The Emporia weekly news. [volume] (Emporia, Kan.) 1881-1889, 1881-08-25
an what pasticnlar m amer was h,

"friucl pally DIV Inc 1tCsfettost Oh I1nie2n
Ia his tl.E.saI, which au4kened him about
~ sepf0se Ton ars still e1leavoring
% scatter the swelling of the Gland ~
sssYes; - are trying 10. pteyent sup
pIratiuu; and 20 aecaba plish nat the in
Azmmattcn must scattsEssL-"
what is the possibility OF your sue
ceedIBg in scattering it"
well, / can't say positively, but ap
'pearances Do NOT indicafe thar
IT IS ANY WORSE.
- Hsssthere been any gastrsc disturb
ances of the stomach ~
N6ne at All The stomach app ars
to be improving all the time"
Have you decreased enema still
more"
I'VE now administer enema twice
during the day and twice during the
night--in the morning, afternoon, even
ing, and at. dawn"
"About how much do you administer
a day2'
"Twenty ounces of beef extract, with
the yokes Of four eggs
do you contemplate trying the pa
iient with solid food soon:'' 7ass i,.,E
ave have not discussed that subject
yet. He is getting sufficient nourishment
now s9.asi H4s.8 a=ss1
IIOA w YOU ttICOulIE A-sA -stAC AkSs<- III
the pulse which was noted in the morn
ing bulletin 90 - .zzass sssis
Il do not know exactly What caused it.
If the patient is turned over in bed his
pulse often increases from eight 10 len
beats, for a short time, but soon goes
down again Perhaps his broken sleep
last night caused lhe rise see no 9TH
er reason for it,"
Il suppose Il is not significant of any
thing extraord mary or ungayorable 2"
s'Oh. no. For one in the Presidents
condition, no significance can be; at
lacked 10 a. slight Variation ofthe pulse"
Does the patient complain at all of
suffering pain from Inflammation OF. the
: HE suffers no pain, His neck and
jan continue somewhat annoying, but
the secretion of saliva IS ,.,,.,ls-.... -
- THE MOST ANEoYING
feature, as it causes him To cough, ald
consequently occasions loss of rest,
'How about the wound, doctor 81
"The wound is in excellent condition,
and the process of granulation has made
it considerably smaller than it was
| How large, in proportion to the
wound. is the channel in which the fiexi-
| Bile tube was recently inserted ~
THE tube we used was No. 8, Amer
| lean measurement, calheter, which is
quite small. The wound VIII now hold
! a little less than two ounces of water,
while previous to the commencement OF
FORMULATION, il would hold more Than
| three ounces. That will give you an
| idea of how much smaller it is.''
The doctor then explained that the
small tube nearly filed the channel OF
the wound, which proved it was healing
satisfactorily. Shortly after The inter.
view with DR.. Bliss occurred, DIR. Boyn.
ton was asked if he considered the Pres
than he was yesterday. NO" replied the
doctor, she is not decidedly better; ]
think there is slight improvement as
compared with yesterday, and / fee
more encouraged" Continuing the con
versation the doctor said in substance
that the if irritation of the parotid gland
passes away without -suppuration ht
will feel much relieved. He think:
that the patient is taking sufficien
nourishment to build upon, and barring
other complications, he considers thu
outlook as q little more encouraging
The doctor was asked if it was not ;
we'll established theory that when
r5,.o. IRRITATION PRESENTED
itself in the form of a swelling, relief al
ways followed suppuration. He admit
ted that such was ordinarily the case
but in the present condition, said he
suppuration is not. desired, because o
the possible injury which might follow
'sWhat is the nature of the injury fear
ed from the suppuration of the gland 2
was asked. In replying the Doctor said
in short, it is impossible 10 say where i
would end, should suppuration ensue
1t would be possible for inflammation
to extend to the interior of the ear anC
destroy that organ it might seriously at
feet the bones of the face, and fnrthe
than this there might be danger of i'm
pure matter which it gathered about tn
gland penetrating the brain, and in ad
dition to these risks it would be con
siderable tax on the little strength tn
President has left. The doctor con
sidered the glanduiar complication til,
most serious feature of the case at tn
present time. DIR. Woodward expressed
the opinion as he left the mansion abou
p. m. that the President was doing a
well as could be expected. Another o
the attending surgeons informed frienI
during the afternoon that he viewed tn,
case in a more hopeful light today thar
he had for several days past. When askeC
what he thought about the glandula
trouble, he said that while he shonl'
have preferred not to have met with tina
L
of serious importance.
An Exploration of the Presidents Wound
WASHINGTON, d. c., August 20.-Il
, an interview with representative of til
press this afternoon DIR. Bliss gave il
: substance the following account of tn
recent exploration of the President
wound by means of a flexible rubbe
catheter, reference to which was mad
for the first time IN the noon bulletin to
day. Since the operation of the 9Th O
1 August no drainage tube has been useC
in the wound. At the morning ant
evening dressings, however, small flexi
: bic rubber tube about q quarter of al
: inch in diameter was introduced and
week solution of carbolic acid and waite
3 forced through it to cleanse the wounr
} and bring out the accumulated pus. VI
10 yesterday morning, the surgeons hal
: been unable to pass the tnbe beyond tn
point distant three and a half inche
: from the mouth of the last incision. A
that point it always met with an obstruc
: ton, which could not be overcome with
out an exeFtion of force, and force tn
surgeons did not think it prudent to EN-
plOy. The apparent permanence of thi
obstruction finally led the surgeons t
believe the depth of the wound had heal
ed, or at least the track of the ball hai
! healed at point where the rubber cath
eter was stopped. A few days since
however, it was noticed that the quantit,
! of pas discharged by the wound at on
of the regular dressings was greater thai
the quantity of water which the wount
would hold after the pus had been re
moved. This clearly indicated one of twt
, things, either that the pus which
-aRs WAS IN EXCESS
of the apparent capacity of the wount
came from concealed and unsuspectel
/ cavity or that the surgeons were mis-
taken in supposing the depths of tn
| wound to have healed.5 1t also indicat
ed that the obstruction which prevented
! the passage of the catheter did not intel
fere with the flow of pus outward from
the deeper and unhealeti interior. TIL
low temperature of the patient negatives
the theory of pus cavity and the SUI
geons came to the conclusion that til
deeper parts of the wound must still b
, open and that the excess of pus whicl
could not otherwise be accounted TO
must have come from there, notwitIl
standing the apparent obstruction en-
countered by the catheter. On Thurs
day Dr.. Bliss made a long and careful
] examination of the wound but was still
unable to get the tube deeper in thai
| about three and half inches On Fri
day morning, however, during the dress
ing of the wound, small piece Of cellu
lar tissue, piece about as large as tn,
end of ones little finger, became detachet
and was washed out with the pus. Thi
fragment of tissue had apparently beef
half detached for. some time, and hat
acted as a sort of rude valve at the poin
where the track of the ball seemed to b
lsobstracted, closing il against the cathetel
4 and against water from the outside, bu
opening to pressure from the inside anC
, allowing an outflow of pus from thu
deeper parts of the wound. Upon tn,
removal of this fragment of tissue DIR
Bliss again introduced the flexible rub