On January 12, 1864, President Lincoln went to Fort Stevens north of Washington, DC to observe military actions by the soldiers defending the capital against the Confederate cavalry of General Jubal Early. Lincoln became the only sitting United States President to come under direct fire from enemy troops. Reportedly, a young officer named Oliver Wendell Holmes (a future Supreme Court Justice) said to Lincoln “Get down you, damn fool”.
Ulysses S. Grant was the first army officer to hold the rank of Lieutenant General since George Washington.
One of General Grant’s ongoing problems was political generals. Because the army expanded so quickly, many people with little or no military experience were commissioned as officers because of political connections. Former senators, congressmen and governors frequently became generals. A number of these were placed in critical combat commands. Many of the early union setbacks can be partially attributed to the ineptitude of political generals who either were unable or unwilling to follow the orders of the professional army. (It must also be admitted that a few regular army generals were inept, but they were easier to set aside.) It wasn’t until late in the war that Grant finally had sufficient influence to be able to dismiss a number of these political generals.
Future Confederate General James Longstreet was a groomsman at the wedding of Ulysses and Julia Grant. He was a West Point friend of Grant’s and Julia’s cousin as well.
Lincoln first offered command of the Army of the Potomac to Robert E Lee. Lee refused, resigned his commission in the United States Army, and returned to Virginia where he swore allegiance to the Confederacy. The first official commander of the Army of the Potomac was General George B. McClellan. General Irwin McDowell commanded the union forces at the first battle of Bull Run, but those forces had not been designated as the Army of the Potomac at that time.
Lee was not the first choice for command of the army of Northern Virginia. The first commander of what would eventually become the army of Northern Virginia was General P. G. T. Beauregard. Interestingly, he also designed the Confederate battle flag which is today widely considered as the “Confederate flag”. It was designed because of the confusion between the Confederate national flag, the stars and bars, and the United States flag. General Beauregard relinquished command to General Joseph E. Johnston when his army was combined with Johnston’s larger army group. Lee did not become commander of the army of Northern Virginia until Johnston was wounded in battle and unable to continue.
The Civil War did not end with the surrender at Appomattox Courthouse on April 9, 1865. On April 26th, Joseph E. Johnston surrendered his larger army of 90,000 soldiers. On May 26th General Kirby Smith surrendered the Army of the Trans-Mississippi, the largest confederate force still operating on land. The last Confederate flag was lowered when the open ocean raider CSS Shenandoah surrendered to the British in Liverpool on November 6th. Interestingly, almost half of the Shenandoah ‘s victories over merchant ships occurred after the surrender at Appomattox.
The surrender at Appomattox Courthouse occurred in the home of Wilmer McLean. In one of those interesting coincidences of history, McLean originally lived near Manassas VA and his property was part of the battlefield of Bull Run. He moved to Appomattox Courthouse to try to get as far away from the fighting as he could.
At the beginning of the Civil War, Ulysses S. Grant was not even in the army. Initially, despite being a West Point graduate, he was refused a commission in the regular army and his first Civil War commission was in the militia.
Grant and wife were initially scheduled to be in the box with President and Mrs. Lincoln at Ford’s Theater on the night the President was assassinated. At the insistence of Julia, the Grants left Washington that afternoon. There’s been much speculation about why they did not attend the theater. Among the many reasons put forward are: Julia missed her children whom she had not seen for almost three months; Julia did not wish to spend time with Mrs. Lincoln whom she found disagreeable and with whom she had several contentious meetings; and one which seems most interesting, she was reported as being very worried about someone that she thought had been watching her all that day and she felt they needed to get away. The assassins did report that Grant had been one of their initial targets so this may be a true report.
Emancipation Proclamation only freed slaves in Confederate held territory. Slavery was not officially abolished in the entire United States until December 6, 1865, with the ratification of the 13th amendment.
Counting both northern and southern casualties, more Americans died in the Civil War than in all other American wars combined. The most recent estimate of the number of Civil War deaths on both sides is placed at about 750,000. Of that number, almost 2/3 died from disease.
At the end of the Civil War the United States had the largest army in the world. In 1860 the US Army had been about 16,000. At the end of the Civil War, it is estimated the army was slightly over one million. It is estimated that a total of about 2.6 million served in the US Army during the Civil War. There are no reliable estimates of the total number to have served in the Confederate Army.
Grant’s drinking was largely overstated. The stories of his dinking stem from a period, early in his career, when Grant was assigned to an isolated fort on the West Coast and his family remained on the East Coast. He suffered depression and loneliness. Throughout his life he had anxiety when separated from his family. While in the west, he began bouts of binge drinking. He missed his family to the point that he resigned from the army even though he had no job prospects at the time. There is very little report of any drinking by Grant’s following his return to the army during the Civil War, although rumors were plentiful. When given reports of supposed excessive drinking on Grant’s part, Lincoln is reported to have said “Find out what whiskey he drinks and send a case to all of my generals”.
Grant smoked up to 20 cigars a day and admirers from all over the country mailed him boxes of cigars. He eventually died of cancer of the throat and tongue.
The poet Walt Whitman worked as a volunteer in union hospitals.
Lew Wallace, author of Ben Hur, was a general in the Union Army. By most reports he was a better author than general.
The last verified Civil War veteran died in 1956. He was Albert Woolson who served in the Union Army as a drummer boy. There were three men who claimed to be Confederate veterans who lived longer than Woolson; however, one of those has been completely debunked and no confirmation of service of the other two has ever been found.
Persistence of Memory
By John Turley
On August 11, 2023
In Commentary, Medicine
I turned 75 this year and like many people my age I have started to worry about my memory. I’ve always had a good memory. I seldom had to write anything down and I almost never forgot anything. But that’s rapidly becoming a thing of the past. I try to tell myself it’s because I don’t need to remember things now. I have my phone with my calendar and my to-do list and my reminders all right there in my pocket. Things for which I once relied on my memory are now just a simple “buzz” away. As much as I try to tell myself that, I can’t really believe it. I’m afraid things are starting to slip away, and I worry just how far and how fast this will progress. I know from talking to others my age I am not the only one with this concern. But what exactly is memory? How does it work? And what can we do to prevent its decline, or even better to reverse it?
What is memory?
Marriam-Webster Dictionary defines memory as: “…the power or process of reproducing or recalling what has been learned and retained especially through associative mechanisms; the store of things learned and retained from an organism’s activity or experience as evidenced by modification of structure or behavior or by recall and recognition.” I hope that’s more enlightening for you than it is for me. While it may describe memory, it doesn’t really explain it.
I think that I like Salvador Dali’s approach to memory. In his famous painting shown above, The Persistence of Memory, we see the passage of time as it inexorably moves on but leaves persistence in our memory. But as we can see memory is fluid and it is malleable. While memory may persist, it is not unchanged. OK, that may sound like philosophical mumbo jumbo, but I just want to get across the idea that memory is not a concrete thing, and it is as much about perception as anything else.
Types of memory
One of the first things to recognize is that memory is not a single monolithic sense. There are many types of perceptions or abilities that are encompassed in the collective term memory.
The type of memory we use most frequently is working memory. This is where we store things for short-term use. It would include things such as remembering numbers to add in your head. You don’t need it for long term, but if you have problems with your working memory it can take you much longer to get things done such as balancing a check book, following directions or grocery shopping.
Episodic memory is how we recall past events, personal experiences, conversations, feelings, and emotions. If you’re struggling to recall recent events and activities, you may have a problem with your episodic memory. This is the type of memory loss that most people first worry about.
Semantic memory is what you use to recall the definitions of words, the names of objects and to recognize familiar faces. It’s not tied to any specific experience, but these are just things that you just know, such as your key is used to unlock your door or if you want a drink of water, you pour it into a glass. If you find yourself frequently struggling for the right words in a conversation you may be having problems with your semantic memory.
Our prospective memory is the way we remember future things. It’s how we keep track of appointments and obligations. If you find yourself forgetting that you have made plans or where you were supposed to be going you may have problems with your prospective memory. We most commonly experience this when we find we have walked into a room, and we can’t remember why we went there. (Unless it’s the bathroom; I always remember why I’m there.)
Is it dementia?
Of course, this is our greatest worry. I think many of us fear dementia more than we fear stroke, heart attack, or cancer. Memory loss is not always dementia; there is some natural degradation of memory as we get older. But what is age-appropriate memory loss and what are some of the more common and frequently reversible forms of memory losses, and how do we know it’s not dementia.
So, is it normal memory loss or not? It’s normal to forget the date but it is not normal to not know the month or the year. It is normal to have to search for the appropriate word at times. It is not normal to be unable to hold a conversation. It is normal to occasionally forget someone’s name. (By this standard I’ve been suffering from memory loss since I was about 20 years old.) It’s not normal to not recognize close friends or family members. It’s normal to forget where you put your car keys. It’s not normal to forget what they are used for.
The fact that you’re worrying about some of these mild memory problems is in itself good. It just means that you recognize your memory is not as sharp as it once was. Dementia is a sudden and rapid decline in cognitive ability. It is frequently recognized by everyone except its victim.
Other causes
But before you jump right to worrying about Alzheimer’s, there are several more common medical problems that can cause memory loss and confusion. Most of these are, at least partially, reversible.
One of the most common causes of confusion and memory loss in older adults is what we in the medical field call polypharmacy and what most people call over medication. Some of the most common medications that cause mental impairment are diphenhydramine (more commonly known as Benadryl), pain medications, sleeping pills, medications for dizziness or anxiety, as well as some Parkinson medications. Some side effects of all of these can mimic the symptoms of dementia. This is particularly true if any of these medications are mixed with alcohol. If you’re experiencing some episodes of confusion or memory impairment and you’re on a variety of medications, ask your doctor or pharmacist to review them for potential memory impact.
Other common causes of memory impairment in older adults are dehydration, lack of sleep and lack of exercise. It’s a common misconception that our need for sleep and exercise decreases as we get older. Simple exercises such as daily walking have been shown to increase brain health and memory. The positive effects of exercise appear almost immediately.
Undiagnosed anxiety or depression often can mimic memory loss and dementia. This even has a nice clinical sounding name as the pseudodementia of depression. Poorly controlled chronic diseases such as type 2 diabetes can cause chronic inflammation in the body which can lead to cognitive and memory impairment as well.
It’s also generally believed that poor nutrition can cause memory impairments and a Mediterranean style diet has been recommended as a way of protecting against cognitive decline.
What can I do?
If you have concerns about your memory, of course the first step is to consult your doctor. Ask them to look for and deal with any of those common causes listed above. Be prepared, they may ask you some embarrassing questions about your past. They don’t think you’re a bad person, the only effective way to evaluate problems is to ask the same questions of everyone.
So, from there we get on to what can be done for prevention.
Excessive alcohol use and cigarette smoking have both been shown to have a negative impact on memory and can speed cognitive decline. Try to decrease your alcohol intake to one or two drinks a day and your cigarette smoking to none. There is no safe level of cigarette use. Despite common belief, vaping isn’t safer than cigarette use. Although oral tobacco hasn’t been extensively studied as it relates to memory, in studies related to other diseases it has been shown to increase inflammation and microvascular disease, all of which are known to accelerate memory loss and even vascular dementia.
Plan and implement a regular exercise program. You don’t need to be a marathon runner or a gym rat, you just need to have a steady regular plan. Thirty minutes of moderate exercise four or five times a week will show great benefits. Make sure you don’t get overly aggressive at the beginning and injure yourself. Walking is perfectly adequate for most people and doesn’t put undue stress on your joints.
Sleep like your life depends on it. Set a regular bedtime and stick with it both on weekdays and weekends. Try to get up at the same time every day. Just remember that during normal sleep, memory and learning are consolidated and brain toxins are disposed of. Improved sleep can also help with weight management, blood pressure control and blood sugar control. (More on sleep in a later blog.)
Social interaction has been shown to be as important for preventing cognitive decline as anything else. Strong bonds between family and friends are important for a healthy life. Involvement in churches, social groups and civic organizations are all equally beneficial. People who are socially isolated tend to develop earlier and more rapid cognitive decline. Social engagement also reduces the likelihood of depression.
Activities that require mental engagement, particularly in a social setting, have been shown to delay the onset of cognitive decline and in some cases have even reversed some of the signs in people who have previously been socially isolated.
Activities such as reading, writing, puzzle solving, card games and learning new skills have been shown to delay cognitive decline. For example, one of the things that I have done to try to stay mentally active is starting this blog. Not only am I engaged in researching and writing articles, but I had to learn how to set up and manage a website. Also, I had to learn how to work with voice recognition software because I must admit I’m too old to learn how to type.
Can’t I just take a pill?
For as long as I can remember, the pill to cure or reverse dementia is being tested and will be released sometime soon (it always seems to be within the next year). Unfortunately, most of those have been a disappointment. There have been some medications that have been shown to slightly delay decline, but none have substantially reversed it. And none of these medications have, so far, shown to be superior to correcting polypharmacy, or underlying medical problems, and improving social interactions and mental activities.
The Grumpy Doc says the best way to keep your memory is to stay out there living your life and making new memories. Keep moving, keep thinking, and keep doing. And the next time you see me you can tell me all about it, even if it does take me a while to remember your name.