Dr. Charles Leale

Doctor in mid-20s, seated, dressed in Civil War uniform and holding a sword
Dr. Charles Augustus Leale, ca. 1860s

Brady-Handy photograph collection, Library of Congress

Dr. Charles Augustus Leale: The Young Doctor Who Came to the Aid of a Slain President

Charles Leale was the first medical professional to reach President Abraham Lincoln after he had been shot in the back of the head by an assassin while watching a play at Ford’s Theatre on Good Friday, April 14, 1865. Leale had graduated with a degree in medicine just six weeks earlier from Bellevue Hospital Medical College in New York City. He was 23 years old.

Born on March 26, 1842 in New York City, Leale had been around the medical profession since his early years, receiving his first surgical instruction in the 1850s at the United States Marine Hospital in Portland, Maine where his father worked. At the time of the assassination, Leale was a commissioned officer in the medical department of the army and worked as the surgeon in charge of the wounded commissioned officers’ ward at the U. S. Army General Hospital in Armory Square, Washington, D.C.
 
Black and white image of the North portico of the White House with a circular dirt driveway
The White House, ca. 1860s

White House Historical Association

It was this position in the nation’s capital that provided the basis for Leale’s involvement in the events of the Lincoln assassination. It started with a walk along Pennsylvania Avenue on the evening of April 11, 1865. During his stroll, Leale noticed that a large crowd had gathered in front of the Executive Mansion. His curiosity led him to go see what was happening. Leale was rewarded by being a witness to Abraham Lincoln’s final public speech. He was profoundly impressed by Lincoln that night, describing his “divine appearance as he stood in the rays of light, which penetrated the windows of the White House.”

A few days later when Leale heard that the president would be attending the theatre on the night of April 14, 1865, he purchased a ticket in the hopes of getting another glimpse of the great man.

There are seven existing accounts that were given by Leale of his experiences that night. Five date from 1865, one from 1867, and one from 1909. The variations among the accounts are minimal. His recollections featured in this article come from the only time that Leale ever spoke in public about the events of that terrible night. This occurred on the 100th anniversary of Lincoln's birth in 1909 when Leale addressed the New York commandery of the Military Order of the Loyal Legion of the United States.
 
Theatre Seating Box elaborately decorated with flags, draperies, and a portrait of Washington
State box at Ford's Theatre, decorated as it was for the presidential party April 14, 1865.

National Park Service

Leale recalled: “I arrived late at the theater, 8:15 p.m. and requested a seat in the orchestra whence I could view the occupants of the president’s box which on looking into the theatre I saw had been beautifully decorated with American flags in honor of the occasion. As the building was crowded the last place vacant was in the dress circle. I was greatly disappointed, but accepted this seat, which was near the front on the same side and about 40 feet from the President's box, and soon became interested in the pleasing play.”

“Suddenly there was a cheering welcome, the acting ceased temporarily out of respect to the entering Presidential party. Many in the audience rose to their feet in enthusiasm and vociferously cheered, while looking around. Turning, I saw in the aisle a few feet behind me, President Lincoln, Mrs. Lincoln, Major Rathbone and Miss Harris. Mrs. Lincoln smiled very happily in acknowledgment of the loyal greeting, gracefully curtsied several times and seemed to be overflowing with good cheer and thankfulness. I had the best opportunity to distinctly see the full face of the President, as the light shone directly upon him."

"After he had walked a few feet he stopped for a moment, looked upon the people he loved and acknowledged their salutations with a solemn bow. His face was perfectly stoical, his deep set eyes gave him a pathetically sad appearance. The audience seemed to be enthusiastically cheerful, but he alone looked peculiarly sorrowful, as he slowly walked with bowed head and drooping shoulders toward the box. I was looking at him as he took his last walk. The memory of that scene has never been effaced.”
 
Colored lithograph of Booth jumping from the box to the stage, while audience members look on
John Wilkes Booth leaping to the stage after assassinating President Lincoln.

Library of Congress

Leale described the moments when the .44-caliber pistol was fired:

“The theatre was well filled and the play of “Our American Cousin” progressed very pleasantly until about half past ten, when the report of a pistol was distinctly heard and about a minute after a man of low stature with black hair and eyes was seen leaping to the stage beneath, holding in his hand a drawn dagger. I then heard cries that the ‘President had been murdered’…I immediately ran to the Presidents box and as soon as the door was opened was admitted and introduced to Mrs. Lincoln when she exclaimed several times, ‘O Doctor, do what you can for him, do what you can’!”

Leale was sitting only 40 feet from the presidential box when he saw John Wilkes Booth jump onto the stage waving a dagger. Leale was the first doctor to reach the President and found him “seated in a high-backed arm-chair with his head leaning towards his right side supported by Mrs. Lincoln, who was weeping bitterly.”

Lincoln was unconscious, paralyzed and barely breathing: "His eyes were closed and he was in a profoundly comatose condition, while his breathing was intermittent and exceedingly stertorous." Because Leale had seen the murderer on stage with a knife, he assumed that the President had been stabbed. He laid the president down on the floor and removed his shirt but did not see any gashes.

Upon further examination, he discovered "a large clot of blood about one inch below the superior curved line and an inch and a half to the left of the median line of the occipital bone in the back of the skull." This was the entry point of the bullet.

Leale’s diagnosis would be telegraphed around the country: “His wound is mortal; it is impossible for him to recover.”
 
About 15 men in military uniforms and suits surround Lincoln lying in bed, while Mrs. Lincoln kneels and weeps at the bedside.
Lincoln's Deathbed. Dr. Leale is depicted sitting next to the bedside, third from the right (with his back to the artist) - Library of Congress
Army surgeon Dr. Charles S. Taft and Dr. Albert F. A. King of Washington then joined Leale in the presidential box and agreed with the prognosis. None of them believed that Lincoln would survive a carriage ride back to the White House. Instead, they decided to move Lincoln to a more comfortable place for his final hours.

With the help of a group of soldiers, Leale supervised the move of the dying president out of Ford’s Theatre. Once in front of the theatre, among a large crowd of people, they looked for a place to take him.

Directly across the street from Ford’s Theatre is the Petersen Boarding House. Henry Safford, who was a resident there, came out of the front door and stood on the landing, trying to determine what all the noise was about. Once he realized that President Lincoln had been shot and they needed a place to take him, he yelled at them to “bring him in here, bring him in here.”

Throughout that terrible night, Leale sat bedside and held the president's hand. He believed that "sometimes, recognition and reason return just before departure. I held his hand firmly to let him know, in his blindness, that he had a friend."

President Lincoln remained unconscious for approximately nine hours before passing away at 7:22 the next morning.
 
Black & White bust portrait of a distinguished-looking mustached older Charles Leale
Dr. Charles Leale, ca. 1910

United States National Library of Medicine

Leale described his feelings in the immediate aftermath of the president’s death:

“I left the house in deep meditation. In my lonely walk I was aroused from my reveries by the cold drizzling rain dropping on my bare head, my hat I had left in my seat at the theatre. My clothing was stained with blood, I had not once been seated since I first sprang to the President’s aid; I was cold, weary and sad. The dawn of peace was again clouded, the most cruel war in history had not completely ended.”

Charles Leale continued to serve in the army until 1866 when he was discharged as a brevet captain. He then returned to his home town of New York City where he established a successful private practice.

He married Rebecca Copcutt on September 3, 1867, and the couple had six children.

Leale lived a long and productive life of 90 years and died on June 13, 1932. He was one of the last surviving attendees present at Lincoln's assassination. Charles Leale is buried in Oakland Cemetery in Yonkers, New York.

Last updated: April 14, 2021

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