They erected a huge three-story latrine on one side of the building, with a pit underneath it, thus enabling the patients to defecate without having to go up or down the stairs. The resulting stench was astonishing, reported James Tilton, a Delaware regiment surgeon assigned to tend to the American wounded sent there. He remembered that “this sink of nastiness perfumed the whole house very sensibly and, without doubt, vitiated all the air within the wards.”