The Salt Lake herald. [volume] (Salt Lake City [Utah]) 1870-1909, 1881-08-23

ceeding well, l can't say posi-
lively, but ths appearances do not
indicate that it is any worse.
Has there been any gastric disturb
ances of the stomach yet None at
all The stomach appears to be i'm
proving all the time.
Have you decreased the enemata
still more we now administer an
enemata twice during the DAY and
twice during the night-in the
morning, afternoon, evening, and at
dawn.
About how much do you admins
day? Twenty ounces of beef eX-
tract, with the yolks Of four eggs.
Do you contemplate trying the
patient with solid food soon? We
have not discussed that subject yet.
He is getting sufficient nourishment
now.
How do you account for the rise
in the pulse which was noted in the
morning bulletin? / do not know
exactly what caused it. If the pa
tient is turned over in bed his pulse
increases from eight to ten beats, for
a short time. but soon goes down.
Perhaps his broken sleep last night
caused the rise. l see no other rea-
son for it.
1 suppose it is not significant OF
anything extraordinary or unfavor-
able? Oh, no. For one in the Pres
ident's condition no signifinance can
be attached to slight variation or
pulse, .
Does the patient complain at all of
suffering pain from the infamma-
ton of the parotid gland? He suf-
fers no pain. His neck and jaw con-
tinue somewhat annoying, but the
secretion of saliva is the most an
nOying feature as it causes him to
cough and consequently lose rest.
How about the wound, doctor!
The wound is in excellent condition
and the process of granulation has
made it considerably smaller than 1t
was.
How large, in proportion to the
wound is the channel in which the
flexible tube was inserted? The
tube we used was a No. s, American
measurement, catheter, which is
quite small. The wound will now
hold a little less than two ounces OF
water, while previous to the COM
mencement of granulatiOn 1t 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 proves
it was healing satisfactorily.
Shortly after the interview with
DR.. Bliss occurred, DR.. BOyntOn was
asked if he considered the President
as being decidedly better to-day than
he was yesterday. No, replied the
doctor. He is dot decidedly better,
but l think there is a slight improve
ment as compared with yesterday,
and | feel much more encouraged.
Continuing the conversation, the
doctor said, in substance, if the irri-
tation of the parotid gland passes
away without suppuration he will
feel much relieved. He thinks the
patient is taking sufficient nourish-
ment to build upon, and barring
further complications, he considers
the outlook a little more encourag-
ing. The doctor was asked if it was
not a we'll established theory that
when irritation presented itself IN
the form Of swelling, the result was
always followed by suppuration.
He admitted that such was ordina-
rily the case, but in the Presidents
condition, said he, suppuratiOn was
not desired, because of the possible
injury which might follow.
What is the nature Of the injury
feared from the suppuratiOn of the
gland? was then asked. In reply
Ing, the doctor said it is impossible
to say where it would end should
suppuration ensue. That it would
be possible for Inflammation to eX-
tend to the interior of the ear and
destroy that organ; that it might
seriously affect the bones of the
face in the vicinity of thatirritation;
and further than that, there would
be danger of impure matter which
gathered about the gland penetrat-
ing the brain, and in addition to
these risks it would be a consider
able tax on the little strength the
President has left. The doctor con-
siders the glandular complication
the most serious feature Of the case
at the present time.
In addition, he expressed the
opinion as he left the Mansion,
about 3 pm, that the President was
doing as well as could be expected.
One of the attending surgeon in
formed friend during the after
noon, that he viewed the case in a
more hopeful light to-day than he
had for several days past. When
asked what he thought about the
glandular trouble, he said, while he
Should have preferred not to have
met with that complication, he did
not now consider it of serious i'm
portance. This surgeon feared that
the patients stomach would not hold
out, and said he considered that the
most alarming feature of the case.
The patients bowels are said to
have been moved more naturally
aud freely this morning than at any
time before for a week past, which
is considered an indication that his
80 ~, w