“They were hurried Volens Nolens to a general Hospital at Cambridge”

On 27 July 1775, the Continental Congress created a hospital department for its army outside Boston.

It also appointed Dr. Benjamin Church, Jr., to be Director-General of that department—though he was often called the army’s Surgeon-General.

Church had impressed Congress delegates with his years of work in the Boston Patriot leadership, his genteel bearing during a visit to Philadelphia, and his renowned surgical skills.

Receiving the news in August, Church quickly began to develop hospitals in Cambridge and Roxbury. He started to insist that regimental surgeons send their worst sick and wounded to those hospitals instead of maintaining smaller hospitals near their stations.

That policy soon became a bone of contention between Church and Dr. Hall Jackson, who until then had been working as respectful colleagues.

On 5 September, Jackson wrote to New Hampshire politician John Langdon:

I had established a Hospital for General [John] Sullivan’s Brigade had near a hundred Patients for more than a month, under as good regulations as could be desired, provided with every necessity that prudence and economy would dictate. When all of a sudden they were hurried Volens Nolens [willingly or not] to a general Hospital at Cambridge without a single compliment paid either to them, or their former attendants.

Jackson was ready to return home to Portsmouth—he was a volunteer, after all, with no commission or salary. He stated:

General [Charles] Lee, General Sullivan with all the Officers and Surgeons of his Brigade, will not suffer me to hint an intention to leave them; as not a Surgeon in the whole Brigade has ever had the small Pox, or ever performed a Capital Operation. Some Officers in the Army have offered me a substitution equal to anything I would expect, but this I should dipise, their pay being little enough to support their own Commissions with Honour and decency. Gratitude to them, obliges me to continue with them, until the pleasure of the Continental Congress is known…

On 4 September, Sullivan himself had told Langdon:

I know Doctor Church complains of those Regimental Hospitals as having been very expensive, which the Regimental Surgeons Deny, & say he cannot prove the assertion. How that is I cannot say, but am very certain that good Brigade Surgeons may assist in preventing extraordinary expense as well as Doctor Church or any other person, & give great satisfaction to both Officers & Soldiers in the Army.

That conflict had grown worse after the Continental move onto Ploughed Hill on 26 August. William Simpson, a Pennsylvania rifleman, “had his Foot and Ankle shot off by a Cannon Ball as he lay behind a large Apple Tree, watching an Opportunity to Fire at the Enemy’s Advanced Guards.”

It looks like nobody expected Pvt. Simpson to live, but all agreed that his only hope was an amputation. And, as we’ve seen, Hall Jackson considered himself an expert on amputations.

According to Sullivan, “Doctor Jackson…was there, & had every thing prepared to take off the Limb—Doctor Church happened to come in—forbid him to proceed & ordered the man to be sent to the Hospital.”

TOMORROW: How the operation turned out.