A Skeleton’s Odyssey: The Forensic Mystery of Watson Brown

John Brown gravestie
John Brown’s grave, courtesy of Alamy.

When the fiery abolitionist John Brown, “The Meteor” who tried to ignite a slave rebellion in the South, was hanged for treason, authorities turned the body over to his family.  In December 1859, Brown’s remains traveled north by train from the hanging grounds in Charles Town, Virginia, to the family farm in New York’s Adirondack Mountains. Around Christmastime, he was laid to rest next to a huge chunk of Appalachian granite.

Twenty-three years later, a Hoosier geologist who studied such rocks for a living helped ensure that one of John Brown’s fellow raiders at Harper’s Ferry — his son Watson, who was gunned down during the raid — would finally be buried next to his father.  In the meantime, Watson’s bones went on a long odyssey out to the Midwest.

Watson Brown was born October 7, 1835, in Franklin Mills, Ohio. His father, the great abolitionist, moved back and forth between northern Ohio and his native New England several times.  After John Brown went out to “Bleeding Kansas” to fight the extension of slavery into the West, Watson left home, too, though he apparently didn’t join in the combat on the Plains.  His father and brothers, however — considered terrorists by some — waged war on pro-slavery factions with guns, fire and on one occasion, with broadswords used to brutally murder their enemies to death.  A letter from Watson to his mother Mary, written in Iowa in 1856, mentions that on his own way west with a team of emigrants — armed with “Sharp’s rifles and cannon” — they met with ex-slave Frederick Douglass and the reformer Gerrit Smith.  Smith, a failed presidential candidate, secretly financed the later raid on Harper’s Ferry.  Watson himself may have helped carry caches of firearms out to the Great Plains, guns paid for by New England anti-slavery committees.


John Brown
John Brown in Springfield, Massachusetts, 1846.

Watson Brown 2
Watson Brown, circa 1859, courtesy of West Virginia State Archives.

John Brown traversed the Midwest many times on trips back East to win the support of reformers like William Lloyd Garrison, Ralph Waldo Emerson, and even Henry David Thoreau.  In 1859, Brown and a small band of followers — sixteen white and five black — tried to pull off their most spectacular assault on slavery yet, an attack on the Federal armory at Harpers Ferry, where the Shenandoah flows into the Potomac.  The target: 100,000 muskets, to be handed over to slaves for use in a massive insurrection.


Harpers Ferry
Harpers Ferry, Virginia, now West Virginia, 1865, courtesy of National Archives, accessed Wikipedia.

Optimistic supporters in the U.S. and Canada originally planned for 4,500 men to participate in the raid.  Instead, just twenty-one attacked Harpers Ferry on October 16, 1859.  After cutting telegraph wires and taking hostages on nearby farms, Brown’s band moved into town.  Local militia, farmers and shopkeepers, opening fire, quickly pinned down the abolitionists, driving them into a brick engine house.  Under siege, John Brown sent his son Watson and another man out with a white flag.  The crowd shot them.  Watson, aged twenty-four, with a bullet just below his stomach, struggled back to the engine house, fatally wounded.  He begged his father and comrades to “dash out his brains,” then tried to commit suicide.


The Liberator (Boston, Mass), November 18, 1859
The Liberator, Boston, Massachusetts, November 18, 1859.

John Brown raid
Brown’s son Oliver was also killed in the raid, while Watson lay in agony. “With one son dead by his side, and another dying, he felt the pulse of his dying son with one hand and held his rifle with the other.” (James Redpath, The Public Life of Capt. John Brown, 1860)

The outbreak of the Civil War was still a year and a half away.  In fact, the raid was put down by Colonel Robert E. Lee — of the U.S. Army.  John Brown was hanged for treason in December.  Spectators at his execution included Stonewall Jackson, John Wilkes Booth, and the poet Walt Whitman.

Ten of Brown’s men died in the raid, including two sons.  What became of their mortal remains is a fascinating and rarely told part of the tale.

Eight of the bodies were gathered up by townspeople of Harpers Ferry.  The locals didn’t want the raiders buried in the town’s cemetery.  They gave a man named James Mansfield five dollars to take care of the corpses.

Packing eight men into two large wooden store boxes, Mansfield buried them along the Shenandoah River about a half-mile from town.  The grave, half forgotten, remained there until 1899, when Dr. Timothy Featherstonehaugh, Captain E.P. Hall, and Orin Grant Libby, a history professor at the University of Wisconsin, exhumed the corpses for transfer to the Brown family farm in upstate New York.  Professor Libby took femur notes while examining the skeletal remains, comparing them for size against his own leg.  On August 30, 1899, the mingled raiders’ bones were re-interred at the Brown plot — in a single silver-handled casket.


New England Magazine, April 1901(New England Magazine, April 1901.)


This wasn’t the first time, however, that a box of old bones was brought to North Elba, New York, to lie next to John Brown’s. Two of his followers were never initially buried at all.  One of them was his son Watson.

Remarkably common in the nineteenth century, body-stealing was a feature of reality at a time when medical schools had trouble acquiring corpses for anatomy classes.  Rarely able to do so legally, they had to steal them, giving rise to the “resurrectionists” who nabbed the dead out of fresh graves.

Yet other examples of body-theft involved mere curiosity seekers and bogus scientists. During the heyday of phrenology — the long-discredited pseudoscience of bumps on the skull, which, it was believed, actually determined one’s personality, creative genius, or propensity to crime — “cranioklepty” (the theft of skulls) was far from rare.

The more famous the head, the better.  When the composer Joseph Haydn died in Vienna in 1809, wealthy robbers paid a cemetery attendant to open up the new grave and cut off his head, which “scientists” later examined.  Until 1954, the famous skull remained on display in a glass case in Vienna, when it was reunited with the rest of Haydn’s bones.   After the coffins of Beethoven and Schubert were exhumed for relocation in the 1860s, their skulls were also examined, as was the entire mummified body of American naval hero John Paul Jones, unearthed in subterranean Paris in 1905 — a hundred-and-thirteen years after he died.

Watson Brown and Jeremiah Anderson — two Midwesterners gunned down at Harpers Ferry — were considered “fine physical specimens.”  Southern doctors took them to Winchester Medical College in Virginia, where, like Joseph Haydn, they had (most of) the flesh stripped off them.  John Brown’s 24-year-old son, who had left behind a widow, Isabella, and a young child who died in 1863, was turned into a model skeleton for the instruction of future Southern medical men.


Dr. Jarvis Johnson
Dr. Jarvis Johnson, surgeon of the 27th Indiana Volunteers.

Yet Winchester, Virginia, just thirty miles from Harper’s Ferry and the Potomac River, changed hands several times during the Civil War.

In the spring of 1862, two and a half years after Watson Brown’s death, the 27th Regiment of Indiana Volunteers marched into town with the Union Army.  Among them was regimental surgeon Dr. Jarvis Jackson Johnson.  Born in Bedford, Indiana, in 1828, Johnson practiced medicine in Martinsville, half way between Indianapolis and Bloomington.  He would have been 34 when he walked into Winchester Medical College and found out what doctors had done to the remains of Watson Brown — an action for which, Virginians believed, Union troops burned down the college, the only case of arson during Winchester’s military occupation.

In 1882, the Indianapolis Journal printed the most widely-accepted version of the tale.  It came in the aftermath of a visit by John Brown, Jr., who visited Morgan County, Indiana, with several other investigators to examine a set of human remains there.

Dr. Johnson had stated that while serving as commander of a military hospital in Winchester, he acquired Watson Brown’s body from the museum of the medical college — then shipped it on a train to Franklin, Indiana, the nearest railroad depot to his home in Martinsville.  Like the Virginia doctors, Johnson kept the body in a case at his medical office.  For twenty years, the raider’s bones were a strange part of the life of a Hoosier country town.


Indianapolis Journal, September 11, 1882

Indianapolis Journal, September 11, 1882 (2)
Indianapolis Journal, September 11, 1882.

In 1882, word of the skeleton’s whereabouts came to John Brown, Jr., Watson’s elder brother and the abolitionist’s oldest son, after Jarvis Johnson put a notice in the Chicago Tribune looking for family members.  The doctor claimed, probably disingenuously, that he hadn’t realized any of the Brown brothers were still living, and he hadn’t wanted to upset Watson Brown’s mother.  Though John Brown, Jr., had fought in “Bleeding Kansas,” he in fact wasn’t part of the raid on Harpers Ferry.  During the Civil War, he helped recruit troops for the famous “Jayhawk” border fighter James H. Lane. (Before Lane became an anti-slavery senator from Kansas and a famous target for Confederates, he had been the lieutenant governor of Indiana.)

Brown, Jr., visited Indiana in September 1882, having already moved back east to Ohio, where he grew grapes for the wine business on South Bass Island in Lake Erie and took an interest in geology.


John Brown, Jr.
John Brown, Jr., accessed Kansapedia, Kansas Historical Society.

The other main forensic investigator to come to Martinsville that September was one of Indiana’s most prominent scientists, the impressively-bearded State Geologist John Collett.  Remembered as a beloved “Santa Claus” figure, Collett was a Wabash Valley native who lived in Indianapolis and often weighed in on scientific and agricultural questions — from the study of caves and killer meteorite hoaxes to how to improve celery crops.  Collett traveled to Martinsville with several doctors to look over the badly-treated remains of the bygone Harpers Ferry raider.


John Collett
Hoosier geologist John Collett, who drew the first maps of Wyandotte Cave, helped Watson Brown get back to New York.

The Indianapolis Journal printed this description of the scene at Dr. Johnson’s office:

The body has received careless treatment during the last few years. It has been carted about from place to place, and has been doing duty in all the anatomical exhibitions about town. During the first few years it was in the possession of Dr. Johnson it was in a remarkably fine state of preservation, but ill usage has ruined it. For several years, it has been lying in the Knights of Pythias hall, and, it is whispered, was used in the mystic ceremonies of the order. The best of care had not been bestowed upon it, and it was infested with worms and insects. Knowledge of its ill-usage was sedulously kept from Mr. Brown. When he intimated that he would like to see the body, he was considerately kept in waiting until it could be removed from the lodge-hall to the residence by way of a back street, and there placed in better condition for the examination.

At the time, it wasn’t clear whether the skeleton was that of Watson or 22-year-old Oliver, John Brown’s other son killed in October 1859.  Watson and Oliver looked alike.  Both stood six feet tall.

An office assistant of Dr. Jarvis’ showed John Brown, Jr., a “coffin-shaped box standing against the wall.”  Then he removed a cloth covering, exposing “a bare and hideous skeleton.”

“Gentlemen, if it is either of my brothers, I am now inclined to think that it is Oliver,” Brown exclaimed after picking up and poring over skeletal fragments and examining the shape of a half-missing skull.   Yet the more he looked, the more he came to think he was looking at his other brother, Watson.


Indianapolis Journal, September 11, 1882 (3)


Geologist John Collett wasn’t a qualified expert in forensic facial reconstruction, a process that would actually be pioneered in the next decade. After comparing all the forensic evidence available, however, including written descriptions of Watson Brown’s gun wound, it was John Collett’s opinion that the cadaver standing before him in Martinsville, Indiana, was, in fact, the man in question.

True to the often bogus science of the time, though, some of the “professor’s” statements expose how ludicrous phrenology was.


The Inter Ocean, September 14, 1882 (2)
The Inter Ocean, Chicago, September 14, 1882.

Then came a fascinating insight.  Dr. Jarvis Johnson’s written affidavit, notarized by Morgan County lawyers, also shed light on why doctors in Virginia wanted to preserve Brown’s corpse in the first place.

When he was put in charge of local Union Army medical operations, “A number of the prominent citizens of Winchester called upon me at the hospital, and each and all declared that [these were] the remains of a son of John Brown.”  Amazingly, the doctor who “prepared” the body, whom Johnson never identifies by name, also stopped by — and pleaded with Johnson to give him back this “exceedingly valuable piece of property.”

Like the medieval Europeans who condemned criminals to be drawn-and-quartered, Virginia doctors held up the corpse as a warning to  their state’s enemies.  Sic semper tyrannis?


The Inter Ocean, September 14, 1882
(The Inter Ocean, Chicago, September 14, 1882.)

Who was this doctor, then?

He was surely on the faculty list — and it’s a small one.  Founded by Dr. Hugh Holmes McGuire, Winchester Medical College had only four instructors in 1859, including the founder’s son, Hunter Holmes McGuire (1835-1900).  At age 24, Hunter McGuire, already a professor anatomy at his father’s school, would have been an exact contemporary of the “fine specimen” killed at Harpers Ferry.

Hunter McGuire, however, was probably not the culprit. In late 1859, he was studying medicine in Philadelphia.  The young doctor was even there during the famous walk-out of Southern medical students, which occurred after John Brown’s body was paraded through the streets by Northern admirers.  Insulted, McGuire led an exodus of about three-hundred Southern students from Jefferson Medical College, who dropped out, went down to Richmond, and re-enrolled at the Medical College of Virginia.  Some sources say that he financed the trip of all these students with his own savings.

Dr. Hunter McGuire later enlisted in the Confederate Army and even served as Stonewall Jackson’s personal surgeon, amputating the general’s arm after Chancellorsville.  He went on to become the president of the American Medical Association.  In the 1890s, McGuire would contribute to the debate over eugenics, racial purity, and the castration of rapists, especially African Americans — arguments that eventually led to Virginia’s “Racial Integrity Act” of 1924, a major victory for the controversial eugenics movement and one of the worst misapplications of science in history.  He also strove to ensure that Southern school textbooks “would not poison the minds of Virginia schoolchildren” by teaching a northern revisionist history of the Civil War.

The Medical Pickwick (1918) states that Watson Brown was “dissected by students.”  McGuire, as stated, was in Pennsylvania in the aftermath of Harper’s Ferry.  But did he have anything at all to do with this man’s bizarre fate?


Faculty of Winchester Medical College


It seems that he did.  Mary Greenhow Lee, a famous diarist in Winchester during the Civil War, wrote  that when Union soldiers torched the medical school on May 16, 1862, “They buried in the yard what they supposed were [Oliver Brown’s] bones, but the genuine ones had been removed by Hunter McGuire, thus foiling their malicious designs.”  Were the bones buried those of Jeremiah Anderson, a native of Wisconsin who fought with John Brown?  Lee might have been mistaken about the identity of the bones.  It’s harder to believe she was mistaken about Dr. McGuire.  After all, he was fighting in northern Virginia and may have been the doctor who approached Jarvis Johnson.

Twenty years later, Johnson willingly handed over to the Brown family the cadaver he claimed to have shipped by train from the Shenandoah Valley to the Midwest.  In October 1882, Watson Brown’s strange post-mortem odyssey finally came to an end.  On an autumn day in the Adirondacks, he was laid to rest in a patch of soil near his famous father, who — as the old Union song put it — had long lain “mouldering in the grave.”


John Brown's body 2
Courtesy of Watkins Museum of History, accessed Bleeding Kansas.

Isabella Thompson, aged just 22 when the Harpers Ferry raid left her a widow, married Watson’s cousin, Salmon Brown.  For decades, the couple lived in Kilbourn City, Wisconsin — later renamed Wisconsin Dells.  Isabella may have died near Traverse City in northern Michigan in 1907.  Her second husband died in neighboring Antrim County, Michigan, in 1921.  “Bella” was buried at Wisconsin Dells with Salmon, far away from her first husband, his final whereabouts pinned down at last.

John Collett passed away in March 1899 and was buried in Terre Haute.  Dr. Johnson died that September, just a few weeks after the mass re-interment of Brown’s other missing men, among whom was his son Oliver, who had lain in a merchant’s box on the Shenandoah for forty years.  Johnson rests at East Hill Cemetery in Morgantown, Indiana.

When Theodore Roosevelt Was Hospitalized at St. Vincent’s

Indianapolis Journal, September 23, 1902
Indianapolis Journal, September 23, 1902. Hoosier State Chronicles.

This week marks the anniversary of two historic events, neither of them well-known.  The scene?  St. Vincent’s Hospital in Indianapolis.

The story actually begins on September 3, 1902, when President Theodore Roosevelt was visiting Pittsfield in the Berkshire Hills of western Massachusetts.  While traveling through town in a horse-drawn carriage, the president and his entourage crossed a set of trolley car tracks.  To their horror, a speeding electric interurban car rushing to beat the president’s arrival downtown didn’t come to a stop and knocked the carriage about forty feet.

Roosevelt was jettisoned onto the pavement, landing on his face. The Governor of Massachusetts, Winthrop Crane, escaped with only a few bruises.  But a Secret Service agent, William Craig, died a horrible death, “ground under the heavy machinery of the car into an unrecognizable mass.”  (Craig, a Scottish immigrant and former British soldier, was the first U.S. Secret Service agent ever killed in the line of duty.)  The trolley car’s motorman, Euclid Madden, spent six months in jail for his recklessness that almost cost the Commander in Chief his life.


Roosevelt Car, Pittsfield, Mass., 1902
The stricken presidential carriage in Pittsfield, Massachusetts, September 3, 1902. Courtesy Harvard University Library.

While the press toned down the extent of Roosevelt’s injuries, the president developed a worrisome abscess on his leg, an infection that caused him no small amount of pain.  He even spent a short time in a wheelchair.

The burly and athletic Roosevelt, however, continued with his itinerary, stumping for Republican candidates during a national speaking tour slated to take him as far west as Nebraska.  He did, in fact, make it out to the Midwest, stopping in Detroit, Logansport, Kokomo, Tipton and Noblesville.  Twenty days after his narrow scrape with death in New England, however, the leg injury he sustained required an emergency surgery — in Indianapolis.


Roosevelt in Tipton, 1902
Roosevelt speaks to a crowd in Tipton, Indiana, September 1902.

On September 23, after giving a speech “in intense pain” at the Columbia Club on Monument Circle, Teddy Roosevelt, who was limping noticeably and wincing with pain at almost every step, had to have his infected leg lanced and drained at St. Vincent’s Hospital.

At that time, St. Vincent’s was still located downtown at the corner of South and Delaware Streets, just a short distance from the club. Surgeon Dr. John H. Oliver performed the operation, which kept Roosevelt clear of the threat of blood poisoning.  (Blood poisoning was serious business in those days and usually ended in death.  Tragically, its specter returned to presidential history in 1924, when Calvin Coolidge’s 16-year-old son, Cal, Jr., developed a blister on his toe while playing tennis on the White House lawn.  Young Coolidge died of the resulting infection within a week.)

image
St. Vincent’s second location at the corner of South and Delaware Streets, courtesy of the Indiana Historical Society, accessed HistoricIndianapolis.

Doctors examined Roosevelt’s leg wound by natural light coming through a south window of the hospital.  “He took only a local anesthetic,” the Journal reported, “which was applied to the leg.  He seemed to feel that an unnecessary amount of fuss was being made over him. . .”  Yet as the surgery proceeded, the president’s “arms were thrown behind his head with his hands clasped.  Occasionally the pain became so severe that his elbows bent close to the sides of his head as if to ease the pain.  His eyes were closed and his teeth pressed close together.”

Accompanying Roosevelt to St. Vincent’s that day was U.S. Secretary of War Elihu Root.  (In spite of his bellicose job title, Root went on to win the Nobel Peace Prize in 1912 for promoting goodwill between the U.S. and Latin America.)  Root was one of the few government officials allowed inside the building.  An anxious crowd of several hundred Hoosiers gathered outside “and never removed their gaze from the hospital.”  Even Hoosier senators Charles Fairbanks and Albert Beveridge and Governor Winfield Durbin “were challenged by the guard and not permitted to enter.”  Militiamen and Secret Service agents were stationed outside St. Vincent’s.  All was silent, only the clip-clop of the occasional soldier’s horse passing on the street.


Indianapolis Journal, September 24, 1902
Indianapolis Journal, September 24, 1902. Hoosier State Chronicles.

Indianapolis News, September 24, 1902 (2)
Indianapolis News, September 24, 1902. Hoosier State Chronicles.

Roosevelt’s Midwest tour was called off after the Indianapolis surgery, and his own doctors ordered him sent back to Washington.  Guarded by the Secret Service (his successor, William McKinley, had been assassinated by an anarchist almost exactly a year earlier), Pullman porters carried Roosevelt on a stretcher about one block to the Pennsylvania Railroad tracks on South Street.  As the stretcher left St. Vincent’s, lit only by new electric street lamps, “there was a death-like stillness as people craned their necks to catch a glimpse of the president. . . He lay flat on his back and the covers were pulled up under his chin. . . Many men in the crowd removed their hats, believing that the president’s condition was very serious.”

Men might have taken their hats off out of respect for the president.  But the women who cared for Roosevelt at St. Vincent’s that day were justly famous not only for their dedication to the sick and needy but for their very hats.


Daughters of Charity 5


During Roosevelt’s hospitalization in Indy, he was cared for by Roman Catholic nuns.  The Daughters of Charity of St. Vincent de Paul, pioneers of American nursing and primarily devoted to the field of medicine, had taken charge of Indianapolis’ second city hospital back in 1881.  While recuperating, Teddy Roosevelt must have noticed the sisters’ distinctive and fascinating headgear — known as the cornette — as he lay in bed after the agonizing surgery.

Sister Mary Joseph attended to him alongside Dr. Oliver in the operating ward.  Assigned to his private room was Sister Regina, whom Roosevelt remembered from his Rough Rider days, when she was stationed at the U.S. Army’s Camp Wickoff at Montauk Point on Long Island, New York, at the end of the Spanish-American War.

We should doff our hats to them, too.

This week’s second unheralded anniversary?  Cornettes, which earned this order of dedicated women the epithet “Butterfly Nuns” or “Flying Nuns,” were abandoned on September 20, 1964. Designed to reflect 17th-century French peasants’ outfits, the nuns’ habits, in spite of the fact that they wore them out onto the carnage of Gettysburg Battlefield in 1863, were considered “impractical for modern use.”  A photo from the Greencastle Daily Banner announces the change in 1964.

The new garb marked a major change  in the visual spectacle of medical care in many major American cities, including Indianapolis. Amazingly, the nuns’ new outfit was planned by world-renowned French designer Christian Dior before he died in 1957.  The rumor in France at the time of Dior’s death — allegedly after he choked on a fish bone — was that he was “called back by God to re-outfit the angels.”

The Daughters of Charity Provincial Archives maintains a small exhibit about Roosevelt’s short time under the care of “God’s geese” in Indiana.


Daughters of Charity 2
Sister Justina Morgan, second from left, revolutionized health care in Evansville in the 1950s. Her predecessors took care of President Roosevelt in Indianapolis in late September 1902. Courtesy Evansville Courier Press.

Daughters of Charity 3
Hospital radium ward, New Orleans, 1963, courtesy of the Daughters of Charity.

Daughters of Charity 1918
(Three wounded Canadian soldiers with a girl and a nurse from the Daughters of Charity, Paris, France, World War I. Founder Saint Vincent de Paul once told the sisters, “Men go to war to kill one another, and you, sisters, you go to repair the harm they have done. . . Men kill the body and very often the soul, and you go to restore life, or at least by your care to assist in preserving it.”)

Daughters of Charity 4
Reading with children, 1950s.

Daughters of Charity 1
The “Butterfly Nuns” drink 7-UP, circa 1960.

Kokomo Morning Times, September 1, 1964
The old “seagull’s wings” were swept away by contemporary design. Kokomo Morning Times, Kokomo, Indiana, September 1, 1964.

John Shaw Billings: “I Could Lie Down and Sleep for Sixteen Hours without Stopping”

John Shaw Billings portrait, n.d. Photo courtesy of the National Library of Medicine.

We all know those people, who accomplish more in one hour than we do all week, who redefine “industrious” and excel at everything they try. Indiana native John Shaw Billings was the archetype, a visionary with seemingly infinite energy who revolutionized medical and bibliographical practices that endure into the 21st century. Billings stands among several Hoosiers who are profoundly influential, yet under recognized, including the inventor of the television Philo T. Farnsworth and creator of one of America’s first automobiles Elwood Haynes.

Billings was born April 12, 1838 in Allensville, Indiana; his family moved to the East Coast briefly in 1841 and returned in 1848. Ambitious from a young age, Billings made a deal with his father that, in exchange for forfeiting inherited property, his father would fund his college education. At the age of 14 and after intensive study, he passed the entrance exam for  Miami University at Oxford, Ohio, where he incessantly studied philosophy and theology at the college library. After earning his B.A., he entered the Medical College of Ohio at Cincinnati in 1858, where he undertook his thesis “The Surgical Treatment of Epilepsy” that would later inform his monumental bibliographical endeavors.

John Shaw Billings : an autobiographical fragment 1905 (facsimile copy of the original manuscript), courtesy of Archive.org.

Shortly after graduation, Billings’s training coincided with the start of the American Civil War, providing him with opportunities to apply his medical knowledge. In 1861, Billings traveled to Washington, D.C. and became a contract-surgeon with the military. Soon thereafter he was appointed assistant surgeon in the U.S. Army, working at the Union Hospital in Georgetown. While there, his “extraordinary manual skill and boldness in dealing with difficult cases attracted the attention of the surgeon-general,” and he was put in charge of Cliffburne Hospital near Georgetown.

As a Civil War surgeon at several prominent battles–including the Battles of Chancellorsville, Gettysburg, Cold Harbor, and Petersburg–Billings was tasked with establishing field hospitals, operating and treating wounded soldiers for hours while under fire, and transporting waves of injured soldiers from battle sites with limited equipment. Billings lamented the trials of his work, writing to his wife about the Battle of Gettysburg:

“I am utterly exhausted, mentally and physically. I have been operating night and day, and am still hard at work. I have been left in charge of 700 wounded, and have got my hands full. Our division lost terribly, over 30 per cent were killed and wounded. I had my left ear just touched with a ball . . . I am covered with blood, and am tired out almost completely, and can only say that I could lie down and sleep for sixteen hours without stopping. I have been operating all day long, and have got the chief part of the work done in a satisfactory manner.”

After the battle, Billings understandably left field work for a brief period due to “nervous tension and physical exhaustion.” In August 1864, Billings helped edit field reports that became the monumental The Medical and Surgical History of the War and eventually transferred to the Surgeon-General’s Office, where he remained until retirement in 1895.

billings in army
Albumen silver print, ca.1862, courtesy of Smithsonian Libraries blog.

As the war concluded, hospitals submitted surplus operating funds to the Surgeon-General’s Office; these funds were given to Billings to build up the Surgeon-General’s library, which later became the National Library of Medicine. Billings expanded the collection by writing to editors, librarians, physicians, and State Department officials requesting book donations, eventually increasing its holdings from 600 entries in 1865 to 50,000 by 1873. The scope of the collection soon required a guide to help researchers locate desired publications. Billings understood firsthand the difficulty of locating such sources, as his thesis research required intensive time, labor, and travel to libraries in Cincinnati and Philadelphia.

With the assistance of Dr. Robert Fletcher, Billings devised a catalogue for the Surgeon-General library’s holdings, publishing the first volume of the Surgeon General’s Medical Index Catalogue in 1880. He hoped it “would spare medical teachers and writers the drudgery of consulting ten thousand or more different indexes or of turning over the leaves of as many volumes to find the dozen or so references of which they might be in search.” As new medical materials were published, Billings struggled to keep the Catalogue current, so he devised the Index Medicus, a monthly supplement that focused on new and select publications. The Index Medicus was the forerunner to the medical databases MEDLINE and PubMed.

library
Surgeon General’s Library, ca. 1890. Billings sits at center table, courtesy of New York Public Library Digital Gallery.

Prior to Billings’s systematic efforts to compile and organize medical literature, researchers and physicians had few methods to effectively locate sources, including medical studies and reports on operations. The Index Catalogue and Medicus served as a nearly comprehensive clearinghouse of medical literature, both current and historical, whose contents could aid in medical education and diagnoses. Dr. Stephen J. Greenberg and Patricia E. Gallagher summarize the magnitude of Billings’s efforts in “The Great Contribution,” contending that “with only ink and index cards, they [Billings and Fletcher] tamed an enormous and complex technical literature in virtually every written language on the planet” and that the indices “paved the way for the great databases that now are the primary underpinnings for the medical research of the future.”

Billings’s efforts at the Surgeon-General’s library served as the beginning of his library work, which would one day lead him to industrialist and philanthropist Andrew Carnegie. For more information on Billings’s Civil War activities and establishment of the Surgeon-General’s library and corresponding Index Catalogue, see the Historical Marker Review.

Check back for Part II: “A New Era of Hospital Construction” about Billings’s involvement in the establishment of Johns Hopkins Hospital and how it revolutionized medical treatment and education.