a similar essay of 1804, Barton repeats these words and causes them to be printed in Small Capitals. I know that in 1808, Dr. Spald- ing discussed the Pharmacopoeia with Dr. Smith and Dr. Ramsay. It is furthermore probable that when Dr. Spald- ing visited Philadelphia, in 1809, and saw Dr. Barton daily, he conversed with him on the possible chances of ever com- posing a work so much needed by physicians. Whether these surmises are true or not, it may be safely said that Dr. Spalding was the first physician in this country to read a paper on a National Pharmacopoeia, and to offer a working basis for its foundation. Although a committee was appointed to carry out his idea, in the end, he did nearly all of the work, personally, and carried the book through to publication and sale. To him, then, the merit, such as it may be. Drugs may be less used than of old, but in that era they were the stock in trade of every physician. The practice of medicine then was the giving of drugs. Dr. Spalding not only consolidated all previous descriptions of 334 THE PHARMACOPOEIA OF UNITED STATES 335 drugs into a pharmacopoeia that should be National, but he set an example which physicians of other countries followed. A History of the Pharmacopoeia appears in every new edition of that Work, but its intimate history is better seen in the appended letters, which show its originator as the leader of a small band of intelligent physicians whom he rallied to his aid, and who accomplished their purpose in spite of the great difficulties of travel and communication by mail which then prevailed. As I have already said, Dr. Spalding read before the New York County Medical Society, Monday, January 6, 1817, his paper setting forth the needs of a National Pharma- copoeia: physicians were using different books in com- pounding their drugs, the names of those drugs varied eveiy- where, some drugs were inert, others were compounded on foreign standards, different textbooks were used in different medical schools of instruction, doses were unlike in various parts of the nation : in a word National Uniformity was im- perative. When his paper was finished a Committee w^is appointed, including Dr. Spalding and his personal friends, Mitchill, Hosack, Rodgers, Stevens, Watt, Post, Sterns, Sykes^ and Beck.2 This Committee met at the house of Dr. Spalding, and from there he personally mailed the Circulars concerning the Pharmacopoeia, to the entire medical world. The Com- mittee reported progress, occasionally, to the County So- ciety, and in 1818, they presented a Plan to divide the Country into Northern, Middle, Southern and Western ^ James Sykes (1761-1822) of Dover, Delaware, was a very religious man, and in the midst of a wave of a fervent Revival, he was swept on the wave of Reform into the Governor's chair of Delaware, where he was a conspicuous success. When Dr. Edward Miller, of New York, died, Dr. Sykes, who had practiced side by side mth him in Dover, took his practice and obtained fame as a lithotomist. Gout, however, getting, as we may say, a foothold upon him, he went back to Dover where he died. 2 Theodric Romeyne Beck (1791-1855) was lecturer on Medical Jurisprudence for one term under Dr. Spalding's Presidency at Fair- field, and continued in that Chair until the school was dissolved. He then lectured on Materia Medica and Insanity in which he was greatly interested, at the Albany School. He edited for many years "The American Journal of Insanity," and with his brother John Broadhead Beck wrote the earliest book on "Medical Jurisprudence" in the world. 336 DR. LYMAN SPALDING Sections, and to invite the State Medical Societies and local Medical Schools of that district to send delegates to a Con- vention to be held in 1819 in each Section. The Four Sec- tions were to choose delegates to a National Convention, to be held in Washington, in 1820, at which time it was hoped that the work might be completed. During these years, the news that the Phannacopceia was underway brought to its originator many letters from which I choose for printing only those which throw light on the progress of the work. Here are two from Dr. Shattuck and Dr. Warren introducing to our notice a possible publisher for the Pharmacopoeia when completed. Dr. Shattuck's letter reads in this way: "Boston, November 24, 1818. Dear Sir: Mr. Wait, proprietor of Thacher's "New England Dispensatory" hands you this letter. His object is to procure the countenance of your ablest Physicians to this valuable pubUcation. He desires that it may become the American work, to be recommended to the public by the public teachers of medicine. Dr. Thacher has promised Mr. Wait to conform the next edition of the Dispensatory to the Pharmacopoeia wliich you are now about establishing. Any suggestion you may make to Mr. Wait in facilitating the accomplishment of his design will be gratefully remembered, by Sir, Your Ob'd't Serv't, Geo. C. Shattuck." and Dr. Warren's is nearly to the same effect: "Boston, 24 Nov'r, 1817. My Dear Sir: I beg leave to mtro- duce to you Mr. Wait of this town. Mr. W. is proprietor of Thach- er's "Dispensatory," and is desirous to converse with you on the subject of the American Pharmacopoeia. This, I had no doubt would be agreeable to you, as Mr. Wait may contribute to the pros- ecution of the plan, and you may, perhaps, be able to assist him if the American Pharmacopoeia should go on. Mr. Wait is a gentle- man of Intelligence and stands at the head of his profession here. I am with great regard, Y'r Friend, J. C. Warren." Three months later Dr. Spalding must have been dis- couraged to learn from Dr. Warren, that Massachusetts was planning to issue a revised edition of its own Pharmacopoeia. "Boston, 21 March, 1818. Dear Sir: I feel myself very much obhged by your present of Ramsay "On the Brain," ^ as I did not possess the book, before. ' Alexander Ramsay's "Brain" had a great run at this time, being well written and containing fine illustrations from plates engraved by the author. ^C^t^ JC2.^ 2// /^// C' \'0r. W.^, ,-^^ ' /y/ A: ^y^ FROM DR. SHATTUCK ON THE PHARMACOPOEIA THE PHARMACOPGEIA OF UNITED STATES 337 At the last meeting of our Medical Society a Committee was appointed to revise and re-publish the Massachusetts Pharma- copoeia, of wliich Committee, I have the honour to be chairman. The Comm: were also empowered to correspond on the subject with medical societies in other States, if they saw occasion. Should you have any remarks to make you will oblige us by transmitting them. We propose that the work shall proceed slowly. Dr. Jackson and myself have determined to relinquish the practice of midwifery.^ The mode in which we wish to do it, is to transfer that business to the hands of a well-educated female. We wish to inquire of you, whether there are any such females in New York, and would be extremely obhged by your ideas on the subject.2" The rest of the letter refers to the vacancy in the Ana- tomical Chair at Philadephia, and has already been inserted in the Chapter of this work deahng with that episode after which Dr. Warren signs himself; Believe me, My Dear Sir, with Great Regards, Y'r friend, J. C. Warren. The next news concerning the Pharmacopoeia comes from Dr. Lemuel Kollock (1766-1823), a man with a remarkable career. Descended from the Huguenots he was born in Wrentham, Massachusetts, where his Father was a town official. Lemuel as a child suffered from "Scrofula" in the eyes which left his sight impaired for life. He persevered despite this handicap, and studied medicine with Dr. Carter of Newport, Rhode Island. In Dr. Carter's home he met a Southerner, who induced him to settle in Georgia, where I have found him first, on Cumberland Island and later on in Savannah. Dr. Kollock wrote many medical papers, one on "Scarlatina" being of more than ordinary merit. "Savannah, 9 June, 1818. Dear Sir: I have been so often ob- liged by your kindnesses, that I feel ashamed that I have been so long a defaulter in acknowledgements, at least. Your favors of the Bills of Mortahty for Portsmouth which you were so kind as to forward to me, I have filed in the Collections of the Med. Soc. of tliis State. We have felt obhged by these coromunications, and 1 The idea of Dr. Shattuck and Dr. Warren abandoning the practice of midwifery may have originated from the publication not long before of a paper by Sir Anthony Carlisle of London, "On the Impropriety of Men being Employed in Midwifery." Sir Anthony (1768-1840) was a man whose opinions carried away all opposition. 2 This paragraph is outlined on the margin of the letter and marked : PRIVATE! 338 DR. LYMAN SPALDING have endeavored to make you a return from our place, but such is the fluctuation of our population, and the hitherto impracticabihty of securing anj^thing Uke exactness or regularity of retm'n, that we have not felt ourselves authorized to make an official pubhcation We are endeavoring to institute more method and order to amelio- rate our climate by attending to local circumstances which have hitherto, we conceive, been too little regarded, but which have had powerful influence upon the health of our Town. Surrounded as we are by marshy low grounds, much of them cultivated in rice, and in a Latitude of 31° we could not otherwise than be sickly, especially in the Autumnal months. These lands are to be drained and the rice-culture abolished, in the inmiediate vicinity of the Town. This work is now gomg on, and when carried into complete effect we feel authorized to expect great diminution of febrile diseases, and an ameUoration of climate. The actual situation of the Town upon elevated sandy ground of considerable extent, furnishing pure water is favorable to health and if these sources of miasmatic exhalations are dried, I doubt not but Savannah might vie in salubrity with most of the Atlantic Towns. With regard to the great national work the New York Society have projected, I tliink it a highly important and creditable scheme. How far we shall have zeal to materially contribute to the work, I know not, but fear it will be difficult to excite much ardour or in- dustry in a work of this sort, at present. The meeting of our Society when the Circular was laid before them was not a full one, and local matters occupied the attention, principally. The future Resolutions on the subject will be commmiicated to you. It is difficult, I believe, to keep alive an efficient zeal in medical Asso- ciations except in the immediate vicinity of Medical Schools, which furnish continued excitement. We find it the case in tliis languor inspiring climate : there are but few minds here that do not require the impulse of necessity to excite to much continued exertion. We find but few David Ramsays. The death of the late Dr. McBride of Charleston^ has deprived the Southern Section of a powerful auxiliary to such a work. I doubt if he has left one behind him who has amassed so much knowledge of the indigenous products of this country in a medical point of view. His papers, I hope, will furnish much aid. With much respect, I am, Y'r Obliged and humble Serv't, L. KOLLOCK." ^ Dr. James McBride (1784-1817) was a very eminent physician who was graduated at Yale in the Class with John Calhoun, and who practiced in Princeville and in Charleston, South Carolina. He was a profound botanical Scholar, wrote much upon that topic, and had attained a very hi^h standing in the profession when he was carried off suddenly by Yellow Fever. THE PHARMACOPCEIA OF UNITED STATES 339 Directly afterwards came more discouraging news from Dr. Jacob De La Motta of Savannah. "Savannah (Georgia), August 4th, 1818. Dear Sir- It was my intention to have written you, prior to tlie receipt of your last com- munication, but deferred it until I could state the result of the deliberation of the Medical Society on the subject of the intended Pharmacopoeia. Not having been present when the nature of your letter was considered, I cannot minutely state the particulars. However, from information, I can say the President was directed to address you, and am led to believe that the tenor of his communi- cation will not be satisfactory to your wishes, as the Society con- siders the undertaking arduous and attended with considerable in- convenience. The apathy and indifference manifested by many of our Medical Men, on subjects involving medical improvement is too well known and I doubt whether this Society will accord with what seems to have been generally approved of by Medical Societies in other Sections of the Union. I shall endeavor to urge a recon- sideration of the subject, and shall make every exertion to induce them to forward so laudable an undertaking. Should my efforts fail, I will certainly comply with my promise in giving you my feeble aid in collecting and digesting all the information and im- provements that have been suggested to my mind duruig the time I was engaged in Pharmaceutical pursuits in New York. Should I be tardy in the execution I trust you will readily impute such delay to professional concerns, as the season is about approaching when the time of Physicians is generally completely employed. Since my location in this part of the Union, my expectations have been realized, and my prospects in business are very promising. I have formed a connection in business with an old and respectable practitioner of this place, who has ever commanded the largest share of practice, and I may truly say, I see everything to render my situation pleasing. Should you think proper to write me, I wiU thank you to explain; whether the expenses of the District Delegates as well as the dele- gates to the National Convention is to be defrayed out of the sum for which the copyright will sell? In this State there is but one Medical Society. In forming a District Convention, is Georgia to inform the other Societies in the Southern Division, of their wiUing- ness to co-operate with them, and in what place they will hold their Meeting? This requires explanation, as the Circular does not ex- press in what manner, information shall be given in order to effect a District Meeting. It appears to my mind, that a Pharmacopoeia could readily be compiled by a few individuals in this City, but the difficulty would arise in giving information to the neighboring Societies within the precincts of this Division. The trouble of 340 DR. LYMAN SPALDING making communications to the several Societies within the Southern Jurisdiction would be greater than to form a Pharmacopoeia locally. As the period is somewhat distant which shall complete the under- taking, you will have ample time to make such suggestions as may further j'our wishes. Our Citj'- is very healthy, as yet, but I attribute this blessing to the scarcity of rain. We have had an uncommon dry season; consequently, vegetable decomposition and the formation of miasma is retarded; the too frequent agents in producing our Fever. Allow me the pleasure of considering myself, With Respect, Yom- Friend, Jacob De La Motta.^" In sending out his circulars Dr. Spalding had not for- gotten his Portsmouth friends and now Dr. Langdon writes as follows : "Portsmouth, Sept. 11, 1818. Dear Sir: The circulars you sent by my Father in the Spring, with regard to a National Pharma- copoeia, according to your request I distributed. The Medical Society at their last meeting appointed a Committee, and did something more upon the subject.^ Dr. Pierrepont tells me that he shall write you, shortly, an account of their proceedings. The package, also, by Mr. Parry enclosing Bills of Mortality I have received safe, and as you requested have waited upon the physicians who practiced here in those years. Dr. Cutter says he possesses no means of information, neither did his son William leave any data from which information can be taken. Dr. Pierre- pont has never kept any account, and therefore is imable to make any corrections. Dr. Dwight undertook to make some. You will see by the Bills, how he succeeded. I expected he would have been able to do more. The letter to the Selectmen I have also handed to Mr. Langdon their Chairman to be laid before the Board. The Bills of MortaUty you will receive herewith enclosed. 1 Dr. De La Motta (1788-1845) was born in Savannah and during his medical studies met Dr. Spalding first in Philadelphia and later in New York where he gave much attention to Materia Medica. He served as a Ship's Surgeoh during the War of 1812, and then practiced in his native place becoming a member of the State Medical and His- torical Societies. His pamphlet "On Spirca" is worth recalling, as well as the fact that as a reward of his botanical and Medical writ- ings he was chosen an Honorary Member of the French Academy of Science. * The records of the New Hampshire Medical Society show that a committee of three, Dr. Matthias Spalding, Dr. David L. Morrill and Dr. Daniel Adams wag appointed to communicate with Dr. Lyman Spalding and give him ail possible assistance. THE PHARMACOPCEIA OF UNITED STATES 341 The state of enterprise in medical science here is such as it was when you were with us, and still needs Spirit, and Enterprise like yours to make its existence appear. Our State will not probably be able to furnish much matter towards the great work you have undertaken. Still that you may well and fully succeed in so great and so useful an undertaking is my earnest wish. Yours with Much Esteem, W. Eustis Langdon." Dr. Pierrepont also mentions the Pharmacopoeia and gives us Family news. "Portsmouth, Sept. 16, 1818. Dear Sir: You kindly offer to electioneer for me, so that I should be one of the grand Med'l Con- vention, for which I feel obliged to you. In contemplating on this favorite subject and in organizing its various stages, it occurred to you to compliment your old acquaintance. But, on cool reflection you must without doubt have seen how inappropriate to my taste would be a mission like that. I should be dehghted to visit you, and N. Y., but it must be in the indolent character of a private friend. But for a Mission! The only one that would please me must lead me to the solitudes of a dark and noiseless wilderness: to the centre of a desert whose extent should be that of one quarter of the World. Respecting this National work contemplated, I wish you all success that its nature is susceptible of. I hope you will effect its establishment, and be dehghted with the share of reputation resulting from its accomplishment. I did not attend the meeting of the N. H. M. S., but have within a few days been informed that arrangement is made to meet the first stage of this subject. In this section of the country everything goes on with a specific torpor and in particular, medical science. It is probable, our con- tributions cannot be extensive or very conspicuous. Here, is a large and dense cloud (perhaps filled with fiery storms) but we want some one to rouse, agitate and make them coruscate. But, to quit this subject. Yom' Father Coues has an enlarge- ment of the Parotid Gland: at times, considerably painful, not however having that pecuhar hardness of the common schirri. There is a degree of elastic feeHng as if a fluid was contained in a thick sac of a texture like a tendon. He at present has it covered with a plaster of the Cicuta, taking an alterative. If I had your apparatus, I should propose to occasionally electrify it. Would not that change its constitution and irritabihty? If agreeable to you to write, stating your selected treatment, I will with fidelity execute it."^ ^ Whether Captain Coues died from this-apparent Cancer I do not know. 342 DR. LYMAN SPALDING Will you have the goodness to trouble yourself in my behalf so much as to see if I can be supplied with Crevier's "History of the Emperors" (10 Vols.)/ Wakefield's "Lucretius de Natura Rerum" (4 Vols.),^ Mitford's "History of Greece," Young's "Works," or Johnson's edition of Pope's Works (not his Homer). Please write me as soon as convenient, and I will remit to jou on them, and should any of these volumes be obtained, will you furthermore trouble yourseK to see them forwarded by safe conveyance. With Respect and Esteem, J. H. Piekrepont."* Amongst the physicians whom Dr. Spalding planned to interest in the Pharmacopoeia was Dr. Nathaniel Potter of Baltimore (1770-1843), Professor of Theory and Practice of Medicine in the University of Maryland for thirty-six years. He studied medicine with Dr. Rush, obtained his degree at Philadelphia in 1796, his graduating thesis having for subject "The Medicinal and Deleterious Effects of Arsenic." He experimented personally with yellow fever excretions to prove that this disease was not contagious; wrote copiously on medical topics, and edited books "On Fevers" and "Practice." He also established "The Baltimore Medical Lycseum" and "The Maryland Medical and Surgical Journal." Here we have Dr. Potter's reply to the Circular: "Baltimore, Nov. 28, 1818. Dear Su: I am sm-e you will par- don me for an apparent neglect for not having sooner repUed to your polite favor, when I assure you that a sick family had sus- pended all my correspondence from the last of September till this day. Accept of my thanks for the specimen of your contemplated work "On Fever." Although the subject is too momentous and interesting for me to pronounce on it at first view, I will embrace an early opportunity of offering the candid expression of my senti- ments. The question as to Nosology is drawing to a close. To be or not to be, is now the question. In my Course on the Theory and Practice of Medicine I disregard all nosological arrangements, unless it is to criticize such arti£cial, unnatural combinations. Whether it be possible to establish a perfect Nosology is the question 1 Jean Louis Crevier (1693-1765) was Professor of Rhetoric at Bcauvais, and wrote, amongst many others, this "History," once famous, but now dusty on library shelves. 2 Gilbert Wakefield (1756-1801) was a wonderful Latinist, and tre- mendously industrious with ancient writers. His "Lucretius" was an immense piece of erudition. » The list of books shows Dr. Pierrepont's reading. Over the names mentioned are written these figures. "C. $20, "L. $22, "M. $30. THE PHARMACOPCEIA OF UNITED STATES 343 first to be settled. Me judice, such a work or rather such a Vision can exist only in the distorted imagination of the remnant of the old Methodic Sect. Can a man be a correct pathologist who be- lieves that he can class diseases with the same certainty and facility that governs the naturahst in arranging animals and vegetables? This would be to make every man's body the same, which is physi- cally impossible. We need not multiply arguments on this subject. I am informed a learned Prof, in yom* city is about to issue from the press "A New Nosology." He must have httle to do to under- take at this day to revive the obsolete project of teaching physick by names. I can assure him, that unless it contain something more luminous than anything that has yet emanated from the same som'ce, he will find it roughly handled in Baltimore! Our University has chosen no delegates to the Convention to be convened at Philadelphia in June, next. The Faculty of the School thought it prudent to leave the election to the State Faculty, with a view of commanding all the talents out of which a better selection might be made, as well as to conciliate the good will of that numerous body toward the University. Accordingly, in June last, the Faculty of Maryland balloted for five deputies, and Dr. Martin,^ Dr. De Butts,^ Dr. Baker/ Dr. Wilkins * and your humble 1 Samuel Blair Martin (1785-1875) served in the War of 1812 as an Army Sm-geon, and then as Ship's Surgeon to the East Indies and back, before settling in Baltimore, about 1819. He made his name known by his activity during an epidemic of Yellow Fever in that City and was rewarded for his courage with the appointment of PubUc Health Office, a position which he held for years. 2 Ehsha De Butts (1773-1831), Professor of Chemistry in the Uni- versity of Maryland, was an eloquent Irishman who came to Baltimore in childhood, and was graduated at Philadelphia in 1805, presenting a Thesis "On the Eye and Vision." He practiced in Alexandria and then in Washington, and was a clever conversationaUst. His papers "On Thermometer," and on "A New Volta Pile" added to chemical knowl- edge. He was of great assistance in the foundation of the Pharma- copoeia, and in correcting the Final Proofs he was of special aid to the originator. ^ Samuel Baker (1785-1835) practiced in Baltimore and received many honorable elections to offices from his brothers in medicine. He early became interested in nervous diseases, wrote a graduating thesis at Philadelphia, in 1806, on "St. Vitus Dance," and specialized, as it were, in such affections during his entire career. For twenty-four years he lectured on Materia Medica at the Medical School of the University of Maryland, and was another valuable assistant in com- pleting the Pharmacopoeia. * Dr. Henry Wilkins was a man of considerable reputation in Medical Maryland. The date of his birth and death are imcertain, but he obtained his medical degree at Philadelphia in 1793, served in the War of 1812 and lectured on Materia Medica and Chemistry in the Medical 344 BR. LYMAN SPALDING servant were elected. We cordially approve of your plan and duly estimate the honour of the appointment, and will co-operate as far as our talents and industry will authorize us. Any further information on the subject will be gratefully received by me, and will be communicated to my colleagues. Your question respecting the Weights used by the apothecaries of our city resolves itself into this. In Compounding medicine, they all use twelve ounces to the pound and in selling they give sixteen. This is the uniform custom in this place, and perhaps throughout the Union; at least as far as my knowledge permits me to speak. Should the Nosology alluded to be printed, I will esteem it a favour if you will furnish me with a copy. The price of it will im- mediately be remitted and the favor reciprocated by me in any way I can serve you, here. Let me hear from you, and Beheve me, Yours With Great Respect, Nath'l Potter." I find about this date, and will here insert, a copy of a letter from Dr. Spalding to Dr. Hewson of Philadelphia, in which mention is made of the Pharmacopoeia and of another idea of Dr. Spalding's, a system of Medical Police, something like our Boards of Health, or Medical Ethics. "To Dr. T. T. Hewson, Pliiladelphia. New York, October 10, 1818. Dear Sir: In March last I had the honour of forwarding to you the Circular on the American Pharmacopoeia. In conse- quence of a correspondence which has since been carried on between Doctors Mitchill and Cutbush,^ we are led to beUeve that the College of Physicians of Philadelphia will approve of the formation of a National Pharmacopoeia. I would also beg leave to suggest to you the propriety of brmging before the Congress of Physicians, the subject of Medical Pohce. If it should appear to that learned body over which you preside, School of Maryland. He wrote various essays and complied "The Family Adviser, or a Plain Modern Practice of Physick for Families," a book of some 200 pp. 1 Dr. Edward Cutbush (1772-1843) was a Surgeon's Mate in the Navy and served on the U. S. Frigate "United States" at the bombard- ment of Tripoli in 1804. He had in 1818 attained the position of Senior Surgeon in the Naw, but soon resigned because he was ordered to a vefesel unsuitable to his rank. He then served as Professor of Chemistry at the Geneva, New York, Medical School. He wrote "Observations on the Means of Preserving the Health of Sailors and Soldiers," after the style of a more celebrated book of the same kind by Dr. Usher Parsons. Dr. Cutbush seems to have been rather irascible, and his attitude toward the Pharmacopoeia was very odd, as shall later on be seen. THE PHARMACOP(EIA OF UNITED STATES 345 that a system of National Police would be desirable, and if they will pass a resolution to that effect, we will introduce that Resolu- tion into the Circular, which will appear in a few weeks, announcing the approbation by a majority of the Medical Schools and Societies of the formation of the American Pharmacopoeia. Will you also have the goodness, My Dear Sir, to convey to me at as early an hour as convenient, yoiu- own opinion of the forma- tion of the Pharmacopoeia, and the property of attempting the estabhshment of a General Medical Police. Be pleased also to accept the enclosures. I have the honor to be Yours, L. Spalding." The only news from North Carolina concerning the Phar- macopoeia is from a Dr. Robinson of Camden of whom I know nothing personally, but whose note I insert as part of Medical History. "Camden, 24 Oct. 1818. Dear Sir: I received your circular of the 4th of March relative to the formation of a National Pharma- copoeia. The Object, I highly approve of, but from the scattered situation of medical men in this State, I fear we shall be of very little service, although the State perhaps contains as many medicinal plants as any other. For my own part I shall be happy to render you any service which may be in my power, individually, to pro- mote so laudable an Object. Yom- Obedient and very Humble Servant. Samuel Robinson." Dr. Thacher's encouraging letter, showed progress in Massachusetts, and his suggestion for a meeting at Hartford, was followed. "Plymouth, Oct. 25, 1818. Dear Sir: I have been duly favored with your letter and pamphlet "On Fever." I cannot but feel it an honor, that a subject of such importance after having under- gone your investigations should be referred to my examination and opinion. It will be my pride and my gratification to comply with your request as soon as leisure wiU permit. From a cursory perusal, I can only say at present, that I view it as a specimen of ingenuity and brilhant imagination. I feel much interested in the success of your project for a National Pharmacopoeia and will esteem it as a favor if you will inform me, what returns you have received from the several States or Districts. The Chairman of our Committee has communicated with your Committee, but we have done nothing more, since. It is my indi- vidual opinion, that we ought to send, two, if not three delegates to meet in convention, perhaps at Hartford, some time next sum- mer. Will you be good enough to inform me, whether this will meet the wishes and expectations of your Committee? I am with great respect your Ob'd't Servant, James Thacher. 346 DR. LYMAN SPALDING Amongst the Circulars sent to Europe one was directed to Anthony Todd Thomson who wrote the following valuable acknowledgement : 91 Sloane St., London, 24 November, 1818. Sii": I received your letter with the documents of the Medical Society of the County of New York, respecting the formation of the American National Pharmacopoeia, and feel happy in being able to send you the second Edition of "The London Dispensatory," wliich has just been pubhshed. I have endeavored to improve the Work so as to keep pace with the improvements of Chemistry and Pharmacy, which have taken place since the first Edition appeared, and the addition of the Synonyms will, I trust, render it generally more useful. As I am now engaged in writing "A History of Materia Medica," I am extremely anxious to obtain a knowledge of the indigenous substances which have been employed for medicinal purposes in the American State, and I will feel truly obliged with any assist- ance you can favor me with. Is it possible to obtain a good Hortus Siccus of American Medicinal Plants, without an enormous expense ? If such a collection can be readily procured might I take the liberty of troubling you with such a commission? I could pay the price for it to the correspondents of any of your mercantile Houses, in Liverpool or London. Anything I can do for you, in return, you may freely command. Wishing j^our undertaking all the success you can desire, I re- main Sir, Your Obedient Servant, Anthony Todd Thomson.^ " Another Circular from Dr. Spalding reached Dr. Richard Reece ^ of London, and in December, 1818, arrived a flatter- 1 Anthony Todd Thomson (1778-1849) was born in Edinburgh, al- though his Father was Royal Collector at Savannah, Georgia, but who had brought his family home during the Revolution. The boy went at an early age to Savannah, and returned once more to Edinburgh where he received his diploma. He won a wide practice in London, founded Medical Societies, established the Chelsea Dispensary, and edited various Medical Journals. Whilst occupying the Chair of Materia Medica at University College, he wrote "A Conspectus for a Pharmacopeia," and "The London Dispensatory." He gradually abandoned general practice, specialized in Dermatology and amused himself with Magic. ^ Richard Reece (1775-1831) was a surgeon at the Hereford Infirmary at the age of 21, and after practicing there a while, he moved to Cardiff, and from there to London, where he became famous, not only for his "Journal" and for his advocacy of "Lobcila and Buchu in Medical Practice," l)ut for his Consultations in the Case of Joanna Southcote, who at the age of 05 declared herself to be with child by the Holy Ghost. He also assisted, later on, at the necropsy of Joanna, which proved beyond doubt the falsity of her Claims, which had startled the world. THE PHARMACOPCEIA OF UNITED STATES 347 ing communication from this distinguished man: a copy of his "Medical Magazine," with an Editorial in which he spoke of Dr. Spalding's project of a National Pharmacopoeia as "A Splendid Instance of Medical Foresight," and urged British physicians to petition Parliament for a similar work for Great Britian. Dr. David Hale was an early graduate at Fairfield, who in course of time received some Circulars. From the two long letters in which he acknowledges the compUment, I take a few items of value. "Viacennes, Indiana, January 16, 1819. Dear Doctor. I re- ceived your Circular and have to reply that our Society feels very friendly toward the success of the Work. They had a meeting in November and I at once enclosed you the Proceedings and a News- paper, but from your letter I find that you have not received them. I now send another paper by a friend whom I commission to buy medicine for a shop in which I am now concerned. I wish also to trouble you about a Soda Water Machine, and I wish you to assist in the purchase of the machine and to see that no imposition is practiced in any part of the Bill, either for drugs or for the Machine. I will also thank you for a description of the use of the machine, and of the ingredients for making Soda Water. I am under a serious impression that I shall make money here if I have health. Though quite poor when I was under your tuition, I now consider my property worth 5 to 7 Thousand and growing fast. Your Obedient Servant & Well Wisher, David Hale." Dr. Matthias Spalding, a member of the New Hampshire Delegation, was much interested in the Pharmacopoeia, as his communication shows. "Amherst, New Hampshire, February 24, 1819. Dear Sir: I have received several letters and Circulars on the subject of the National Pharmacopoeia, and we have had several meetings by way of the Society and Committee on the Subject, but we have not made much progress in the Business, though we are disposed so to do. I felt very sorry you did not see the Hon. D. L. Morrill ^ when on his way to Washington. 1 Dr. David Lawrence Morrill (1772-1849) practiced medicine at Epsom, New Hampshire, abandoned medicine for Theology, and then gave up Theology for Politics. He was twice elected to Congress, served a term in the United States Senate and was four times Governor of New Hampshire. He wrote a great deal on religious and political matters, but gave the project for the founding of the Pharmacopoeia no assistance whatsoever. 348 DR. LYMAN SPALDING Hope you will see him on his way home, and that he and you, or your Committee will make suitable arrangements with him for carrjdng on the business. He, of course, will be at Washington next winter. He is one of our State Committee on the Pharma- copoeia. He is a man of Science as well as one of our own pro- fession: in fact, he is every way calculated for the business and Will, I trust, do all he can to forward such a work. Be pleased to accept my best wishes for your personal and pubUc welfare in undertaking so laudable a work. I am, Dear Sir, with Much Esteem, your friend and Servant, Matthias Spalding." A very friendly and encouraging message from Dr. Mitchill arrived at this time very opportunely. Dr. Mitchill was then at Albany to attend a meeting of the Regents. "Albany, April 4, 1819. Sunday. Dear Sir: It is now abnost night, and I have just learned that the Steam Boat has arrived from New York. It is understood that she will leave this place on Tuesday. The roads are so dreadfully bad, that I shall not travel home by land, but wait for the departure of this vessel. I inform you, as Trustee of the College of Physicians and Sur- geons, notified to act, that I received the Diplomas for the gradu- ates, yesterday, from the Chancellor of the University, with his signature. They will be ready for delivery at the moment of my arrival on Wednesday. I wish the Registrar, or some body might be ready to receive them from me, the instant I arrive. The Secretary of the State Medical Society, has certified and subscribed the Commission for the Delegates to the Medical Con- vention at Philadelphia.^ I shall bring it with me. I have procured in advance, a Copy of the "Catalogue of Plants growing in the Vicinity of New York," by the Lyceum of Natural History, and chiefly by John Torrey, M.D.^ The printing is doing by Websters and Skinners. I find it, on examination, an admirable piece of work, highly creditable to our younger brethren who engaged in it. If the Lyceum had done nothing but this, it would have established a noble and durable monument of its usefulness. I request you on the receipt of this to call on Mrs. Mitchill and 1 "The Medical Convention at Philadelphia" was the one planned for the composition ot the Pharmacopoeia by the Middle States, in June. 2 Dr. John Torrey, (1796-1873) only twenty-three at this time, had studied medicine with Dr. Wright Post, but turning hia attention to Botany he became famous in this specialty, and was later on in turn Professor of Chemistry at West Point and at Columl^ia. The pamphlet horc mentioned, ib now exceedingly rare and valued at a high price, by biblioijhilea. THE PHARMACOPOEIA OF UNITED STATES 349 inform (her) that her husband and Brother ^ are lodged in the same chamber at Moody's Hotel, are in good health, and anxious to embark for wives and homes. Make my compliments to Mrs. Spalding, and be assured of my esteem and regard. Sam'l L. MiTCHILL." About this time too, Sir Robert Perceval wrote to Dr. Spalding an exceedingly valuable and explicit letter of sug- gestions concerning the Pharmacopoeia. In point of fact it is the best one of this collection of letters bearing upon the national work in which Dr. Spalding was so deeply inter- ested. Furthermore it is beautifully written, and easy to decipher. "Kildare Place, Dubhn, May 4, 1819. Dear Sir: America has long had a claim on my gratitude. Many years ago, Mr. Vaughan ^ obtained for me the honour of being elected a Member of the Philosophical Society of Plnladelphia, and I have anxiously watched an opportunity of returning my acknowledgements. The object which you propose in your letter, which I am almost ashamed to say is dated so far back as March, 1818, is such as I could heartily wish were adopted in the several countries which compose the United Kingdom. Dissonance in Nomenclature and in the prepar- ration of the more active medicines wliich are employed in our practice is attended with Laextricable confusion. I should hope, that some uniformity might at length prevail amongst practitioners who speak the same language and acknowledge the same original stock. My delay in acknowledging your favor subjoined to the 1 Mrs. Mitchill's Brother was Dr. Samuel Akerly (1785-1845), she being by birth an Akerly, then marrying a Mr. Cock, and after a widow- hood of some years she married Dr. Mitchill. Dr. Akerly was an Army Surgeon in the War of 1812, and after practising in New York, interested himseK in the care of the insane and the education of the Deaf Mutes. Amongst his numerous papers, one on "Deafness" stiU reads well. ^ Dr. Benjamin Vaughan (1751-1835) was born in Jamaica, and took the degree of M.D. at Edinburgh, to please his prospective Father- in-Law, who insisted on a "Man with a Profession," for his Son-in-Law. Dr. Vaughan, instead of practising, went into poUtios, took an active part with Franklin in his negotiations with the French during our American Revolution, and although a Member of Parliament, he en- gaged, apparently, in High Treason by introducing French Revolution- ists into Great Britian. Obliged to flee to Switzerland, he came to America and finally settled in HaUoweU, Maine, where he posed as a philosopher, wrote on politics and medicine, and practiced a little. Some of his books well annotated may still be found in the Library of the Maine Insane Asylum at Augusta. In his old age he gave much study to the "Letters of Junius," and their authorship. 350 DR. LYMAN SPALDING Circular, arose partly from the state of my health, but principally from a desire of rendering my answer more satisfactory. The Dublin College of Physicians have pubUshed but one Edition of their Pharmacopceia, but have appointed a Committee, of whom I am one, to revise it, and publish a second edition, I was in hopes I should have been able to have reported progress, but have been disappointed in this hope by the prevalence of the Epidemic fever, which has for upward of a year afflicted our Capital. Dr. Barker,! who is my successor in the Chemical Professorship, which I resigned several years ago, finding it incompatible with my medical engagements, has lately been absent from Dublin on a mission from the Government to inspect the State of Health in the province of Munster, and I fear, such duties as these will, for some time interfere with the prosecution of our Pharmaceutical labours. The Disorder, although by no means fatal, has spread alarmingly through the lower ranks. Have you seen the Pharmacopoeia published last year in Paris; the result of many years of study of a number of celebrated men in that City who were commissioned and liberally paid by the Govern- ment? The work is voluminous, contains about 600 pp., and seems better adapted for the library than the shop. It includes many details of Natural History, Pharmacy and Chemistry. In its formulae we meet many of the old compound medicines which modern practice in these countries has long since exploded. The proportion of ingredients is determined decimally, which appears an improvement, as much confusion arises from the varied weights and measures in different countries. The chemical part is copious, and contains practical directions so minute as only to be adopted to novices of the art. The ointments and plasters appear to be compounded with great care and to contain many active ingredients. With us, perhaps, simplicity has been carried too far." Sir Robert here goes on at great length with a list of plants, suitable for the American Pharmacopoeia, which I omit for lack of space. He then resumes : " I have now to acknowledge the receipt of your Second Circular, and am happy to find that your scheme is in advance. From the abatement of the Fever, and the approach of Summer which will give us all more leisure, I hope to be able to report some progress on our work. I have looked over a book printed in Paris in 1818, the title of which is "Formulaire Magistral": it contains a great variety of ^ Dr. Francis Barker (1793-1859), Sir Robert's successor in the Chemical Chair in Dublin, was very intimate with Sir Walter Scott, whilst a student at Edinburgh, and from that acquaintance obtained promotion in medicine. THE PHARMACOP(EIA OF UNITED STATES 351 formulae or prescriptions of various eminent physicians in Europe. If you mean to render copious, the article of Formulae, this book might supply some suggestions. Our plan, is to confine ourselves either to simple preparations or to such compound medicines as have been sanctioned by long use, introducing such corrections in their preparation as to tend to simplify, without impairing their virtue. This might appear the best plan for a Pharmacopoeia which is to be the rule of general Practice and which is to fiu-nish the shop of the Apothecary, whose shelves and drawers if they contain all the articles brought forward in the French Codex must be over- burthened with an enormous multiphcitj^ of medicines, the greater part of which will be spoiled before called for. For these, of course, the pubhc must pay, and if a French Apothecary be remunerated according to the trouble and expense which the "Codex" imposes upon him, his claim to an enormous charge will be founded in justice. You win find in the Preface to the "Formulaire IMagistral," as good a plea as can weU be made for compounding mediciae of a multiplicity of ingredients, or what the authors call "Polj^har- macie." I cannot reject the whole of the reasoning, but am clearly of opinion that the exercise of "Polypharmacie" should be left to extemporaneous prescription. Chincough^ has as usual, been prevalent this Spring. I have seen and heard of some cases confirming the recommendation of Dr. Marc ^ of the use of belladonna. The effect, however, is so violent, on the Nervous system that I have been discouraged from pushing the experunent. I hope to be able before long to give you an account of om* pharmaceutical labours. Should any oppor- tunity occur of transmitting a specimen of your work to this country, our Committee wiU feel much obhged to j^ou for the communica- tion. I have the honour to be. Sir, Your Ob'd't and Faithful Serv't, Rob. Perceval. Physician General for Ireland." Sir Robert Perceval's valuable suggestions were followed by bad news from the South. "Writing from Savannah, May 20, 1819. Dr. Kollock begins by introducing a physician whose name I cannot decipher, and adds: "From my invahd condition dm-iag the past year, I beheved it proper to resign my standing as President in our Medical Society, 1 Chin Cough (or Kink-Cough) a sort of Whooping Cough. ^ Dr. Charles Chretien Henri Marc (1771-1841) was a distinguished Physician of Paris, who in his early medical fife wrote on the effects of poisons, used as remedies in disease, urged more frequent study of the dead, and suggested many remedies as specifics for stated diseases. In his later life he wrote a great deal on "Insanity" from a medico-legal point of view. 352 DR. LYMAN SPALDING to one who could do more justice to the station. Since which I have had no share in the transactions of the Society. Sometime since, your letter to me was received by the new President who mentioned to me the object, and that he should lay it before the board at their next meetmg. Whether this has been done, I am not informed. But our medical gentlemen seem re- luctant to encounter the subject of the Pharmacopoeia with the prospect of contributing so little of importance to the stock of matters necessary for such a work, without a devotion of more time and labovu- than they feel able to spare from their other duties. We have two Representatives in Congi'ess, members of our Societj^ (Drs. Abbott^ and Terrell 2), who perhaps may be selected as our representatives, also. If they accept the appointment they will carry into the work much information. I hope this plan will be pursued. With the best wishes for the success of the under- taking, I am Very Respectfully, L. Kollock." Nor was a second letter from Dr. Potter any more en- couraging. "Baltimore, May 31, 1819. Dear Sir: It is to me a subject of regret that I carmot, consistent with propriety attend the Phila- delphia Convention of which we are members; not that I would presimae to offer anything that will not be better done by my colleagues. We have determined that the Faculty of Maryland will be ably and faithfully represented by two delegates, either of whom can leave home with more convenience, than I could. While I am constrained to forego the pleasure I anticipated of meeting you and some other old friends, as well as of cultivating the acquaintance of others whose reputation demands the tribute of respect, yet my duty to a sick infant daughter admonishes me to renounce the project on which I had so long set my heart. I trust your joint labors will result to the benefit of medical science, and that the American Pharmacopoeia will be exhibited as an emblem of the literary sovereignty of the U. States. I propose, ere long, to ad- dress you or some other member of the Convention on certain topics coimected with the objects of your present mission. This ' Joel Abbott, M.D. was born in Connecticut, but was taken in in- fancy to Georgia, where he became an excellent physician and high- minded politician. He practiced "Somewhere in Georgia," represented the Wilkes County District in Congress, and was a firm believer in the justice of slavery. 2 William Terrell was in early life a physician, but became a poli- tician and a man highly esteemed. He was greatly devoted to agri- culture, and at his death in 1855, left to the University of Georgia a fund for the support of a Chair for the Promotion of Agriculture. THE PHARMACOPCEIA OF UNITED STATES 353 will be the more necessary, as the contemplated Convention at Washington is fixed at a season when my duties to the University would not permit me to attend. My contributions will, however, depend entirely upon the plan adopted, as they will respect prin- cipally, the operation of certain articles of the Materia Medica. My Colleague Dr. De Butts will present you tliis, and I take leave to make you particularly acquainted with him. You mil find him a man of real genius and worth, united to great diffidence and unassuming manners. Dear Sir, Yours Very Truly, Nath'l Potter." As it then took ten hours by stage from Baltimore to Washington and even more to Philadelphia, the objections on the part of Dr. Potter in making either journey mil be readily understood. Of the four District Conventions arranged for the year 1819, only two met, one for the Northern States at Boston, one for the Middle States at Philadelphia, and both of them in June. The members composing the Boston Convention were Drs. Mussey, Matthias Spalding, E. Torrey,i S. Grid- ley,2 James Thacher, Ebenezer Lerned, J. P. Batchelder, S. Drowne,^ EH Ives, J. Bigelow and Dr. Shattuck. ^ Erastus Torrey was graduated at the Dartmouth Medical School in 1805, practiced for a few years at Cornish, New Hampshire and was a Member of the State Medical Society. Later on he moved to Windsor, Vermont, and represented that State in the Convention. He was, on the foundation of the Castleton Medical School, appomted a Lecturer on the Theory and Practice of Medicine. 2 Seiah Gridley (1767-1826) practiced in a small village in Vermont, the name of which has escaped my researches, but there he became so successful as a teacher of medicine that he was obliged to estabhsh a Medical School at Castleton as an outlet for his many applicants for instruction. Here for some time he acted as Professor of Theory and Practice, and also of Materia Medica. In the midst of his successes he had the misfortune to lose a very dear friend whom he invited to wit- ness the removal of an addition to his house, and who very unluckilv fell beneath the rollers and was killed. This fatal accident so depressed Dr. Gridley that though daily \'isiting his new residence, he finally lost all interest in it, never dwelt beneath its roof, fell into a Decline and Melancholy, and removed to Exeter, New Hampshire, where he died. 5 Solomon Drowne (1753-1834) served as a Surgeon both in the Army and Navy during the Revolution. His "Journal of a Cruise in the Fall of 1780 in the Private Sloop, 'Hope,'" is a rare and valuable pamphlet. He studied in Europe, had many honorary degrees and practiced in Ohio and Pennsylvania and finally in Foster, Rhode Island, represent- ing that State in the Convention. Having been Lecturer on Botany at Brown, his qualifications for the position were undisputed. Dr. 354 DR. LYMAN SPALDING This Convention met in Boston on the First day of June, took up the discussion of all the important medicines men- tioned in the large number of foreign and domestic Phar- macopoeias of the day, London, Edinburgh and DubUn. Each topic was gone over alphabetically, each member had his suggestions to offer. The rough draft which was com- pleted at the end of the week was given to Dr. EU Ives of New Haven and to Dr. Jacob Bigelow of Boston to revise and to hand it personally to the members of the National Convention to be held in Washington in the following January for comparison with the material to be furnished by the other district conventions. The Convention for the Middle States met on the same day at Philadelphia and the following physicians took part. Drs. Mitchill, Watts, Stevens, Parke,^ Griffiths,^ Hewson, Stewart,^ Parrish, Atlee,^ MacNeven, Frances, Dro-niie wrote papers on Botany, and was greatly interested in Philan- thropy, one of the closmg acts of his hfe being to pubhsh "An Address on the Independence of Greece." 1 Thomas Parke (1749-1835) practiced many years in Philadelphia. Although he had written but little on medical topics, his long deaUngs with drugs made his presence valuable. 2 Samuel Powell Griffiths (1759-1826), whilst still a student of medicine, had helped to aid the wounded at the Battle of Germantown, and later on obtained his degree of medicine from the University of Montpellier in France. He practiced more than forty years in Phila- delphia, and from his acquaintance with their language was of great service to the French refugees from the Island of Saint Domingo after their exile by the revolutionary negroes. Dr. Griffiths was Professor of Materia Medica at the Pennsylvania Hospital Medical School, and wrote a paper on "Pharmacopoeias" which he read by request before the members of this Convention. ' Of Dr. Samuel Stewart, I only know that he was famous in Phila-- delphia as an obstetrician, and the possessor of such long and pre- hensile hands that he scorned the use of forceps. * Edwin Augustus Atlee (1776-1854) first studied law and served as a volunteer soldier in the Whiskey Rebellion in Pennsylvania in 1794, which was a rebellion against the prohibition of the distilling of Uquors by the people. He gave up law, studied medicine and obtained his degree with a thesis "On the Influence of Music in the Treatment of Diseases." Dr. Atlee took immense pains to translate from the Latin, Lieutaud's * "Synopsis of Medical Practice," retired at an early age from medicine, and devoted the rest of his life to the Anti-Slavery Movement. * Joseph Lieutaud (1703-1780) was an Instructor in Botany, Physiology and Anatomy in Paris. His " Anatomical Essays " were original, and his "Pathological Anatomy " based on thousands of observations was considered phenomenal. THE PHARMACOPCEIA OF UNITED STATES 355 Smith,^ Vancleve, Baker, McLane,^ Huntt,^ De Butts and Henderson.^ Dr. Spalding attended as the representative of the Fairfield Medical School, and of the New York County Medical Society. The Convention thus composed met in Philosophical Hall on the same day as that of the Convention in Boston, and remained in session for five successive days and evenings. In the same way as at Boston the rough draft of a pharma- copoeia was composed, and in this instance given over to the care of Dr. Spalding, with instructions to enlarge the information needed concerning plants and indigenous reme- dies by correspondence throughout the Nation, and to present it to the National Convention to be held in Washington. Dr. Spalding was also authorized to notify the District Dele- gates to appear at the National Convention. His suggestion for a Medical Pohce of which mention was made in a former letter to Dr. Hewson was postponed to a later date. Immediately after the adjournment of this Convention Dr. Spalding returned to New York, and occupied himself during the rest of the year, 1819, with his practice and his work on the Pharmacopoeia. Amongst the letters received at this time, I find this one from Dr. De La Motta, who had evidently visited Dr. Spalding at his house. "Savannah, June 8, 1819. Dear Sir: According to promise I take the pen as early after my arrival as I obtained information, to 1 Charles Smith (1767-1848) was born and educated at Princeton, New Jersey, and practiced many years in New Brunswick in that State. As one of the leading practitioners in his State he had been chosen as its representative in the convention. ^ Allan McLane, Jr. (1786-1845), was an Army Surgeon in the War of 1812, wrote voluminously on medicine and was of great service to the Pharmacopoeia. ^ Henry Huntt was born, educated, and obtained his degree in Maryland, served as Hospital Surgeon in the Army, and was the first Health Officer of Washington, D.C. He was a founder of the American Medical Association and amongst many valuable papers wrote on "Observations of Change of Climate in Pulmonary Consumption." * Thomas Henderson (1789-1854) came from an obscure village in Virginia and practiced in Washington, D.C. He was an original incor- porator of the District of Columbia Medical Society, served as an Assistant Surgeon in the Army, was Professor of Theory and Practice in the Columbian University and retired from the profession at an early age, and died in Lexington, Kentucky. Devoted to medical investigation, his chief literary work was "An Epitome of the Physiol- ogy, General Anatomy and Pathology of Bichat." 356 DR. LYMAN SPALDING addi'ess you on the subject of the proceedings of the Georgia Medical Society on a co-operation to form the National Pharmacopoeia. The letter which I wrote in your office and addressed to my Co- Partner was laid before the Society, and I am happy to state that diu-ing mj^ absence a committee was appointed to meet the Charles- ton Delegation at Columbia. The Members composing this Com- mittee are two Members of Congress, Dr. Abbott and Terrell, the other a member resident in this City. Not bemg present at the Nomination, I, of course, could not ex- pect to have been placed on that Committee. I, however, will not recant from my promise, but will give you all the aid in my power. I shall, therefore, collect what I am able on that Subject, and transmit it to you previous to the Meeting of the General Con- vention, and should what I collect be deemed worthy of note, I shall be pleased to observe such notice as they may be entitled to. Our City as respects endemical fever is as yet exempt. The Whooping Cough is very prevalent amongst children, the weather pleasant for the season. You will confer a particular favor on me by briefly noting on a piece of paper and transmitting to me in a letter, such improve- ments in medicine and surgery as you are acquainted with that have lately taken place in the United States. I have to deliver the Anniversary Oration before the Medical Society in the early part of January next, and I purpose giving an outline of such improvements as are worthy of observation. I shall not omit making honorable mention of what you send. I am Very Respectfully, Yours etc., Jacob De La Motta." The Southern Convention, or more precisely, the South Carolina-Georgia Convention had a meeting during the Au- tumn, but accomplished next to nothing owing to lack of a Quorum. The two physicians mentioned were directed infor- mally to attend the Convention to be held at Washington. Early in December, Dr. Spalding wishing to lose as little time as possible in attending the National Convention in- quired of Dr. Morrill, Member of Congress from New Hamp- shire the best way to reach Washington, and his reply gives us an idea of the slowness of transit in that era. Washington City, Dec. 15, 1819. Dear Sir: I have this moment received your letter of the 11th Instant, requiring information rela- tive to the shortest possible time necessary to travel from N. Y. to this Citj--, otherwise than in the Mail Stage. You may leave N. Y., at 11 a.m. in "The Olive Branch" and sleep at Trenton that night, and arrive at Philadelphia next day at 10. You may leave Phila- delphia at 12 and arrive at Baltimore by 2 or 3 next morning. THE PHARMACOPCEIA OF UNITED STATES 357 You may leave Baltimore in the Mail Stage at 6 a.m. and get into this City by 12 or sooner, or on the 7 o'clock or 9 o'clock stage and arrive here in the afternoon. You may, therefore, arrive in this City in 49 or 50 hours from the time you leave N. Y. Respectfully, Y'r Ob'd't Serv't, David L. Morrill. On the margin of this letter Dr. Spalding pencilled ''T. 28"; suggesting Tuesday the 28th of December as the day on which he should set out for Washington, and this seems verified by a Bill for board at the " Congress Hotel" in Wash- ington, D.C., George Beal, Proprietor, which shows that Dr. Spalding reached there Thursday the 30th, and remained until Saturday night, January 8th, at a cost of $23.38/100. The Convention opened on Saturday morning, January 1, 1820, in the Senate Chamber in the north wing of the Capi- tol, these physicians being present: Ives, Hewson, Huntt, McLane, Spalding and Stevens. The two rough drafts for the National Pharmacopoeia received from the two District Conventions were handed in, examined and discussed. The Convention adjourned late at night until Monday, January 3rd, when Drs. Mitchill, Baker, Parks, Terrell and Abbott appeared and remained during the rest of the Convention. By these eleven physicians, therefore, the United States Pharmacopoeia was decided upon. The rest of the week was spent in comparing notes, and revising the abundant material furnished by the delegates. Before adjourning on Saturday afternoon, they chose a Com- mittee of Publication, in the order named: Spalding, Ives, Hewson, De Butts and Bigelow; Dr. Spalding being named as Chairman, The months ran rapidly onward and a few days before this Committee met in New York, Dr. Spalding received the following very friendly letter from Dr. Mitchill. "West Point, June 3, 1820. Dear Sir: My occupation here as one of the Visitors on the appointment of the War Department to the U. S. Military Academy, will, I foresee, be necessarily pro- longed beyond the time prescribed for the meeting of the Publish- ing Committee appointed by their Convention for compiling a Pharmacopoeia for the "Fredonian" People.^ ^ "Fredonian People" was a name suggested by Dr. MitcliiU for all Americans, and was borrowed from the word "Freedom." It failed, however, to make a success, either as Fredonia, for the Nation, or Fredonian for the people. 358 DR. LYMAN SPALDING It would have been highly gratifying to me, to have been able to see the gentlemen and to have contributed whatever I could, for rendering their visit in N. Y. agreeable. I should also have felt very happy in their society and intercourse. I beg you to make to them this explanation of the reason wherefore I am not with you, and of my regret that business of the Pharmacopoeia and of the Academy so unluckily interfere with each other. The matter, nevertheless, is of no moment as an affak of business, inasmuch as I am not a member of the Committee. I am confident, besides, that the great work will go steadily on, as it is in good hands. My time has been fully occupied since my arrival, in visiting the National School, and in viewing the interesting objects around. The change is great, I assure you, from the smoky, polluted air of the City to the pure atmosphere of the moimtains and from paved streets and rows of houses, to natural ground and verdant slopes. My function as a military man, here, might be considered as very different from that of a medical man in our College, was there not, as the wags remark, something "killing" in both professions. I wish you would show our distinguished visitors the newly furnished case of minerals, the first that meets the eye in entering the Museum, where the minerals of Elba, ghtter in the presence of the minerals from New Spain, received just before I left home, from the School of Mines in Mexico. I have this moment closed a letter to Mr. Calhoun, on some memorable phenomena and occurrences in this place. Present my comphments to Mrs. Spalding, and the young ladies,^ and say to them, that if the fates permitted, I could wish you and they and Mrs. Mitciiill and Amantha^ were all here with me. Truly, Dear Sir, Ever Yours, Sam'l Mitchill." On a bit of paper, Dr. Mitchill adds: "Since I wrote the note which I am about to enclose, I have re- ceived a visit from the officers and the Chaplain; and Mr. Gimbrede,^ the ingenious Drawing Master has flattered me with the best pic- ture or likeness of me, that probably ever was made. I am called to dinner, and after snatching a hasty morsel, purpose to visit some of the neighboring tracts near to the ponds and lakes that feed the streams. S. L. M. ^ "The Young Ladies" were Dr. Spalding's daughters, now 17 and 15 years of age. 2 Amantha was Dr. Mitchill's Daughter. ' Mr. Gimbrede was born in France in 1781, and came to America very young. He was an engraver by trade, and carried on a shop in the Bowery. He had this very year obtained an appointment at West Point, and held it until his death in 1832. THE PHARMACOPGEIA OF UNITED STATES 359 Not long after this Meeting of the Publication Committee, Dr. Spalding had occasion to send proof sheets to Dr. Hewson in Philadelphia, but being very busy he gave the commission to his son, My Father, then ten years old. The result of this long journey was communicated by Dr. Spalding to his wife, then in Portsmouth, as the following copy of a letter shows, and enclosed, was my Father's boyish account of his adventures to which he was very fond of alluding, in his 80th year and beyond, as his "share in the Pharmacopoeia." "New York, August 20, 1820. My Dear Wife: Lyman returned from Philadelphia after nine days absence. He met with no troubles nor difficulties. He calculated to admiration. He spent his last cent at New Brunswick in payment for his supper and lodging. He was delighted with Philadelphia and intends to give you an account of his travels. If Dr. Thurston will inform you what years of Bills of Mortality he is deficient in, I will send them to him, although I have not many, only 14 complete sets left. I have no copies of those pub- lished by Dr. Thurston, except eight, for the year 1818. I should be glad if the Doctor could spare me six, for that year, and 14 for for each other year that he has published. The rest of this copy is indecipherable, but seems to refer to money matters and the Coues Estate. Here is my Father's Note. N. Y., Aug. 20, 1820. Dear Mother: I started from New York for Philadelphia on Tuesday the 8th inst. from the Battery and went to Perth Amboy and New Brunswick by steamer where I took the stage and went to Bordentown where I lodged. The next day I went in the Steam Boat to Philadelphia and arrived at 9 o'clock. I went to Dr. Hewson's whose servant took me to Mrs. Peter Cure's Boarding House. I went to the Hospital, Museum, and Mint, where I saw them make quarters of a dollar. I saw the Shot Tower, and I went to West's Paintings. I left Philadelphia on Tuesday the 15th at 12 o'clock, and came back by the way of Bristol, Trenton, Princetown and New Brunswick. I was very much de- hghted with the journey. Farewell, My Dear Mother, I ever remain Your Dutiful Son, Lyman Dyer Spalding. Give my love to Sister EUzabeth and Brother Edward." The Publication Committee of the Pharmacopoeia met as has been mentioned in New York in June, 1820, and later on at intervals at New Haven and in Hartford and Boston, where the sole charge of the printing at last fell into the 360 DR. LYMAN SPALDING hands of the originator of the work. The final galley proofs, now in my possession, were revised by Dr. De Butts and last of all by Dr. Spalding. The first edition was printed December 15, 1820, by Wells and Lill}' of Boston, and copj'^righted in the same city and on the same date by Ewer and Bedhngton, Cornhill, Nmn- ber 51. It would seem also from the great rarity of the original edition of the Pharmacopoeia, that only such copies as were subscribed for were printed at this time: furthermore the call for a second edition inside of two years adds to this sur- mise and proves the value of the work in spite of its few detractors. The first "Pharmacopoeia of the United States of America" was a book of 274 pages neatly printed on rather porous paper about 10 by 6 inches in size. It opened with a brief Historical Introduction stating Dr. Spalding's original sug- gestion for the work, the recommendations of the New York County Medical Society, and the formation of four District Medical Conventions to be followed by a National Con- vention. As previously unknown to me I find that the first Circulars were issued March 4th, 1818, and that Vermont was the first State to favor the plan by a vote of its Medical Society. This is followed by a Preface, which emphasizes the need of such a work, the difficulties of the task of selecting reme- dies, and the reasons why English and Latin were both ad- visable in printing the book. For, if printed in both of those languages, the Latin part could be understood by physicians in many parts of the Country who spoke both French and German and Latin, but had no command of English. Finally, we reach a hst of Materia Medica, printed in two columns on each page, side by side in English and Latin^ and ^ This quotation from pages 232-3, left-hand and right-hand re- spectively, gives an idea of the general appearance of the work. TINCTURA LAVANDULAE TINCTURE OF LAVENDER Spiritus lavandulae octantes tres. Take of Spirit of Lavender three pints. Spiritus rorismarini octantem Spirit of Rosemary, one pint. unum. Cinnamomi contusi unciam Cinnamon bruised, one oimce. unam. THE PHARMACOPCEIA OF UNITED STATES 361 the last 200 pages of the book are printed alternately in English and Latin with directions for utilizing all of the materials mentioned in the foregoing lists. The copy which I own seems to have been issued with uncut edges, but in the next edition the edges were trimmed. The final letters of this Collection that has survived a Century of wear and tear show that the Surgeon at the head of the War Department recommended and purchased a large number of copies of the Pharmacopoeia, believing it of value to Army Surgeons, whilst the Senior Surgeon of the Navy considered it of no value, and useless at any price. Dr. Joseph Lovell (1788-1835), at this time Surgeon General of the Army, was graduated academically and medi- cally at Harvard, obtained his appointment in the Army in the War of 1812, was advanced for his meritorious services in the following campaigns, and promoted rapidly to be the Surgeon General. His appointment to this high position met with the approbation, congratulations and appreciation of the entire Medical Profession as well as of the Medical Staff of the Army. Dr. Lovell in his new position introduced many sadly needed reforms and was, personally, a man of rare and lovely character. He approved of the Pharma- copoeia, recommended it highly to the Department, and in June, 1821, wrote in this laconic fashion to Dr. Spalding to pay for the copies shipped on the Sloop "Rapid" from Boston to Dr. Spalding, and by him forwarded to Dr. Lovell. "Surgeon General's Office, June 20, 1821. Sir: I have this day received seventy copies of the American Pharmacopoeia shipped from New York (by Messrs. T. and J. Swords) on the 18th Ult'o. The Treasurer of the United States will forward you the amount of the Bill, S158.50/100. Respectively Your Ob'd't Serv't. Jos. Lovell. Surg'n Gen'l. U. S. A. To Lyman Spalding, M.D." CaryophyUi contusi drachmas Cloves bruised, two drachms. duas. Myristicse contusse unciam Nutmeg bruised, half an ounce. dimidiam. Santalini rasi drachmas tres. Red sanders in shavings, three drachms. Digere per dies decern, et per Digest for ten days, and filter. chartam cola. 362 DR. LYMAN SPALDING On the other side of a Bill of Lading by the "Rapid," Captain Bears, is this Historical Bill concerning the Pharma- copoeia : Boston, May 8, 1821. Doct'r L. Spalding, Bot of Cha's Ewer. 70 American Pharmacopoeias at $2.25 $157 . 50 Discount 25 per cent Cash 39 . 37 1/2 Directed to Doct'r J. Lovell. Surgeon General of the U. S. Army, Washington. 54 American Pharmaco- poeias $101.25 41 American Pharmaco- poeias Bds $2 82.00 1 American Pharmaco- poeia Interleaved 2 . 75 $118,121/2 Discount $186.00 46.50 $139.50 $139.50 Boxes $257,621/2 1.051/2 $258.68/100 Below is written: "By Schooner 'Eliza' to Dr. Spalding, One copy Interleaved and one in Boards." On the other hand, Hon. Smith Thompson, Secretary of the Navy,^ regretfully wrote these words to Dr. Mitchill as President of the National Convention. "Navy Department, June 27, 1821. Sir: In reply to your letter of the 19th of May, I have the honor to inform you, that the Pharmacopoeia compiled by the Medical Convention has been re- ceived and the work submitted to Doctor Edward Cutbush, Senior Surgeon of the Navy, for his opinion and Report upon the utility of it for the Naval Service. I herewith enclose you a Copy of his reply, and must defer for the present, subscribing to any fixed number of the Pharmacopoeia, not intending this, however, as a definite refusal of the work. I am Very Respectfully, Sir, Your Obed't Serv't, Smith Thompson. ' Hon. Smith Thompson (1766-1843), also a friend of Dr. Spalding, was a graduate from Princeton who studied law and went into New York Politics, being in succession, Maj^or of the City, Justice and Chief Justice of the Supreme Court of the State, Secretary of the Navy and finally a Justice of the Supreme Court of the United States. He was very religious and deeply interested in the American Bible Society. THE PHARMACOPCEIA OF UNITED STATES 363 Here follows now the curious Report of Dr. Cutbush. "Sir: Agreeably to your order of the 12th Inst., I have examined the copy of the American Pharmacopoeia which was referred to me. I regret that I cannot give it my unqualified approbation of the work for the use of our Naval Surgeons. It contains many pre- scriptions which every physician ought to be capable of forming according to the age of his patient, and the effect he wishes to produce. I consider the Articles composing the Materia Medica as the tools or implements of the physician, which he is to use according to the extent of his knowledge of their virtues, guided by his medical education and experience, that no article entering into the formation of the prescriptions shall decompose, or be decomposed by another, and consequently rendered inert, or be inactive, as one of the co7n- ponent parts. With this impression, I have no hesitation in declaring that many of the formula are injudicious and others de- ficient in the important articles which rendered them useful, and will be so considered by many of our profession, in short, Sir, I fear the work will not bear a critical examination. I think that a treatise comprising the Elements of Materia Medica, and Phar- maceutical Chemistry would be more useful to the Naval Medical assistants, than that which I have examined, and that it would be well for the present to suspend any order on the subject of intro- ducing it into "General Use," in the Medical Department of the Navy of the United States : leaving it optional with the Surgeon to indent for this or any other American Pharmacopoeia or Dispensa- tory that he may select. Such an order would probably be con- sidered as a sanction of the work in a National Point of View. I have the honor to remain, etc., E. Cutbush, Surgeon, Washington, June 22, 1821. With this solitary exception, the Pharmacopoeia was well received everywhere. Even Massachusetts physicians, in duty bound to uphold the value of their own State Phar- macopoeia were glad to testify to the merits of the new work as it stood, and to its promise for the future. Dr. Warren said in The New England Medical Journal: "The foundation has been well laid, and the improvements sure to appear in the decade appointed for the second edition will increase its practical value. It is remarkable, that in so short a time, and with so small a band of men so much has been accomplished, despite the obstacles of travel and of correspondence by mail." "The Repository" printed a twelve-paged review, partly from the original Introduction as written by Dr. Spalding, 364 DR. LYMAN SPALDING and partly, from the pen of Dr. IMitchill or Dr. Pascalis. In general terms it runs to this effect: This work forms an era in the historj^ of the Profession. It is the first one ever compiled by the authority of the pro- fession throughout a nation. Collections of this sort have been made in other countries, but none, so far, under the im- pressive sanction which distinguishes this. ]\Iany of the Authorities of the Past compiled similar works, later still, the Colleges of Great Britian have followed their example, France by command of her oMonarch has furnished her ''Codex," but it has remained for American Physicians to frame a work which emanates from the profession itself, and is founded on the principles of Representation. It embodies a Codex IMedicum of the free and independent United States. The originator had before him European models, but he and his fellow-physicians chose to render their work plain and simple and they have succeeded. Although it may meet with opposition from authors and sellers of books already before the pubMc, and apothecaries accustomed to prepare their medicines according to the directions in books of that sort, yet, it is to be hoped that they will understand, that the new work comes forth only as a guide, and rule for Simple, and Ofl5.cinal Compounds, and for that reason we trust that it will be cordially received by the Profession, at all events, and generally by aU who may be interested. In his annual address before the next stated meeting of the New York State Medical Society follo\^ing the publi- cation of the Pharmacopoeia, Dr. Steams, the President, said: "The time is not remote when the opinion of American Phj'sicians will be referred to as of the highest authority. The late efforts to form a National Pharmacopoeia is an illus- tration of my position: an effort never before equalled, and the magnitude of which intimidated many of its most ardent friends, but which was urgently required. The delegates did their work well, and made a judicious and satisfactoiy selection from the material offered. It is, with no ordinary satisfaction, therefore, that I announce, officially the com- pletion of a work which constitutes an Era in our National Medical History. The benefit will extend to ever^- physician and ultimately to every patient in the United States. We THE PHARMACOPCEIA OF UNITED STATES 365 search the annals of the Medical World, in vain, for such a precedent." Without going into minute details of dollars and cents spent by Dr. Spalding in completing his labors upon the Pharmacopoeia, every one of which is accounted for by the papers now before me and all in his handwriting, a few items of the cost may be pardoned at the end of this book written to illustrate the career of its Originator. The copyright sold for $1600, and the expenses were $1380.63/100 leaving a balance of $219.37/100 which was turned over to the County Medical Society of New York. The chief sums paid to New England Physicians were $150 to Dr. Eli Ives for expenses in attending two Conventions, and meetings of the Publication Committee; $65 to Dr. Jacob Bigelow, including costs of copying useful material from the Massachusetts Pharmacopoeia as a basis for the National work. Dr. Stevens received $125 and Dr. Mitchill, $115. The other physicians attending a Convention either at Boston or Philadelphia were paid from $25 to $50 for their expenses, and were paid additionally by grants of money from their respective State Medical Societies. Mention should also be made of the payment of $50, to some person so far unknown, for translating the new Phar- macopoeia into fluent Latin. Dr. Spalding took for himself in full, including attendance at Philadelphia, Washington and the various PubHcation Committee Meetings the sum of $250, to which he added $13 for the expenses of his son, Lyman Dyer, to Philadelphia and return. From these figures then it will be seen that all of the physicians made very moderate charges, and that the Pharmacopoeia as a whole at a charge by Dr. Spalding of $263 was a very ex- cellent gift on the part of its originator, to the physicians of the United States. The Interleaved copy mentioned on a former page was sent with the appended note to Dr. Spalding's hfe-long friend, Dr. John CoUins Warren. "Undated. Dear Sir: The Gentlemen concerned ia the forma- tion of the American Pharmacopoeia beg you to accpt this copy of their work. The intention of interleaving it, is, that you should make corrections and observations and communicate them in due season to some of the Delegates chosen to re\'ise it, in 1830, Your Friend, L. Spalding." 366 DR. LYMAN SPALDING The publication of the Pharmacopoeia was the cuhninat- ing point in the career of Dr. Spalding, for about the time that the book was issued from the press he was walking along Pearl Street, New York, when he was hit on the head by a box of rubbish falHng from a second stoiy window. The force of the blow was broken somewhat by his hat and wig, but from its effects he never recovered. By February of 1821, he was alarmingly ill, but he improved sHghtly. Re- lapses followed and in May he went into the country to rest in the house of his friend. Dr. John Polhemus of Clarkstown, Rockland County, New York, a devoted pupil and friend.^ The last scientific observation made by Dr. Spalding was on the 18th of August, 1821, when at the exhumation of the body of Major Andre, he called the attention of his son, Lyman Dyer, to the curious fact, that the hair on the head and face of Andre, clean shaven on the day of his death had grown profusely afterward. Perceiving in September, that he could not recover. Dr. Spalding caused all of his business affairs in New York to be settled honorably, said Good Bye to a few intimate friends, and taking passage on the Sloop "Ten Sisters," Captain Hallett, bound for Portsmouth, New Hampshire, he sailed away, to pass the few days that might be spared to him, with the kind relations of his wife, the children of Captain Peter Coues. He arrived at his old home on the Piscataqua about the 17th of October, and on the 21st, he departed from the scenes of his labors. He had calculated his endurance to a nicety, he had diagnosticated the absolute fatality of his accident and he had lived just long enough to reach his lamenting friends, to greet them once more for a brief day or two, and then to take of them all his last Farewell. Soon after death, his life-long friend, Dr. Samuel Mitchill, wrote concerning him. " It is with unfeigned regret that we announce the death of a worthy man and enhghtened physician. His mild and amiable character, his ingenuous deportment, and his native zeal and assiduity to maintain the dignity of the Profession, and improve its many branches, will cause many to lament 1 Dr. Polhemus was born in 1793, studied medicine with Dr. Jacob Outwater of Clarkstown and with Dr. Spalding at Fairfield. After marrying Ellen Outwater, the daughter of his preceptor he practiced in his native town until 1859, when he retired and died in New York, in 1875. THE PHARMACOP(EIA OF UNITED STATES 367 the cessation of his labors; but his intimate friends, alone, knew how pure and disinterested were his motives. He was the Original Projector of our National Pharmacopoeia, and aided with unremitting diUgence in bringing the work to its present form, but an enfeebled and shattered mind in- duced by chronic disease, deprived him of the cheering view of the full consummation of his labors, and the Profession of one of its most worthy members." Many years later, a former patient wrote to the local newspaper upon the anniversary of his death: "Dr. Lyman Spalding was a man whom no one could approach without respect, or leave without affection." As for me, his grandson, I am glad to have lived to rescue from absolute oblivion, the memory of this genial man: in- dustrious, patient, persevering, he carried out to the end all that he had begun until interrupted by his fatal accident. To medicine in all its branches he gave his life. It seems to me that these letters prove his great ability, and his high gift for human friendliness to all with whom he came in contact. They also prove that he was a capable physician, a skilful surgeon, a fluent writer, an energetic organizer of men, an eloquent lecturer and during the time of his activity in that branch of learning, a remarkable anatomist. What else can I name him except as one Illustrious, m American Medicine : and now after a long, though daily in- terrupted, study of his eminent career, I regretfully bid him Farewell. INDEX Abbott, Dr. Joel, 352 N. Abernethy, John, 311 N. Adams, Dr. Daniel, Letters on Plagiarism and Affairs at Han- over, 23, 25; Mentioned, 42; Note on, 21 n. Adams, Pres. John, Letter on Bills of Mortality, 100. Adams, Nathaniel, 97 n. Adipocere, Case of, 148 n. Akerly, Dr. Samuel, 349 n. Akin, James, Engraver, Letters on Plates, 128, 129. Alden, Rev. Timothy, 92 n, 259. Alexander, Rev. Caleb, Letters on Fairfield Affairs, 193 n, 196, 201, 203, 206, 209, 210, 213, 215, 217, 218, 221, 225. Alibert, Baron, Jean Louis, 148 N. Allen, Dr. Jonathan, 18 n. "American Medical Recorder," 325 N. Anderson, Dr. Alexander, 126. Andre, Major, Exhiunation of, 366. Aneurism, Cases of, 155, 159. Aspinwall, Dr. William, 108 n, Assilini, Chevalier Piero, 307 N. Atlee, Dr. Edwin Augustus, 354 N. Atlee, Dr. Samuel, 354 n. Austin, Mr., 304 N. Azote, 16 N. Babbitt, Lieut., U. S. N., 333. Babbitt, Dr., 62 n. Bache, Druggist, 153 N. Bagley, Stage Driver, 44 N. Baker, Dr. Samuel, 343 N. Baldwin, Mr., 204. Ballou, Rev. Hosea, 265 n. Banks, Sir Joseph, 31 n, 93. Barber Family, 278. Barber, V. H., on Fairfield, 278; on Italy, 285. Barker, Dr. Francis, 350 N. Barker, Dr. Jeremiah, 121 n; on Vaccine, 140; on his "Prospec- tus for a Medical History," 315, 316 N. Barnes, Miss Eunice, 266 N. Barnes, Mr. Bill, 189, 265. Barron, Major W., 197 N. Bartlett, Dr. Boston, 93. Bartlett, Dr. Ezra, 57 n. Bartlett, Dr. Joshua, 71, 72 N. Bartlett, Dr. Josiah, 57 n; On Vaccination, 60, 62; On Dr. Spalding leaving Portsmouth, 266. Bartlett, Dr. Levi, 57 n; on New Hampshire Medical Society Af- fairs, 112; On Scull Cap, 321, 322 N. Bartlett, Dr. Peter, 191 N. Barton, Dr. Benjamin Smith, 167, 173, 188, 334, 367. Batchelder, Dr. John Putnam, 314, 315 N. Battery, Galvanic of Dr. Spalding, 122. Bayley, Capt. Cazneau, 91 n, 92. Baynton, Dr. Thomas, 74 n. Beaume, Antoine, 26 N. "Beauty," Spalding, 22. Beck, Theodric Romayne, 335 N. Beddoes, Dr. Thomas, 26 N. Bell, Dr. Andrew, 295 n. Bell, Dr. Benjamin, 32 n. Bell, Sir Charles, 125 N., 158 N. Bell, Mr. John, 154 n. Bellows, Col., 23 n., 29. Berthollet, Count Claude Louis, 13 N. Bichat, Felix Xavier, 299 N. Bigelow, Dr. Jacob, 243 n., 244; On Vaccme, 245, 272. Billings, Dr. Benjamin, 57 N. 369 370 INDEX Binney, Horace, 267 n. Blanchard, Dr. Abel, on Batteries, 122, 123. Blizzard, Sir William, 311 n. Boardman, Capt. George, 85. Booerhave, 223 n. Boston Pharmacopoeia Conven- tion, 353. Bowditch, Edward, 129. Brackett, Mr. John Warren, 120. Brackett, Dr. Joshua, 38 n. Brackett, Dr. Joshua, 2d, On Portsmouth News, 185. Bradley, Dr. Peleg, 249 N. Bradley, Gen. Stephen Rowe, 39 N., 91. Brande, William Thomas, 312 n. Brewster, Gen. Ebenezer, 23 n. Brewster, Miss Hannah, 92 n. Brewster, Col. and Mrs. WiUiam, 53 N. Brown, Dr. John, 174 n., 223 n. BrowTi, Dr. Samuel, 10 n., 54 n.; and Vaccination Scabs, 55. Bruce, Dr. Archibald, 240 N. Burge, Dr. Benjamin, 264 n. Burnside, Dr. Thomas, on Instru- ments, 124. Burr, Mr. Aaron, 333. Burroughs, Rev. Charles, 245 n. Burroughs, "Life of Stephen," 14. Cabanis, Pierre George, 185 n. Csesarean Section, 308. Caldwell, Dr. Charles, On Small- Pox, 105; On Desault, 114; On Spotted Fever, 261; His Works, 262, 280 n; Introducing Dr. Spalding to a New York Friend, 267; asks for a Recommendation from Dr. Spalding, 280; On "The Institutes of Medicine," 280; On Dr. Wistar, 289, 290. Campbell, Dr. J. C, On a Patient in New York, 302. Cann, Case of Mr. James, 319- 328. Carleton, Dr. Edward, 254. CarlLsle, Sir Anthony, 337 N. Carr, Dr. John, 250 n. Carter, Dr. of Newport, Rhode Island, 337. Carter, Rev. Abiel, 282. Castine, Maine, 69. Cazeau, Mons., 148 N. Chadbomne, Isaac, 146 n. Chamberlain, John Curtis, M.C., On Post Roads, 160. Channing, Dr. Walter, 205 N. Chapman, Dr. Nathaniel, 166, 177. Chaptal, Jean Antoine, 33 N. Chase, Dudley, 182 n. Chase, Dr. Heber, 23 N. Chase, Ithamar, 5, 27, 68, 78 n. Chase, Moses, 1. Chase, R't Rev'd Philander, 2; On Louisiana Affairs, 117, 180-182. Chase, Salmon, 118 n. Chase, Samuel, 1. Chaimcey, Charles, 183 n. Chauncey, Commodore Isaac, 231 N. Cheeseman, Dr. John Cummings, 331. Chemical Lectiu-es by Dr. Mitch- iU, 42. Chemical Lectureship at Dart- mouth, Dr. Spalding resigns from, 52. Chemistry, Dr. Spalding's Interest m, 33. Chisholm, Dr. Collin, 66 n. Church, Dr. John, 121. Clapp, Dr. Benjamin, On the Philadelphia Medical School, 188. Clapp, Dr. Eleazer, 283 n. Clarkson, Mr., 278 n. Cleaveland, Prof. Parker, 256 n. Cleghorn, Dr. George, 172. Cline, Mr. Henry, 178 n., 186. Clinical Instruction at Harvard Medical School in 1797, 5. Clinton, Gov. De Witt, 214, 214 N, 216, 219, 220, 329. Clinton, Gov. George, 214. Clinton, James, 214. Coleman, William, 322 n., 323. Cock, Dr. Thomas, 331. Coffin, Nathaniel, Esq., Bill Col- lections for Dr. Spalding, 135. Coins for Corner Stone, St. John's, Portsmouth, 78 n. College of Physicians and Sur- geons, New York, 265 n., 329. INDEX 371 Congress Hotel, Washington, D. C, 357. Cooper, Sir Astley, 178 N. Cooper, Mr. Boston, 23. Corvisart, Baron Jean Louis, 205 N, 221. Coues, Miss Caroline, 195, 261 n. Coues, Miss Elizabeth, 79, 110. Coues, Capt. Peter, 79, 80, 93 n, 314, 318, 341. Coues, Samuel Elliott, 252 n. Cox, Dr. John Redman, 108 N., 173, 188, 189, 268. Crawley, Dr. WilUam, 91, 92, 93. Crevier, Jean Louis, 342 n. Cullen, Dr. William, 223 N. Cruikshank, Dr. William Cum- berland, 25 N. Cutbush, Dr. Edward, 344 n; Opinion of Pharmacopoeia, 363. Cutter, Dr. Ammi Ruhamah, 54 N., 55, 56, 57, 248, 340. Cutter, Dr. William, 54 n., 164. Daignan, Dr. GuiUaume, 101 n. Dalcho, Dr. Frederick, On South- ern Medicme, 243, 243 n. Dame, Dr. Alexander, 3, 8, 8 N. Dana, Hon. Judah, 29, 288 N. Danforth, Dr. Isaac, 65 N.- Dartmouth College, Expenses at, in 1800, 46; "Vmdication of Trustees," 282 n. Dartmouth Medical School, Foun- ded, 12; Dr. Spalding's Work at the, 32; Resignation from the, 48; Items Concerning History of the, 49, 50 n, 69; Dr. Na- than Noyes on the, 76; Dr. Alexander Ramsay at the, 150; Dr. Smith's Chemical Lectures at the, 156; New Building for, 159; Notes on the, 264, 284 n. Darwin, Robert, 76 n. Darwin, Erasmus, 76 N. Davenport's Stage, 44. Davy, Sir Humphrey, 310 N. Dawes, Judge, 146 n. Day, Dr. Sylvester, 69 n. Dearborn, Gen. Henry, 40 n; Appoints Dr. Spalding Siu-- geon's Mate in U. S. Army, 41. Dearborn, Mr. Benjamin, Letter on Lightning Strokes, 136. DeButts, Dr. Elisha, 343 n, 353. DeCarro, Dr. Jean, 116 n. De La Motta, Dr. Jacob, On the Pharmacopoeia, 339, 340 n, 355. Delaplaine, Joseph, 273 n. Dennie, Mr. Joseph, 98 N. Dent, Sir Digby, 79. Desault, Dr. Pierre Joseph, 115 n. Dewees, Dr. William Potts, 168, 176. DeWitt, Dr. Benjamin, 207 n, 208. Dexter, Dr. Aaron, 4 n., 37. Deyton, Major, 190. Dinsmore, Hon. Silas, 120. Ditties, 70 n. Dorsey, Dr. John Syng, 167; Notes on his Lectures, 177; Letter on Plaster, 187, 188; On Caspar Wistar, 271. Dow, Dr. Jabez, On New Hamp- shire Medical Affairs, 277, 277 N. Drake, Dr. Francis Rodman, 15 N. Drowne, Dr. Solomon, 353 n. Drury, Dr. John, 38. Dubois, Dr. Anton, 308 n. Dunham, Capt. Josiah, 9, 9 n; On Surgeon's Mate Appoint- ment, 40; On Portsmouth Gar- rison Affairs, 96. Dupuytren, Dr. GuiUaume, 309 N. Durrell, Daniel Meserve, M.C., 141 N. Dwight, Dr. Josiah, 62 n, 302, 340. Dykeman, Dr. Jacob, 331. Edwin, David, Engraver, 127. EUot, Rev. John, 76 n; On Chem- istry, 113. Ellis, Ohver, 200 N. Ergot, Dr. James Jackson on, 298; Dr. John Stearns on, 299; Dr. Spalding on, 110, 299. Eustis, Dr. and Gov., 152. Evans, Richard, On Portsmouth Affairs, 97. Evans, Capt. Estwick, 91 n. 372 INDEX Fairfield Academy, Affairs at, 192; et seq., 242, 278. FaU-fever, 72. "Farmer's Gazette," Dr. Spalding \\Tites for the, 29. Fay, Case of Benjamin, 131 N. Fay, Case of Dr. Cyrus, 99 n. Fisher, Dr. Joshua, 315 N. Fisk, Dr. Peter, on Hydrophobia, 323. Folsom, Mr. and His Yellow Fever, 86. Ford, Simeon, 196 n, 222, 239. Fordyce, Dr. George, 185 n. Fort Constitution, Explosion at, 164 n; Accounts, 185 n. Foster, Capt. Joseph, 79. Foster, Dr. Samuel, on Vaccina- tion, 140. Fothergill, Dr. Anthony, 154 n. Fom'croy, Dr. Anton Francois, 44 N. Fowler, Dr. Richard, 74 N. Fox, Dr. Jesse, On State of Medi- cine in Massachusetts, 249. Foxglove in Tuberculosis, 66. Francis, Dr. John Wakefield, 316 N. Frank, Johann Peter, 327 n. Frank, Dr. Nathan, 314 n. (This may be a misspelling for Trask.) Fredonian, 357 n. Freeman, Peyton Randolph, 46 n. Freeman, Judge Samuel, 133 n. Frost, Dr. William, 118 n; On Portland Debts due Dr. Spald- ing, 118; On Vaccination, 119; On Medical Affairs in Portland, Maine, 133. Fryeburg (Maine), Medical School, 288. Fuller, Miss Nancy, 70 n. Gale, Dr. Amos, on Hydrophobia, 321. Gardner, Francis, M.C., 141 n. Gates, Dr. Jacob, 205 n. Gates, Judge, Seth, 218 n. Gay-Lussac, 309 n. Geese, Disease amongst the, at Hanover, 30, 31 n. Gerrish, Dr. Samuel, On Vaccina- tion, 66. Gerry, Gov. Elbridge, 304 n. Gilbert (Baron), Benjamin Joseph, 24 N. Gimbrede, Mr., an Engraver, 358 N. Goddon, Chemist, 180. Goiter, Dr. Hedge on, 144. Goodhue, Dr. Joseph, 41, 65 N. Goold, G., 128. Gorham, Prof. John, 312 n. Grant, Major Sam, 29. Graves, Dr. William, 142 N. Greely, Dr. Jonathan, 277. Greene, Dr. Alpheus, On Dr. Spalding's Character, 235. Green Stone, 83 n. Gregory, Dr. George, 69 n. GricUey, Dr. Selah, 353 n. Griffiths, Dr. Samuel Powell, 354 N. Guyton-Morveau, Dr., 13 n. Hadley, Dr. James, On Fairfield, 226 N., 228, 232. Hale, Dr. David, On Pharma- copoeia, 347. Hale, Mr., 306. Halleck, Fitz Greene, 14 N. Hamilton, Dr. Frank, 242. Hare, Dr. Robert, 189, 189 N. Harper, John Adams, M.C., On Dr. Spalding, 269, 269 N. Harris, William Coffin, 295. Hart, Eph., 215. Hartshorn, Dr. Joseph, 289 n. Hauy, Abbe, 309 n. Haven, Rev. Dr., 92 n. Haven, Nathaniel Appleton, M.C., 162, 162 N. Hazard, Samuel, 187 n. Hazeltine, Dr. Richard, On Medi- cal Affairs, 157, 157 n. Hedge, Dr. Abraham, 21 n; On Dartmouth and Vaccination, 63; Opinion of Dr. Nathan Smith, 65; Rumor of Death of, 90, 90 N, 97; On Tuberculosis, 95. Hedge, Lemuel, M.C., 11 n, 92 n. Henderson, Dr. Thomas, 355 n. Hewson, Dr. Thomas Tickell, 289 N, 344. INDEX 373 Home, Sir Everard, 311 N, "Hope," Barque, 7. Hopkinsism, 146 N. Hoi-witz, Dr. Jonathan, On The Chair of Anatomy in Phila- delphia, 288-293; On The He- brew Chair in Thomas Jeffer- son's College, 292. Hosack, Dr. David, 198 n, 208, 209. Hosack's Garden, 198 n. Howe, Dr. Abner, 24 N. Hotchkiss, 226 n. Hubbard, Dr. Oliver, On Phila- delphia Medicine, 244, 245, 248, 249 N. Hunking, Dr. Benjamin, Buys Dr. Spalding's Practice, 254. Hunter, Dr. John, 87 n, 93, 176. Hmiter, Mrs. John, 311 n. Huntt, Dr. Henry, 355 n. Hurlbut, Dr. Lemuel, On Dr. Clapp and Saratoga Waters, 301, 302. Hutchings, Ezra, 112 n. Hydrophobia, see Case of James Cann, 319; Dr. James Mease on, 324. Indian Charity School, 70. Ingalls, Dr. William, 291 N. "Institutes of Medicine," 282 n, Ives, Dr. Ansel W., 330. Ives, Dr. Eli, 353, 357. Jackson, Dr. Hall, 316 N. Jackson, Dr. James, 59 n; On Ergot, 298. Jackson, Dr. John, 93, 152, 153 n. Jackson, John, Jr., 127; On New York Offices for Physicians, 257. Jacob, Dr. W., 193 n, 197, 202. James, Dr. Thomas Chalkley, 168, 177, 189. Jay, Hon. John, 229, 268 N. Jay, Hon. Peter, 268 n. Jefferson, Thomas, On Scull Cap, 100, 327. Jeffries, 152 N. Jenner, Dr. Edward, On Vaccina- tion, 93, 116, 121. Jewett, Dr. Luther, On Vaccina- tion, 134, Joan of Arc, 33 n. Johnson, Dr. Cyrus, 121. Johnson, Dr. Robert Wallace, 33 n. Joint-Mice, 175. Judd, Rev. Bethel, 231 N. Kilkushism, 83 N. Kimball, Stage Driver, 79 N. Kink Cough, 351 n. Kinsman, Dr., 69 n. Kinsman, Nathaniel, Esq., 118 n ; On Portland Debtors, 120. Kissam, Dr. Richard Sharpe, 330. Kittredge, Dr., 43 n. Klapp, Dr. Joseph, On Philadel- phia and Fairfield Medical School, 232, 232 n. Knowlton, Ebenezer, 18 n. KoUock, Dr. Lemuel, On Pharma- copoeia, 337, 352. Lancaster, Joseph, 295 N. Lane, Deacon, 137. Lang, Richard, 24 n. Langdon, Gov. John, 39 n; On His Health, 91. Langdon, Dr. WiUiam Eustis, 151 N, 263; On the Pharma- copoeia, 340. Larrey, Baron, 279 n; Thanks Dr. Spalding, 279, 327. Lavoisier, Antoine Laurent, 33 n. Lawrence, Sir William, 312. Lawrence vs. Abernethy, 312 N. Leavitt, Dr. Roswell, 18. LeGallois, Julien Jean Caesar, 271 N. Lerned, Dr. Ebenezer, On New Hampshire Med. Soc, 190. Lettsom, John Coakley, 102 n. Lettuce Gum, Letters on, 73, 83, 86; Dr. David Ramsay on, 86. Lieutaud, Joseph, 354 n. Lightning, Cases of Stroke by, at Portsmouth, 137. Lincoln, Dr. Levi, 206, 221. Livermore, Hon. Arthur, On Army Appointment, 39, 39 N. Livermore, Hon. Edward St. Loe, 53 N. Livermore, Hon. Samuel, 39 N. Livermore, Samuel Kidder, 53 N. Lloyd, Dr. James, 147 n. 374 INDEX Lockyer, 75 n. Long, Miss Mary, 79. Long, Dr. Moses, 190 n. Lordat, Dr. Jacques, 298 N. Lottery, Dr. Nathan Smith's for Medical Library, 2. Louisiana Affairs, Philander Chase on, 117, 180. Lovell, Dr. John, U. S. A., 361. Lymphatics, Dr. Spalding Suc- ceeds in Injecting the, 175. LjTin, Dr., 46. MacNeven, Dr. William James, 258 N. Malignant Fever at Hanover, 18 N. Mann, Dr. James, 222 n, 224, 227. Manning, Dr. Samuel, 58 n, 62. Manning, Dr. Thomas, On Bills of Mortahty, 112. Manter, Dr., 210 n. Marc, Dr. Charles Chretien Henri, 351 N. March, Dr. John, 69 n. Martin, Dr. Samuel Blair, 343 N. Marvin, Judge, 8 n. Mason, Hon. Jeremiah, 272; On Pictures, 273. Massachusetts, Medicine in, Fox, 249. Mavor, Wilham, 306, 311 n. McBride, Dr. James, 338. McClintock, Rev. Mr., 1. McClure, Capt. Samuel, 48 n. McLane, Dr. Allen, 335 n. Meacham, Dr., 34. Mease, Dr. James, On Scull-Cap and Hydrophobia, 324. Meckel, Prof., Anatomist, 186 n. Medical Practice Laws in New York, 20. Medical Schools in 1809, 179. Medical and Philosophical Regis- ter, 154. Mellen, Judge Prentiss, 315 N. Meredith, William, 290 n. Miller, Dr. Edward, 17 N, 155, 247, 257, 265. Miller, Mr. Samuel, 222 N. Milnor, Rev. James, On Mr. George Richards and On a Loan of Money, 273. Mitchill, Miss Amantha, 358 n. Mitchill, Dr. Samuel Latham, 16; On "The Repository," On Med- ical Laws in New York, and on Chemical Lectures, 17-21; On Lectures in New York, 42; On Dr. Spaldmg's Bills of Mortal- ity 101, 114; On American Medical Magazmes, 155, 208; On annuities, 246; On Pro- posed Removal to New York, 252; On Bills of Mortahty, 255, 298; On Scull Cap, 325, 327, 329; On New York Medical Affairs, 348; On The Pharma- copoeia and on West Point, 357; His Portrait, 357; His Brief Eulogy on Dr. Spalding, 366. Moffatt. Miss Katharine, 84. Monge, Gaspard, 13 n. Monro, Dr. Alexander, 186 N. Montague, Mr., 212, 213. Morrill, Dr. David Lawrence, M.C., 347 N. Morrill, Dr. Samuel, On New Hampshire Medical Society, 250. Morse, Dr., 93. Mortality, Dr. Spaldmg's Bills of. Begun, 38, 100; and often men- tioned in Letters. Mott, Dr. Valentme, 178, 179, 179 N, 316. Mussey, Reuben Dimond, 242 n, 249. Nancrede, Paul Joseph, 11 n, 32, 53. Neal, John, On the Spaldings, 3. Neil, William, On Portsmouth Affairs, 182. New Hampshire Medical Society, 37, 250, 340. New Hampshire, Roads in, 140. New Nomenclature of Dr. Spald- ing's, 42, 113. New York City, Dr. Spalding's Report on Condition of Streets of, 333. New York County Medical So- ciety, 329. Noddle's Island Vaccination Test, 109. INDEX 375 " Normanclie " Ship, 80. North Carolina, Medical Practice in, 251, 260. North, Dr. Elisha, 69, 70 n., 156. Nott, Rev. Dr. Eliphalet, 207 n. Noyes, Dr. Josiah, On Fairfield Medical School Affairs, 192, 194, 195, 202, 204, 209, 215, 216, 218, 225, 226. Noyes, Dr. Nathan, 21 N, 38; On Medical Practice in Newbury, 43; On Surgical Emergencies, 45; On Hanover and His Medi- cal Practice, 70; On Dr. Na- than Smith, 71; On Vaccina- tion and Lettuce, 73; His Opinion of Dr. Spalding as a Lecturer, 76; On Lettuce, 77; On Dartmouth Medical School Affairs, 80; On Rehgious Mania, 82; On Vaccine Matter, 121; On a Skeleton, 138; On Dr. Spalding's Bills of Mortality, 187; On The War of 1812, 263; On Dr. Spalding's Ambition, 264; Nominated Professor at Dartmouth, 264. Oliver, Dr. Daniel, 59 N, 248 N. Opium Raised in Portsmouth, 157. Osbom, Dr. John Churchill, 258 n. Page, Mr., of Cornish, 237. Paine, Capt., 279. Parke, Dr. Thomas, 354 n. Parkhurst, Elizabeth Cady, 1. Parkhurst, John, 278 N. Parkhurst, Timothy, 1. Parkman, Dr. George, 259 N. Parrish, Dr. Joseph, 168; Lec- tures of, 178. Parry, Edward, Letter on Min- erals, 180. Parsons, Mr., 180. Parsons, Dr. Usher, U. S. N., Letters on Europe, 305 et seq. Pascalis (Ouvieres), Dr. Felix, 288. Pass, Martha, 173. Pattison, Granville Sharp, M.D., 292 N. Peabody, "General," 266 n. Peck, Prof. WilUam Dandridge, 37, 80 n; On Cardamon Seeds, 276. Perceval, Sir Robert, On Scull- Cap, 326; On the Pharma- copoeia, 349. Perkins, Dr. Cyrus, 139; On a Patient, 146; On Philadelphia Medical School, 165; On Dr. Spalding, 194. Perkins, Dr. Elisha and his Tractor, 35. Perry, Mr. Joseph, On Dartmouth Affairs, 282. Pharmacopoeia of the United States Started, 283; Sugges- tions Concerning the, 298; Con- vention for the, 320 n; Men- tioned, 334, 335; Boston Con- vention for the, 353; Philadel- phia Convention for the, 354; Washington Convention for the, 357; Description of First Edi- tion of the, 360; Criticisms of the, 363; Costs of the, 365. Philadelphia, Epidemic in, 107; Medical Affairs in, 244, 246, 248, 166 et seq. Physick, Dr. Philip Syng, 166 n; Lectures of, 169. Pierce, Charles, 123 N, 188. Pierrepont, Dr. James Harvey, On Portsmouth Medical Affairs, 152; On Portsmouth and Phila- delphia Affairs, 183; Men- tioned, 248, 261, 302; On the Pharmacopoeia, 341. Pike, Gen. Zebulon, 231 N, 232. Piatt, Gen. Jonas, 210 n. Plumer, Gov. WilUam, On Dr. Spalding's Medical Paper, and on Medicine in New Hampshire, 300, 301 N, 302. Polhemus, Dr. John, 366. Pomeroy, Dr. 9, n. Porter, Dr. Ezekiel, 34. Portland, Maine, Medical Affairs at, in 1807, 133. Portsmouth, New Hampshire, 36; Library at, 84; Yellow Fever at, 104; Lightning Injuries at, 137. Post, Dr. Wright, 240 N. 376 INDEX Pott, Percival, 103 N. Potter, Dr. Nathaniel, On the PharmacopcEia, 342, 352. Pratt, Miss Betsy, 189. Prescott, George Washington, 77 N, 81 N. Preston, Dr. John, 190 N. Prickly Ash, 298. Priestly, Rev. Joseph, 113 N. Ptosis, Case of. 111. Puddiag Time, 67 n. Purcell, Mrs., 85. Putnam, Gen. Israel, 1. Quassia, Prince, 174. Ramsay, Dr. Alexander, His Ca- reer, 149; At Dartmouth, 155; At The Fairfield Medical School, 240, 241; Certificate Concern- ing Dr. Spalding, 287; On The Fryeburg Medical School, 288; On The Philadelphia Anatomi- cal Chair and Fever, 291; Tries to Establish a School in New Hampshire, 305; His Work on the "Brain," 336 n. Ramsay, Dr. David, On Medical Writings, 85; On Chemistry and Lettuce, 86; On YeUow Fever and Calomel, 87. Ramsay, Mrs. David, 87 n. Randolph, John, M.C., 239. Ranney, Dr. Thomas Stowe, 57 n. Reece, Dr. Richard, On the Phar- macopoeia, 316 N, 317. Reid, Dr. John, 325 n. Revere, Dr. John, 206 N. Richards, Rev. George, 77 n; On Dr. and Mrs. Spalding, 127 n; Visits Dr. Rush, 164, 181 n; Death of, 273. Ricketson, Dr. Shadrack, On His Writings, 122; On Syringes and Publications of His Own, 153; At Fairfield Medical School, 123. Ring, Dr. John, "Honest John," 95, 95 N, 108. Robinson, George, 8 n. Robinson, Nicholas, 33 N. Robinson, Dr. Samuel, On Phar- macopcBia, 345. Rodgers, Dr, John Bayard Rich- ardson, 20 N, 208. Rogers, Capt. Jedediah, 238, 238 n; On Money and the Spaldings, 275. Rogers, Dr. Patrick Kerr, 178 N. Rogers, Mrs. Sallie, 257. RomajTie, Dr. Nicholas, 15 N, 208. Rose, Dr. Samuel Haiaes, On Vacciaation, 67. Rosebrook, A Cancer Patient, 7 N. Rousselet, Lucy Adriana, 84. Rousselet, Mr. Nicholas, On Edu- cation of His Daughter Lucy Adriana and on Jequirity, 85. Rowe, Dr., 57. Rush, Dr. Benjamin, On Medical Affairs, 100, 100 n, 164; His Lectures, 171, 188, 189; Dr. Caldwell on, 262. Russell, Dr. Alexander, 33 N. Russell, Dr. Richard, 305. Sangrado, 186 n. Sauvage, Dr. Francois, 73 N. Scott, Rev. Mr., 181 n. Scull-Cap Pamphlet on, 319, 326, 328. Seaman, Dr. Valentine, 331. Seaward, Capt. John, 181 n, 182. Sewall, Jonathan Mitchell, 98 N. Sewall, Samuel, 158 n. Sewall, Dr. Thomas, 203 n, 304. Shattuck, Dr. George Cheyne, 195 n; Letters on the Fairfield Medical School, 196, 200, 202, 203, 204, 208, 209, 210, 213, 215, 217, 218, 227, 228; Resigns from, 224; On Dr. James Thacher, 229; At Fairfield, 242; On Dr. Spalding's "In- stitutes," 281; Introduces Dr. E. Clapp, 287; Illness and Acci- dent, 304; On the Pharma- copa'ia, 336. Sheaffe, Gen. Sir Roger Hale, 231 N. Shecut, Dr. John Linnaeus Ed- ward Whitridge, On Atmos- pheric Electricity, 295-8. Shelby, Dr. John, 176 N. INDEX 377 Sheldon, Col., 8 N. Sheldon, Dr. Alexander, 216 N. Sherwood, Dr. Jonathan, 200 n; On Fairfield Affairs, 227, 231; On Dr. Ricketson, 233, 238. Shippen, Dr., 171. Silliman, Prof. Benjamin, 144, 144 n; On Meteors, 188, 225; On Europe, 250; Lectures by, 270. Sinclair, Sir John, 154 n; His "Code of Longevity," 184. Skeleton, 138. Smith and Bartlett, 8 n. Smith, Dr. Calvin, On an Opera- tion, 236. Smith, Dr. Charles, 355 n. Smith, Dr. David Hall Chase, 284 N. Smith, Dr. Ehhu Hubbard, 17 N, Smith, Dr. John Augustine, 258 N, On Dr. Spalding as Trustee in Medical School, 265, 289 n. Smith, Dr. Joseph Mather, 331. Smith, Miss Mary, 210 n. Smith, Miss Nabby, 70 N. Smith, Dr. Nathan, Birth and Education, 2; Medical Lottery, 2; Wives and Children, 3; On Voyage to Europe, 6, 7; Re- trnms from Europe, 10; On Trephining, 44 n; On Dr. Spalding's Resignation as Lec- turer, 48, 50; Opinions of His PupUs on, 64, 65, 71; On Dr. Spalding Renewing Chemical Lectures, 80; On Vaccination, Cancers, Curers and Dart- mouth Affairs, 89; On Opera- tion for Stone, 90; On Dr. Spalding's Galvanic Battery, 112; Medical Advice from, 115; On Dartmouth and The Case of Benjamin Fay, 131; On Cata- racts, 137; On Quackery, 142; On a Lay Reader at St. Johns, Portsmouth, 145; On His Miss- ing Umbrella, 145; On Dr. Ramsay at Dartmouth, 149, 150, 151; On Dartmouth Medi- cal School Affairs, 156; On the New Medical Building at Dart- mouth, 159; Certificate to Dr. Spalding, 161; On Dr. Spald- ing's Voyage to Europe, 163; On Philadelphia Affairs and Dissecting Troubles, 186; men- tioned, 225; On a Medical Oration, 247; Mentioned, 249; On Em-opean Voyage of Dr. Spalding, 259 n; Hemorrhages and Nosology, 269; On Dr. Spalding's "Institutes," 293; On Col. Dyer Spalding, 272; On His Fanuly, 284; On Goitre, 313. Smith, Judge Nathan, Letters on The Fairfield Medical School, 198, 213, 214, 215, 219, 220, 221, 225, 230; Mentioned, 197 n, 201, 211, 216; On Robert Ful- ton, 234; Visits Dr. Spalding in Portsmouth, 222; and in New York, 240. Smith, Dr. Nathan Ryno, 28, 44, 44 N. Smith, Mr. Robert, 161 n. Smith, Mr. Samuel, 204, 237. Smith, Mr. Wilham, 200, 204 N. Soda Water Machines, 156, 160, 256. Spalding, Adelaide Coues, 79. Spalding, Alfred Peter, 79. Spalding, Col. Dyer, 1, 2; Men- tioned, 234, 272, 276, 314. Spalding, Mrs. Dyer, 1; Growth on Face, 7; On Home Affairs, 317. Spalding, Edward Jenner, 238 N. Spalding, Miss Elizabeth Park- hurst, 112 N. Spalding, Dr. Lyman, Birth and Education, 1; At Harvard Medical School, 3; Boards with Dr. Smith at Cornish, 5; Carries on Dr. Smith's Practice, 8; Horse Back Tour in Vermont, 8; Graduated at Harvard, 10; College Friends, 10; Skeletons from Europe, 11 n; Letters on Medical Books, 11, 32, 53; Chemical Lecturer at Dart- mouth, 12; "New Nomencla- ture" published, 12, 42; Early Medical Papers by, 14; Friend- 378 INDEX ship with Dr. Mit chill, 14; On "The Medical Repository," 16; Sick with Fever, 18 n; On H5'drophobia, 18, 19; Money Dealings with Dr. Waterhouse, 22, 23; On Dartmouth Medical School Affans, 22; On The Plagiarism of Dr. Daniel Adams, 24; To President Wheelock on Lea\Tng Dartmouth, 27; Prac- tices in Walpole, New Hamp- shire, 29; On Walpole Affairs, 30; On Dartmouth Medical School Affairs, 31; Visits Bos- ton, 31, 32 n; On Chemicals for the Medical School, 33; Settles in Portsmouth, 34; Bills of MortaUty, 38; Ajiatomical Cabinet, 38; Contract Surgeon U. S. Army, 38, 41; On Chemi- cal Lectureship, 49, 50, 52; Vac- cinates in Portsmouth, 53-62; Vaccmation Profits, 54; On Vaccination "Trust," 55; As a Mason, 77; Marriage, 79; Sends Lettuce to Dr. David Ramsay, 86; Uses Oxygen Gas, 87 n; Vaccination Tests, 88 et seq.; Orders Drugs from London, 91; Letters to Rush and Jefferson, 100; Second Vaccination Test, 104; Marriage, 110; On Spon- taneous Combustion, 111; Trea- tise on Skin Diseases, 126; On Post Roads, 140; On Aneu- risms, 145, 154, 159; On Skin Diseases, 148; On Soda Water Fount, 156; Raises Opimn, 157; Plans to leave Portsmouth, 160; Government Claim, 160; Plans for Evuopean Voyage, 160-164; Accident at Fort Constitution, 164; Visit to Philadelphia, 166; Accepts Invitation to The Fair- field Medical School, 194; On Fairfield Medical School, 212; Trustee New York College of Physicians and Surgeons, 216; On Dr. Shattuck's Resignation from Fairfield, 223; Settles in Now York City, 228; Professor of Institutes of Medicine, 231; Cataract Cases, 230 n; Presi- dent of College of Physicians and Surgeons of the Western District New York, 234; On Affairs at Fau-field, 1815, Re- signs Professorship Institutes of Medicme, 238; On the Affair of Dr. Alexander Ramsay at Fair- field, 240; Resigns from Fair- field, 241; Letters on SeUing his Practice at Portsmouth, 253; Offers his Services in the War of 1812, 263; Medical Member- ships in New York, 267; On the Pharmacopoeia, 283; Efforts to Obtain Chair of Anatomy in Philadelphia, 287-293; On Visit- ing Mr. Peter Jay, 268; To his Wife, on Moving to New York, 275; His "Open Letters" to Eminent Physicians, 279, 329; "Institutes of Medicine," 293; His GeniaUty, 302; Satire on Goitre, 314 n; Papers on Medi- cine and Natural History, 329; Defense of his paper on ScuU- Cap, 327; His Various Offices, 329; His Discovery of Lympha- tic Preparations, 330; On the Pharmacopoeia and Medical Pohce, 344; Visit to Washing- ton, 356; Letter to his Wife on the Pharmacopoeia, 359; Letter to Dr. Warren with Copy of Pharmacopoeia, 365; Accident and Death, 366; Dr. Mitchell's Euology of, 366. Spalding, Mrs. Lyman, Domestic Life in New York, 238. Spalding, Lyman Dyer, 99 N, 189 N, 238; Fishes off of WaU Street, 333; Goes to Philadel- phia at Age of Ten, 359. Spalding Family Amusements in New York, 333. Spalding, Dr. Matthias, Brings Silver Gilt Snuff Box from Jenner to Waterhouse, 108 N. Spalding, Dr. Matthias, On Buy- ing Dr. Lyman Spalding's Practice, 253; On the Pharma- copoeia, 347. INDEX 379 Spalding, Dr. Noah, On Dart- mouth Medical Affairs, 68, 69, 91. Spalding, Sanford, 78 n, 266. Spalding, Silas, Family Affairs, 14, 130; On Dartmouth Medical Affairs, 68. Spalding, Mrs. Silas, 79 n. Sparhawk, The Name of, 97 N. Sparhawk, John Stearns, 22 N. Spencer, Judge, 220. St. John's Parish at Portsmouth, Lay Reader for, 146; Founda- tion Stone of. Laid by Dr, LjTiian Spalding, 78 N. St. Rosa, 287. Standing Committee of Fairfield, Letter on Medical Affairs, 199. Stark, Dr. WiUiam, 299 n. Stearns, Dr. John, 299 n; On the Pharmacopoeia, 364. Stern, Dr. Thomas, 19 n. Stevens, Dr. Alexander Hodgdon, 299 N, 316. Stevens, John, 268. Steward, Dr. Samuel, 354 n. Stewart, Mr., 318 n. Stoddard, Capt., U. S. A., 41. Stone, Esq., 190. Stones, 217; Extracted by Dr. Nathan Smith, 91. Storer, Clement, U. S. Senator, On Post Roads, 141, 141 N. Stowe, Dr., 57 n. Stringham, Dr. James Sykes, 208 N. Strong, Gov. Caleb, 263 N. Swainson, Mr. Wilham, On His Works, 317, 317 n. Sweat, Dr. Moses, 71 n. Swett, Dr. John Barnard, 45 N. Swords, Pubhshers, 17 n, 279. Sydenham, Dr. Thomas, 115 N. Sykes, Dr. James, 335 N. Taft, Dr. Charles, Student of Dr. Spalding, 150, 151 n, 249 n; On His Practice in North Caro- lina, 251, 260; Mentioned, 277 N. Taylor, Dr., 277 N. Tenney, Dr. Samuel, 266 N. TerreU, Dr. William, M.C., 352 n. Thacher, Dr. James, 229 n; On Scull-Cap, 323; On the Phar- macopoeia, 345. The Medical Repository, Men- tioned, 16-18. Thenard, Baron, 309 N. Thompson, Hon. Smith, On Phar- macopoeia, 362, 362 N. Thomson, Dr. Anthony Todd, On the Pharmacopoeia, 346, 346 n. Thomdike, Dr. WiUiam, on Min- eral Waters, 255, 256 n. Thurston, Dr. John, On Buying Dr. Spalding's Practice, 254; On Bills of Mortahty, 301, 359. Tibia, Necrosis of, Remarkable Case of, 110. Tiffany, Mr., 215. Tilton, Dr. Joseph, 216 n. Tompkins, Gov. Daniel Duane, 215, 215 N, 220, 263; Promises Dr. Spalding his Family Prac- tice, 222. Torrey, Dr. Augustus, 6 n, 71 N. Torrey, Dr. Erastus, 353 n. Torrey, Dr. John, 348 n. Townsend, Rev. Joseph, 27 N. Tractoration, 35. Trail, Dr. Thomas Stewart, 317 N. Trask, Dr. Nathan, 314 n. Trefethen, Capt. Henry, 135. Trevett, Dr. Samuel, U. S. N., 303; On Mrs. Trevett as Dr. Spaldmg's Patient, 304; Gift to Dr. Spalding, 304. Trinity BiU, 230 n. Tuberculosis, Foxglove in, 66. Tully, Dr. Wilham, 225 n. Vaccination, Introduction of, 48; At Portsmouth, 53; Scheme for Commerciahzing, 54, 55, 56; Price of a Bond for Vaccinating, 58 ; Dr. Spalding's Fhst 30 Cases, 59; At Hanover, 63; Town Meetings on Testing Efficacy of, 63 n; Dr. Gerrish on, 66; Dr. Rose on, 67; Dr. Noyes on, 73; Vaccination Class at Ports- mouth, 88; First Pubhc Test of byDr. Spaldmg,88; Mentioned, 105, 121, 134. 380 INDEX Vaccination, Use of Scabs in, 136, 140, 272. Vancleve, Dr. John, On Scull Cap, 320. Vanderveer, Dr. Henry, On Scull Cap, 322, 323. Vanderveer, Dr. Lawrence, On Scull Cap, 320, 321. Vaughan, Dr. Benjamin, M.P., 399 N. Vaughan, Dr. John, On Willan's Book on Skin Diseases, 127, 158; Mentioned, 189. Vauquelin, Prof. Louis Nicholas, 309 N. Vergnies (De Bonchiere), Dr. Francis, 121 n. Vose, Roger, Esq., 33. Wait, Mr. (Printer), 281, 336. Wakefield, Mr. Gilbert, 342 n. Walpole, Medical Cases at, 29. Warren, Dr. John, 4 n. Warren, Dr. John Colhns, 38; On the Pharmacopoeia, 143, 143 n; On Massachiisetts Medical Af- fairs, 244; On The New Eng- land Medical Journal, 249, 264; On Le GaUois Experiments, 271; On Chair of Anatomy at Phila- delphia, 290; On the U. S. Pharmacopoeia, 336; On Giving up Midwifery, 337; On the Pubhcation of the U. S. Phar- macopoeia, 363. Waterhouse, Dr. Benjamin, Natu- ral History Lectures, 5; Note to Dr. Spalding, 22; Children, 22 n; On Vaccination, 53, 54, 55, 56, 57, 60; Tests His Children, 88; On Vaccination again, 98; On Mackerel, 102; On Vaccination, 104, 105, 107, 111, 136; Silver Gilt Snuff Box from Edward Jenner, 108 n; Introduces Mr. Wait, 281. Watts, Dr. John Jr., 316 n. Webster, Daniel, 217 n. Wentworth, Col. Michael, HI. Wentworth, Mrs. Michael, Dr. Spalding as Executor of Will of, 111. Wentworth, "Sir" John, 63, 63 n, 268. Wheelock, Rev. John, President of Dartmouth, 27 n; Letter for Dr. Spalding, 28; On Costs and Curriculum at Dartmouth in 1800, 46; On Dr. Spalding's Resignation, 48; Commenda- tory Letter to Dr. Spalding, in 1810, 161. White, Mr. Charles, 174 n. White, Dr. Joseph, 194 n; At Fairfield Medical School, 238, 239, 241. Whitman, Ezekiel, 315 N. Wilkins, Dr. Henry, 343. WiUan, Dr. Robert, His "Cutane- ous Diseases," 126 et seq. WiUard, Rev. Joseph, 73. WUhams, Dr. Stephen West, On Scull Cap, 322. WUloughby, Dr. Westel, Jr., 203 N, 208; On Fakfield Af- fairs, 211, 212, 226, 228, 231, 234, 235, 237, 238, 239. 242. Wilson, Mrs. Lois, 1. WUson, Dr. A. Phihp, "On Fe- brile Diseases," 285 n, 294. Wilson, Rev. Mr. (Hebrew Scholar), 292. Wilson, Six Robert, 308 N. Wilson, Thomas, 1. Wingate, Mr. George, 61 n. Wistar, Dr. Caspar, 166; Lec- tures, 175; Mentioned, 188; On Dr. Spalding's Removal to New York, 258; Riunors of Death of, 271; Death of, 287. Woodhouse, Dr. James, 174. Woodward, William H., 18 n, 28 N, 80; On Governor Lang- don's Coming to Dartmouth, 136, 261. Yeaton, Capt. WiUiam, 180. Yellow Fever in Portsmouth, 104. Yellow Fever, Dr. Shecut's Theory of Electricity in Causation of, 296, 297. - i