Evening star. [volume] (Washington, D.C.) 1854-1972, 1881-07-05
What DIR. Hepburn Saws.

DR.. Robert Reyburn yesterday gave the FOL-
lowing diagnosis Of the Presidents case:
We are now watching the symptoms and
treating them as they arise. / cannot say
what viii be done an hour in advance. The
obly pain OF which Mr.. Garfield com plains -
thai In his foot, coming probably from some
bullet This Is met and the pain alIayed oy the
administration OF anOdynes, but this is done with
great caution lest It should be overdone and
the digestive apparatus thrown into disorder.
The morphine used has all been administered
by bypooermic Injection. The patient Is Well
nOurished. Ar first smsll quantity OF cham
The shock so well that this was at one.
abandoned, and now the only substance
introduced Into TIE stom acn Is muk dilu ed
Sioa iino M r. naas VIII o. coaTlnued 1or
Just about TO say 1t is pleasure TO have such an
one, but OF course do not mean tn 1t. He he's
never from the first lost his pluck and FORTH
tute. BE is suffering. but not to any great ex.
tent, from the direct effect of the Wouods, but
his Chief pain, as he says, Is in tbs feet.
Many patients in simiar position would
find fault With the treatment or Lore heaio aud
bring Oh symptoms which IL would be q III cult
10 treat, but Mr.. Garfield Is host OF ply g.
clans in himself. He sleeps by maps, I'D -
getting plenty OF retreshin. rest IN chat way.
Whatever the doctors decide to %, ne suomrs
to 1t without even asking the why and where
fore. We have shut out the rush 70 hts room
why. even his children are not permitted to sea
him as freely as either ne or they wOul1 like;
but he sends them pleasant messages and bids
them look forward as be Is doing, 10 near It.
union. OF course. lie is relieved entirely from
business cares, but his mird Is as Clear an
IS / SAID. is first to watcn the symp.
which we think VIII work harm. Every holr
that we keep doing this his chances of recovery
are Increasing, for nature Is oil the time going
ptdite this movement. The outer lips OF the
wound are kept from uniting, so that Il there Is
any gathering Of pus ft may oe Drawn out by
drainage tubes and OF frd its way into the
cavity VI the abdomen. Our greatest anxiety
now Is about the Inflammation of the ruing OF
the Intestinal cavity. There " Ill be, OF course,
certain amount OF Inflammation that Is neces-
Sary to cure; but antisepL.cs are employed
and we are getting On 1nely. The day has been
avery warm and trying one, but the room
Il pas s co go p t wsn at aired al ana sae
He Was at the very first informed by Dr. Bliss
that he was IN very critical condition, and he
has never oeen miais as TO bis position and bis
power is asserting Itself. and there has not
been single visitor to the sick room, i dare
1Ss ese as u
has never CIV en- any outward sign that he had
any other h pc than that OF speedy recovery
MTs hi hes neea ne
We shall not probe for the bullet any mora,
there is no Dt cessity for Ii. We know where IL
V ana the uIse it mas taken, and any manip-
would be at ence1 almost to a certainty with
fatal resuitS Our first care Ia the REPRESSION
OF any undue Inflammation; the bullet we can
attend 70 la-er with comparative ea3e and
safety. It lies IN the lower part or lobe OF the
liver, and Is out OF harms way to some extent.
We are particular watching the Ell cot OF ths
wound on the perit0neum. That Is the really
critical point. and when that has begun Is
show signs Of q healthy healiog, the extraction
OF the bullet. II necessary, aa1 le care OF tue
injury 10 the lower ribs. an the superb ;ial
flesh and skin wound wi b, mattsr OF No
great moment In the casa OF a patien5 having
The magnificent phys.q Ie OF Gen. CARR sl1'