Buckley, William L.
Age: 18, credited to Hinesburg, VTVITALS
Birth: 1846, Hinesburg, VTADDITIONAL INFORMATION
Alias?: None notedDESCENDANTS
Elmwood Cemetery, Northfield, VT
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and other veterans who may be buried there.
Case 42. - Gangrene of leg.—Private E. D. Ellis, Co. H, 2d Vt.; age 20; was admitted June 29, 1862, with chronic bronchitis following typhoid fever. The patient, although lightly built and not very robust, had always enjoyed good health until attacked by typhoid fever on the Yorktown peninsula, where he remained in hospital until conveyed to this place. While on board the transport he noticed a pimple on the outer side of his left leg about two and a half inches above the ankle. As it did not create annoyance at that time the attention of the attending surgeon was not called to it until about a week after his admission. It was then painful and presented the appearance of an ordinary boil which had broken; warm fomentations were applied. In a day or two the edges began to slough, but under the influence of good diet and tonics, with- the continuance of warm applications, the slough separated with but little loss of tissue, leaving a healthy ulcer. Granulation proceeded kindly and cicatrization was nearly completed when the surrounding tissues became red, swollen and painful. The general treatment was not changed, but a bread-and-water poultice was applied to the sore with much relief to the patient. The ulcer remained for a time quiescent, but thereafter the edges again took on violent inflammation and became gangrenous. Nitric acid was freely applied to the whole surface, but the processes of separation and granulation were carried on slowly. Gradually, however, the patient improved; his cough subsided; he gained flesh and became able to take exercise in the open air. Towards the end of December the ulcer was quite small and looked well; but at this time the patient partook freely of liquor while absent on pass, and, perhaps as a result of unnoticed violence, the gangrene reappeared and spread more rapidly than before. Caustic potash was applied, but the slough began to spread, involving the skin, fascia, muscles, tendons and even the bone. The general health became much impaired; the stomach loathed food and rejected whatever was taken into it; opiates, even in large doses, were insufficient to induce sleep, so that the patient rapidly lost flesh and became exceedingly irritable. To the whole gangrenous surface sulphate of zinc was freely applied and carefully retained in position by dry lint and strips of adhesive plaster; for an hour, or a little more, there was an increased aching in the parts, but comparative ease followed. In twelve hours a poultice of slippery elm was applied. Next day the slough began to soften, free suppuration took place and the patient's appetite and sleep improved. In a week nearly all the slough had separated and the granulations were progressing satisfactorily. The lower edge of the deeper portions of the ulcer still looked suspicious and required a re-application of the zinc sulphate, diluted, however, on this occasion by the addition of an equal part of powdered gum arabic. The result was beneficial, and at the date of the report, the whole ulcer was filled with healthy granulations. - Satterlee Hospital, Philadelphia, Pa.
Joseph K. Barnes, The Medical and Surgical History of the War of the Rebellion. (1861-65), Part 3, Volume 1 (Government Printing Office, Washington, DC, 1883), pp. 263-264.