In the years following the attack on Sumter, Major Anderson’s health suffered. Lincoln had promoted him to brigadier general in charge of the Army’s Department of Kentucky, but Anderson could not tolerate the demands and sought medical help. According to the assessment of his doctor, R.M.J. Jackson, he exhibited “a frequent feeling of weariness and lassitude, incapacity to continue muscle exertion for any length of time, a consciousness of exhaustion from the most ordinary exercise, and occasional pain in the forehead and eyes.” To Jackson, the cause of these “morbid phenomena” was obvious:
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