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U.S. Civil War Nurse Louisa May Alcott
Among the thousands of women who served as nurses in the American Civil War was a little-known writer from Massachusetts. Her name was Louisa May Alcott.Heather Voight explains.
Louisa May Alcott at around 20 years old.Why Louisa became a Civil War NurseLouisa May Alcott had several reasons for wanting to become a nurse during the Civil War. Her father, Bronson Alcott, was an ardent abolitionist. The Alcott home sheltered runaway slaves from the South. Louisa shared her father’s abolitionist views at a young age. Her parents allowed her and sister Anna to roam their neighborhood streets. One day, before she had learned to swim, a black boy rescued Louisa from a pond. From then on, Louisa decided to befriend African Americans. Louisa was also frustrated with the limited role that women were supposed to play in the Civil War. Like her mother and many of the other women in the neighborhood, Louisa helped to sew bandages and items of clothing for soldiers in their town. Soon she got bored, however, and wanted to do something more active. “I like the stir in the air, and long for battle like a war-horse when he smells powder,” Louisa wrote. A more personal reason also encouraged Louisa to leave home. Her writing, though it kept her family solvent, was not getting the attention from the public that she wanted. In 1862 she wrote mainly thriller stories which made money but received no critical acclaim. Requirements for Civil War NursesFor these reasons Louisa responded enthusiastically when family friend Dorethea Dix became the Union’s superintendent of female nurses. Louisa fit almost all the requirements for Civil War nurses. Louisa was plain, always simply dressed, and already thirty years old. The only requirement she didn’t meet was that nurses should be married. Apparently, the marriage requirement was waived because she received her letter calling her to serve as a nurse on December 11, 1862. Louisa started packing at once. In addition to her clothing and some games, she packed some Charles Dickens novels that she planned to read to her patients. Louisa’s Arrival at the Union Hospital in Washington, D.C.After a tumultuous journey by train and ferry, Louisa arrived at Union Hotel Hospital in Washington, D.C. on December 16, 1863. This so-called hospital was a hastily converted former hotel and tavern. Louisa kept a journal during her time as a nurse and wrote letters home whenever she had a spare moment. Eventually her words became known as Hospital Sketches. Three of these sketches were published in Commonwealth Magazine. The sketches were lightly fictionalized accounts of her nursing experiences. Nursing on the Day ShiftA few days after she and her fictional counterpart Tribulation Periwinkle started nursing, they had to deal with wounded from the Battle of Fredericksburg. The battle was a terrible Union defeat in which 12,700 men were killed in one day. Tribulation describes the scene at the hospital: “when I peeped into the dusky street lined with what I at first had innocently called market carts…now unloading their sad freight at our door…my ardor experienced a sudden chill, and I indulged in a most unpatriotic wish that I was safe at home again, with a quiet day before me.” The men coming in from Fredericksburg were covered in dirt from battle and from being piled on top of each other. A nurse’s first job was to clean the patients. The idea of caring for the physical needs of badly wounded and dying men was overwhelming to a woman whose only nursing experience was derived from her sister Beth’s battle with scarlet fever. As Tribulation says, “to scrub some dozen lords of creation at a moment’s notice was really—really—However, there was no time for nonsense.” Tribulation gets to work scrubbing an Irishman who is so amused at the idea of having a woman wash him that he starts laughing and “so we laughed together.”Another of a nurse’s duties was to serve food to the men. Tribulation helped distribute the trays of bread, meat, soup and coffee. This fare was better than the nurses’ who were given beef so tough that Tribulation thought it must have been made for soldiers during the Revolutionary War. Once the meals were cleared away, Tribulation took a lesson in wound dressing. Ether was not used to ease the men’s pain and Tribulation expressed her admiration for the soldiers’ “patient endurance.” After giving out medication and singing to the men, Tribulation finally retired for the evening at eleven. Nursing on the Night ShiftEventually both Louisa and her counterpart Tribulation moved from the day to the night shift. Tribulation says, “It was a strange life—asleep half the day, exploring Washington the other half, and all night hovering, like a massive cherubim, in a red rigolette, over the slumbering sons of men. I liked it, and found many things to amuse, instruct and interest me.” Amusement could be found in the hospital, laughing with patients or discovering that she could recognize them just by the differences in their snores. Much of nursing was not amusing, however. Louisa wrote about her friendship with a patient named John. He worked as a blacksmith and served as the head of the family for his widowed mother and younger siblings. As Tribulation says, “His mouth was grave and firm, with plenty of will and courage in its lines, but a smile could make it as sweet as any woman’s.” Tribulation admires his will to live and is sure he will recover. She’s shocked to learn from the doctor that John is one of the sickest patients, with a bullet lodged in his lung. Eventually John asks, “This is my first battle; do they think it will be my last?” Tribulation answers him honestly. She stays with John as he dies, holding his hand to the very last. Louisa’s Illness and Return HomeLouisa’s nursing career came to an end when she contracted typhoid pneumonia. She was determined to stay and try to recover at the hospital, but she agreed to go home when her father came to see her. She left on January 21, 1863, just over a month from when she arrived. Despite the illness and the lingering side effects she experienced from being dosed with a mercury compound by doctors, Louisa never regretted becoming a Civil War nurse. She wrote in Hospital Sketches that “the amount of pleasure and profit I got out of that month compensates for all pangs.” The Publication of Hospital SketchesThe biggest compensation she received from her war work was the publication of Hospital Sketches. Her first three stories as nurse Tribulation Periwinkle published in Commonwealth Magazine proved to be so popular that Louisa wrote three more and they were published as a book. After years of writing thrillers and romances that paid well but were largely ignored, Louisa’s Hospital Sketches brought her popularity and critical acclaim. Louisa wrote to her publisher that “I have the satisfaction of seeing my townsfolk buying and reading, laughing and crying over it wherever I go.” Suddenly Louisa’s writing was in demand, with publishers requesting more stories and books. Louisa was on her way to becoming a famous author because of her decision to become a Civil War nurse. The site has been offering a wide variety of high-quality, free history content since 2012. If you’d like to say ‘thank you’ and help us with site running costs, please consider donating here. ReferencesAlcott, Louisa May. Hospital Sketches. Boston: James Redpath, 1863.Cheever, Susan. Louisa May Alcott: A Personal Biography. New York: Simon and Schuster, 2010.Delmar, Gloria. Louisa May Alcott and “Little Women:” Biography, Critique, Publications, Poems, Songs and Contemporary Relevance. Jefferson, North Carolina: McFarland and Company, 1990.LaPlante, Eve. Marmee and Louisa. New York: Free Press, 2012.Stern, Madeleine. Louisa May Alcott: From Blood and Thunder to Hearth and Home. Boston: Northeastern University Press, 1998.