New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1881-07-24

favorable symptoms of the evening, and their hopes
OF hnal recovery were strong Mrs. kirkwOOd, III
reply to an inquiry, said that Mrs. Garfield was
manlfestng less anxiety this evening than at noon
anu was evidently easier in her mind
A QUIET NIGHT.
At eleven O'Clock tonight the President was sleep
ing quietly his pulse stood at 1OO an abatement of
Is since o'clock, and although Dr. Woodward,
who was watching, did not attempt to tako the
pration or temperature, he said that the
condition of the sleeping patient indicated
that both had subsidized in degree to
correspond with the abatement of the pnlse. The
evening dose of morphia increased by one six
tecnth of grain, and under its influence the Prcsi-
dent remained very quiet DR.. Bliss retired soon
after 10 O'clock
Surgcon-General Barnes won't home and Drs. Ag-
new and Hamilton left the White House. DIR. Wood
ward remained on guard, and Steward Crump and
Colonel Rockwell arc also on duty. Private Sccrc-
tary Brown said that the nausea had en-
trely disappeared. He also remarked that
MrS. Garfield felt much cheerful and
hopeful this evening. All the Cabinet
officers left the White House before II o'clock and
soon after that hour the attendants who not
duty for the night retired, satisfied that unfavor
able change in the Presidents condition was to he
feared during the next few hours
THE UNFAVORABI.E TURN EXPLAINED.
CAUSED BY AN OBSTRUCTION NEAR THE INNER END
VI ihis bNAlNANE PIPE-TilE FREE DISCHARGE
FROM THE WOUND ITTEERUpTED FOR TIME
Dt;S. AGNEW AND HAMILTON EXPRESS RENEWED
CONFIDENCH.
EXECUTIVE MANSION WASlUNGTON Juy %, II
rM-Ihe explanation given by thc attending sur
geons of the uniavorablc symptoms which mani
tested themselves in the Presidents case to-day is
briefly as follows:
Some time in the OF the night or early this
morning the patients wound, which had for several
fr,el ola. ,t
or near the inner end OF the drainage tube while the
process of suppuration in the deeper parts Of the
wound continued. partial or complete pus cavity
was thus formed and the discharge from the mouth
OF the wound nearly ceased. The natural result of
this state Of things was chill followed by higher
fever, the patients pulse rising to n maximum of
about $50 and his temperature To I04. As rigor
followed hy increased fever is symptom of
pycna, or the formation OF an absccSs, and of other
uniavorahlc complications, il caused at first n good
deal OF anxiety. y careful examination, however of
the pus discharged by the woun,, showed that its
character was perfectly normal and healthy,
and, so far as appeared from the pa
ticnt's General condition, all the Indications
of py1na were abs These facts relieved at once
the fear of hlooi i-posonnc. An external cxamna-
tion WAS then made of the abdominal and hcpatic
regions with view OF asccrtaining whether there
were any sign, of an absccs5 at The spot where the
bullet is supposed TO he.
No unusual tenderness was found in that part of
the body, any other iudcliIon OF a changed con-
dition. From these facts. taken in connection with
the scantv outflow Of pus, the conclusion was
drawn that an obstruction existed near the inner
end of the drainage tube, which prevented "A Tree
discharge. This imprisonment of the pns. techni-
caly known as the formation of "pus cavity,v is
entirely adequate to explain the chill and the in
creased fever since they the natural and almost
inevitable consequences
1t was at first thought that the obstruction might
hc the result Of Il process of healing which had
wholly or III part closed the wound between the
end of the drainage tube and the deeper stippurat-
ing surface. Early in the afternoon however the
obstruction wholly 0r partially gave way. the out
How OF pas hccam" irocr, the nau "a from which
ohtancd relief. This proved that the obstruction
han nos been ol Il permanent character. At the
evening dressing of th" wound the discharge of pUs
WAS quite ~ COUPONS ~ usual Since that time the
paticnt'S fever has been steadily abatng. At lOp.
@ ~, Ms p';lr n'n ' /" ~" ana ne Wa- sleep
pulse lad fallen to Too and he confined r'
to sleep without any manifestations of rcstlessncss
and without an dispuicilug symptoms. Drs.
Aencw and Hamilton did not think il best to dis
suib iIlh by making an examination tonight, and
did NOT even see hiu, hut had consult alton lasting
an n"ur aud thrcc-uuartor, with the attending sur
pcons They cypress gratidcqton at finding his
symptom much more favorable than they autici-
patcd. The Surgeons had lcft the mansion, except
Drs. Bliss and Woodward, who on duty.
BULLETINS From TIE WHITE HOUSE.
! THE PRESIDENTS CONDITION NOTED runouGnour-
OFFICIAL AND UNOTIICIAL UITEHANCEs
l.
EXECUTIVE MANSioN, July 23-s a. m.-Tho fol-
lowing was sent thus morning 10 the Cabinet officers
| by the PRESIDENTS private secretary
Ihc slight lever, which made lis appearance he
| tween and 10 last evening, but which subsdcd
during the night, tx not noticeable this morning.
| ms ichrllc rise was due 10 local and Temporary
| causes rather than to any general unfayorabir
change IN the President CONDITION. He ~ as we'll
now as at the same hour Yesterday morning: : and
dI not sleep 80 well the prey ious night seems
to Indicate II gain III his favor.
| II.
| 10 a. m.-Ihe President was more restless last
| nght; bnt this morning ~ Z IA. H.. while prepara-
! tions we're made 10 dress his wound h9 tcmucra-
| turc was found TO be normal; pulse ~ : tcmIera-
turc, oS.1; respiration, -. At 1880 hc had slight
rigor. IN consequence of which the dressing of his
| wound was postponed. Reaction followed promptly,
and the dressing has now just been complctcd At
present his pulse is ll0 temperature, 1O1 rcSpra-
| ton, 2i d. w BLISS
| J. X BARNES
| j. j. WOODWARD.
ROBERT REYBuRN.
1880 p. m.-lhc Presidents symptoms at this hour
are little more favorable than at the date of the
| last unofficial bullctin but his condition has not
! materially CHANGED. The attending surgeon have
! just telcgraphcd to Drs. Hamilton and Agncw to
come TO Washington at once Tor consultation.
| 4. p. m.-Thcrc has been recurrence as vet of
| the unfaVorablc symptoms which manifested them
selves III he earlier part of the day. The President
| is asleep and his pulse remains at about 100
II Is the opinion OF the attending surgeons that the
chill and subsequent fever this morning was caused
by the formation of Il pms cavity ut point
along the track Of the bullet, bat this cannot be
positively asserted until after the evening cxomin-
| Dr. he has in bi4 fi,,h hnI