MEDICAL REPORT 
ON THE 
CONDITION OF THE SURVIVORS 
OF THE 
G REELY PARTY, 
WHEN RESCUED BY THE RELIEF SQUADRON 
BY 
EDWARD H. GREEN, M.D., 
SURGEON OF THE U. S S. THETIS, OF THE GREELY RELIEF SQUADRON. 
ROM 
THE MEDICAL NE 
September 6, 1884. MEDICAL REPORT ON THE CONDITION OF 
THE SURVIVORS OF THE GREELY PARTY, 
WHEN RESCUED BY THE RELIEF 
SQUADRON.1 
As a preliminary to the medical history of the cases 
of the survivors of the Lady Franklin Bay Expedi- 
tion, it is well to give a brief resume of their mode 
of life at Camp Clay, their quarters, rations, etc., so 
as better to appreciate the condition in which they 
were found. 
On September 29, 1883, Lieutenant Greely landed 
with his party at Baird Inlet after thirty days' ex- 
posure drifting on an ice-floe; the record left at that 
time stated the party was all well. Having sent 
an advance detachment ahead, which found and re- 
ported that a cache of provisions existed at Cape 
Sabine (fifteen miles further to the northward than 
he was at this time ), it was deemed expedient to 
move the whole command up to that neighborhood 
rather than send for the provisions, and winter at 
Baird Inlet. Finally, on October 25th, they moved 
around to a point between Cape Sabine and Cocked 
1 This paper was specially prepared for The Medical News, 
to which it was forwarded by Surgeon Green, through the Bureau 
of Medicine and Surgery of the Navy Department. 2 
Hat Island flat. 783 45' N., long. 74° 15' W.); the 
site of their winter-quarters was sheltered between high 
ridges of mountains, which screened them in a 
measure from the northerly and southerly winds. A 
glacier was situated at the foot of the mountains on 
either side of them about a mile distant. They con- 
structed a house of loose rock and moss, the walls be- 
ing three feet in thickness. The roofing consisted 
of old canvas stretched over a boat; the dimensions 
of the house were 25 feet long by 17 feet wide by 4 
feet high, making a cubic air-space of 1700 feet, 
in this the twenty-five members of the party lived 
all winter, having a cubic air allowance of about 
seventy feet for each man. The whole party could 
barely squeeze in and lie at length, two or three being 
obliged to occupy the same sleeping-bag; the effect of 
this diminished air-space will be seen later on. Their 
hut was but 100 yards removed from the ice-foot of 
the sound, and 200 yards to the south of them was 
an artificial lake, from which they drew their water 
supply by melting up ice; as the sea water strained 
into this lake, they were drinking brackish water all 
the while. 
On November 1, 1883, Lieut. Greely took a careful 
account of his stock of provisions, and found there was 
but a whole ration for each man (estimated as an 
army ration, about forty-six ounces of solid food per 
diem) for forty days. Doctor Pavy and he advised 
together, and it was with some reluctance that they 
determined to divide up the rations so as to make 
them last until March 1, putting aside from time to 
time, so that at the end they would still have ten 
days' supplies left with which to attempt the trip to 
Littleton Island, if the Straits were frozen over. Doctor 
Pavy did not think the party could exist on the ra- 
tion during the winter, but the common voice was 3 
to make it go as far as it would; so each man was 
given the following daily allowance: 
Meat and blubber, . . .4.33 ozs. 
Bread and dog biscuit, . -6.5 11 
Canned vegetables and rice, . 1.4 " 
Butter and lard, . . . . 0.75 " 
Soup and beef extract, . . 0.90 " 
Berries, pickles, raisins, and milk, 1. " 
Making the daily allowance for the four months 
14.88 ozs. During the winter the following amount 
of game was secured, which added to their stores: 2 
seals, yielding about 120 lbs. of meat, one bear, 
yielding 300 lbs. of meat, 8 foxes (4 lbs. each), and 
60 dovekies (uria brunnichii), a small bird, weighing 
about a pound. 
March 1 found the party intact, with the excep- 
tion of Sergt. Cross, who died in January with well- 
marked scorbutic symptoms-the only case of pro- 
nounced scurvy that developed-and Hans, their 
Esquimaux hunter, who was lost in his boat while 
hunting seals, early in February. The Straits having 
been kept open during the winter by a succession of 
violent gales, the attempt to cross to Littleton Island 
had to be abandoned, and their ration was still fur- 
ther reduced to the following allowance: meat 6.8 
ozs., bread and dog biscuit 3.2 ozs. The rest of the 
stores having been exhausted, the remaining supplies 
were divided up so as to last until May 12th. The sun 
had returned by this time, after an absence of one 
hundred and twenty-eight days, and those employed 
as hunters caught the shrimp (crangonidae), a small 
Crustacea, one-eighth to one-fourth of an inch long, 
consisting of about four-fifths shell and one-fifth 
meat. From 1 to 3 ozs. of these a day, according 
to the catch, were allowed in addition to the ration. 
After the last reduction the party began rapidly 4 
to weaken and die. About the 24th of March the 
whole party was overcome with asphyxia, and nearly 
lost their lives, owing to the atmosphere being sur- 
charged with carbonic acid. They had lit their al- 
cohol stove in the hut to cook a meal, without pre- 
viously having removed the rags from the vent hole 
in the roof; the remaining oxygen of the air was 
soon consumed by the stove, and the whole party 
were seized with faintness, vertigo, and dyspnoea. It 
was with the greatest difficulty they struggled from 
their sleeping-bags, and stumbled and were helped 
into the open air, many fainting away and dropping 
unconscious after reaching the opening. Being 
poorly clad for a temperature such as prevailed out- 
side at the time (-46° F. ), many were frostbitten. 
The after-effects of this mishap remained for a long 
time, and weakened many of them. 
After May 12th everything like a regular ration 
was exhausted, and they struggled on as best they 
could, catching the shrimps (which they boiled); 
gathering reindeer moss, which, when boiled, yields 
a mucilage similar to Iceland moss, and boiling up 
the sealskin linings of their sleeping bags, from 
which a gelatinous mass was extracted. It was not 
till they had exhausted the supply of moss around 
the camp that they gathered the black lichen {crepe 
de la roche} growing on the rocks, and boiled it. 
Dr. Pavy urged strongly against its use, as he had 
the authority of Kane and Hayes that, when eaten, 
it would produce a diarrhoea which, in their weak- 
ened condition, would be fatal. They had no fuel 
for artificial warmth, and barely sufficient to allow 
for melting the ice for procuring drinking water and 
to cook a meal every other day; so that the living 
temperature of the hut for the winter was from 50 to 
io° F. 
They recognized the fact that the nearer they 5 
could approach a state of hibernating, the better 
were their chances of getting through. Only those 
employed as cooks and hunters exerted themselves 
much, and they were given a double ration. The 
rest occupied their sleeping-bags, and slept sixteen 
to eighteen hours out of the twenty-four. In an- 
swer to complaints of hunger, Dr. Pavy's motto was, 
"Qui dort, dine," which was philosophical without 
being filling. 
There seemed to be but little acute suffering from 
the lack of food. It was only after the introduction 
of food into the stomach that the craving became 
great. For days they went without food without 
actually suffering. The deaths seemed to take place 
finally from heart trouble (hydrops pericardii). The 
feet and face became cedematous; for a day or so 
they would complain of pains over the heart; have a 
spasm of pain over the prsecordia; a slight general 
convulsion, and all would be over. Their chief 
suffering during the winter was from constipation. 
Many went eight to ten days without a stool, and 
one as long as sixteen days; the feces became so 
hardened and impacted in the rectum that at each 
operation they were obliged to dig the feces out 
with their fingers, the abdominal muscles being too 
weak to extrude the mass. Nearly every one would 
faint after having a stool, from sheer exhaustion. 
When it is considered that for nine months they 
were on the ration as detailed, had nothing but 
brackish water to drink, no artificial warmth, living 
in a temperature of 50 to 10° for the winter, with a 
cubic air-space of 70 feet per man, the condition in 
which the survivors were found will not be wondered 
at. There were but seven out of the twenty-five 
found alive. These were A. W. Greely, First Lieu- 
tenant, U. S. A. ; Henry Biederlich, Hospital Stew- 
ard ; D. Brainard, Sergeant, U. S. A. ; Morris 6 
Connell, Private, U. S. A. ; Joseph Ellison, Sergeant, 
U. S. A. ; Julius Fredericks, Sergeant, U. S. A. ; 
Francis Long, Sergeant, U. S. A. The first four 
mentioned were taken onboard the flagship " Thetis" 
and placed under my care, and with them this paper 
will principally be concerned. 
On landing at the camp the condition of the party 
was so desperate that a delay of two hours was neces- 
sary to restore them sufficiently to permit their being 
removed on stretchers to the boats and taken off to 
the ships. 
Morris Connell, Private, was in extremis; was 
pulseless, unconscious, and unable to swallow ; limbs 
cold and respiration barely noticeable; auscultating 
over the heart, the sounds were heard very indis- 
tinctly. By propping him up, and forcing open the 
jaws, a teaspoonful of brandy was slowly poured into 
the back of the throat. The effect of the stimulant 
was soon noticeable, as a faint pulse appeared at the 
wrist; in ten minutes he could make an effort to 
swallow, when more brandy was administered, fol- 
lowed by some warm condensed milk at intervals. 
The rest of the party were served with brandy, milk, 
and beef essence, and finally transported to the 
ships. 
The time and space would hardly be allowed me 
to give more than a brief detail of the cases, and as 
they closely resemble each other, both in symptoms 
and treatment, I will confine myself to the case of 
Lieutenant A. W. Greely more particularly, alluding 
to anything peculiar in the other cases. 
June 2 2d, n p. m. , A. W. Greely, Lieutenant, U. 
S. A., set. 40. Disease, asthenia. On admission he 
fainted after being carried below in the ward-room, 
and vomited ; administered ammoniae spts. aromat. 
6 c.c. (100 minims), renewed in ten minutes; placed 
him in a berth, gave a teaspoonful of raw, fresh beef, 7 
minced; clothes were carefully cut off of him and 
heavy red flannels, previously warmed, substituted. 
On examination his body emitted a sickly, offen- 
sive odor (as of stale urine) ; emaciated to a degree. 
The skin hanging from his limbs in flaps; face, 
hands, and scalp blackened with a thick crust of soot 
and dirt (having not washed or changed his clothing 
for ten months). 
Nervous system : Excitable and irritable, at times 
almost irrational; eyes wild and staring; insists on 
talking, craving news, and demanding food; com- 
plains of no pain. 
Digestive system: Tongue dry and cracked, heavy 
brownish-black coat; ravenously hungry, abdominal 
cavity hollow and lying almost in contact with the 
vertebral column ; no movement of bowels for six 
days; liver dulness, on percussion, confined to right 
hypochondriac region. 
Respiratory system : Respirations 12 per minute; 
auscultation and percussion reveal no abnormal con- 
dition of the lungs ; vesicular murmur puerile. 
Circulatory system : Pulse 52, soft and compressible; 
auscultation shows marked murmur (blowing) in 
systole over base of heart. 
Integumentary system: Skin cold and clammy, 
sickly odor emanating from it, shrivelled and sallow; 
temperature 97.2' (under tongue). 
Locomotor system : Great muscular waste, unable 
to move or stand without support; body weight, 120 
pounds; weight before leaving Fort Conger in 
August, 1883, 168 pounds. 
Urinary system: No specimen obtainable. 
Treatment, from n p. m. till 8 a. m., alternated 
every half hour; teaspoonful of raw, fresh beef 
(minced) with teaspoonful of milk punch; enjoined 
strict quiet; pulse then rose to 60 per minute, soft; 
temp. 970. 8 
23d. Nervous system: Mind still active and rest- 
less, compelled to allow him some home letters to 
read, after which he became more composed; has 
not closed his eyes; talks rationally, but shows loss 
of memory, as he often repeats himself. 
Digestive system: Had a small, highly offensive 
stool; felt quite faint afterwards ; passed considerable 
wind from bowels; abdomen tympanitic; tongue 
still dry and coated. 
Circulatory system : Pulse slightly stronger, 60 per 
minute; respirations 12 per minute. 
Integumentary system : Same offensive odor; temp., 
a. M., 97.8°; p. m. 98°. 
Locomotor system : Still unable to raise himself up 
without help ; muscles very soft and flabby; some 
stiffness and pain in the joints. 
Urinary system: Urine passed in 24 hours 1630 
c.c. (55 ozs.), sp. gr. 1014, acid, highly albuminous 
(one-tenth tube). 
Treatment: Continue raw fresh beef, at intervals 
of an hour, with a raw onion finely cut up, added 
also milk punch, one-half ounce every two hours ; 
no medication. 
24th: No sleep; mind more tranquil, but too 
active; great desire to talk and read ; less persistent 
in demanding food ; complains of soreness in limbs ; 
tongue presents a moister appearance ; bowels slightly 
distended with gas, no stool ; pulse 62, not so 
thready ; heart sounds stronger ; still a pronounced 
anaemic murmur; blood examined microscopically 
shows large increase of white corpuscles; at first the 
field (one-tenth objective) appeared filled with the 
nucleated corpuscles ; close examination showed the 
proportion to be about one to twenty red ; the red 
corpuscles show but little disposition to cohere and run 
into "rouleaux," and lacked the distinctive biconcave 
disk shape; edges full and round (not ragged); urine 9 
passed in 24 hours 1660 c.c. (56 ozs.), highly albu- 
minous, no casts revealed by microscope; skin 
clammy, dirty mottled yellow; temp., a. m., 97.6 ; 
p. m. 98°; muscles sore; slight oedema of hands 
and ankles. 
Treatment: Sponging with tepid water, afterwards 
briskly rubbed with flannels and a little linimentum 
saponis; four ounces, of oatmeal (thoroughly boiled) 
allowed in morning; beef essence, Liebig's, $j, in hot 
water every four hours; continue scraped beef and 
onion; no medication. 
25th. Marked improvement; mind more tranquil; 
talks quietly without excitement; slept two or three 
hours naturally, awoke refreshed; tongue beginning 
to clean; had a large, dark, semi-solid stool; odor 
offensive in the extreme, evidently but little biliary 
secretion poured into the alimentary canal; pulse 65, 
some strength; respiration 14, principally costal; 
skin losing clammy feel, its emanations still sour and 
offensive; temp., a. m., 98.2° ; p. m., 98°; muscles 
sore; ankles puffed. 
Treatment: Shampooing muscles with dry cloths. 
No change in diet. No medication. 
26th. Allowed to sit up in bed and read a little; 
slept six hours soundly during the night, mind tran- 
quil, has a loss of memory of words ; tongue clean- 
ing, still has heavy coat at back; bowels moved 
twice, stools pitchy and offensive ; abdomen tympan- 
itic, considerable borborygmus. Pulse 65; heart 
sounds stronger, murmur still pronounced. Urine 
passed in 24 hours 1800 c.c. (61 ozs.), sp. gr. 
1016; albumen not decreased; no change in con- 
dition of skin. Temp., a.m., 98°; p.m., 98.8°. 
Treatment: Sponging and friction. Same dietary 
with tr. ferri muriat., 5 c.c. (80 minims) ter in die. 
27th. Still extremely weak ; voice stronger ; mind 
easier; amnesic aphasia marked; appetite still 10 
morbid, always hungry, considerable flatulence; no 
stool; aspect of skin somewhat improved in appear- 
ance, still dirty yellow (no petechiae). Temp , 
a.m., 98.4°; p.m., 98.8°; pulse 66; respiration 14; 
urine albuminous (1-12 tube) 1950 c.c. (66 ozs.) in 
24 hours, sp.gr. 1018; muscles beginning to fill out, 
and are very soft. 
Treatment: Dietary increased to 8 ounces of 
broiled steak in morning; continued tr. ferri muriat. 
28th. Gaining strength ; dressed and sat up for 
a couple of hours, then felt exhausted and returned 
to bed ; mind quite tranquil; slept well; appetite 
still morbid ; bowels moved, no change in character 
of stool; liver still inactive. Pulse 66, fairly good 
tone; anaemic murmur not so marked. Temp., a.m., 
98.2°; P.M., 98°; urine passed in 24 hours i860 
c.c., (63 ozs.), sp. gr. 1017, albumen present. 
Treatment: Takes food at five stated intervals: 
6 a.m., oatmeal, 4 ounces; broiled steak, 8 ounces. 
10 a. m., Liebig's beef essence, $j, in a teacup of 
warm water. 2 p. m., one soft boiled egg with milk 
toast. 6 p. m. , raw minced beef and onions, iop. m. , 
Liebig's essence of beef. Continue tr. ferri. muriat., 
6 c. c. (100 minims) ter in die. 
29th.-Dressed and was assisted to walk in ward- 
room a few steps ; muscles soft; very weak ; limbs 
filling out; body-weight 129^ pounds (gain of 9^ 
pounds for the week). Pulse 68; urine 1650 c.c. 
(56 ozs.) in twenty-four hours, albumen less; temp., 
a.m., 98° ; p. m., 98.4°, normal; bowels moved natu- 
rally, stools still pitchy and offensive. 
Treatment: Continue the same. 
30th.-Sleeps naturally and awakes refreshed ; al- 
lowed to read and talk ; walks around for an hour 
or so with support; limbs filling out; feet oedematous 
toward night; appetite still morbid, unable to be 
satisfied with his allowance; good movement of 11 
bowels; albumen disappearing from urine; heart 
sounds stronger; temperature normal. Continue re- 
stricted diet and iron. 
July i.-Felt quite refreshed on awaking; had 
slept well during the night; enjoyed morning meal 
and ate without asking for more. As the sun was 
shining brightly, was assisted on deck, and sat in the 
air (well bundled up) for an hour; had but little ap- 
petite for midday meal; at 4 p. m., a small, dark, 
offensive stool; strained considerably, and was much 
exhausted afterwards (nearly fainted) ; administered 
spts. frumenti ^ss in water at 6 p. m. Complained of 
severe pains in abdominal muscles and over the region 
of the liver (pains resembling hepatic colic); con- 
siderable febrile disturbance; pulse 98, temp., 
100.20; administered quiniae sulph. 30 cgm. (4)4 
grs.) at 8 p. m. 
2d.-Feels much prostrated and weak; muscular 
pains and soreness over abdomen and back; com- 
plexion sallow; appetite poor. Temp., 8 a. m., 
98.8° ; 12 m., 99° ; 4 p. m., 99.20 ; exhibited hy- 
drargyri chloridi mit., 30 cgm. (4)^ grs.), at 8 a. m. 
Repeated dose at 2 p. M.: bowels moved three times, 
last evacuation watery; felt weak, but free from cramps; 
headache disappeared; light diet of oatmeal and 
milk ; discontinued tr. ferri muriat. 
yd.-Still weak ; muscular soreness over abdo- 
men ; no sharp pains ; two loose evacuations from 
bowels ; appetite returning ; pulse 68 ; temp, normal; 
whiskey toddy ^ss ter in die. 
4th.-Considerable improvement; pains have dis- 
appeared from muscles ; tongue cleaner; complexion 
better ; allowed to sit up to his meals. Urine much 
improved, albumen (-^ tube), sp. gr. 1022. Re- 
sumed tr. ferri muriat., also vin. Portense ter in die 
before meals. 
yth.-Gaining strength gradually; muscles soft; 12 
knees weak; encouraged to take some exercise 
•daily, weather permitting, in the open air; digestion 
good; appetite under better control; liver still 
torpid ; regular movement of bowels ; skin clearing 
and has lost its clamminess; sleeps well; continue 
same treatment. From this time forth there was 
gradual improvement; blood again examined micro- 
scopically-showed marked diminution of white cor- 
puscles. On 8th, no albumen found in urine. On 
12th, anaemic murmur very indistinct. On 17th, 
arrived at St. Johns ; condition sufficiently good to 
warrant his going ashore for exercise ; muscles still 
weak and sore ; filled out rapidly. 
19th had a slight attack of intestinal indigestion, 
was living ashore at the Consul's, having committed 
an error in diet; suffered for two days. 
On 25th, allowed to eat three full meals daily, 
with certain articles restricted ; encouraged to exer- 
cise in open air. On the trip from St. Johns to 
Portsmouth, N. H., (July 26th to Auy rst\ ran into 
damp, moist weather ; felt much prostrated, and mus- 
cles ached ; given quinize sulph. 180 cgm. (27 grs.), 
every night during the run. On being transferred at 
Portsmouth, his body-weight was 169 pounds, repre- 
senting a gain of 49 pounds in six weeks: 9^ 
pounds the first week, 15 pounds the second week. 
8 pounds the third week, 7 pounds the fourth week, 
5% pounds the fifth week, 4 pounds the sixth week. 
Ji emarks.-Vital depression, as exhibited by the 
temperature is not marked ; digestion fairly good all 
the time; nervous system soon calmed ; microscopic 
examinations of blood exhibited no marked unhealthy 
character of red blood-globules, but steady decrease of 
white corpuscles under the influence of the iron ; al- 
bumen disappearing ; anaemic murmur disappearing, 
showing that it is simply due to hydraemic condition 
of the blood; liver not secreting; large gain in 13 
weight, due to rapid assimilation of food, owing to 
great muscular waste. Uurinary excretion large, 
1950 c.c. (66 oz.), in one day, due doubtless to 
almost total inactivity of the sudorific glands. 
U S. S. Theiis, August 3, 1^84 
On relinquishing medical charge of the survivors 
of the Lady Franklin Bay Expedition, prior to their 
transfer ashore for treatment, I respectfully submit ex- 
tracts from the medical journal of this ship, showing 
their present physical condition and treatment. 
i. A. W. Greely, First Lieutenant U. S. A., set. 
40 years. Present condition: Able to walk some 
distance without getting tired; muscles beginning 
to harden and tone; face still has a swollen appear- 
ance, and puffed; complexion sallow. Digestive 
system: Tongue clean and moist; appetite not ab- 
normally large; bowels move regularly ; stools large' 
and dark colored, less offensive; passes less wind 
from bowels; no tympanites; at times heavy feel- 
ing over right hypochondriac region. Circulatory 
system: Pulse 78-82 ; good tone; auscultation over 
the heart shows almost total disappearance of anaemic 
murmur. Respiratory system: Lungs free from 
trouble; has slight dyspnoea on exercising. Integu- 
mentary system: Skin sallow; temperature of body 
98.6°. Urinary system : Urine passed in twenty-four 
hours, fifty-six ounces; paleamber; acid; 1024 sp. gr.; 
no albumen. Nervous system: Mind tranquil; me- 
mory much improved; slight amnesic aphasia; sleeps 
well. Locomotor system: Muscles soft; has weak- 
ness, particularly in the broad muscles of the back 
(latissimi and trapezii); complains at times of cramps 
in the muscles of legs. General condition: Liver is 
torpid; muscular system lacks tone; is free from 
organic disease. Treatment: Rest; moderate exer- 14 
cise; dietetic; port wine before meals; pil. quiniae 
sulph. grs. iij at night; pil. ferri et strychnias citrat. 
grs. iss after meals. 
2. Morris Connell, Private U. S. A., aet. 32 years. 
Present condition: Sallow; muscles weak. Digestive 
system: Tongue clean, furred at the back; appetite 
abnormally large; bowels free, large stool daily; 
troubled at times with gaseous dyspepsia; bowels 
flatulent and tympanitic; liver contracted slightly. 
Circulatory system: Pains over praecordia disap- 
peared ; heart sounds normal; pulse regular, 74, 
lacks strength. Respiratory system : Normal. Integu- 
mentary system : Slightly oedematous about the feet; 
sallow; temperature of body normal. Urinary 
system: Normal. Nervous system: Sleeps well; 
mind active and retentive ; no pains in body. Lo- 
comotor system: Muscles getting tone gradually. 
General condition: In fair health; free from or- 
ganic disease. Treatment: Dietetic; tr. ferri muriat. 
npxv ter in die ; exercise. 
3. Henry Biederlich, Hospital Steward, aet. 28 
years. Present condition: Suffering from chronic 
rheumatic arthritis in middle joint of ring-finger of 
left hand ; has also at times flashes of rheumatism 
in joints and muscles. Digestive system: In good 
condition ; suffers at times from gaseous dyspep- 
sia ; bowels regular; appetite not morbid. Circu- 
latory system : Has anaemic murmur over the base of 
the heart; pulse dicrotic at times, 74 per minute. 
Respiratory system : Normal. Integumentary system : 
Face puffed, ankles oedematous, skin clear, tem- 
perature normal. Urinary system : Normal. Nervous 
system : Mind clear ; has neuralgic pains at times in 
muscles of chest; sleeps well. Locomotor system : 
Muscles getting stronger and harder; joints at times 
stiff from rheumatism; middle joint of ring-finger 
on left hand chronically swollen. Is in fair physical 15 
condition and free from organic disease. Treatment: 
Quinine, small doses of potass, iodid., exercise. 
4. D. Brainard, Sergt. U. S. A., set. 28 years. 
Is in fair physical condition, performs all functions 
naturally; pulse good, temperature normal, urine 
normal, feet slightly oedematous, muscles in fairly 
firm condition. Free from all organic disease. 
Treatment: Dietetic, quinine, tr. ferri muriati, 
port wine. 
5. Julius R. Fredericks, Sergt. U. S. A. In good 
physical condition; all functions naturally per- 
formed ; pulse good, temperature normal. Has 
been under treatment of P. A. Surgeon Ames, on 
the 11 Bear." 
6. Francis Long, Sergt. U. S. A. In good physi- 
cal condition. Under treatment of P. A. Surgeon 
Ames, of the " Bear." 
Very respectfully, 
Edward H. Green, 
P. A Surgeon.