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CIVIL WAR DOCUMENTS SET OF 2 PAY VOUCHERS FOOD COUNTS CAPT POTTER W.M. DORRAN
CIVIL WAR DOCUMENTS SET OF 2 PAY VOUCHERS FOOD COUNTS CAPT POTTER W.M. DORRAN
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| CIVIL WAR DOCUMENTS SET OF 2 PAY VOUCHERS FOOD COUNTS CAPT POTTER W.M. DORRAN | |
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CIVIL WAR DOCUMENTS, PAY VOUCHERS FOR ASSISTANT SURGEON W.M. DORRAN USV, & CAPTAIN POTTER FOOD ACCOUNT APRIL 1 THOUGH THE 30TH 1864. FOOD ACCOUNT DOCUMENT MEASURES 12 5/8 INCHES BY 15 INCHES. HAND WRITING ON BOTH BACK AND FRONT OF PAPER DOCUMENT. DOCUMENT DOES HAVE MINOR LIGHT BROWN DOTS / STAINS AND MULTIPLE FOLD MARKS. PAPER VERY FRAGILE, SOME TEAR WHERE PAPER WAS FOLDED FROM STORAGE/ USAGE /AGE. PAY VOUCHER DOCUMENT MEASURES APPROXIMATELY 17 INCHES BY 10 15/16THS INCHES. PAPER DOES HAVE FOLD MARKS AND LIGHT STAINS. ALSO HAS RIPS IN PAPER WHERE FOLDED. SEE PHOTO FOR MORE DETAILS ON COSMETIC CONDITION OF DOCUMENTS OR EMAIL WITH MORE QUESTIONS. READ MORE ABOUT DOCUMENTS BELOW. SECT. I. COMPLICATED SHOT FLESH WOUNDS. 35 CASE 74. PRIVATE H. BARR, CO. I, 21ST IOWA, AGED 43 YEARS, WAS WOUNDED AT THE BLACK RIVER BRIDGE, MAY 17, 18G3, AND WAS TRANSFERRED FROM A FIELD HOSPITAL TO MEMPHIS, TWO WEEKS AFTER THE INJURY. ACTING ASSISTANT SURGEON W. M. DORRAN CONTRIBUTED THE FOLLOWING HISTORY: "HE RECEIVED A FLESH WOUND OF THE RIGHT LEG, THE BALL ENTERING ABOUT TWO INCHES BELOW THE HEAD OF THE FIBULA, EXTERNAL ASPECT, PASSING INWARD AND DOWNWARD BEHIND THE BONES OF THE LEG, AND ESCAPING THREE INCHES BELOW THE HEAD OF THE TIBIA, INTERNAL ASPECT. ON JUNE 4TH, HE WAS ADMITTED INTO THE JACKSON HOSPITAL, IN THIS CITY. THE WOUNDS WERE THEN SMALL, THE EXTERNAL ONE NEARLY HEALED; BOTH WOUNDS WERE SUPPURATING, AND THE PUS WAS DARKISH, THE PATIENT STATED. EITHER PUS BURROWED OR A DIFFUSE ABSCESS FORMED SIX INCHES BELOW THE INTERNAL WOUND ON THE CALF OF THE LEG, POINTED AND BROKE THERE, DISCHARGING A CONSIDERABLE QUANTITY OF PUS. THE TISSUES ALL AROUND THIS NEW SORE BEGAN TO SLOUGH, AND A DESTRUCTIVE PROCESS EXTENDED DOAVN TO WITHIN TWO INCHES OF THE ANKLE, UP TO THE INTERNAL WOUND, FORWARD TO THE SPINE OF THE TIBIA, ANDBACKWARD TO THE MEDIAN LINE OF THE MUSCLES OF THE CALF. A CONSULTATION WAS HELD OVER THE CASE, AND IT WAS DECIDED TO AMPU TATE, THE PATIENT STATES; BUT THE SUPERINTENDENT OF THE HOSPITALS HAPPENED TO BE PRESENT AND OVERRULED THE DECISION, ARID HAD THE PATIENT TRANSFERRED TO THE GANGRENE SECTION OF THIS, THE UNION HOSPITAL, ON JUNE 30TH. ON ADMISSION, A LARGE PORTION OF BLACK DEAD TISSUE SURROUNDED THE BREACH OF THE SURFACE, WHICH, WHEN CUT AWAY BY THE SCISSORS, MADE THE ULCER TO BE ABOUT EIGHT INCHES LONG AND FOUR INCHES IN WIDTH AT THE MIDDLE OF THE LEG. THE TIBIA WAS DENUDED OF PERIOSTEUM TO THE EXTENT OF FOUR INCHES IN ITS MIDDLE THIRD. THE INTERNAL SAPHENOUS VEIN WAS A BLACK CORD FOR ABOUT SIX INCHES. THEGASTROCNEMIUS AND SOLEUS MUSCLES HAD SLOUGHED TO THE MEDIAN LINE, AND THE FASCIA BETWEEN THESE TWO MUSCLES, AND ALSO UNDER THE SOLEUS, HAD SLOUGHED AWAY MUCH FARTHER IN EXTENT THAN THE MUSCLES. AFTER IT WAS CLEANED AS WELL AS POSSIBLE BY CUTTING AND WASHING, FUMING NITRIC ACID WAS APPLIED, OR ALMOST POURED ON THE DEAD AND DYING TISSUES STILL REMAINING, AND WITH A PIECE OF WOOD IT WAS WORKED INTO THEIRSTRUCTURE, AND THE SEMIFLUID SLUSH OR MUD WAS CLEANED AWAY, AS IT FORMED, BY THE APPLICATION OF THE ACID. THEN THE WHOLE LEG WAS ENVELOPED WITH A POULTICE OF CHARCOAL AND LINSEED-MEAL, COVERED BY AN OILCLOTH, AND BANDAGED FROM THE TOES TO THE KNEE.AFTER THE CAUTERIZATION, WHEN THE PATIENT WAS UNDER THE INFLUENCE OF SOME STIMULANTS AND MORPHIA GIVEN TO HIM DURING THE OPERATION, HE EXPRESSED HIMSELF AS FEELING BETTER THAN HE HAD FOR TWO WEEKS PAST, AND THE LEG EASIER. JULY 1ST, SLOUGHING BY ACID NOT READY TO BE REMOVED YET; ACID AGAIN APPLIED WHERE GANGRENOUS ULCERATION STILL PROCEEDED, ALSO THE POULTICE AND TIGHT BANDAGE. JULY 4TH, THE PATIENT RESTS WELL AT NIGHT, AND HIS APPETITE IS RATHER IMPROVED. HE IS CHEERFUL AND HOPEFUL, AND OF THE OPINION NOW THAT THERE IS A CHANCE OF HIS LEG BEING SAVED, WHEREAS BEFORE HE HAD MADE UP HIS MIND THAT IT WAS TO BE LOST. THE SLOUGH BY THE ACID WAS REMOVED TO-DAY, AND THE SORE IS FRESHER IN APPEARANCE ANTERIORLY, BUT POSTERIORLY THE FASCIA IS STILL SLOUGHING. THE STRONG ACID WAS AGAIN APPLIED IN THIS REGION, CAUSING THE FORMATION OF A MASS TO BE CLEANED AWAY TO THE AMOUNT OF TWO OR THREE OUNCES. LINT SATURATED WITH A SOLUTION OF BROMINE AND BROMIDE OF POTASSIUM IS NOW INTRODUCED INTO EVERY CREVICE AND SINUS AND OVER EVERY SLOUGHING PART, AND OVER THIS A POULTICE AND BANDAGE. STIMULANTS ARE GIVEN FOUR TIMES A DAY, ALSO TONICS OF QUININE AND TINCTURE OF CHLORIDE OF IRON. JULY 8TH, BY ASSIDUOUS ATTENTION TO TI-EATMENT, AFTER THE MANNER ALREADY DESCRIBED, THE SORE HAS BEEN BROUGHT TO PRESENT A FRESH AND RATHER HEALTHY BASE, AND SOME GRANULATIONS ARE SPRINGING UP ON THE ANTERIOR PART. NITRIC ACID HAS STILL TO BE APPLIED UNDER THE MUSCLES OF THE CALF, AND AT THE LOWEST MARGIN OF THE ULCER SOME DEAD TISSUE REMAINS. JULY 12TH, THE ULCER IS QUITE CLEAN AND HAS QUITE A HEALTHY APPEARANCE; GRANULATIONS ARE SPRINGING UP VERY BEAUTIFULLY, EXCEPT AT THE LOWER MARGIN. THE PATIENT S GENERAL CONDITION HAS IMPROVED. RESIN CERATE IS USED TO DRESS THE PARTS WHERE GRANULATIONS ARE SPRINGING UP, BUT SOLUTION OF BROMINE OR LABARRAQUE S SOLUTION WHERE ANY UNHEALTHY APPEAR ANCE PRESENTS ITSELF. JULY 16TH, THE SORE APPEARS QUITE HEALTHY AND GRANULATING ALL OVER. THE MUSCLES THAT WERE SEPARATED FROM EACH OTHER BY DESTRUCTION OF TISSUE BETWEEN THEM ARE BEGINNING TO GROW TOGETHER. THE TIBIA, WHICH WAS BARE FOR SOME DISTANCE, IS AGAIN BEING COVERED BY GRANULATIONS. THE EDGES OF THE ULCER ARE BECOMING DEPRESSED AND RATHER INVERTED INSTEAD OF BEING INDURATED AND EVERTED. THE INTERNAL SAPHENA VEIN HAS BEEN DESTROYED FOR EIGHT INCHES OF ITS LENGTH AND CUT AWAY. THERE WAS NO HAEMORRHAGE AT ANY TIME. SEPTEMBER 1ST, ULCER VERY MUCH REDUCED IN SIZE. NITRATE OF SILVER IS USED AT TIMES TO DEPRESS EXUBERANT GRANULATIONS. OCTOBER 1ST, WOUND ALMOST COMPLETELY HEALED, AND PATIENT ABLE TO WALK ABOUT," HE WAS DISCHARGED APRIL 6, 1864, AND PENSIONED. EXAMINER R. S. LEWIS, OF DUBUQUE, IOWA, CERTIFIED, JUNE 16, 1864: "THE RIGHT LEG HAS BEEN PIERCED BY A BALL ABOUT THREE INCHES BELOW THE KNEE, FOLLOWED BY GANGRENE ; IS STILL DISCHARGING, LEAVING THE LIMB USELESS." THIS PENSIONER WAS LAST PAID SEPTEMBER 4, 1868, SINCE WHEN HE HAS NOT BEEN HEARD FROM. |
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   CIVIL WAR DOCUMENTS SET OF 2 PAY VOUCHERS & FOOD COUNTS CAPT POTTER W.M. DORRAN (ops04520) |
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