Caduceus as a symbol of medicine emblem of the physician [...] it is most unfortunate that the 'confusion' exists." In an anonymous rebuttal contained in a letter to the editor published three months later in "The Military Surgeon" it was claimed that the late Col. John R. van Hoff was a member of the board that selected the emblem ("if he was not the one who was chiefly instrumental in its adoption"). In the letter to the editor reproduced by Emerson, the anonymous author claims According to this view the caduceus was not intended to be a medical symbol (and, though explained differently, this reflects the
Caduceus as a symbol of medicine for professors of the healing art" Widespread confusion regarding the supposed medical significance apparently arose as a result of events in the United States that occurred in the second half of the 19th century. As pointed out by Garrison, the caduceus had appeared on the chevrons of Army hospital stewards as early as 1856 (William K. Emerson indicates the insignia was adopted earlier, in 1851). It has been asserted that this was a result of ignorance or misinterpretation regarding the pre-existing designation of the rod of Asclepius by the Surgeon General of the United States for this purpose. It is