Civil War Veterans Medical Journal of Dr. Thomas H. Hammond of Oxford, Florida, 1896-1903.

Transcript

[page 14]

(3-184.)
Attention is invited to the outlines of the human skeleton and figure upon the back of
this certificate, and they should be used whenever it is possible to indicate precisely the location
of a disease or injury, the entrance and exit of a missile, an amputation, &c.
[column 1-instructions]
Insert character
and number of
claim.
Name and rank
of claimant.
Claimant's post-
office address.
Cause of disa-
bility.
If a pensioner, fill
in the amount;
if not, erase the
whole line.
Here give the
claimant's
statement
as briefly and
as compactly
as possible.

Here give a full
description of
the disabili-
ties, in accord-
ance with Book
of Instructions
The actual or
probable origin
of every exist-
ing disability
must be fully
set forth.
Whenever a disa-
bility is shown,
or is believed
to be due to or
aggravated by
vicious habits
the opinion of
the board must
be stated.
When not due
to such habits
this fact must
be stated.
[column 2]
Increase Pension Claim No. 501.144
[State above whether for original, increase, or restoration.]
David C Mote , Rank, Private
Company K, 34 Reg't Ohio Inf Oxford State,
[Post-office address of the Surgeon.]
Ocala Fla Feb 10 , 1897.
[Date of examination.]
I hereby certify that in compliance with the requirement s of the law I have carefully
examine this applicant, who states that he is suffering from the following disability, incurred
in the service, viz: Rheumatism, resulting disease of
heart, sunstroke, paralysis of urinary organs loss
of memory, pain in head and back
and that he received a pensions of six dollars per month.
He makes the following statement upon which he bases his claim for Increase
[original, increase, restoration, &c.]
Had rheumatism fever and sunstroke in the army
was unconscious 5 or 6 weeks, then in winter he was
in Libby prison without fire and blankets produ
cing rheumatism and spinal trouble and paralysis
of urinary organs, has a feeling of constriction about
the head, has constant pain in spine, arms and legs,
at night his head will go backwards and when closes

Upon examination I find the following objective conditions: Pulse rate, 84 ;
respiration, 36 ; temperature, 99.5 [degrees]; height, 5 feet 10 1/2 inches; weight, 190
pounds; age, 50 years.

statement continued {his eyes, he sees sparks, during the day objects where
before his eyes, riding produces pain in the spine
and nausea
I have met him several times and have given
him medical treatment; his memory is very poor,
though an intelligent and pretty well educated man
his mind is dull, sensibilities blunted. I cannot
account for the very frequent respiration but be-
lieve it is due to trouble in the nervous system.
I can detect no cardiac murmurs, the heart's
action is irregular occasionally intermitting;
the chest measurement 43 ¼ -- 43 1/2 -- 43 3/4 in, the right side
of the chest is perceptibly flattened above, the left side
of the chest measures about an inch more than
the right. I believe he has thickening and chronic
inflammation of the menenges [sic] of the brain and spine
and on this account his disability is total and that
this disability results from sunstroke and prison
life. He has hypertrophy of the prostrate, a result
of age; disability for hypertrophy of the prostate
is 9/18. Amendment Apr, nothing to describe (OVER.)

. He is, in my opinion, entitled to a
rating for the disability caused by , for that caused
by , and for that caused by
Thos. H. Hammond , Examining Surgeon.
N. B.-- Always forward a certificate of examination whether a disability is found to exist or not.
6-427

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