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+ <title>
+ The Project Gutenberg eBook of Lincoln's Last Hours, by Charles A. Leale, M. D.
+ </title>
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+<pre>
+
+The Project Gutenberg EBook of Lincoln's Last Hours, by Charles A. Leale
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever. You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: Lincoln's Last Hours
+
+Author: Charles A. Leale
+
+Release Date: December 31, 2007 [EBook #24088]
+
+Language: English
+
+Character set encoding: ISO-8859-1
+
+*** START OF THIS PROJECT GUTENBERG EBOOK LINCOLN'S LAST HOURS ***
+
+
+
+
+Produced by Richard J. Shiffer and the Online Distributed
+Proofreading Team at http://www.pgdp.net (This file was
+produced from images generously made available by The
+Internet Archive/American Libraries.)
+
+
+
+
+
+
+</pre>
+
+
+
+
+
+<h1>Lincoln's Last Hours</h1>
+
+<h3>By</h3>
+
+<h2>Charles A. Leale, M. D.</h2>
+
+<br />
+
+<div class="figcenter" style="width: 75px;">
+<img src="images/eagle.png" width="75" height="60" alt="Eagle" title="" />
+</div>
+
+<br />
+<br />
+
+<div class="noteBox">
+<h3>Compliments of</h3>
+<h2>The Estate of Charles A. Leale</h2>
+<h3>New York</h3>
+</div>
+
+<br />
+<br />
+
+<h2>ADDRESS</h2>
+
+<h3 class="sc">delivered before the<br /><br />
+COMMANDERY OF THE STATE OF NEW YORK</h3>
+
+<h2>Military Order of the Loyal Legion<br />
+of the United States</h2>
+
+<h4>at the regular meeting, February, 1909, City of New York</h4>
+
+<h3 class="sc lowercase">in observance of the</h3>
+
+<h3>ONE HUNDREDTH ANNIVERSARY OF THE BIRTH OF</h3>
+
+<h2>President Abraham Lincoln</h2>
+
+
+<hr />
+
+<p><span class='pagenum'><a name="Page_1" id="Page_1">[Pg 1]</a></span></p>
+
+<h1>Lincoln's Last Hours</h1>
+
+<h3>By Charles A. Leale, M. D.</h3>
+
+<h5>COPYRIGHT, 1909, BY CHARLES A. LEALE, M. D.</h5>
+
+<hr class="short" />
+
+<p><i>Commander and Companions of the Military Order of the Loyal Legion of
+the United States:</i></p>
+
+<p>At the historic pageant in Washington, when the remains of President
+Lincoln were being taken from the White House to the Capitol, a
+carriage immediately preceding the catafalque was assigned to me.
+Outside were the crowds, the martial music, but inside the carriage I
+was plunged in deep self-communion, until aroused by a gentle tap at
+the window of my carriage door. An officer of high rank put his head
+inside and exclaimed: "Dr. Leale, I would rather have done what you
+did to prolong the life of the President than to have accomplished my
+duties during the entire war." I shrank back at what he said, and for
+the first time realized the importance of it all. As soon as I
+returned to my private office in the hospital, I drew down the
+window-shade, locked the door, threw myself prostrate on the bare wood
+floor and asked for advice. The answer came as distinctly as if spoken
+by a human being present: "Forget it all." I visited our Surgeon
+General, Joseph K. Barnes, and asked his advice; he also said: "Cast
+it from your memory."</p>
+
+<p>On April 17, 1865, a New York newspaper reporter called at my army
+tent. I invited him in, and expressed my desire to forget all the
+recent sad events, and to occupy my mind with the exacting present and
+plans for the future.</p>
+
+<p>Recently, several of our Companions expressed the conviction, that
+history now demands, and that it is my duty to give the detailed facts
+of President Lincoln's death as I know them, and in compliance with
+their request, I this evening for the first time will read a paper on
+the subject.</p>
+
+
+<hr />
+<p><span class='pagenum'><a name="Page_2" id="Page_2">[Pg 2]</a></span></p>
+<h2><a name="Lincolns_Last_Hours" id="Lincolns_Last_Hours"></a>Lincoln's Last Hours</h2>
+
+
+<p>One of the most cruel wars in the history of the world had nearly
+closed.</p>
+
+<p>The people of the United States were rejoicing at the prospect of
+peace and returning happiness. President Lincoln, after the surrender
+of General Robert E. Lee, visited Richmond, Virginia, exposing himself
+to great danger, and on his return delivered an address from the
+balcony of the White House.</p>
+
+<p>I was then a Commissioned Officer in the Medical Department of the
+United States Army, having been appointed from my native State, New
+York, and was on duty as Surgeon in charge of the Wounded Commissioned
+Officers' Ward at the United States Army General Hospital, Armory
+Square, Washington, District of Columbia, where my professional duties
+were of the greatest importance and required constant and arduous
+attention. For a brief relief and a few moments in the fresh air I
+started one evening for a short walk on Pennsylvania Avenue. There
+were crowds walking toward the President's residence. These I followed
+and arrived just at the commencement of President Lincoln's last
+public address to his people. From where I stood I could distinctly
+hear every word he uttered and I was profoundly impressed with his
+divine appearance as he stood in the rays of light, which penetrated
+the windows of the White House.</p>
+
+<p>The influence thus produced gave me an intense desire again to behold
+his face and study the characteristics of the "Savior of his Country."
+Therefore on the evening of April 14, 1865, after the completion of my
+daily hospital duties, I told my Ward Master that I would be absent
+for a short time. As a very large number from the Army stationed near
+Washington frequently visited the city, a general order was in force
+that none should be there without a special pass and all wearing
+uniform and out at night were subject to frequent challenge. To avoid
+this inconvenience officers stationed in Washington generally removed
+all signs of their calling when off duty. I changed to civilian's
+dress and hurried to Ford's Theatre, where I had been told President
+Lincoln, General Grant, and Members of the Cabinet were to be present
+to see the play, "Our American Cousin." I arrived late at the theatre,
+8.15 p. m., and requested a seat in the <span class='pagenum'><a name="Page_3" id="Page_3">[Pg 3]</a></span>orchestra, whence I could
+view the occupants of the President's box, which on looking into the
+theatre, I saw had been beautifully decorated with American flags in
+honor of the occasion. As the building was crowded the last place
+vacant was in the dress circle. I was greatly disappointed, but
+accepted this seat, which was near the front on the same side and
+about 40 feet from the President's box, and soon became interested in
+the pleasing play.</p>
+
+<p>Suddenly there was a cheering welcome, the acting ceased temporarily
+out of respect to the entering Presidential party. Many in the
+audience rose to their feet in enthusiasm and vociferously cheered,
+while looking around. Turning, I saw in the aisle a few feet behind
+me, President Lincoln, Mrs. Lincoln, Major Rathbone and Miss Harris.
+Mrs. Lincoln smiled very happily in acknowledgment of the loyal
+greeting, gracefully curtsied several times and seemed to be
+overflowing with good cheer and thankfulness. I had the best
+opportunity to distinctly see the full face of the President, as the
+light shone directly upon him. After he had walked a few feet he
+stopped for a moment, looked upon the people he loved and acknowledged
+their salutations with a solemn bow. His face was perfectly stoical,
+his deep set eyes gave him a pathetically sad appearance. The audience
+seemed to be enthusiastically cheerful, but he alone looked peculiarly
+sorrowful, as he slowly walked with bowed head and drooping shoulders
+toward the box. I was looking at him as he took his last walk. The
+memory of that scene has never been effaced. The party was preceded by
+a special usher, who opened the door of the box, stood to one side,
+and after all had entered closed the door and took a seat outside,
+where he could guard the entrance to the box. The play was resumed and
+my attention was concentrated on the stage until I heard a disturbance
+at the door of the President's box. With many others I looked in that
+direction, and saw a man endeavoring to persuade the reluctant usher
+to admit him. At last he succeeded in gaining an entrance, after which
+the door was closed and the usher resumed his place.</p>
+
+<p>For a few moments all was quiet, and the play again held my attention
+until, suddenly, the report of a pistol was heard, and a short time
+after I saw a man in mid-air leaping from the President's box to the
+stage, brandishing in his hand a drawn dagger. His spur caught in the
+American flag festooned in front of the box, causing him to stumble
+when he struck the stage, and he fell on his hands and knees. He
+quickly regained the erect posture and hopped across the stage,
+flourishing his dagger, clearing the stage before him and dragging the
+foot of the leg, which was subsequently found to be broken, he
+disappeared <span class='pagenum'><a name="Page_4" id="Page_4">[Pg 4]</a></span>behind the scene on the opposite side of the stage. Then
+followed cries that the President had been murdered, interspersed with
+cries of "Kill the murderer!" "Shoot him!" etc., from different parts
+of the building. The lights had been turned down, a general gloom was
+over all, and the panic-stricken audience were rushing toward the
+doors for exit and safety.</p>
+
+<p>I instantly arose and in response to cries for help and for a surgeon,
+I crossed the aisle and vaulted over the seats in a direct line to the
+President's box, forcing my way through the excited crowd. The door of
+the box had been securely fastened on the inside to prevent anyone
+following the assassin before he had accomplished his cruel object and
+made his escape. The obstruction was with difficulty removed and I was
+the first to be admitted to the box.</p>
+
+<p>The usher having been told that I was an army surgeon, had lifted up
+his arm and had permitted me alone to enter.</p>
+
+<p>I passed in, not in the slightest degree knowing what I had to
+encounter. At this moment, while in self-communion, the military
+command: "Halt!" came to me, and in obedience to it I stood still in
+the box, having a full view of the four other occupants. Then came the
+advice: "Be calm!" and with the calmest deliberation and force of will
+I brought all my senses to their greatest activity and walked forward
+to my duty.</p>
+
+<p>Major Rathbone had bravely fought the assassin; his arm had been
+severely wounded and was bleeding. He came to me holding his wounded
+arm in the hand of the other, beseeching me to attend to his wound. I
+placed my hand under his chin, looking into his eyes an almost
+instantaneous glance revealed the fact that he was in no immediate
+danger, and in response to appeals from Mrs. Lincoln and Miss Harris,
+who were standing by the high-backed armchair in which President
+Lincoln sat, I went immediately to their assistance, saying I was a
+United States army surgeon. I grasped Mrs. Lincoln's outstretched hand
+in mine, while she cried piteously to me, "Oh, Doctor! Is he dead? Can
+he recover? Will you take charge of him? Do what you can for him. Oh,
+my dear husband!" etc., etc. I soothingly answered that we would do
+all that possibly could be done. While approaching the President, I
+asked a gentleman, who was at the door of the box, to procure some
+brandy and another to get some water.</p>
+
+<p>As I looked at the President, he appeared to be dead. His eyes were
+closed and his head had fallen forward. He was being held upright in
+his chair by Mrs. Lincoln, who was weeping bitterly. From <span class='pagenum'><a name="Page_5" id="Page_5">[Pg 5]</a></span>his
+crouched down sitting posture it was evident that Mrs. Lincoln had
+instantly sprung to his aid after he had been wounded and had kept him
+from tumbling to the floor. By Mrs. Lincoln's courage, strength and
+energy the President was maintained in this upright position during
+all the time that elapsed while Major Rathbone had bravely fought the
+assassin and removed the obstruction from the door of the box.</p>
+
+<p>I placed my finger on the President's right radial pulse but could
+perceive no movement of the artery. For the purpose of reviving him,
+if possible, we removed him from his chair to a recumbent position on
+the floor of the box, and as I held his head and shoulders while doing
+this, my hand came in contact with a clot of blood near his left
+shoulder. Remembering the flashing dagger in the hand of the assassin,
+and the severely bleeding wound of Major Rathbone, I supposed the
+President had been stabbed, and while kneeling on the floor over his
+head, with my eyes continuously watching the President's face, I asked
+a gentleman to cut the coat and shirt open from the neck to the elbow
+to enable me, if possible, to check the hemorrhage that I thought
+might take place from the subclavian artery or some other blood
+vessel. This was done with a dirk knife, but no wound was found there.
+I lifted his eyelids and saw evidence of a brain injury. I quickly
+passed the separated fingers of both hands through his blood matted
+hair to examine his head, and I discovered his mortal wound. The
+President had been shot in the back part of the head, behind the left
+ear. I easily removed the obstructing clot of blood from the wound,
+and this relieved the pressure on the brain.</p>
+
+<p>The assassin of President Lincoln had evidently carefully planned to
+shoot to produce instant death, as the wound he made was situated
+within two inches of the physiological point of selection, when
+instant death is desired. A Derringer pistol had been used, which had
+sent a large round ball on its awful mission through one of the
+thickest, hardest parts of the skull and into the brain. The history
+of surgery fails to record a recovery from such a fearful wound and I
+have never seen or heard of any other person with such a wound, and
+injury to the sinus of the brain and to the brain itself, who lived
+even for an hour.</p>
+
+<p>As the President did not then revive, I thought of the other mode of
+death, apnoea, and assumed my preferred position to revive by
+artificial respiration. I knelt on the floor over the President, with
+a knee on each side of his pelvis and facing him. I leaned forward,
+opened his mouth and introduced two extended fingers of my right hand
+as far back as possible, and by pressing the base of his paralyzed
+<span class='pagenum'><a name="Page_6" id="Page_6">[Pg 6]</a></span>tongue downward and outward, opened his larynx and made a free
+passage for air to enter the lungs. I placed an assistant at each of
+his arms to manipulate them in order to expand his thorax, then slowly
+to press the arms down by the side of the body, while I pressed the
+diaphragm upward: methods which caused air to be drawn in and forced
+out of his lungs.</p>
+
+<p>During the intermissions I also with the strong thumb and fingers of
+my right hand by intermittent sliding pressure under and beneath the
+ribs, stimulated the apex of the heart, and resorted to several other
+physiological methods. We repeated these motions a number of times
+before signs of recovery from the profound shock were attained; then a
+feeble action of the heart and irregular breathing followed.</p>
+
+<p>The effects of the shock were still manifest by such great
+prostration, that I was fearful of any extra agitation of the
+President's body, and became convinced that something more must be
+done to retain life. I leaned forcibly forward directly over his body,
+thorax to thorax, face to face, and several times drew in a long
+breath, then forcibly breathed directly into his mouth and nostrils,
+which expanded his lungs and improved his respirations. After waiting
+a moment I placed my ear over his thorax and found the action of the
+heart improving. I arose to the erect kneeling posture, then watched
+for a short time, and saw that the President could continue
+independent breathing and that instant death would not occur.</p>
+
+<p>I then pronounced my diagnosis and prognosis: "His wound is mortal; it
+is impossible for him to recover." This message was telegraphed all
+over the country.</p>
+
+<p>When the brandy and water arrived, I very slowly poured a small
+quantity into the President's mouth, this was swallowed and retained.</p>
+
+<p>Many looked on during these earnest efforts to revive the President,
+but not once did any one suggest a word or in any way interfere with
+my actions. Mrs. Lincoln had thrown the burden on me and sat nearby
+looking on.</p>
+
+<p>In the dimly lighted box of the theatre, so beautifully decorated with
+American flags, a scene of historic importance was being enacted. On
+the carpeted floor lay prostrate the President of the United States.
+His long, outstretched, athletic body of six feet four inches appeared
+unusually heroic. His bleeding head rested on my white linen
+handkerchief. His clothing was arranged as nicely as possible. He was
+irregularly breathing, his heart was feebly beating, his face was pale
+and in solemn repose, his eyelids were closed, his countenance made
+<span class='pagenum'><a name="Page_7" id="Page_7">[Pg 7]</a></span>him appear to be in prayerful communion with the Universal God he
+always loved. I looked down upon him and waited for the next
+inspiration, which soon came: "Remove to safety." From the time Mrs.
+Lincoln had placed the President in my charge, I had not permitted my
+attention to be diverted. Again I was asked the nature of his wound
+and replied in these exact words: "His wound is mortal; it is
+impossible for him to recover."</p>
+
+<p>While I was kneeling over the President on the floor Dr. Charles S.
+Taft and Dr. Albert F. A. King had come and offered to render any
+assistance. I expressed the desire to have the President taken, as
+soon as he had gained sufficient strength, to the nearest house on the
+opposite side of the street. I was asked by several if he could not be
+taken to the White House, but I responded that if that were attempted
+the President would die long before we reached there. While we were
+waiting for Mr. Lincoln to gain strength Laura Keene, who had been
+taking part in the play, appealed to me to allow her to hold the
+President's head. I granted this request and she sat on the floor of
+the box and held his head on her lap.</p>
+
+<p>We decided that the President could now be moved from the possibility
+of danger in the theatre to a house where we might place him on a bed
+in safety. To assist in this duty I assigned Dr. Taft to carry his
+right shoulder, Dr. King to carry his left shoulder and detailed a
+sufficient number of others, whose names I have never discovered, to
+assist in carrying the body, while I carried his head, going first. We
+reached the door of the box and saw the long passage leading to the
+exit crowded with people. I called out twice: "Guards, clear the
+passage! Guards, clear the passage!" A free space was quickly cleared
+by an officer and protected by a line of soldiers in the position of
+present arms with swords, pistols and bayonets. When we reached the
+stairs, I turned so that those holding the President's feet would
+descend first. At the door of the theatre, I was again asked if the
+President could be taken to the White House. I answered: "No, the
+President would die on the way."</p>
+
+<p>The crowd in the street completely obstructed the doorway and a
+captain, whose services proved invaluable all through the night, came
+to me, saying: "Surgeon, give me your commands and I will see that
+they are obeyed." I asked him to clear a passage to the nearest house
+opposite. He had on side arms and drew his sword. With the sword and
+word of command he cleared the way. We slowly crossed the street. It
+was necessary to stop several times to give me the opportunity to
+remove the clot of blood from the opening to the wound. A barrier of
+men had been formed to keep back the crowds on each side <span class='pagenum'><a name="Page_8" id="Page_8">[Pg 8]</a></span>of an open
+space leading to the house. Those who went ahead reported that the
+house directly opposite the theatre was closed. I saw a man standing
+at the door of Mr. Petersen's house, diagonally opposite, holding a
+lighted candle in his hand and beckoning us to enter. This we did, not
+having been interrupted in the slightest by the throngs in the street,
+but a number of the excited populace followed us into the house.</p>
+
+<p>The great difficulty of retaining life during this brief time occupied
+in moving the President from the theatre to Mr. Petersen's house,
+conclusively proved that the President would have died in the street
+if I had granted the request to take him such a long distance as to
+the White House. I asked for the best room and we soon had the
+President placed in bed. He was lifted to the longitudinal center of
+the bed and placed on his back. While holding his face upward and
+keeping his head from rolling to either side, I looked at his elevated
+knees caused by his great height. This uncomfortable position grieved
+me and I ordered the foot of the bed to be removed. Dr. Taft and Dr.
+King reported that it was a fixture. Then I requested that it be
+broken off; as I found this could not satisfactorily be done, I had
+the President placed diagonally on the bed and called for extra
+pillows, and with them formed a gentle inclined plane on which to rest
+his head and shoulders. His position was then one of repose.</p>
+
+<p>The room soon filled with anxious people. I called the officer and
+asked him to open a window and order all except the medical gentlemen
+and friends to leave the room. After we had given the President a
+short rest I decided to make a thorough physical examination, as I
+wished to see if he had been wounded in any other part of the body. I
+requested all except the surgeons to leave the room. The Captain
+reported that my order had been carried out with the exception of Mrs.
+Lincoln, to whom he said he did not like to speak. I addressed Mrs.
+Lincoln, explaining my desire, and she immediately left the room. I
+examined the President's entire body from his head to his feet and
+found no other injury. His lower extremities were very cold and I sent
+the Hospital Steward, who had been of great assistance to us in
+removing the President from the theatre, to procure bottles of hot
+water and hot blankets, which were applied. I also sent for a large
+sinapism and in a short time one very nicely made was brought. This I
+applied over the solar-plexus and to the anterior surface of his body.
+We arranged the bed clothes nicely and I assigned Dr. Taft and Dr.
+King to keep his head upon the pillows in the most comfortable
+position, relieving each other in this duty, after which I sent an
+officer to notify Mrs. Lincoln that she might return to her husband;
+she came in and sat on a chair placed for her at the head of the bed.</p><p><span class='pagenum'><a name="Page_9" id="Page_9">[Pg 9]</a></span></p>
+
+<p>As the symptoms indicated renewed brain compression, I again cleared
+the opening of clotted blood and pushed forward the button of bone,
+which acted as a valve, permitted an oozing of blood and relieved
+pressure on the brain. I again saw good results from this action.</p>
+
+<p>After doing all that was professionally necessary, I stood aside for a
+general view and to think what to do next. While thus watching several
+army officers anxiously asked if they could in any way assist. I told
+them my greatest desire then was to send messengers to the White House
+for the President's son, Captain Robert T. Lincoln, also for the
+Surgeon General, Joseph K. Barnes, Surgeon D. Willard Bliss, in charge
+of Armory Square General Hospital, the President's family physician,
+Dr. Robert K. Stone, and to each member of the President's Cabinet.
+All these desires of mine were fulfilled.</p>
+
+<p>Having been taught in early youth to pay great respect to all
+religious denominations in regard to their rules concerning the sick
+or dying, it became my duty as surgeon in charge of the dying
+President to summon a clergyman to his bedside. Therefore after
+inquiring and being informed that the Rev. Dr. Gurley was Mrs.
+Lincoln's pastor, I immediately sent for him.</p>
+
+<p>Then I sent the Hospital Steward for a Nelaton probe. No drug or
+medicine in any form was administered to the President, but the
+artificial heat and mustard plaster that I had applied warmed his cold
+body and stimulated his nerves. Only a few were at any time admitted
+to the room by the officer, whom I had stationed at the door, and at
+all times I had maintained perfect discipline and order.</p>
+
+<p>While we were watching and letting Nature do her part, Dr. Taft came
+to me with brandy and water and asked permission to give some to the
+President. I objected, stating as my reason that it would produce
+strangulation. Dr. Taft left the room, and again came to me stating
+that it was the opinion of others also that it might do good. I
+replied: "I will grant the request, if you will please at first try by
+pouring only a very small quantity into the President's mouth." This
+Dr. Taft very carefully did, the liquid ran into the President's
+larynx producing laryngeal obstruction and unpleasant symptoms, which
+took me about half a minute to overcome, but no lasting harm was done.
+My physiological and practical experiences had led to correct
+conclusions.</p>
+
+<p>On the arrival of Dr. Robert K. Stone, who had been the President's
+family physician during his residence in Washington, I was presented
+to him as the one who had been in charge since the President was shot.
+I described the wound and told him all that had been done. He said he
+approved of my treatment.</p><p><span class='pagenum'><a name="Page_10" id="Page_10">[Pg 10]</a></span></p>
+
+<p>Surgeon General Joseph K. Barnes' long delay in arriving was due to
+his going first to the White House, where he expected to find the
+assassinated President, then to the residence of Secretary Seward and
+his son, both of whom he found requiring immediate attention, as they
+had been severely wounded by the attempts of another assassin to kill
+them.</p>
+
+<p>On the arrival of the Surgeon General and Assistant Surgeon General,
+Charles H. Crane, I reported what we had done and officially detailed
+to the Surgeon General my diagnosis, stating that whenever the clot
+was allowed to form over the opening to the wound the President's
+breathing became greatly embarrassed. The Surgeon General approved the
+treatment and my original plan of treatment was continued in every
+respect until the President's death.</p>
+
+<p>The Hospital Steward arrived with the Nelaton probe and an examination
+was made by the Surgeon General and myself, who introduced the probe
+to a distance of about two and a half inches, where it came in contact
+with a foreign substance, which lay across the track of the ball; this
+was easily passed and the probe was introduced several inches further
+where it again touched a hard substance at first supposed to be the
+ball, but as the white porcelain bulb of the probe on its withdrawal
+did not indicate the mark of lead it was generally thought to be
+another piece of loose bone. The probe was introduced the second time
+and the ball was supposed to be distinctly felt. After this second
+exploration nothing further was done with the wound except to keep the
+opening free from coagula, which, if allowed to form and remain for a
+short time, produced signs of increased compression, the breathing
+becoming profoundly stertorous and intermittent, the pulse more feeble
+and irregular. After I had resigned my charge all that was
+professionally done for the President was to repeat occasionally my
+original expedient of relieving the brain pressure by freeing the
+opening to the wound and to count the pulse and respirations. The
+President's position on the bed remained exactly as I had first placed
+him with the assistance of Dr. Taft and Dr. King.</p>
+
+<p>Captain Robert T. Lincoln came and remained with his father and
+mother, bravely sustaining himself during the course of the night.</p>
+
+<p>On that awful memorable night the great War Secretary, the Honorable
+Edwin M. Stanton, one of the most imposing figures of the nineteenth
+century, promptly arrived and recognized at that critical period of
+our country's history the necessity of a head to our Government and as
+the President was passing away established a branch of his War
+Department in an adjoining room. There he sat, surrounded <span class='pagenum'><a name="Page_11" id="Page_11">[Pg 11]</a></span>by his
+counsellors and messengers, pen in hand, writing to General Dix and
+others. He was soon in communication with many in authority and with
+the Government and army officials. By Secretary Stanton's wonderful
+ability and power in action, he undoubtedly controlled millions of
+excited people. He was then the Master, and in reality Acting
+President of the United States.</p>
+
+<p>During the night Mrs. Lincoln came frequently from the adjoining room
+accompanied by a lady friend. At one time Mrs. Lincoln exclaimed,
+sobbing bitterly: "Oh! that my little Taddy might see his father
+before he died!" This was decided not advisable. As Mrs. Lincoln sat
+on a chair by the side of the bed with her face to her husband's his
+breathing became very stertorous and the loud, unnatural noise
+frightened her in her exhausted, agonized condition. She sprang up
+suddenly with a piercing cry and fell fainting to the floor. Secretary
+Stanton hearing her cry came in from the adjoining room and with
+raised arms called out loudly: "Take that woman out and do not let her
+in again." Mrs. Lincoln was helped up kindly and assisted in a
+fainting condition from the room. Secretary Stanton's order was obeyed
+and Mrs. Lincoln did not see her husband again before he died.</p>
+
+<p>As Captain Lincoln was consoling his mother in another room, and as I
+had promised Mrs. Lincoln to do all I possibly could for her husband,
+I took the place of kindred and continuously held the President's
+right hand firmly, with one exception of less than a minute, when my
+sympathies compelled me to seek the disconsolate wife. I found her
+reclining in a nearby room, being comforted by her son. Without
+stopping in my walk, I passed the room where Secretary Stanton sat at
+his official table and returning took the hand of the dying President
+in mine. The hand that had signed the Emancipation Proclamation
+liberating 4,000,000 slaves.</p>
+
+<p>As morning dawned it became quite evident that the President was
+sinking, and at several times his pulse could not be counted. Two or
+three feeble pulsations being noticed, followed by an intermission
+when not the slightest movements of the artery could be felt. The
+inspirations became very prolonged and labored, accompanied by a
+guttural sound. The respirations ceased for some time and several
+anxiously looked at their watches until the profound silence was
+disturbed by a prolonged inspiration, which was followed by a sonorous
+expiration.</p>
+
+<p>During these moments the Surgeon General occupied a chair by the head
+of the President's bed and occasionally held his finger over the
+carotid artery to note its pulsations. Dr. Stone sat on the edge of
+the foot of the bed, and I stood holding the President's right hand
+with my extended forefinger on his pulse, being the only one between
+the bed <span class='pagenum'><a name="Page_12" id="Page_12">[Pg 12]</a></span>and the wall, the bed having been drawn out diagonally for
+that purpose. While we were anxiously watching in profound solemn
+silence, the Rev. Dr. Gurley said: "Let us pray," and offered a most
+impressive prayer. After which we witnessed the last struggle between
+life and death.</p>
+
+<p>At this time my knowledge of physiology, pathology and psychology told
+me that the President was totally blind as a result of blood pressure
+on the brain, as indicated by the paralysis, dilated pupils,
+protruding and bloodshot eyes, but all the time I acted on the belief
+that if his sense of hearing or feeling remained, he could possibly
+hear me when I sent for his son, the voice of his wife when she spoke
+to him and that the last sound he heard, may have been his pastor's
+prayer, as he finally committed his soul to God.</p>
+
+<p>Knowledge that frequently just before departure recognition and reason
+return to those who have been unconscious caused me for several hours
+to hold his right hand firmly within my grasp to let him in his
+blindness know, if possible, that he was in touch with humanity and
+had a friend.</p>
+
+<p>The protracted struggle ceased at twenty minutes past seven o'clock on
+the morning of April 15, 1865, and I announced that the President was
+dead.</p>
+
+<p>Immediately after death the few remaining in the room knelt around the
+bed while the Rev. Dr. Gurley delivered one of the most impressive
+prayers ever uttered, that our Heavenly Father look down in pity upon
+the bereaved family and preserve our afflicted and sorrow-stricken
+country.</p>
+
+<p>Then I gently smoothed the President's contracted facial muscles, took
+two coins from my pocket, placed them over his eyelids and drew a
+white sheet over the martyr's face. I had been the means, in God's
+hand, of prolonging the life of President Abraham Lincoln for nine
+hours.</p>
+
+<p>Every necessary act of love, devotion, skill and loyalty had been
+rendered during his helpless hours to the President of the United
+States, the Commander-in-Chief of the Army and Navy, to the beloved of
+millions of people throughout the world.</p>
+
+<p>Many reported, anxious in any way to be of service. I accepted their
+offers to the extent of abundantly filling every want. Of all the
+people I have met in different parts of the world, I have found that
+as a class, good Americans are not to be excelled when occasions
+demand, in strength, endurance, calmness, good judgment, ardent loyal
+devotion and self-sacrificing love.</p><p><span class='pagenum'><a name="Page_13" id="Page_13">[Pg 13]</a></span></p>
+
+<p>By prolonging the life of President Lincoln, his son Robert, whom I
+sent for, was enabled to see his father alive. Physicians and
+surgeons, lawyer and clergyman, whom I sent for, visited the President
+and were given time to deliberate. Members of the Cabinet, whom I sent
+for with soldiers and sailors and friends, had the opportunity to
+surround him. Millions of dangerous, excited and disappointed people
+were morally dissuaded from acts of discord. The nation was held in
+suppressed, sympathetic suspense and control, when the people heard
+that the President was living, though severely wounded and dying.</p>
+
+<p>Before the people had time to realize the situation there was another
+President of the United States and the grandeur of the continuity of
+the Republic was confirmed.</p>
+
+<p>After all was over, and as I stood by the side of the covered mortal
+remains I thought: "You have fulfilled your promise to the wife, your
+duty now is to the many living, suffering, wounded officers committed
+to your care in your ward at Armory Square General Hospital," and I
+left the house in deep meditation. In my lonely walk I was aroused
+from my reveries by the cold drizzling rain dropping on my bare head,
+my hat I had left in my seat at the theatre. My clothing was stained
+with blood, I had not once been seated since I first sprang to the
+President's aid; I was cold, weary and sad. The dawn of peace was
+again clouded, the most cruel war in history had not completely ended.
+Our long sorrowing country vividly came before me as I thought how
+essential it was to have an organization composed of returning
+soldiers to guard and protect the officers of state and uphold the
+Constitution. This great need was simultaneously recognized by others,
+for on that day, April 15, 1865, there assembled at Philadelphia a few
+army officers for that purpose and originated the Military Order of
+the Loyal Legion of the United States.</p>
+
+<p>Among the archives of our organization, the Military Order of the
+Loyal Legion of the United States, we have recorded:&mdash;</p>
+
+<div class="narrow">
+<blockquote><p class="center"><i>ABRAHAM LINCOLN.</i></p>
+<p><i>President of the United States, March 4, 1861, to April 15, 1865.</i><br />
+<i>Born February 12, 1809, Hardin (La Rue County), Kentucky.</i><br />
+<i>Assassinated April 14, 1865; died April 15, 1865, at Washington, D. C.</i><br />
+<i>Enrolled by Special Resolution, to date from April 15, 1865.</i></p>
+</blockquote>
+</div>
+
+<p>I herewith give in the order in which they arrived, the names of the
+physicians and surgeons, and the clergyman whom I recognized as taking
+a professional part in the physical, mental or spiritual welfare of
+the President from the time he was shot until his death. The first
+person to <span class='pagenum'><a name="Page_14" id="Page_14">[Pg 14]</a></span>enter the box after the President was shot, and who took
+charge of him at the request of Mrs. Lincoln, was myself, Charles A.
+Leale, M. D., Assistant Surgeon, United States Volunteers and the
+surgeon in charge of the ward containing the wounded commissioned
+officers at the United States Army General Hospital, Armory Square,
+Washington, D. C. The next who reported and simultaneously offered
+their services to me, which were accepted, were Charles S. Taft, M.
+D., Acting Assistant Surgeon, United States Army, and Albert F. A.
+King, M. D., Acting Assistant Surgeon, United States Army. Then
+apparently a very long time after we had cared for the President in
+Mr. Petersen's house, and in response to the numerous messengers whom
+I had sent, there arrived Robert K. Stone, M. D., Mrs. Lincoln's
+family physician; Joseph K. Barnes, M. D., Surgeon General, United
+States Army; Charles H. Crane, M. D., Assistant Surgeon General,
+United States Army, and the Rev. Dr. Gurley, Mrs. Lincoln's pastor.
+During the night several other physicians unknown to me called, and
+through courtesy I permitted some of them to feel the President's
+pulse, but none of them touched the wound.</p>
+
+<p>Later in the forenoon as I was in the midst of important surgical
+duties at our hospital, I was notified by my lady nurse that a
+messenger had called inviting me to be present at the necropsy. Later
+a doctor called for the same purpose. I respectfully asked to be
+excused, as I did not dare to leave the large number of severely
+wounded expecting my usual personal care. I was fearful that the shock
+of hearing of the sudden death of the President might cause trouble in
+their depressed painful conditions.</p>
+
+<p>One of my patients was profoundly depressed. He said to me: "Doctor,
+all we have fought for is gone. Our country is destroyed, and I want
+to die." This officer the day before was safely recovering from an
+amputation. I called my lady nurse, "Please closely watch Lieutenant &mdash;&mdash;
+cheer him as much as possible, and give him two ounces of wine
+every two hours," etc., etc. This brave soldier received the greatest
+kindness and skillful care, but he would not rally from the shock and
+died in a short time.</p>
+
+<p>Among my relics I have a photograph taken a few days later in full
+staff uniform as I appeared at the obsequies. The crape has never been
+removed from my sword. I have my cuffs stained with the martyr's
+blood, also my card of invitation to the funeral services, held on
+Wednesday, April 19, which I attended, having been assigned a place at
+the head of the coffin at the White House, and a carriage immediately
+preceding the catafalque in the grand funeral procession from the<span class='pagenum'><a name="Page_15" id="Page_15">[Pg 15]</a></span>
+White House to the Capitol; where during the public ceremonies I was
+assigned to a place at the head of the casket as it rested beneath the
+rotunda.</p>
+
+<p>One of the most devoted of those who remained in the room with the
+dying President was Senator Charles Sumner, of Massachusetts. He
+visited me subsequently and said: "Dr. Leale, do you remember that I
+remained all the time until President Lincoln died?" Senator Sumner
+was profoundly affected by this great calamity to both North and
+South.</p>
+
+<p>On my visit to Secretary Seward some time after the President's death,
+he was still suffering from his fracture and from the brutal attacks
+of the assassin, who made such a desperate attempt to kill him on that
+fatal night.</p>
+
+<p>When I again met Secretary Stanton we sat alone in his private office.
+He was doing his utmost to continue what he deemed best for our
+country. The long continued strain and great burden had left their
+deep impress upon him. At the close of my call we shook hands
+fraternally.</p>
+
+<p>After the war had closed Governor Fenton, of New York State, one of
+the "War Governors," came to me and said: "Dr. Leale, I will give you
+anything possible within my power." I responded: "I sincerely thank
+you, Governor; but I desire nothing, as I wish to follow my mission in
+life."</p>
+
+<p>The city of Washington was wrapped in a mantle of gloom. The President
+had known his people and had a heart full of love for his soldiers and
+sailors. With "malice toward none" he alone seemed to have the power
+to restore fraternal love. He alone appeared able to quickly heal his
+country's wound.</p>
+
+<p>In May there occurred in Washington one of the most pathetic and
+historic events, the return of the Northern Army for the final review
+of more than 70,000 veterans. A grandstand had been erected in front
+of the White House for the new President, his Cabinet, Officers of
+State, Foreign Ministers and others. I had a seat on this grandstand,
+from which on May 24th we watched one of the most imposing parades
+recorded in history. Among the many heroes, I recall the passing of
+stately General William Tecumseh Sherman on his majestic horse, which
+had been garlanded with roses. After we had been sitting <span class='pagenum'><a name="Page_16" id="Page_16">[Pg 16]</a></span>there for
+several hours a foreign official tapped me on the shoulder and said:
+"What will become of these thousands of soldiers after their
+discharge?" I answered: "They will return to their homes all over the
+country and soon be at work doing their utmost to pay off the national
+debt." He replied: "Is it possible! No other country could expect such
+a result."</p>
+
+<p>All had lost comrades, many were to return to desolate and broken
+homes. Amidst all the grandeur of victory there was profound sorrow.
+Among the thousands of passing veterans, there were many who looked
+for their former Commander-in-Chief, but their "Father Abraham" had
+answered to his last bugle call and with more than 300,000 comrades
+had been mustered out.</p>
+
+<br />
+<br />
+
+<div class="figcenter" style="width: 75px;">
+<img src="images/eagle.png" width="75" height="60" alt="Eagle" title="" />
+</div>
+
+<hr class="full" />
+
+
+
+
+
+
+
+
+<pre>
+
+
+
+
+
+End of Project Gutenberg's Lincoln's Last Hours, by Charles A. Leale
+
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+The Project Gutenberg EBook of Lincoln's Last Hours, by Charles A. Leale
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever. You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: Lincoln's Last Hours
+
+Author: Charles A. Leale
+
+Release Date: December 31, 2007 [EBook #24088]
+
+Language: English
+
+Character set encoding: ASCII
+
+*** START OF THIS PROJECT GUTENBERG EBOOK LINCOLN'S LAST HOURS ***
+
+
+
+
+Produced by Richard J. Shiffer and the Online Distributed
+Proofreading Team at http://www.pgdp.net (This file was
+produced from images generously made available by The
+Internet Archive/American Libraries.)
+
+
+
+
+
+
+
+
+
+ Lincoln's Last Hours
+
+ By
+
+ Charles A. Leale, M. D.
+
+
+ Compliments of
+
+ The Estate of Charles A. Leale
+
+ New York
+
+
+ ADDRESS
+
+ DELIVERED BEFORE THE
+
+ COMMANDERY OF THE STATE OF NEW YORK
+
+ Military Order of the Loyal Legion
+ of the United States
+
+ at the regular meeting, February, 1909, City of New York
+
+ IN OBSERVANCE OF THE
+
+ ONE HUNDREDTH ANNIVERSARY OF THE BIRTH OF
+
+ President Abraham Lincoln
+
+
+
+
+ Lincoln's Last Hours
+
+ By Charles A. Leale, M. D.
+
+ COPYRIGHT, 1909, BY CHARLES A. LEALE, M. D.
+
+
+
+
+_Commander and Companions of the Military Order of the Loyal Legion of
+the United States:_
+
+At the historic pageant in Washington, when the remains of President
+Lincoln were being taken from the White House to the Capitol, a
+carriage immediately preceding the catafalque was assigned to me.
+Outside were the crowds, the martial music, but inside the carriage I
+was plunged in deep self-communion, until aroused by a gentle tap at
+the window of my carriage door. An officer of high rank put his head
+inside and exclaimed: "Dr. Leale, I would rather have done what you
+did to prolong the life of the President than to have accomplished my
+duties during the entire war." I shrank back at what he said, and for
+the first time realized the importance of it all. As soon as I
+returned to my private office in the hospital, I drew down the
+window-shade, locked the door, threw myself prostrate on the bare wood
+floor and asked for advice. The answer came as distinctly as if spoken
+by a human being present: "Forget it all." I visited our Surgeon
+General, Joseph K. Barnes, and asked his advice; he also said: "Cast
+it from your memory."
+
+On April 17, 1865, a New York newspaper reporter called at my army
+tent. I invited him in, and expressed my desire to forget all the
+recent sad events, and to occupy my mind with the exacting present and
+plans for the future.
+
+Recently, several of our Companions expressed the conviction, that
+history now demands, and that it is my duty to give the detailed facts
+of President Lincoln's death as I know them, and in compliance with
+their request, I this evening for the first time will read a paper on
+the subject.
+
+
+
+
+Lincoln's Last Hours
+
+
+One of the most cruel wars in the history of the world had nearly
+closed.
+
+The people of the United States were rejoicing at the prospect of
+peace and returning happiness. President Lincoln, after the surrender
+of General Robert E. Lee, visited Richmond, Virginia, exposing himself
+to great danger, and on his return delivered an address from the
+balcony of the White House.
+
+I was then a Commissioned Officer in the Medical Department of the
+United States Army, having been appointed from my native State, New
+York, and was on duty as Surgeon in charge of the Wounded Commissioned
+Officers' Ward at the United States Army General Hospital, Armory
+Square, Washington, District of Columbia, where my professional duties
+were of the greatest importance and required constant and arduous
+attention. For a brief relief and a few moments in the fresh air I
+started one evening for a short walk on Pennsylvania Avenue. There
+were crowds walking toward the President's residence. These I followed
+and arrived just at the commencement of President Lincoln's last
+public address to his people. From where I stood I could distinctly
+hear every word he uttered and I was profoundly impressed with his
+divine appearance as he stood in the rays of light, which penetrated
+the windows of the White House.
+
+The influence thus produced gave me an intense desire again to behold
+his face and study the characteristics of the "Savior of his Country."
+Therefore on the evening of April 14, 1865, after the completion of my
+daily hospital duties, I told my Ward Master that I would be absent
+for a short time. As a very large number from the Army stationed near
+Washington frequently visited the city, a general order was in force
+that none should be there without a special pass and all wearing
+uniform and out at night were subject to frequent challenge. To avoid
+this inconvenience officers stationed in Washington generally removed
+all signs of their calling when off duty. I changed to civilian's
+dress and hurried to Ford's Theatre, where I had been told President
+Lincoln, General Grant, and Members of the Cabinet were to be present
+to see the play, "Our American Cousin." I arrived late at the theatre,
+8.15 p. m., and requested a seat in the orchestra, whence I could
+view the occupants of the President's box, which on looking into the
+theatre, I saw had been beautifully decorated with American flags in
+honor of the occasion. As the building was crowded the last place
+vacant was in the dress circle. I was greatly disappointed, but
+accepted this seat, which was near the front on the same side and
+about 40 feet from the President's box, and soon became interested in
+the pleasing play.
+
+Suddenly there was a cheering welcome, the acting ceased temporarily
+out of respect to the entering Presidential party. Many in the
+audience rose to their feet in enthusiasm and vociferously cheered,
+while looking around. Turning, I saw in the aisle a few feet behind
+me, President Lincoln, Mrs. Lincoln, Major Rathbone and Miss Harris.
+Mrs. Lincoln smiled very happily in acknowledgment of the loyal
+greeting, gracefully curtsied several times and seemed to be
+overflowing with good cheer and thankfulness. I had the best
+opportunity to distinctly see the full face of the President, as the
+light shone directly upon him. After he had walked a few feet he
+stopped for a moment, looked upon the people he loved and acknowledged
+their salutations with a solemn bow. His face was perfectly stoical,
+his deep set eyes gave him a pathetically sad appearance. The audience
+seemed to be enthusiastically cheerful, but he alone looked peculiarly
+sorrowful, as he slowly walked with bowed head and drooping shoulders
+toward the box. I was looking at him as he took his last walk. The
+memory of that scene has never been effaced. The party was preceded by
+a special usher, who opened the door of the box, stood to one side,
+and after all had entered closed the door and took a seat outside,
+where he could guard the entrance to the box. The play was resumed and
+my attention was concentrated on the stage until I heard a disturbance
+at the door of the President's box. With many others I looked in that
+direction, and saw a man endeavoring to persuade the reluctant usher
+to admit him. At last he succeeded in gaining an entrance, after which
+the door was closed and the usher resumed his place.
+
+For a few moments all was quiet, and the play again held my attention
+until, suddenly, the report of a pistol was heard, and a short time
+after I saw a man in mid-air leaping from the President's box to the
+stage, brandishing in his hand a drawn dagger. His spur caught in the
+American flag festooned in front of the box, causing him to stumble
+when he struck the stage, and he fell on his hands and knees. He
+quickly regained the erect posture and hopped across the stage,
+flourishing his dagger, clearing the stage before him and dragging the
+foot of the leg, which was subsequently found to be broken, he
+disappeared behind the scene on the opposite side of the stage. Then
+followed cries that the President had been murdered, interspersed with
+cries of "Kill the murderer!" "Shoot him!" etc., from different parts
+of the building. The lights had been turned down, a general gloom was
+over all, and the panic-stricken audience were rushing toward the
+doors for exit and safety.
+
+I instantly arose and in response to cries for help and for a surgeon,
+I crossed the aisle and vaulted over the seats in a direct line to the
+President's box, forcing my way through the excited crowd. The door of
+the box had been securely fastened on the inside to prevent anyone
+following the assassin before he had accomplished his cruel object and
+made his escape. The obstruction was with difficulty removed and I was
+the first to be admitted to the box.
+
+The usher having been told that I was an army surgeon, had lifted up
+his arm and had permitted me alone to enter.
+
+I passed in, not in the slightest degree knowing what I had to
+encounter. At this moment, while in self-communion, the military
+command: "Halt!" came to me, and in obedience to it I stood still in
+the box, having a full view of the four other occupants. Then came the
+advice: "Be calm!" and with the calmest deliberation and force of will
+I brought all my senses to their greatest activity and walked forward
+to my duty.
+
+Major Rathbone had bravely fought the assassin; his arm had been
+severely wounded and was bleeding. He came to me holding his wounded
+arm in the hand of the other, beseeching me to attend to his wound. I
+placed my hand under his chin, looking into his eyes an almost
+instantaneous glance revealed the fact that he was in no immediate
+danger, and in response to appeals from Mrs. Lincoln and Miss Harris,
+who were standing by the high-backed armchair in which President
+Lincoln sat, I went immediately to their assistance, saying I was a
+United States army surgeon. I grasped Mrs. Lincoln's outstretched hand
+in mine, while she cried piteously to me, "Oh, Doctor! Is he dead? Can
+he recover? Will you take charge of him? Do what you can for him. Oh,
+my dear husband!" etc., etc. I soothingly answered that we would do
+all that possibly could be done. While approaching the President, I
+asked a gentleman, who was at the door of the box, to procure some
+brandy and another to get some water.
+
+As I looked at the President, he appeared to be dead. His eyes were
+closed and his head had fallen forward. He was being held upright in
+his chair by Mrs. Lincoln, who was weeping bitterly. From his
+crouched down sitting posture it was evident that Mrs. Lincoln had
+instantly sprung to his aid after he had been wounded and had kept him
+from tumbling to the floor. By Mrs. Lincoln's courage, strength and
+energy the President was maintained in this upright position during
+all the time that elapsed while Major Rathbone had bravely fought the
+assassin and removed the obstruction from the door of the box.
+
+I placed my finger on the President's right radial pulse but could
+perceive no movement of the artery. For the purpose of reviving him,
+if possible, we removed him from his chair to a recumbent position on
+the floor of the box, and as I held his head and shoulders while doing
+this, my hand came in contact with a clot of blood near his left
+shoulder. Remembering the flashing dagger in the hand of the assassin,
+and the severely bleeding wound of Major Rathbone, I supposed the
+President had been stabbed, and while kneeling on the floor over his
+head, with my eyes continuously watching the President's face, I asked
+a gentleman to cut the coat and shirt open from the neck to the elbow
+to enable me, if possible, to check the hemorrhage that I thought
+might take place from the subclavian artery or some other blood
+vessel. This was done with a dirk knife, but no wound was found there.
+I lifted his eyelids and saw evidence of a brain injury. I quickly
+passed the separated fingers of both hands through his blood matted
+hair to examine his head, and I discovered his mortal wound. The
+President had been shot in the back part of the head, behind the left
+ear. I easily removed the obstructing clot of blood from the wound,
+and this relieved the pressure on the brain.
+
+The assassin of President Lincoln had evidently carefully planned to
+shoot to produce instant death, as the wound he made was situated
+within two inches of the physiological point of selection, when
+instant death is desired. A Derringer pistol had been used, which had
+sent a large round ball on its awful mission through one of the
+thickest, hardest parts of the skull and into the brain. The history
+of surgery fails to record a recovery from such a fearful wound and I
+have never seen or heard of any other person with such a wound, and
+injury to the sinus of the brain and to the brain itself, who lived
+even for an hour.
+
+As the President did not then revive, I thought of the other mode of
+death, apnoea, and assumed my preferred position to revive by
+artificial respiration. I knelt on the floor over the President, with
+a knee on each side of his pelvis and facing him. I leaned forward,
+opened his mouth and introduced two extended fingers of my right hand
+as far back as possible, and by pressing the base of his paralyzed
+tongue downward and outward, opened his larynx and made a free
+passage for air to enter the lungs. I placed an assistant at each of
+his arms to manipulate them in order to expand his thorax, then slowly
+to press the arms down by the side of the body, while I pressed the
+diaphragm upward: methods which caused air to be drawn in and forced
+out of his lungs.
+
+During the intermissions I also with the strong thumb and fingers of
+my right hand by intermittent sliding pressure under and beneath the
+ribs, stimulated the apex of the heart, and resorted to several other
+physiological methods. We repeated these motions a number of times
+before signs of recovery from the profound shock were attained; then a
+feeble action of the heart and irregular breathing followed.
+
+The effects of the shock were still manifest by such great
+prostration, that I was fearful of any extra agitation of the
+President's body, and became convinced that something more must be
+done to retain life. I leaned forcibly forward directly over his body,
+thorax to thorax, face to face, and several times drew in a long
+breath, then forcibly breathed directly into his mouth and nostrils,
+which expanded his lungs and improved his respirations. After waiting
+a moment I placed my ear over his thorax and found the action of the
+heart improving. I arose to the erect kneeling posture, then watched
+for a short time, and saw that the President could continue
+independent breathing and that instant death would not occur.
+
+I then pronounced my diagnosis and prognosis: "His wound is mortal; it
+is impossible for him to recover." This message was telegraphed all
+over the country.
+
+When the brandy and water arrived, I very slowly poured a small
+quantity into the President's mouth, this was swallowed and retained.
+
+Many looked on during these earnest efforts to revive the President,
+but not once did any one suggest a word or in any way interfere with
+my actions. Mrs. Lincoln had thrown the burden on me and sat nearby
+looking on.
+
+In the dimly lighted box of the theatre, so beautifully decorated with
+American flags, a scene of historic importance was being enacted. On
+the carpeted floor lay prostrate the President of the United States.
+His long, outstretched, athletic body of six feet four inches appeared
+unusually heroic. His bleeding head rested on my white linen
+handkerchief. His clothing was arranged as nicely as possible. He was
+irregularly breathing, his heart was feebly beating, his face was pale
+and in solemn repose, his eyelids were closed, his countenance made
+him appear to be in prayerful communion with the Universal God he
+always loved. I looked down upon him and waited for the next
+inspiration, which soon came: "Remove to safety." From the time Mrs.
+Lincoln had placed the President in my charge, I had not permitted my
+attention to be diverted. Again I was asked the nature of his wound
+and replied in these exact words: "His wound is mortal; it is
+impossible for him to recover."
+
+While I was kneeling over the President on the floor Dr. Charles S.
+Taft and Dr. Albert F. A. King had come and offered to render any
+assistance. I expressed the desire to have the President taken, as
+soon as he had gained sufficient strength, to the nearest house on the
+opposite side of the street. I was asked by several if he could not be
+taken to the White House, but I responded that if that were attempted
+the President would die long before we reached there. While we were
+waiting for Mr. Lincoln to gain strength Laura Keene, who had been
+taking part in the play, appealed to me to allow her to hold the
+President's head. I granted this request and she sat on the floor of
+the box and held his head on her lap.
+
+We decided that the President could now be moved from the possibility
+of danger in the theatre to a house where we might place him on a bed
+in safety. To assist in this duty I assigned Dr. Taft to carry his
+right shoulder, Dr. King to carry his left shoulder and detailed a
+sufficient number of others, whose names I have never discovered, to
+assist in carrying the body, while I carried his head, going first. We
+reached the door of the box and saw the long passage leading to the
+exit crowded with people. I called out twice: "Guards, clear the
+passage! Guards, clear the passage!" A free space was quickly cleared
+by an officer and protected by a line of soldiers in the position of
+present arms with swords, pistols and bayonets. When we reached the
+stairs, I turned so that those holding the President's feet would
+descend first. At the door of the theatre, I was again asked if the
+President could be taken to the White House. I answered: "No, the
+President would die on the way."
+
+The crowd in the street completely obstructed the doorway and a
+captain, whose services proved invaluable all through the night, came
+to me, saying: "Surgeon, give me your commands and I will see that
+they are obeyed." I asked him to clear a passage to the nearest house
+opposite. He had on side arms and drew his sword. With the sword and
+word of command he cleared the way. We slowly crossed the street. It
+was necessary to stop several times to give me the opportunity to
+remove the clot of blood from the opening to the wound. A barrier of
+men had been formed to keep back the crowds on each side of an open
+space leading to the house. Those who went ahead reported that the
+house directly opposite the theatre was closed. I saw a man standing
+at the door of Mr. Petersen's house, diagonally opposite, holding a
+lighted candle in his hand and beckoning us to enter. This we did, not
+having been interrupted in the slightest by the throngs in the street,
+but a number of the excited populace followed us into the house.
+
+The great difficulty of retaining life during this brief time occupied
+in moving the President from the theatre to Mr. Petersen's house,
+conclusively proved that the President would have died in the street
+if I had granted the request to take him such a long distance as to
+the White House. I asked for the best room and we soon had the
+President placed in bed. He was lifted to the longitudinal center of
+the bed and placed on his back. While holding his face upward and
+keeping his head from rolling to either side, I looked at his elevated
+knees caused by his great height. This uncomfortable position grieved
+me and I ordered the foot of the bed to be removed. Dr. Taft and Dr.
+King reported that it was a fixture. Then I requested that it be
+broken off; as I found this could not satisfactorily be done, I had
+the President placed diagonally on the bed and called for extra
+pillows, and with them formed a gentle inclined plane on which to rest
+his head and shoulders. His position was then one of repose.
+
+The room soon filled with anxious people. I called the officer and
+asked him to open a window and order all except the medical gentlemen
+and friends to leave the room. After we had given the President a
+short rest I decided to make a thorough physical examination, as I
+wished to see if he had been wounded in any other part of the body. I
+requested all except the surgeons to leave the room. The Captain
+reported that my order had been carried out with the exception of Mrs.
+Lincoln, to whom he said he did not like to speak. I addressed Mrs.
+Lincoln, explaining my desire, and she immediately left the room. I
+examined the President's entire body from his head to his feet and
+found no other injury. His lower extremities were very cold and I sent
+the Hospital Steward, who had been of great assistance to us in
+removing the President from the theatre, to procure bottles of hot
+water and hot blankets, which were applied. I also sent for a large
+sinapism and in a short time one very nicely made was brought. This I
+applied over the solar-plexus and to the anterior surface of his body.
+We arranged the bed clothes nicely and I assigned Dr. Taft and Dr.
+King to keep his head upon the pillows in the most comfortable
+position, relieving each other in this duty, after which I sent an
+officer to notify Mrs. Lincoln that she might return to her husband;
+she came in and sat on a chair placed for her at the head of the bed.
+
+As the symptoms indicated renewed brain compression, I again cleared
+the opening of clotted blood and pushed forward the button of bone,
+which acted as a valve, permitted an oozing of blood and relieved
+pressure on the brain. I again saw good results from this action.
+
+After doing all that was professionally necessary, I stood aside for a
+general view and to think what to do next. While thus watching several
+army officers anxiously asked if they could in any way assist. I told
+them my greatest desire then was to send messengers to the White House
+for the President's son, Captain Robert T. Lincoln, also for the
+Surgeon General, Joseph K. Barnes, Surgeon D. Willard Bliss, in charge
+of Armory Square General Hospital, the President's family physician,
+Dr. Robert K. Stone, and to each member of the President's Cabinet.
+All these desires of mine were fulfilled.
+
+Having been taught in early youth to pay great respect to all
+religious denominations in regard to their rules concerning the sick
+or dying, it became my duty as surgeon in charge of the dying
+President to summon a clergyman to his bedside. Therefore after
+inquiring and being informed that the Rev. Dr. Gurley was Mrs.
+Lincoln's pastor, I immediately sent for him.
+
+Then I sent the Hospital Steward for a Nelaton probe. No drug or
+medicine in any form was administered to the President, but the
+artificial heat and mustard plaster that I had applied warmed his cold
+body and stimulated his nerves. Only a few were at any time admitted
+to the room by the officer, whom I had stationed at the door, and at
+all times I had maintained perfect discipline and order.
+
+While we were watching and letting Nature do her part, Dr. Taft came
+to me with brandy and water and asked permission to give some to the
+President. I objected, stating as my reason that it would produce
+strangulation. Dr. Taft left the room, and again came to me stating
+that it was the opinion of others also that it might do good. I
+replied: "I will grant the request, if you will please at first try by
+pouring only a very small quantity into the President's mouth." This
+Dr. Taft very carefully did, the liquid ran into the President's
+larynx producing laryngeal obstruction and unpleasant symptoms, which
+took me about half a minute to overcome, but no lasting harm was done.
+My physiological and practical experiences had led to correct
+conclusions.
+
+On the arrival of Dr. Robert K. Stone, who had been the President's
+family physician during his residence in Washington, I was presented
+to him as the one who had been in charge since the President was shot.
+I described the wound and told him all that had been done. He said he
+approved of my treatment.
+
+Surgeon General Joseph K. Barnes' long delay in arriving was due to
+his going first to the White House, where he expected to find the
+assassinated President, then to the residence of Secretary Seward and
+his son, both of whom he found requiring immediate attention, as they
+had been severely wounded by the attempts of another assassin to kill
+them.
+
+On the arrival of the Surgeon General and Assistant Surgeon General,
+Charles H. Crane, I reported what we had done and officially detailed
+to the Surgeon General my diagnosis, stating that whenever the clot
+was allowed to form over the opening to the wound the President's
+breathing became greatly embarrassed. The Surgeon General approved the
+treatment and my original plan of treatment was continued in every
+respect until the President's death.
+
+The Hospital Steward arrived with the Nelaton probe and an examination
+was made by the Surgeon General and myself, who introduced the probe
+to a distance of about two and a half inches, where it came in contact
+with a foreign substance, which lay across the track of the ball; this
+was easily passed and the probe was introduced several inches further
+where it again touched a hard substance at first supposed to be the
+ball, but as the white porcelain bulb of the probe on its withdrawal
+did not indicate the mark of lead it was generally thought to be
+another piece of loose bone. The probe was introduced the second time
+and the ball was supposed to be distinctly felt. After this second
+exploration nothing further was done with the wound except to keep the
+opening free from coagula, which, if allowed to form and remain for a
+short time, produced signs of increased compression, the breathing
+becoming profoundly stertorous and intermittent, the pulse more feeble
+and irregular. After I had resigned my charge all that was
+professionally done for the President was to repeat occasionally my
+original expedient of relieving the brain pressure by freeing the
+opening to the wound and to count the pulse and respirations. The
+President's position on the bed remained exactly as I had first placed
+him with the assistance of Dr. Taft and Dr. King.
+
+Captain Robert T. Lincoln came and remained with his father and
+mother, bravely sustaining himself during the course of the night.
+
+On that awful memorable night the great War Secretary, the Honorable
+Edwin M. Stanton, one of the most imposing figures of the nineteenth
+century, promptly arrived and recognized at that critical period of
+our country's history the necessity of a head to our Government and as
+the President was passing away established a branch of his War
+Department in an adjoining room. There he sat, surrounded by his
+counsellors and messengers, pen in hand, writing to General Dix and
+others. He was soon in communication with many in authority and with
+the Government and army officials. By Secretary Stanton's wonderful
+ability and power in action, he undoubtedly controlled millions of
+excited people. He was then the Master, and in reality Acting
+President of the United States.
+
+During the night Mrs. Lincoln came frequently from the adjoining room
+accompanied by a lady friend. At one time Mrs. Lincoln exclaimed,
+sobbing bitterly: "Oh! that my little Taddy might see his father
+before he died!" This was decided not advisable. As Mrs. Lincoln sat
+on a chair by the side of the bed with her face to her husband's his
+breathing became very stertorous and the loud, unnatural noise
+frightened her in her exhausted, agonized condition. She sprang up
+suddenly with a piercing cry and fell fainting to the floor. Secretary
+Stanton hearing her cry came in from the adjoining room and with
+raised arms called out loudly: "Take that woman out and do not let her
+in again." Mrs. Lincoln was helped up kindly and assisted in a
+fainting condition from the room. Secretary Stanton's order was obeyed
+and Mrs. Lincoln did not see her husband again before he died.
+
+As Captain Lincoln was consoling his mother in another room, and as I
+had promised Mrs. Lincoln to do all I possibly could for her husband,
+I took the place of kindred and continuously held the President's
+right hand firmly, with one exception of less than a minute, when my
+sympathies compelled me to seek the disconsolate wife. I found her
+reclining in a nearby room, being comforted by her son. Without
+stopping in my walk, I passed the room where Secretary Stanton sat at
+his official table and returning took the hand of the dying President
+in mine. The hand that had signed the Emancipation Proclamation
+liberating 4,000,000 slaves.
+
+As morning dawned it became quite evident that the President was
+sinking, and at several times his pulse could not be counted. Two or
+three feeble pulsations being noticed, followed by an intermission
+when not the slightest movements of the artery could be felt. The
+inspirations became very prolonged and labored, accompanied by a
+guttural sound. The respirations ceased for some time and several
+anxiously looked at their watches until the profound silence was
+disturbed by a prolonged inspiration, which was followed by a sonorous
+expiration.
+
+During these moments the Surgeon General occupied a chair by the head
+of the President's bed and occasionally held his finger over the
+carotid artery to note its pulsations. Dr. Stone sat on the edge of
+the foot of the bed, and I stood holding the President's right hand
+with my extended forefinger on his pulse, being the only one between
+the bed and the wall, the bed having been drawn out diagonally for
+that purpose. While we were anxiously watching in profound solemn
+silence, the Rev. Dr. Gurley said: "Let us pray," and offered a most
+impressive prayer. After which we witnessed the last struggle between
+life and death.
+
+At this time my knowledge of physiology, pathology and psychology told
+me that the President was totally blind as a result of blood pressure
+on the brain, as indicated by the paralysis, dilated pupils,
+protruding and bloodshot eyes, but all the time I acted on the belief
+that if his sense of hearing or feeling remained, he could possibly
+hear me when I sent for his son, the voice of his wife when she spoke
+to him and that the last sound he heard, may have been his pastor's
+prayer, as he finally committed his soul to God.
+
+Knowledge that frequently just before departure recognition and reason
+return to those who have been unconscious caused me for several hours
+to hold his right hand firmly within my grasp to let him in his
+blindness know, if possible, that he was in touch with humanity and
+had a friend.
+
+The protracted struggle ceased at twenty minutes past seven o'clock on
+the morning of April 15, 1865, and I announced that the President was
+dead.
+
+Immediately after death the few remaining in the room knelt around the
+bed while the Rev. Dr. Gurley delivered one of the most impressive
+prayers ever uttered, that our Heavenly Father look down in pity upon
+the bereaved family and preserve our afflicted and sorrow-stricken
+country.
+
+Then I gently smoothed the President's contracted facial muscles, took
+two coins from my pocket, placed them over his eyelids and drew a
+white sheet over the martyr's face. I had been the means, in God's
+hand, of prolonging the life of President Abraham Lincoln for nine
+hours.
+
+Every necessary act of love, devotion, skill and loyalty had been
+rendered during his helpless hours to the President of the United
+States, the Commander-in-Chief of the Army and Navy, to the beloved of
+millions of people throughout the world.
+
+Many reported, anxious in any way to be of service. I accepted their
+offers to the extent of abundantly filling every want. Of all the
+people I have met in different parts of the world, I have found that
+as a class, good Americans are not to be excelled when occasions
+demand, in strength, endurance, calmness, good judgment, ardent loyal
+devotion and self-sacrificing love.
+
+By prolonging the life of President Lincoln, his son Robert, whom I
+sent for, was enabled to see his father alive. Physicians and
+surgeons, lawyer and clergyman, whom I sent for, visited the President
+and were given time to deliberate. Members of the Cabinet, whom I sent
+for with soldiers and sailors and friends, had the opportunity to
+surround him. Millions of dangerous, excited and disappointed people
+were morally dissuaded from acts of discord. The nation was held in
+suppressed, sympathetic suspense and control, when the people heard
+that the President was living, though severely wounded and dying.
+
+Before the people had time to realize the situation there was another
+President of the United States and the grandeur of the continuity of
+the Republic was confirmed.
+
+After all was over, and as I stood by the side of the covered mortal
+remains I thought: "You have fulfilled your promise to the wife, your
+duty now is to the many living, suffering, wounded officers committed
+to your care in your ward at Armory Square General Hospital," and I
+left the house in deep meditation. In my lonely walk I was aroused
+from my reveries by the cold drizzling rain dropping on my bare head,
+my hat I had left in my seat at the theatre. My clothing was stained
+with blood, I had not once been seated since I first sprang to the
+President's aid; I was cold, weary and sad. The dawn of peace was
+again clouded, the most cruel war in history had not completely ended.
+Our long sorrowing country vividly came before me as I thought how
+essential it was to have an organization composed of returning
+soldiers to guard and protect the officers of state and uphold the
+Constitution. This great need was simultaneously recognized by others,
+for on that day, April 15, 1865, there assembled at Philadelphia a few
+army officers for that purpose and originated the Military Order of
+the Loyal Legion of the United States.
+
+Among the archives of our organization, the Military Order of the
+Loyal Legion of the United States, we have recorded:--
+
+ _ABRAHAM LINCOLN._
+
+ _President of the United States, March 4, 1861, to April 15, 1865._
+
+ _Born February 12, 1809, Hardin (La Rue County), Kentucky._
+
+ _Assassinated April 14, 1865; died April 15, 1865, at Washington, D.C._
+
+ _Enrolled by Special Resolution, to date from April 15, 1865._
+
+I herewith give in the order in which they arrived, the names of the
+physicians and surgeons, and the clergyman whom I recognized as taking
+a professional part in the physical, mental or spiritual welfare of
+the President from the time he was shot until his death. The first
+person to enter the box after the President was shot, and who took
+charge of him at the request of Mrs. Lincoln, was myself, Charles A.
+Leale, M. D., Assistant Surgeon, United States Volunteers and the
+surgeon in charge of the ward containing the wounded commissioned
+officers at the United States Army General Hospital, Armory Square,
+Washington, D. C. The next who reported and simultaneously offered
+their services to me, which were accepted, were Charles S. Taft, M.
+D., Acting Assistant Surgeon, United States Army, and Albert F. A.
+King, M. D., Acting Assistant Surgeon, United States Army. Then
+apparently a very long time after we had cared for the President in
+Mr. Petersen's house, and in response to the numerous messengers whom
+I had sent, there arrived Robert K. Stone, M. D., Mrs. Lincoln's
+family physician; Joseph K. Barnes, M. D., Surgeon General, United
+States Army; Charles H. Crane, M. D., Assistant Surgeon General,
+United States Army, and the Rev. Dr. Gurley, Mrs. Lincoln's pastor.
+During the night several other physicians unknown to me called, and
+through courtesy I permitted some of them to feel the President's
+pulse, but none of them touched the wound.
+
+Later in the forenoon as I was in the midst of important surgical
+duties at our hospital, I was notified by my lady nurse that a
+messenger had called inviting me to be present at the necropsy. Later
+a doctor called for the same purpose. I respectfully asked to be
+excused, as I did not dare to leave the large number of severely
+wounded expecting my usual personal care. I was fearful that the shock
+of hearing of the sudden death of the President might cause trouble in
+their depressed painful conditions.
+
+One of my patients was profoundly depressed. He said to me: "Doctor,
+all we have fought for is gone. Our country is destroyed, and I want
+to die." This officer the day before was safely recovering from an
+amputation. I called my lady nurse, "Please closely watch Lieutenant
+----; cheer him as much as possible, and give him two ounces of wine
+every two hours," etc., etc. This brave soldier received the greatest
+kindness and skillful care, but he would not rally from the shock and
+died in a short time.
+
+Among my relics I have a photograph taken a few days later in full
+staff uniform as I appeared at the obsequies. The crape has never been
+removed from my sword. I have my cuffs stained with the martyr's
+blood, also my card of invitation to the funeral services, held on
+Wednesday, April 19, which I attended, having been assigned a place at
+the head of the coffin at the White House, and a carriage immediately
+preceding the catafalque in the grand funeral procession from the
+White House to the Capitol; where during the public ceremonies I was
+assigned to a place at the head of the casket as it rested beneath the
+rotunda.
+
+One of the most devoted of those who remained in the room with the
+dying President was Senator Charles Sumner, of Massachusetts. He
+visited me subsequently and said: "Dr. Leale, do you remember that I
+remained all the time until President Lincoln died?" Senator Sumner
+was profoundly affected by this great calamity to both North and
+South.
+
+On my visit to Secretary Seward some time after the President's death,
+he was still suffering from his fracture and from the brutal attacks
+of the assassin, who made such a desperate attempt to kill him on that
+fatal night.
+
+When I again met Secretary Stanton we sat alone in his private office.
+He was doing his utmost to continue what he deemed best for our
+country. The long continued strain and great burden had left their
+deep impress upon him. At the close of my call we shook hands
+fraternally.
+
+After the war had closed Governor Fenton, of New York State, one of
+the "War Governors," came to me and said: "Dr. Leale, I will give you
+anything possible within my power." I responded: "I sincerely thank
+you, Governor; but I desire nothing, as I wish to follow my mission in
+life."
+
+The city of Washington was wrapped in a mantle of gloom. The President
+had known his people and had a heart full of love for his soldiers and
+sailors. With "malice toward none" he alone seemed to have the power
+to restore fraternal love. He alone appeared able to quickly heal his
+country's wound.
+
+In May there occurred in Washington one of the most pathetic and
+historic events, the return of the Northern Army for the final review
+of more than 70,000 veterans. A grandstand had been erected in front
+of the White House for the new President, his Cabinet, Officers of
+State, Foreign Ministers and others. I had a seat on this grandstand,
+from which on May 24th we watched one of the most imposing parades
+recorded in history. Among the many heroes, I recall the passing of
+stately General William Tecumseh Sherman on his majestic horse, which
+had been garlanded with roses. After we had been sitting there for
+several hours a foreign official tapped me on the shoulder and said:
+"What will become of these thousands of soldiers after their
+discharge?" I answered: "They will return to their homes all over the
+country and soon be at work doing their utmost to pay off the national
+debt." He replied: "Is it possible! No other country could expect such
+a result."
+
+All had lost comrades, many were to return to desolate and broken
+homes. Amidst all the grandeur of victory there was profound sorrow.
+Among the thousands of passing veterans, there were many who looked
+for their former Commander-in-Chief, but their "Father Abraham" had
+answered to his last bugle call and with more than 300,000 comrades
+had been mustered out.
+
+[Illustration]
+
+
+
+
+
+End of Project Gutenberg's Lincoln's Last Hours, by Charles A. Leale
+
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