Press and daily Dakotaian. (Yankton, Dakota Territory [S.D.]) 1880-1889, 1881-09-19

gradually without producing a chill.
Had rigor occurred this morning it is
tnought it would have been very seri-
ous one, for the patient was extremely
enfeebled. Hamilton left tonight to
return Tuesday. Corbin left for Wash.
lngton. Excepting renewed efforts to
keep the temperature from falling below
a normal range, the day passed without
marked event.
Notwithstanding the com paratiyely ia.
vorable condition as noted in the even
ing bulletin. in less than an hour after q
rlgor occurred lasting ten minutes.
Compared with the one Of yesterday 1t
was light, though Bliss remarked was Sc.
we're enough. Boynton said tonight
that as compared with
yesterday, there is slight Improvement.
Low pulse and temperature, sound sleep
and freedom from cough and expectora.
ton indicated q very low state of vitality
and cannot bs considered favorable
symptoms. Ii he grows stronger there
Will be rise in pulse and temperature,
and the cough and expectoration will
return. About II o'clock there was q rise
in temperature, the pulse reaching l2O.
Ihe cough returned and he cxpectorated
considerable quantities OF pus, with free
perspiration. Tonight about six he had
n chill lasting ten minutes, the pulse
reaching 140. 1t is now l22 Possibly
the chills are merely reflex of low vital
lty, but in all probability they are the
result of suppuration going on in
some part of the body.
Probably there is extensive lung trouble.
A lung Abcess. is what we cnll a secondary
abcess, and occurs in the course of blood
poisoning. 1t is one Of the most frequent
complications of chronic pyamia, and be-
'giAsas lobulat congestion. Each lobuIe
OF the lung is about the size of pins
lead: A number of these lobules be-
come congested, and after time sup
purate. and form SO many small abcesses.
BY and by the congestion extends to the
surrounding lobules, which in turn sup
purate, forming other small abcesses. If
the patient lives long enough these mi
mute abcesses open into one
another, forming pus sacs
about the size of marble or
hens egg, That part of the lung con-
tanning absccss becomes consolidated.
That portion Of the presidents lung
reaching up to the sixth rib is now con-
solidated. For several weeks the presi-
dent has. at times. made satisfactory
Improvement, but in each instance the
improvement has been followed by le-
lapse, leaving his vitality 0wer than be-
fore. This feature is particular to most
cases OF chronic pyamia. The president
hasa wonderful constitution, but 1t is
doubtful if it is sufficient to carry him
through.
At 10 tonight Windcm, Hunt, Kirk
wood. MacVeagh and Hill called at Sec
retary Brow ms cottage. i, Bliss SAID this
evenings chill was about 10 minutes
duration, aud the president is suffering
considerably from it's effect. No vomit-
ing occurred aud the patient experienced
reaction Immediately after the rigor
subsided by tie appearance of fever.
The doctor said the recurrence of rigors
may be due to local causes, but if SO
they are not manifested. think the re-
currence is due to the patients enfeebled
condition. The doctor feared the condi.
tion of the fluids, with local sores are
sufficient to produce chills. Evidently
he has not improved any in the past "a
hours, but merely held his own. Bliss
said the president had taken nourish-
ment as usual to-day, and was cheerful
and bright in the afternoon. Excepting
a milk punch about twenty minutes be-
fore the chill, no food had been given.
Two ounces of defibrimated beef blood
was administered during the forenoon,
and about three ounces more will be
given during the night. 1t is not prob
able that another chill will
occur during the night. TIE
dullness OF the lung not extended.
Coughing has been very slight
to-day, and was mentioned by Mre.
Garfield us less than yesterday. No re-
pair of the wound occurred for three or
four days. No healthy granulations are
visible. Three weeks ago the cavity of
the wound would hold two and half
ounces of water, now one ounce,
showing that it has become con-
siderably sma ler. The stom ach has not
shown any disturbance during the day,
and the usual quantity of stimulants
have kcen administered. Bliss thinks
there is cavity of pus in the lungs. The
president is no better though than last
night, and no worse. There was no men,
tai alteration during the iebrile rise,
when it generally occurs. The president
notices and thoroughly understands his
condition. During the chill the pulse
reached 1874.
If rigors continue from day to day
they will wear the patient out. To pre-
vent a chill this evening every possible
attempt WAS made; and the chill was
partially modified by these efforts. It Is
reasonable 10 expect some rigor distur-
bance during every "a houls. The presi.
dent said to-day that he felt very tired.
A reporter said the president has had
very hard time.
Bliss replied that it have been alfearful