Charles Burleigh Purvis very successful at Howard, and was credited with keeping the medical department running during the financial panic of 1873. He attended President Garfield after he was shot by an assassin on July 2, 1881. This made him the first black physician to attend to a sitting president. Later in 1881 he was appointed by President Chester Arthur to Surgeon-in-Charge at the Freedmen's hospital. Purvis was surgeon-in-charge at the Freedmen's Hospital from October 1, 1881, to 1894, and in that role was the first black person to head a hospital under civilian authority. In a letter from 1908, Purvis stated he
Charles J. Guiteau and distraught after his final encounter with Blaine, he decided the only solution was to remove Garfield and elevate Vice President Chester A. Arthur, an acolyte of Senator Roscoe Conkling, the Stalwart leader who managed Grant's 1880 campaign and was not on friendly terms with Garfield. Guiteau felt that God told him to kill the president; he felt that such an act would be a "removal" as opposed to an assassination. He also felt that Garfield needed to be killed to rid the Republican Party of Blaine's influence. Borrowing $15 from George Maynard, a relative by marriage, Guiteau set out