Pits had been dug for latrines daily because the ground was so swampy the pit would fill with water by night. The Americans had been instructed to boil water before drinking, but after investigating I found it had been almost impossible for they had no way to boil it only by mess cup, and the officers found it difficult to get the men to strictly observe this order. The return trip from the front to Issakagorka was made on the ambulance train. This train consisted of five coaches, which had been used in the war against Germany, and all badly in need of repair. Two were nothing more than box cars fitted with stretchers. Two were a slight improvement over these, having double-decked framework for beds, which were fitted with mattresses and blankets. The other coach was divided into compartments. One an operating room, which was built on modern plans, and the other compartment was built on the style of the American Pullman, and occupied by the Russian doctor in charge of train, one felcher or assistant doctor (a sanitar), which is a Russian medical orderly, and two Russian female nurses.
Our sick and wounded were being evacuated by this train from the front to Bakaritza; there kept at the Field Hospital 337th or taken by boat to Archangel.
I reported to General Finlayson on Sept. 16 and was given 50,000 roubles to be delivered to Col. Joselyn, then in charge of river forces, and informed to leave for river front to make medical arrangements for the winter drive.
At noon Sept. 18th, with Lieut. Chappel and two platoons of infantrymen, boarded a box car, travelled to Bakaritza, where we transferred to a small, dirty Russian tug. The day was spent going south on Dvina River, toward Beresnik. At the same time Lieut. Chappel with the platoons of infantrymen boarded a small boat and proceeded up the river.
The tug on which we were had no sleeping accommodations and on account of the number aboard we had to sleep the first night sitting erect.
The cockroaches ran around in such large numbers that when we ate it was necessary to keep a very close watch, or one would get into the food. The following day the infantrymen were left at Siskoe and we went on to Beresnik. Lieut. Chappel was killed two days after leaving us.
Arrived at Beresnik, which is about one hundred and fifty miles from Archangel, after a thirty-eight-hour trip; reported to Major Coker, and then visited British Detention Hospital in charge of Capt. Watson, R. A. M. C. The hospital being a five-room log building with the toilet built adjoining the kitchen.
In this hospital there were twenty sick and wounded Americans and Royal Scots. The beds were stretchers placed on the floor about one and one-half feet apart. The food consisted of bully beef, M and V, hard tack, tea and sugar, as reported by the patients stationed there. The pneumonia patients, Spanish influenza and wounded were all fed alike.
It was here that I met Capt. Fortescue, R. A. M. C. A general improvement in sanitation was ordered and Capt. Watson instructed to give more attention to the feeding of patients. With Capt. Fortescue I visited civilian hospital two miles northwest of Beresnik; found Russian female doctor in charge, and, looking over buildings, decided to take same over for military hospital. Conditions of buildings fair; five in number, and would accommodate one hundred patients in an emergency. The equipment of the hospital was eight iron beds. Vermin of all kinds, and cockroaches so thick that they had to be scraped from the wall and shovelled into a container. The latrines were built in the buildings, as is Russian custom, and were full to overflowing. The four patients who were there were retained and cared for by the civilian doctor. While at Beresnik we stayed at the Detention Hospital.
The following morning, Sept. 21st, with Capt. Fortescue, boarded British motor launch. After travelling for about thirty versts we transferred on to several tugs and barges, and on Sept. 23rd boarded hospital boat “Vologjohnin,” and left for front after hearing that there were eight or ten casualties, several having been killed, but unable to ascertain name of village where the wounded were.