New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1881-08-22

suppose you are still endeavoring to scatter
the swelling of the gland :"
Yes, we are trying to prevent suppuration. and
to accomplish that the inflammation must be scat
tered"
What is the probability of your succeeding in
scattering itr
Wen. i can't say positively; but the appear
ances do not indicate that 1t is any worse"
Has there been any gastric disturbances of the
stomach yet :"
None at all. The stomach appears to be i'm
proving all the time"
Have you decreased the enemata still m ire ?"
We now administer enema twice during the
day and twice during the nght-in the morning, af-
ternoon and evening and at dawn"
About how much do yOu administer day ~
Twenty ounces of beef extract, with the yolxs of
four eggs"
Do you contemplate trying the patient with
solid food soon 7"
1--WE have not discussed that subject yet. He is
getting sufficient nourishmont now"
How do You account for the rise in the pulse
which was noted IN the morning bulletin ~
Il do not know exactly what caused it. If tho
PATIENTS turned in bed his pulse often in-
creases from eight to ten beats for short time but
soon goes down again. Perhaps his broken sleep
last night caused the rise. see no other reason for
it.n
IL suppose ii s not significant of anything ex ira
ordinary or unfavorablei 7"
"Oh, no. For one in the Presidents condition no
significance be attached to slight variation of
the pulse"
docs the patient plain at all of suffering
pain from the inflammation of the parotid gland ?"
He suffers no pain. HIS neck and jaw continue
somewhat annoying but the secretion Of saliva is
the most annoying feature it causes him to
congh, and consequently lose rest
How about the wound, Doctor ~
The wound Is in excellent condition nd tI,n
process of giarulation has made it considerably
smaller than it was"
How large in proportion to the wound is tho
channel il which the flexible tube was .ecently in
serted :"
The tube we used was No. s. American meas
urement cathetcr, which is quite small Tne
wound win now hold little less than two lnces Of
water, while previous 10 the commencement of
granulation it would hold more that tiree o;.nces
That will give You idea Of how much smaller IL
is"
The Doctor then explained that the small Tube
nearly filled the channel of the wound. which
proved that it was healing satisfactorily. Shortly
after Tho interview with Dr. Bliss took place nr
Boynton was asked if lie considered the President m
being decidedly better to-day than he WIS vestor-
day.
No." replied the Doctor " he isn't decidedly bet
ter think there is slight improvement % com
pared with yesterday, and feel more encoulagcd"
Continuing the conversation, the Doctor said in
substance THAI if the irritation OF the parotid
gland passes away without su puraton he will feal
much relieved. He thinks tho patient is taking
Sufhcient nOur1shIuent to build up on, and barrinS
iiriher conph cations, he considers the outlook a
iittIe n"Ie encomragrg; The Doctor was asked if
ritaton presented itsef in the form of n swelling
rellef always followed suppuration. lie sdInittnd
Presidents condition." said he "snppuratinn j. No.
desired because of the possible injury which might
follow"
What is the nature Of the injury feared from the
suppuauQn Of The gaudH' was then asked
In replying thN Doctor said that it il impossible
70 say where 1t wonld cnd should suppurlticn en-
sue; that it would he possible for The iutIarrm~
non TO extend t. he interior of the ear and dcsirov
tRa organ; that 1t might seriously affect the bones
OF the face in the vicinity Of that Irritation and
inriher han this hat there would be danger of the
impure matter Vllich is gathered about the gland
pcnetrating the brain; and in addition tn tIcsc
risks ~ W3uid he considerable tax or the little
sIdered the 1an1ular complication the most serions
feature OF the case at the present time
t Dr, r, Woodward expressed the o. ION, as he left
doing as we'll could be expected. Ano,her or thc
assttndlnl; surgeons Informed friend during the
alelnoon that ne viewed the in "A more h0pcfu
hight to-day tban he had for several davs nnst
when a. Rcd what he Thought about the glandr.ar
trouble he said that while lac should have preferred
not 10 have met with that coiuplcation he did uCt
now consider i of serious Importance Ilis sracon
oiit az" said that he considered that the most
alarming feature ~ the case. The patients bovels
9Ic 5dlu ~ nave. oeen moved more naturally aud
Ireoiy 'nls morning thQn a. any time before for n
week past which rs regarded an indication, tbat
MS stomach Is again working naturally
Al p. ~. DI Bliss said that the unit opjrion of
me atIendng surgeons was that the vomiting which
occurred this afternoon was cn.ed bv tho ae.rai,
of ph'cgIn n he Presidents thiot as the result of
the lniiamcd gland. "
PARTICULARS or rlfr RELArsr.
lV''V D. hl.-Smco the Issuance Of Tie evening
ouiieiin the scenes at the Executive Mansion and on
tho streets nave been materially changed. The an-
nounccment Of the Presidents heyin- vo,,ited
t"ce curing ,he afternoon created great rneaeincsg
throughout tie city, and crowds gathered ,round Tho
~ uu' cum uoafJS ia an eAcitco manner At the
Executive Mansion there was a noticeable leclir,
of apprehension, but the staterents Of ,o otto,'d
ing surgeons TO the elect that the vomiting WAS po
occasionca by any gastric disturbance of fho s,o,
ach have been accepted as showing that the condi
ton OF the President was less serious thap ~ ua4
organ had refused 60 perform its functions T,s -
he explanation Of the vomiting given nv pr RIis
appearscontr9ry TO thcimpression which prevailed
up to O'Clock, that there was vomiting duyin,, tI
early aitcrnoon-shortly after o'clock. AT fbot tim,
inc fresidcnt experienced considerable dihicu,ty
WIN tic pllegm which had secIeted i'm bis H. roof
ana III ms cNeruon to raise it ii excited his stomach
10 such ar extent that vomiting ensucd Tb,s ,v,s
eoneuho aiter the last portion OF nourisIment LoJ
nee naturally administered so that die theory tbot
i. was caused by phlegm in the throat ia very ooo
ally accepted. way s'"oi-
Dr hoyhton, in a conversation this evening
stated mat the President has taken no nonrisb,ct
slnoe the n'St vomiting. lie says further that tbc
President5 stomach IS certainly weaker to 1o tIo,
1T was yesterday and that while the case looI,,
rather discorraging tonight he homes and No.
reason 10 beheVe that tho morning viii bring nm