Kiffin’s brother Paul (far right) was wounded in late November 1914 when a shell exploded just behind him. The force of the explosion knocked him to the ground, and a shell fragment or a frozen clod of dirt struck his shoulder and broke his collarbone. “Inflammatory rheumatism” set in, which was a blanket term for several diseases which cause joint pain, including rheumatic fever. He spent months recovering, and eventually was invalided out of the service. He is shown here on an outing from the hospital with Dr. H. Meade (left) and Red Cross nurse Mme Laffout (center). (Photo courtesy of the State Archives of North Carolina.)