return and destroy the
patient. As far as my observation extended, very few of the cases of
amputation for gangrene recovered. The progress of these cases was
frequently very deceptive. I have observed after death the most
extensive disorganization of the structures of the stump, when during
life there was but little swelling of the part, and the patient was
apparently doing well. I endeavored to impress upon the medical officers
the view that in this disease treatment was almost useless, without an
abundant supply of pure, fresh air, nutritious food, and tonics and
stimulants. Such changes, however, as would allow of the isolation of
the cases of hospital gangrene appeared to be out of the power of the
medical officers.
8th. The gangrenous mass was without true pus, and consisted chiefly of
broken-down, disorganized structures. The reaction of the gangrenous
matter in certain stages was alkaline.
9th. The best, and in truth the only means of protecting large armies
and navies, as well as prisoners, from the ravages of hospital gangrene,
is to furnish liberal supplies of well-cured meat, together with fresh
beef and vegetables, and to enforce a rigid system of hygiene.
10th. Finally, this gigantic mass of human misery calls loudly for
relief, not only for the sake of suffering humanity, but also on account
of our own brave soldiers now captives in the hands of the Federal
Government. Strict justice to the gallant men of the Confederate Armies,
who have been or who may be, so unfortunate as to be compelled to
surrender in battle, demands that the Confederate Government should adopt
that course which will best secure their health and comfort in captivity;
or at least leave their enemies without a shadow of an excuse for any
violation of the rules of civilized warfare in the treatment of
prisoners.
[End of the Witness's Testimony.]
The variation--from month to month--of the proportion of deaths to the
whole number living is singular and interesting. It supports the theory
I have advanced above, as the following facts, taken from the official
report, will show:
In April one in every sixteen died.
In May one in every twenty-six died.
In June one in every twenty-two died.
In July one in every eighteen died.
In August one in every eleven died.
In September one in every three died.
In October one in every two died.
In November one in every t
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