Steve Williams
March 4 2010
Dr. E. Cook
Book Review # 3
History of Alabama
Author Jack Welsh
Two Confederate Hospitals and Patients Atlanta to Opelika
This book gives great in-depth information and analysis of Confederate medicine in the Army of
Tennessee using primary and secondary sources and individual patient records in a form not
previously available. There are over 200 diagnosis, approximately 17,000 patients for 12 states,
and more than 870 numbered and named units. The two hospitals under discussion originated in
Atlanta in the year of 1862 and moved to Vineville, Georgia, in 1864 before Atlanta fell. One
later moved to Cornith, MS to support General John .Hood. They both finally closed in Opelika,
Alabama in the year 1865. Effects of changing numbers of admissions, three major relocations,
small bed space, at times too few doctors, and the the disintegrating Southern railroad system are
detailed. Since the original data are derived from various primary sources with different methods
of recording and some incomplete records, the data and the methods of collecting and collating it
are described.
Use of individual patient s records allowed the evaluation of the Confederate Army of the state
Tennessee disease patterns and patient dispositions. Patient care was also hurt by frequent
changes in rules and regulations, and orders in response to military events. Prognostications, the
ability to predict
outcome of diseases and wounds, were required by the surgeons to carry out the various orders
determining patient disposition. This aspect of Civil War medicine has not been previously
discussed. Problems with comparing various published Civil War medical data with the present
material are examined.
Jack D. Welsh, is from Grand Island, Nebraska, and an alumnus of the University of
Nebraska-Lincoln and the University of Nebraska College of Medicine- Omaha. He...