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                                                                <title level="m" type="main">Carlen, Charles</title>
                                                  <title level="m" type="sub">a machine readable
                                                  transcription</title>
                                                  <principal>Susan C. Lawrence</principal>
                                                  <principal>Kenneth M. Price</principal>
                                                  <principal>Kenneth J. Winkle</principal>
                                                </titleStmt>
                                                <editionStmt>
                                                  <edition><date>2011</date></edition>
                                                </editionStmt>
                                                <publicationStmt>
                                                  <idno>med.d1e18978</idno>
                                                  <authority>Civil War Washington</authority>
                                                  <publisher>University of
                                                  Nebraska–Lincoln</publisher>
                                                  <distributor><name>Center for Digital Research in
                                                  the
                                                  Humanities</name><address><addrLine>319 Love Library</addrLine><addrLine>University of Nebraska–Lincoln</addrLine><addrLine>Lincoln, NE 68588-4100</addrLine><addrLine>cdrh@unlnotes.unl.edu</addrLine></address></distributor>
                                                  <date>2011</date>
                                                  <availability>
                                                  <p>Copyright © 2011 by University of
                                                  Nebraska–Lincoln, all rights reserved.
                                                  Redistribution or republication in any medium,
                                                  except as allowed under the Fair Use provisions of
                                                  U.S. copyright law, requires express written
                                                  consent from the editors and advance notification
                                                  of the publisher, the University of
                                                  Nebraska–Lincoln.</p>
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                                                <notesStmt>
                                                  <note type="project">The following are responsible
                                                  for particular readings or for changes to this
                                                  file, as noted:
                                                                  <persName xml:id="mb">Matthew Bosley</persName>
                                                                   <persName xml:id="el">Elizabeth Lorang</persName>
                                                  <persName xml:id="sb">Stacey Berry</persName>
                                                  <persName xml:id="et">Elisabeth Tracey</persName>
                                                  </note>
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                                                <sourceDesc>
                                                  <bibl><title>The Medical and Surgical History of
                                                  the War of the Rebellion.
                                                  (1861&#8211;65.)</title><editor role="compiler">Surgeon General Joseph K. Barnes, United States
                                                  Army</editor><pubPlace>Washington,
                                                  D.C.</pubPlace><publisher>Government Printing
                                                  Office</publisher><biblScope type="part">Part 1</biblScope>
                                                  <biblScope type="volume">Volume 2</biblScope><date
                                                  when="1870">1870</date><biblScope type="page">458</biblScope></bibl>
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                                                  <bibl>Medical and Surgical History of the War of
                                                  the Rebellion</bibl>
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                                                  <keywords scheme="#medsurg">
                                                                  <term>wounds and injuries of the spine</term> 
                                                                  <term>operations</term>   
                                                                  <term>removal of fragments of vertebr&#230;</term>
                                                                  <term>fractured third lumbar vertebra</term>
                                                                  <term>paralysis of lower extremities</term>
                                                                  <term>paralysis of bladder</term>
                                                                  <term>neuralgia of muscles of back, neck, and head</term>
                                                                  <term>dysuria</term>
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                                                <change who="#mb" when="2011-12-12">additional proofing of transcription and encoding</change>                                                
                                                <change who="#el" when="2011-05-11">case text extracted and transformed from larger file</change>
                                                <change who="#sb" when="2011-02-09">enriched
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                                                <p> <hi rend="initialcap">C</hi>ASE.&#8212;<name type="person">Private Charles Carlen</name>, <name type="organization">Co. I, 3d
                                                  Pennsylvania Reserves</name>, aged 24 years, was wounded
                                                                in the back at <name type="BATTLE">Bull Run</name>, <date type="injury" when="1862-08-30">August 30, 1862</date>, by a
                                                  musket ball, which fractured the third lumbar
                                                  vertebra, and lodged. On <date type="admit" when="1862-08-31">August 31st</date>, he was
                                                                admitted from the field to <name type="hospital">Ascension Hospital</name>,
                                                  Washington. Some paralysis of the lower
                                                  extremities and the bladder followed the injury,
                                                  but the bowels remained normal. The patient was
                                                  admitted to the <name type="hospital">Episcopal Hospital, Philadelphia</name>,
                                                                on <date type="transfer" when="1862-11-12">November 12th, 1862</date>, and on <date type="operation" when="1862-12-05">December 5th</date> a
                                                  small piece of bone was removed. Several pieces of
                                                  bone are reported to have come away at previous
                                                  times. The patient complained of pain in the back
                                                  of the neck; the ball remained within the wound.
                                                  By December 13th, there was no change in the
                                                  patient's condition. He was discharged the service
                                                  on <date type="servicedischarge" when="1863-02-09">February 9th, 1863</date>, and pensioned. His pension
                                                                was increased on <date type="pension" when="1865-09-04">September 4th, 1865</date>. A
                                                                communication from <name type="person">Pension Examiner T. B. Reed</name>,
                                                                dated <date type="pension" when="1865-09-16">September 16th, 1865</date>, states that the ball
                                                  has not been extracted. The pensioner suffers from
                                                  stiffness and neuralgia of the muscles of the back
                                                  of the neck and head, and from dysuria. His
                                                  disability is rated three-fourths. </p>
                                                
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