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Norm,
My guess is that, after a stay of unknown duration in a field hospital, the determination being made that he needed to be transfered to a general hospital, he was put on a train, and likely made the 250 mile journey in a day or two. The following is from the Office of Medical History - Office of the Surgeon General (link below):
"Moving ever larger numbers of patients to hospitals made necessary a more sophisticated approach to evacuation. Much attention was devoted in 1863 to new designs for hospital cars, ambulances, and litters. Boards of medical officers met to consider these new designs, and the quartermaster general himself was invited to inspect a new railroad car. Enthusiasm for a prototype led to the building of more cars on the basis of various designs inspired by civilian organizations, and to their eventual use on runs to such cities as Philadelphia, Baltimore, and New York, as well as Harrisburg, Pennsylvania, and Louisville, Kentucky."
http://history.amedd.army.mil/booksdocs/civil/gillett2/amedd_1818-1865_chpt10.htm
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