Diary of 5th Sergeant Lawrence Van Alstyne, March 28, 1863

Another fine day, and another trip downstairs. My legs behaved better this time. Am not near so tired. Now that I can write without getting tired I must put down some things I remember, but which I could not write at the time. I shall always remember them of course, but I want to see how near I can describe them on paper. First I want to say how very kind my comrades have been all through. I can think of many acts of kindness now that I paid little attention to then, but they kept coming along just the same. Whatever else I think of, the thought of their care for me and how they got passes and tramped miles to get me something to eat, always taking it to Dr. Andrus first to see if it would do for me these thoughts keep coming up and my load of gratitude keeps getting heavier. Can I ever repay them? God has been good to me, better than I deserve. I was first taken to the room where I am now writing. I remember but little of what happened before I was taken out and put in the big hospital tent. It is a large affair, made up of several tents joined together endwise and wide enough for two rows of cots along the side, with an alley through the middle, towards which our feet all pointed.

I remember the head medical man coming through every day or so and the doctors would take him to certain cots, where they would look on the fellows lying there and put down something in a book. I soon noticed that most always such a one died in a short time, and I watched for their coming to my cot. One day they did, and I remember how it made me feel. Dr. Andrus was so worked down that a strange doctor was in charge, but under Dr. Andrus, who had charge over all. When he came through I motioned to him and he came and sat on the next cot, when I told him I would get well if I could get something good to eat. "All right," said he, "what will you have?" I told him a small piece of beefsteak. He sent one of the nurses to his mess cook and he soon came back with a plate and on it a little piece of steak which he prepared to feed me. But the smell was enough and I could not even taste it. The doctor then proceeded to eat it, asking if I could think of anything else. I thought a bottle of beer would surely taste good and so he sent to the sutler's for it. But he had to drink that too, for I could not. He laughed at me and though I was disappointed, it cheered me up more than anything else had done for a long time. When I got so I could eat, I surely thought he would starve me to death.

A poor fellow across the tent opposite me got crazy and it took several men to hold him on his cot. The doctor came and injected something in his breast which quieted him for the night, but when it wore off he was just as bad and he finally died in one of them. On my right lay a man sick unto death, while on my left lay another whose appetite had come and who was begging everybody for something to eat. His company boys brought him some bread and milk which he ate as if famished. The next morning when I awoke and looked about to see how many faces were covered up I found both my right and left hand neighbors had died in the night and their blankets were drawn up over their faces. The sights I saw while I was able to realize what was going on were not calculated to cheer me up and how I acted when I was out of my head I don't know. At any rate I got better and was brought back to this room, where I have since been.

SOURCE:  Lawrence Van Alstyne, Diary of an Enlisted Man, pp. 92-4

Diary of Dr. Alfred L. Castleman, December 11, 1861

I have just received a letter from a lady friend of mine aye, and of the soldiers, too, in which she says she "cannot but think of the suffering patriot-soldier, with nothing but a tent above his head, with no covering but a single blanket, and but so little care when sick." This induces me to put on record here, the following description for reference, a long time hence, when, if this war continues, I may wish to read it and compare it with the hospitals then existing, with the improvements which experience shall have causes to be adopted:

My hospital at present consists of five large tents, fourteen feet long by fifteen feet wide. They open into each other at the ends, so as to make of the whole one continuous tent, seventy feet long. This will accommodate forty patients comfortably. On an emergency, I can crowd in fifty-five. In the center of the first tent is dug a hole about three feet in circumference and two and a half deep. From this hole there passes through the middle of the tents a trench or ditch two feet wide and of the same depth, which terminates in a large chimney just outside of the fifth tent. It is covered for about ten feet of its length, at the beginning with broad stones, the next fifteen feet with sheet iron, thence to the chimney with stones and earth. A fire is made in the hole at the beginning of this ditch, which, through its large chimneys, has a great draught. The blaze sweeps through its whole length, and by means of this fire, no matter what the weather, or how changeable, the temperature in the hospitals need not vary three degrees in a month, and at all times, night and day, have full ventilation without varying the temperature. Since the adjustment of the difficulties, I have my full quota (10) of nurses, and these are never, night or day, less than two on watch. The cots for the sick are ranged side by side, with their heads to the wall and feet to the center of the tent, leaving just room between their sides for the nurses to move freely, and for the patients to get up and down, and between their ends for the ditch, on which, over the covering already described, is a ladder or rack, with slats so close as not to admit the feet between them when the nurses and patients are walking on them.

So long as there is room in the hospital, no patient of my regiment is permitted to be confined to his tent by sickness. The moment he is sick enough to be confined to bed, he is brought to hospital, where he remains constantly under the eye of the Surgeon and nurses till he recovers. There are, to-day, thirty-six in hospital, each, instead of lying with "nothing but a tent above his head, and with no covering but a single blanket," is on a comfortable bed of straw, the tick emptied and refilled once in four weeks, with all the covering they want. I have plenty of good sheets, and not less than two blankets for each, besides what they bring with them. They are never without fresh meat, rarely without rice, potatoes, jellies in abundance, tea, coffee, sugar, milk, and I am now purchasing for them two dozen chickens a week; and I have this day a hospital fund of not less than one hundred and seventy-five dollars, which is increasing every day, from which I can replenish or add to the comforts now allowed.* This is a description of my own hospital. I regret to learn from the U. S. Medical Inspector who has visited me to-day, that other hospitals are not so well provided or so comfortable. I regret it, because there is no reason why all may not be provided just as well, so long as we remain near a good market; and if they are not, there is blame either in medical or military departments, which ought to be corrected.

From ninth of November to this date, the time I was shut out from the medical supervision of the camp, there have been more deaths in the regiment than during the whole five months before, including the sickly season of August, September and October. The health of the regiment now, however, is good, and I hope it will remain so during the winter.

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*It may be a matter of some interest to the reader to know how this hospital fund is realized. It is thus: The soldier is entitled to certain rations every day, and these continue, whether he is sick or well. When well, they are drawn by the captains of companies and distributed to the men. When sick and in hospital, the Surgeon notifies the Commissary of the fact, and they are not issued to the Captain, but credited to the hospital. The Surgeon draws them in whole, in part, or not at all. The days' rations are worth from 17 to 20 cents per man. Now, any economical and honest Surgeon can feed his sick men well when near a market, and save to the hospital fund at least one third of this amount, for the purchase of delicacies. Give him thirty in hospital, he can realize two dollars per month on each man, ($60 per month.) In a neighborhood where markets are very high, this will be proportionally reduced. Where he cannot buy at all, it will be increased.

SOURCE: Alfred L. Castleman, The Army of the Potomac. Behind the Scenes. A Diary of Unwritten History; From the Organization of the Army, by General George B. McClellan, to the close of the Campaign in Virginia about the First Day January, 1863, pp. 62-5