Tag: Leroy Wiley Gresham

I Am Perhaps Dying: The Medical Backstory of Spinal Tuberculosis Hidden in the Civil War Diary of LeRoy Wiley Gresham – Dennis A. Rasbach MD FACS (Author), Janet Elizabeth Croon (Editor)

On By Genyc79In American HistoryLeave a comment

leroyIn November, 2019, I had the opportunity to read “The War Outside My Window: The Civil War Diary of LeRoy Wiley Gresham 1860-1865” by author Janet E. Croon. The book is a collection of the diary entries made by LeRoy Wiley Gresham (1847-1868) during the American Civil War.  He lived in Macon, Georgia and was born into a slave-owning family committed to the Confederacy.  Before reading the book I had no idea who Gresham was.  But what I found after reading his diary, is that he was a bright young man whose intellect improves as the journal progresses.  However, I also noticed that throughout the book he is in poor health that does not improve but instead declines as the diary moves towards 1863 and beyond.  LeRoy did not know he was dying until nearly right before his passing.  His parents and older sibling Thomas, most likely knew how severe his condition was but kept it hidden from him probably with the thought that telling him would break the will he had left following the devastating injury in 1856 that resulted in his left leg being crushed by a falling chimney.   We know that tuberculosis is what eventually took his life but at the time, there was much about his condition that doctors did not know and were unable to treat. Dennis A. Rasbach, M.D., F.A.C.S., has taken a look at LeRoy’s medical history to understand how his condition progressed and the various treatments prescribed to him by his treating physicians.

Dr. Rasbach has concluded that Mycobacterium tuberculosis is what ultimately took Leroy’s life.  It is formally known as Pott’s Disease, name after the late English surgeon Percival Pott (1714-1788).  Today, tuberculosis is rarely heard of and a diagnosis y would raise eyebrows and result in reactions of shock and surprise.  But during the time in which LeRoy lived, tuberculosis was the world’s deadliest killer and a diagnosis such as the one received by LeRoy, almost always resulted in death.  Dr. Rasbach elaborates further with the following statement:

“In the second half of the nineteenth century, tuberculosis was the deadliest disease in the world, accounting for one-third of all deaths. Even today, a quarter of the world’s population is infected with TB, and the disease remains one of the top ten causes of death, claiming 1.7 million lives annually, mostly in poor and underdeveloped countries.”

Throughout the diary, LeRoy utilizes a number of medications and remedies to combat his deteriorating condition.  Each are examined in detail to see why doctors resorted to those specific remedies and how they affected his daily condition.  Readers might express surprise at some of the things LeRoy was given to take, most notably significant servings of alcohol. Today, we would not even think of giving a teenage alcohol to treat a condition but in the 1800s, it was a widely accepted method of treatment.  Incredibly, some of the things LeRoy used are still used today. Dr. Rasbach mentions where and some readers might be surprised to see exactly where.

The second half of the book is a collection of journal entries related mainly to his health which he notes is declining rapidly.  The descriptions are graphic and I can only imagine how difficult it must have been for those around him to tend to him daily.  He often complains of his back, headaches, upset stomach and contracted legs making it impossible for him to even think of walking.  The pain is so bad that in one entry, he writes “saw off my leg”.  This young man lived in daily pain and sadly, his doctors and family were powerless to help as the medicines we have today did not exist at the time. For LeRoy, it was a slow and agonizing death.  But he gave us plenty of clues about his health and in hindsight, Dr. Rasbach has connected all of the dots, revealing the culprit behind LeRoy’s death at just eighteen years of age.

If you have read LeRoy’s journal and want to know more about the health condition that plagued him throughout the book, this is a must read.  And even if you have not read it but want to know more about the deadly history of tuberculosis, this book will be a valuable addition to any library.

ASIN: B07D7G7RJ8

The War Outside My Window: The Civil War Diary of LeRoy Wiley Gresham 1860-1865 – Janet Elizabeth Croon

On By Genyc79In American History1 Comment

CroonI was browsing through recommendations on Amazon when this book caught my attention.  As one would expect, the words Civil War stuck on the cover.  However, the name LeRoy Wiley Gresham (1847-1865) did not sound familiar at all.  My interest peaked and I decided to see why the book had earned a five star rating.  And to say that it is a hidden gem would be an understatement. It is indeed special and the author did a remarkable job of putting it all together.

Janet Elizabeth Croon admits early in the book that she had no idea who Gresham was.  I would wager that a majority of Americans are unaware of him as well. He was never mentioned in any of the history books I studied while in school. Nor is he mentioned in literature regarding the Civil War.  But I firmly believe that this journal is one of the most overlooked accounts of the war from the point of view of the Confederacy.  The story is told from the Gresham family home in Macon, Georgia.  LeRoy is what we would call an invalid, having survived a dangerous accident in 1856 in which his left leg was severely broken by a falling chimney. Following the injury, he developed a dangerous and persistent cough in addition to other symptoms that were later diagnosed as tuberculosis, also known as the “white plague”.  LeRoy is never told of the diagnosis and the journal was written by a young man who did not think death was coming for him until his very last moments.

Readers will notice instantly that Gresham is highly articulate for a young man of his age.  It becomes obvious early on that his mobility is limited and he does not get out often.  However, he is a keen observer of the news and those around him.   His awareness and understanding of the raging conflict between the Union and Confederacy speaks volumes about his level of maturity.   And although he was not always correct in some of his observations, that can partly be attributed to faulty reporting in a time before social media and live news broadcasts.  In fact, news moved so slowly at times, that it could be an entire day or two before information reached its final destination.  Regardless, LeRoy follows the war closely, offering detailed insight into the war’s progression.

As I read through the journal, I did notice that most of his days were actually quite eventful with relatives and friends coming and going constantly.  Games are played,  the weather detailed, various foods eaten and plenty of conversation takes place.   Sadly though, LeRoy’s illness does not let up and he comments on his own physical condition nearly every day.  Readers have the benefit of the doubt in knowing what was wrong with him but he was unaware of his terminal diagnosis.  He mentions old medicinal treatments common during the time and some of the names will be foreign to some readers.  The reports of the war’s battles may also be unfamiliar to those that are not Civil War buffs. But the author provides a ton of invaluable footnotes at the end of the chapter to explain almost everything contained in the journal for each year.  Without these footnotes, the journal would have assuredly been a far more challenging read.

As a Black person, I could not ignore the “elephant in the room”.  LeRoy’s family were slave owners and supporters of the Confederacy under Jefferson Davis (1808-1889). As I started the book, I did feel a bit of uneasiness about what I would find.  I did not find anything extreme in the journal but I did notice he was not averse to using racial terminology that was commonplace at the time, in particular for a slave owning family.  However, he does not lace his journals with it and refers to family slaves by their first names in describing the day’s events.   But I was under no illusions that he believed in the abolitionist movement.  LeRoy believed in the Confederacy and was no fan of Abraham Lincoln (1809-1865), but as the journal progressed, I did notice a few changes in his beliefs that will cause the reader to take notice.   And had he lived, perhaps his views might have changed over the course of time.

The journal only covers between 1860 and 1865, so we do not know all of the details regarding the accident that caused him to break his left leg .  The author explains the accident but LeRoy does not talk of his leg much in the journal. In fact, his back is the main focus in addition to his hacking cough and the abscesses that would plague him as the tuberculosis raged through his body eventually reaching his spine.   As a bonus in the book, the author was able to get a doctor to examine what was known of LeRoy’s medical history, the medications he was taking and the care he received to render the most likely diagnosis.  At the end of the book, the doctor takes a very detailed look at the medications which explain even further exactly what LeRoy’s condition was and why he would have been given them.  Reading the journal did make me grateful for modern medicine.

I strongly advise and recommend that anyone interested in the Civil War to read this book.  It is by no means an authoritative source on the war but it is a very intimate look at the conflict through a very different set of eyes.

ASIN: B07D6QQT77