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Dr. Elbridge Best and Base Hospital 30 in WWI

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This is a guest post by Cristina Nigro, UCSF History of Health Sciences graduate student and curator of the UCSF Archives WWI exhibit.

Each year on the last Monday of May, our nation commemorates U.S. service members from all wars who died while on active duty. On this Memorial Day we pay special homage to the servicemen and women of World War I, as 2017 marks the centennial anniversary of the U.S. entrance into WWI.

Elbridge Best. From the John Homer Woolsey papers, MSS 70-5, box 1, photograph album.

Dr. Elbridge Best, graduate of the UC Medical School class of 1911 who later joined the UCSF faculty, served in WWI at Base Hospital No. 30 in Royat, France. Base Hospital No. 30 was organized by the UC Medical School in March 1917—the month before President Woodrow Wilson asked a joint session of Congress to request a declaration of war with Germany. In a 1964 interview, Best recalled the early mobilization effort by him and his colleagues who “felt that the war was imminent” and who “were a little concerned with regard to the possible slowness of the White House deciding to declare war.”

Officers and enlisted personnel. From the John Homer Woolsey papers, MSS 70-5, box 1, photograph album.

Before leaving for the front, Best was put to work in the aviation unit established in San Francisco. He helped to medically examine applicants for the aviation corps in the summer and fall of 1917. Best was later transferred from the aviation unit to the Presidio in San Francisco. There, he “did regular duty until the mobilization of the Base Hospital 30 in November when we then stopped our other activities, lived as a unit until the transportation was arranged and we boarded the ship at Fort Mason to proceed down the west coast.”

The unit arrived in New York harbor in March 1918, staying at Camp Merritt for about a month before embarking on the journey abroad. Best recalled his experience with an influenza epidemic in New York at the time: “Many of the Army men were taken to the Rockefeller hospital for treatment. And each of the cases where fluid was found in the chest the procedure was to immediately insert a needle and draw the fluid. It became very evident that whenever we saw this done we would say to a friend that we will see this body in the morgue the next morning. So many of these boys died following the removal of the acute fluid that when we went to France we made it a rule never to draw any fluid off until after we were sure there was frank pus and it should be treated surgically. The result was that we lost none of those cases which were the cause of the high mortality at the Rockefeller hospital.”

Base Hospital #30 at Royat, France. From the John Homer Woolsey papers, MSS 70-5, box 1, photograph album

The staff of Base Hospital No. 30 arrived in Royat, France in May 1918. Best remembered that casualties were sent to the hospital soon after the unit arrived: “They came almost as soon as we had most of our material unpacked….The casualties from the front came down to us on trains, Red Cross trains, arranged with beds. And we removed the patients from the trains by way of the windows ordinarily. The one train was full of gas injuries, phosgene and mustard gas. Another trainload came all shot-up which the debridement had been done at the front. These trains ordinarily did not have mixed cases—they were usually all of one type—and they usually contained from four to five hundred wounded at a time.”

Loading patients on “D” train. From the Photograph collection, W, World War I.

Best recalled suddenly learning of the armistice on November 11, 1918: “Everybody was elated and as soon as the evening meal was over on that day, all of those who were not on duty went the three kilometer distance to Clermont-Ferrand to celebrate this notable event…After the armistice, some of us had the privilege of visiting French families in various country areas…We would go and have tea with a certain family or we would have dinner with some people or they would have a reception in which French and American people in the vicinity would appear. I am particularly reminded of one French family we visited in a lovely, old-style two story wooden home on a farm…These people spoke no English and we had to converse in French. And the philosophy, the problems, the day-by- day incidents that these people would gossip with us about were exactly the same as those that we would encounter among families in similar positions in the United States. The only difference between these delightful people and the people in our homes were that they spoke French and we spoke English.”

Misses Dunn and Ireland [nurses] leaving Clermont-Ferrand. From the John Homer Woolsey papers, MSS 70-5, box 1, photograph album.

None of the doctors, nurses, or dentists from UCSF who served their country during the Great War died in active duty, but all have since passed on. UCSF Archives and the UCSF History of Health Sciences Graduate Program honor their legacy with an exhibit, “DO THE BEST FOR OUR SOLDIERS”: University of California Medical Service in World War I, on display now on the main floor of the UCSF Library, 530 Parnassus Ave, San Francisco, through April 2018. It is free and open to the public during Library hours.

View more WWI images and documents from the UCSF Archives collections on Calisphere.

Remembering Base Hospital 30 of the First World War

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This is a guest post by Cristina Nigro, UCSF History of Health Sciences graduate student.

Benjamin Ide Wheeler. Photograph Collection, Portraits.

Benjamin Ide Wheeler. Photograph Collection, Portraits.

In his Annual Report of the President of the University to the then-Governor of the State of California, UC President Benjamin Wheeler outlined the part of the university in the Great War:

On February 13, 1917, in view of the increasing probability of the United States entering the European War, the Board of Regents, at the instance of the President of the University, formally offered to the National Government the entire resources of the University for use in meeting whatever needs should arise in prosecuting the war.

The American Red Cross and the Department of Medicine at the University of California Medical School were quick to respond to President Wheeler’s February 1917 call to action. In March, they began organizing plans for Base Hospital #30. According to Wheeler:

The Medical School has furnished the equipment and many of the members of Hospital Unit 30, under Dr. Kilgore. Of the 25 physicians, 23 are from our Medical School, 13 of them graduates. There are also 10 enlisted men among our medical students. Eight of the 65 nurses are from the University Hospital.

In June, the Base Hospital #30 Unit marched up Market Street as part of the Liberty Loan Parade. But the orders for mobilization to Fort Mason did not come until late November, and the unit had to spend the next three months outfitting and equipping the hospital.

Nurses and soldiers, World War I, circa 1917. From the H.M. Fishbon Memorial Library, UCSF Medical Center at Mount Zion.

Nurses and soldiers, World War I, circa 1917. From the H.M. Fishbon Memorial Library, UCSF Medical Center at Mount Zion.

The nurses of Base Hospital #30 left Fort Mason on December 26, 1917, arriving in New York Harbor on January 1, 1918. On January 25 the nurses were split up and sent to various Atlantic Coast camps. Eager to be deployed, Acting Chief Nurse Arabella A. Lombard recalled:

The camps were all in sore need of nurses at that time, and after the first huge disappointment at not being able to go directly to France, each one felt glad to be able to do some work in her own country, and in many, if not all instances, much valuable experience was gained from the nursing on this side.

The men of Base Hospital #30 left aboard the S.S. North Pacific on March 3, 1918. After a brief sojourn in New York, the entire unit set sail for Brest, France aboard the USS Leviathan. Following a forty-six hour train ride from Brest, they arrived in Royat, France on May 10, 1918.

Nurses of Base Hospital No. 30, 1918-01. University publications, The Thirtieth.

Nurses of Base Hospital No. 30, 1918-01. University publications, The Thirtieth.

The first trainload of patients—half British and half American—arrived in Royat on June 12, 1918. Lieutenant-Colonel Eugene S. Kilgore, M.C. remembered feeling unprepared for that first trainload. Of the 369 patients, two thirds of them went to the surgical ward. The second train arrived on June 18, 1918. Kilgore recounted:

We were somewhat, though not much, better prepared for the second trainload of 461 cases from the Chateau Thierry fight. The train commander stated that this was the worst trainload he had ever seen. There were dozens of cases of terrible skin, lung and eye poisoning from mustard gas, and the staff worked night and day trying to keep up with the work of dressing the enormous burns.

Of the 461 new patients, 278 had to be carried in on stretchers.

U.S. Army Base Hospital No. 30, World War I, circa 1917. University publications, The Thirtieth.

U.S. Army Base Hospital No. 30, World War I, circa 1917. University publications, The Thirtieth.

Fifteen more trains would arrive at Royat by November 13, 1918, amounting to 4,827 casualties. In the five months between June and November 1918, Base Hospital #30 treated 7,562 patients and grappled with typhoid fever and “a very serious epidemic of respiratory disease.” A train arriving on September 22, 1918 brought 232 men suffering from acute respiratory infections to the base hospital. By the end of September, thirty to seventy influenza patients were admitted to the hospital daily.

On November 11, 1918 the Allies and Germany signed an armistice, ending the fighting on the Western Front. Beginning on December 6, patients were evacuated from the hospital in waves. Reminiscing about her time at Base Hospital #30, nurse Lombard reflected:

After the first train bearing wounded came in on June 12 until some time after the armistice was signed we were very busy most of the time, with only an occasional lull in the work. At times it seemed almost like a night and day proposition. The wounded and sick were wonderfully courageous and our only regret was that we were unable to do more for them. It was all very much worth while, however, when one met a stretcher coming to the ward and heard some splendid American lad, perhaps minus an arm or a leg, say “Gee, but it’s good to see an talk to an American girl.

The unit sailed from France on April 13, 1919, arriving back home in San Francisco on May 15, 1919. Although formally demobilized on May 26, Base Hospital #30 would revive two decades later, ready to serve the wounded soldiers of World War II.

To learn more about UCSF’s role in World War I, save the date for our upcoming exhibit on Base Hospital 30 and the Great War, opening April 2017 at the UCSF Library.