Anyway, citiation for the initial award of the MC published in the London Gazette 17th September 1917 as follows:
Capt. James Calvert Spence, M.B., R.A.M.C., Spec. Res.
For conspicuous gallantry and devotion to duty in proceeding to a battery that was suffering heavily from intense enemy shell fire, and continuing to search blown-in dugouts and tend the wounded under heavy fire. He displayed exceptional coolness and gallantry on this occasion, and on many previous occasions he has carried out his duties with magnificent devotion.