The Medical Department, as re-arranged October 6, 1780, consisted of a Director, stationed at general headquarters, a Chief Physician and Surgeon, stationed with the army, three chief physicians and surgeons of the hospitals stationed variously at the principal hospitals, and other assistants, mates, orderlies, matrons and nurses, as occasion required.
When Doctor Cochran was promoted to be Director, Dr. James Craik was given the place of Chief Physician and Surgeon of the Army, and Dr. William Burnet was made first of the three chief physicians, with Dr. Malichi Treat and Dr. Charles McKnight as the other two chiefs. Dr. Thomas Bond was made purveyor and Dr. Andrew Cragie, the apothecary.
Some estimate may be had of Doctor Cochran’s real worth, when it is known that Dr. Craik was the life-long friend and personal physician of General Washington, yet was his subordinate.
Previous to this time there had been several very important hospitals in Pennsylvania, the base hospital twice being at Bethlehem; first on December 3, 1776, until March 27, 1777, when the hospital was removed to Philadelphia; then after the battle of Brandywine, September 11, 1777, Bethlehem again became the base hospital. The wounded from the battle of Germantown were also treated there. On August 28, 1778, the remaining patients were removed to Lancaster and Yellow Springs. Other hospitals in Pennsylvania were at Ephrata, Lititz and Reading.
The position of Director was always most exacting; not only were his duties the alleviation of the suffering, in the rigors of a Valley Forge, or stimulating its convalescence in the camp at Norristown, but often the finances were expended and the medical stores entirely exhausted. At no time did the army abound in medical stores.
At times hundreds were sick and lame when there were no supplies to relieve them, Untended wounds or languishing disease filled hospitals destitute of medicines. Scarcely was convalescence a boon, when lack of subsistence faced the soldier in the hospital and often compelled him to beg in the streets for the very necessaries of life.
In this appalling crisis Doctor Cochran seemed to be the right man in the right place. He remained almost constantly in the field and purchased supplies as they moved from place to place, and made such strong and insistent appeals to Congress that some better support was given him, but not before his staff had been reduced to eight hospital physicians out of the fifteen established by Congress, and only five of these on actual duty.
Early in 1782 a quantity of medicine was received from France and it arrived none too soon.
But the lack of medicine was not the only hardship of those in the Medical Department. A letter from Dr. Cochran to Abram Clark, President of Congress, dated February 28, 1781, says: “I hope some pay is ordered to be advanced to the officers of the department, without which it cannot much longer exist. Many of us have not received a shilling in near two years, nor can we procure public clothing.”
Many hospital physicians resigned owing to their inability to subsist themselves longer. When Congress at length issued warrants they were as worthless as the credit of Congress, and they afforded no relief.