Though the
merits and public services of men, who depart from among us in the
quietude of retirement, at the close of a long life of usefulness,
are more readily lost sight of than the merits of those who are
suddenly snatched away in the midst of a brilliant career; yet not
unfrequently the reminiscence of their names and works, is as much
an act of justice to the individuals, as that of those who departed
in the vigour of life, and in the freshness of their fame.
For, though they may have silently quitted the scene of their
labours, forgotten in their retirement by the general public, as
though they had never been ; when the tenor of their lives attests
beneficence of action, and great personal deserts in the particular
sphere in which they moved; the remembrance of these, merits to be
recalled, no less than the record of the lives of those who achieved
renown in a more dazzling sphere of the public service. As meriting
such remembrance, Sir James McGrigor must be considered
to have established no slight claims, both in a professional and
official point of view.
In the former of these he may be regarded in the light of a
prominent and instructive beacon, to guide and to encourage all
entering upon the same career as that in which he so eminently
distinguished himself; and in the latter, as the first zealous and
enlightened administrator of a department of the public service, to
the official constitution of which, before his advent to its
directorship, a serious proportion of the calamities which befel
British troops in the field had been justly attributed.
To those, also, who are meritoriously advancing in the same career
of social and national usefulness; and to the now remaining few who
were his friends and colleagues in the service, we cannot doubt that
the publication of these autobiographical recollections of the most
active period of his long and well-spent life, will prove both
welcome and interesting. And the more so, that it will present a
more enduring testimony, not only to that private worth which gained
for him the esteem and friendship of many of the most distinguished
men of his time; but to those zealous labours in the cause of the
science of medicine, by which he so greatly contributed to the
elevation of the professional character of the medical practitioner
in the British army; and obtained for his brothers in science, that
recognition of their status in
our military system, which had been so ungraciously, and so
impolitically withheld from them.
To the public at large, it will demonstrate the amount of public
good which may be effected, by one willing to devote his mind and
energies to the establishment of useful reforms; and will serve as
another illustration of the truism, which happily is now becoming
more generally recognised, that real advantage can accrue to the
public service only when "the right man is in the right place."
It has been said, that the lives of few men are sufficiently
diversified to be generally entertaining : but, however correctly
this may apply to the lives of men in general, it may be safely
affirmed, that the narrative of the career of Sir James McGrigor
will be admitted as one more exception to the validity of that
maxim; for though penned without effort to captivate by grace of
style or diction, it often presents, colloquially, as it were, a
narrative of much diversity of incident and interest, which derives,
also, no slight charm from the frequent ingenuous abandonment with
which the circumstances are related.
For the attainment of a correct estimate of a man's merits, and of
the secret of his success, the mere consideration of the facts of
his life, or of the progressive steps by which he evinced the one,
and achieved the other, suffices but seldom. These present alone the
material result, and leave the judgment uncertain as to the
constitution of mind in the individual, which contributed more
especially to the success obtained. The concurrent contemplation of
this element, furnishes alone the real solution, and brings cause
and effect at once in all the strength of their affinities before
the mind. We will here, therefore, consider both the circumstances
under which the Author entered upon his career, and those
characteristics of the man, by the gift of which he was enabled to
attain so eminent a rank in his profession, and establish so high a
claim to the esteem of his countrymen.
It was the fortune of James McGrigor to enter upon his professional
career, not only in an eventful time, but one in which his special
characteristics and qualifications were the more likely to obtain an
early appreciation, from the circumstance of their contrasting
favourably with the deficiencies which then prevailed, even in the
higher grades of the British Military Medical Department.
In 1794, no sooner had he joined the regiment, to the surgeoncy of
which he had been gazetted, than he at once entered upon the
active-service duties of the profession, for which he had evinced an
early predilection. The short initiatory practice which he obtained
in the field, in the disastrous campaign in Holland, was speedily
extended on his return to England, in the medical superintendence of
the large garrison of Norwich, where the typhus fever prevailed in
every regiment that composed it. The experience thus acquired, was
increased with little intermission in the expedition to the West
Indies, under Sir Ralph Abercrombie; with service in the East
Indies; in the Egyptian campaign, under Sir David Baird; and shortly
after, in the expedition to Walcheren, so fatal to the health of the
troops employed; and so strikingly indicative of the defects in the
administration of the Medical Department of the Army at that period.
Successive and ample scope was thus presented to Dr. McGrigor, for
the development of those abilities which, directed by a perspicuous
judgment and natural administrative tact, were to bring him, in the
Peninsular war, to the front rank in that department of the service,
of which, under the eye of a commander, than whom none was more
skilled to discriminate the fitness of the man for the occasion, he
was eventually to stand forth in the more prominent capacity of
chief and administrator.
But apart from those abilities with which he was gifted for the
profession of medicine, he possessed an individuality of character,
which especially fitted him for the achievement of a successful
career as a military medical officer.
A clear and determinate conception of duty in its strictest military
sense, induced in him that rigid regard for its punctual observance
under every circumstance of time and place, which, combined with an
untiring zeal, and general courtesy of manner, first attracted the
notice, and then won the confidence and esteem of his commanders.
His was not a mind to content itself with a mere
respectable observance of the duties which the routine of the
service imposed upon the medical officer. No intervals of remission
from the toils of active service were welcomed by him as
opportunities for a slothful respite from the object which he had
mentally marked out as the one, constant, prescribed aim of his
life.
When the period of practical exertion ceased, or was for a while
suspended, the study of the science of his profession, the
organisation of plans for remedying the defects he had found in the
department of the service to which he belonged; or the careful
noting of every phase of the diseases which had come under his
observation, with their varied treatment, and the inductions arrived
at, became for him new duties of paramount interest.
In those moments, therefore, when the majority of men seek rest, as
it were, in the indulgence of other pursuits and tastes, he was
assiduously preparing himself for the eventualities of a wider
sphere of activity. With the increased labours of a more extended
field of action, so his zeal and assiduity in their performance
exhibited a corresponding expansion; and, in his case, the capacity
to fulfil them became but the more evident, in the ratio of their
increase. Gifted with no ordinary share of tact, in his relations
with his subordinates, as with his superiors, evincing no less
aptitude to conciliate, and win respect for his suggestions, than to
detect deficiencies, he possessed an inherent faculty for
organisation, surpassed by no medical officer of his day1
Upon his return from the Egyptian campaign and India, his assiduous
discharge of the superintendence of the medical concerns of the
Northern District of England, led to his promotion to the
inspectorship of the South-west District. In his zealous performance
of the more extensive and onerous duties which there devolved to
him, the same appropriate direction of the means to the end, whieh
had become the habit as it was the object of the mind that kept it
constantly in view, characterised the labours of Dr. McGrigor. And
on his return from the expedition to the Scheldt, where his
able'superintendence of tbe medical service as Inspector of
Hospitals, was particularised in a despatch from Lieutenant-General
Sir Eyre Coote to Viscount Castlereagh, as most unremitting and
praiseworthy the wide sphere of duties which he had so effectively
discharged in the South-west District was again confided to him. It
was thus that each successive stepping-stone, by which he rose to
eminence, may be said to have been wrought and laid, rather by his
own meritorious exertions, than by the mere fortuitous aid of
circumstances and of friends.
This was made especially evident when, in 1811, his reputation as
one of the ablest and most energetic officers of the service,
brought to him unsought, and almost against his wishes, his
appointment to the Inspector-Generalship of the Medical Department
of the Army engaged in the Peninsular War.
In that year, the Duke of York received a letter from Lord
Wellington, urging His Royal Highness to send him an
Inspector-General of Hospitals, in whose talents and judgment he
could place entire confidence, to conduct the Medical Department of
the army under his command, in the place of Dr. Frank, incapacitated
by illness.
In the Duke's despatch dated Frenada, Oct. 3rd, 1811, this wish is
also expressed in the following words: that he "should have the most
active and intelligent person that can be found to fill his
station."
Upon the receipt of Lord Wellington's letter, the Duke of York sent
an order to Dr. McGrigor, then Inspector-General of
Hospitals at Portsmouth, toproceed to the head-quarters of Lord
Wellington; and wrote at the same time to his Lordship, expressing
his confidence that, in the officer he sent him to conduct the
Medical Department of the army, his Lordship would find all he could
desire; having been well acquainted with his merits for a long time.
How well the Duke of York's estimate of the thorough efficiency of
Dr. McGrigor to discharge the onerous and responsible duties of the
post to which be appointed him, was justified; was made evident,
both after the siege and capture of Badajoz in 1812, in a despatch
from Lord Wellington to the Earl of Liverpool, (April 8th, 1812);
and at the close of the Peninsular War, by the terms in which the
Duke of Wellington wrote of Dr. McGrigor: "I have every reason to be
satisfied with the manner in which he conducted the department under
his direction, and I consider him one of the most industrious, able,
and successful public servants I have ever met with."
That his professional merits, his services, and his character were
no less appreciated and warmly recognised by his medical brethren of
the army, was evinced on his return to England, by the presentation
to him, in 1814, of a costly service of plate, from the physicians,
surgeons, apothecaries, and purveyors, who had served with him in
the > Peninsular War. In the same year, Dr. McGrigor had received
the honour of knighthood; and the year following, was appointed a
member of the Medical Board, of which he was shortly afterwards
constituted chief and administrator, as Director-General.
He had now achieved the position which was to enable him to carry
out those plans of improvement in the executive, and in the working
details of the Army Medical Department, which he had so long
conceived and kept in view.
In conjunction with the multifarious duties of his office, the
elaboration and introduction of those plaus, was a self-imposed duty
accompanied with no ordinary labour; and an approximate estimate may
be formed of the task he assumed, and so ably accomplished, by a
cursory glance at the constitution and administrative system of the
Army Medical Board, previous to and at the period of his entry upon
his professional career in 1793, many remaining defects of which
still required correction.
Up to the period of the Military Inquiry instituted in 1808, into
the administration of the Board, as constituted in 1794; the Medical
Department of the British Army had been conducted in much the same
manner as every other department of the public service, whether
civil, naval, or military, since the days of George II.
The well-known motto from Horace, "Decipimur specie recti," had so
long been applied to express the official estimate of the
intelligence of the public, that it had become a traditional maxim
in every department; and the constitution and working system of
each, evinced the fullest reliance on the correctness of that
estimate. Hi ere were doubtless grounds sufficient for such an
appreciation of the public mind.
From the want of sufficient general knowledge to see things as they
really were, they had been accepted for what they seemed to be. The
name and the . appearance were quite sufficient to effect the
deception; and from the year 1747 when a warrant of George II.
created him Apothecary General "perpetual furnisher, with remainder
to his heirs, of all the medicines necessary for the general service
of the land forces of Great Britain," an imposing authoritative
precedent was established for the exercise of a system of monopoly,
of exclusive patronage, and collusions in the Army Medical Service,
prejudicial alike to the army itself, and to the interests of the
public.
Some intrusion upon these vested rights of the Apothecary-General
would appear nevertheless to have been made at a subsequent period ;
since, until the close of 1796, the surgeon of each regiment, aided
by a surgeon's assistant, received a sum proportioned to the
strength of the corps, on the condition that he furnished all the
necessary medicines. It was then, however, regulated that those
medicines should be provided anew by the Apothecary-General; that
hospital allowances and all contingent expenses should be paid by
the public, and that the pay of the surgeons should be increased;
obviously to indemnify them for the loss of the emoluments
previously enjoyed.
Though the supreme Medical Board constituted in 1794, for the better
administration of the medical affairs of the army, was an
improvement upon the pre-existing system, and received further
modifications in 1798, yet the regulations then devised for its
governance still left open a wide field for misrule. The Board as
then constituted, and as it remained up to the accession to office
of Sir
James
McGrigor was composed of a physician-general, a
surgeon-general, and an inspector-general of hospitals. Each of
these members exercised an exclusive and independent patronage over
one branch of nominations and promotions. By the regulations laid
down in 1798, it was the province of the physician-general to
nominate to office all the physicians of his department, and to
inspect the medicines furnished to the army by the
apothecary-general, whose accounts he was to control jointly with
the surgeon-general. He was further to preside in all matters
concerning medical science; the examination of candidates for
offices in the Medical Department of the Army, and in the military
hospitals.
To the Surgeon-General was assigned the appointment of all the
surgeons of his department; and as the exigencies of the service
required, the discretion of placing those who were disposable, in
the hospitals, camps, and military districts. It was further his
duty to demand by way of requisition, of the Inspector of Hospitals,
apothecaries, hospital assistants, &c.; and to examine and check the
charges of the Apothecary-General relative to surgery. To the
Inspector of Hospitals devolved the appointment and promotion of the
apothecaries, purveyors, and their deputies, assistants, nurses, and
servants for the hospital; the direction of the transport of medical
supplies to the army and hospitals ; and lastly, in conjunction with
the Surgeon-General, the examination of the claims of military
officers for wounds and loss of limb.
From this separation of the service and patronage into three
branches, made wholly independent of each other, though in reality
they were mutually dependent by the very nature of things, arose
many great inconveniences.
The Surgeon-General was debarred of all right to present either the
physicians of the army, or the inspectors, the purveyors,
apothecaries, or hospital assistants to promotion. Yet, was he held
responsible for the functions of all those officers, since he had
the disposal of them in the different posts of service in the army.
In like manner, the Inspector-General of Hospitals chose on his own
responsibility for the service of those hospitals, the surgeons and
assistant surgeons who were nominated and promoted on other
recommendation than his own. But a yet greater evil resulted from
this independent partition of authority. Each of the three chiefs of
departments, as head of a particular branch of the Medical Service,
did his utmost to increase the importance of that branch; and to
augment the number of officers under his personal orders, to a much
greater extent than was required.
Upon numerous occasions, moreover, when the different talents and
acquirements of the three heads of departments, might have been
combined with the greatest advantage upon questions of high
importance to the service, each of them jealous of his authority,
preferred deciding for himself, even though in an imperfect or
erroneous judgment, rather than consult with his colleagues, lest he
should be controlled.
By a regulation, also, of 1798, the regimental surgeons were made at
once medical officers, contractors, and managers of expenditure; a
triple faculty of action that opened a field for abuses, which could
be turned to account by any who in the spirit of common contractors
might be disposed to see an occasion for making money in the
furnishing of supplies. It would, however, be difficult to believe,
so powerful in the learned professions is the sentiment of the
honour of their calling, that even at that time, when the
subordinate class of medical officers was not always composed of men
of the high standard of a later period, advantage was taken of such
opportunities for malversation.
Such nevertheless, might have been, and were too frequently in other
departments, the pernicious effects of all regulations which granted
privileges to those who made the necessary supplies for the service
of the state; abuses made evident by several orders of the day of
the Duke of Wellington in Portugal and Spain up to 1810.
The correction of the defects, and the curb put upon the profuse
expenditure brought to light by the Military Inquiry which
terminated in 1812, led, however, in the latter case, as is
frequently the result when a too trenchant economy is aimed at, to
errors of another kind in the Army Medical Department. The pruning
knife was applied to trivialities, and to those merely, in the most
inexorable manner. Thus the official relations between the Board and
the medical officers of the service, became matters of figures, and
little else ; in which the higher professional interests and those
of science, were almost wholly sacrificed to pence.
These prefatory remarks to the Autobiography of Sir James McGrigor,
as defining somewhat, for the reader, the earlier part of his
career, his character, his abilities, and his capacity to fill the
high office he subsequently obtained, may herewith be concluded. We
now refer the reader to the Author's own narrative, and the
successful issue of his long official labours, rewarded as they were
with high and well-earned honours, and the gratifying consolation at
the close of his life, that he had passed it usefully, in the
service of his country, and in the cause of humanity; winning from
all men, according to the relations in which they were connected
with him in service, in office, and in private life, either their
friendship and esteem, or their love, respect, and gratitude.