Adams joined the Amelia Light Dragoons, company G of the 1st VA Cavalry, as a private on May 9, 1861. He survived hospitalization in early January of 1862 with measles, mumps, and pneumonia simultaneously. On May 12, 1862 he was detailed to Chimborazo Hospital in Richmond as hospital steward and ward master. He was promoted to Surgeon on the staff of General Bradley T. Johnson.
The 1860 census lists him as a "student of medicine" and he studied medicine first at the Medical College of Virginia and completed his degree at the the Medical College of Richmond.
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