New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1881-10-07
DIR. BLISS'S STATEMENT.

VI.
Garfield. which he has been engaged in PREPARING IN
co,nponv witt, Dr. C. f. shrady. Of this city
is n,ode rnblic in The lfadcdi Record. In tins
Dr pliss rames rs lis reason for giving summary
90 flo Salient poirts Of the diagnosis, treatment ana
pathology of tie case the great interest that mas
teen nfested bv the public N its eCrgcal history
more technical report, signed by all of the pv'i-
clans win appear in the course OF several weeks
Same Of the most important parts OF the report arc
given herewith: .,,.-o.,,
q, fhc morning N July = was slINuDuC' ~ 90 co,
rotary u War 30 take charge U w -, = f,uud
d,rtcd ~ mn upper room in the binding Whei" ."u
the President E d 3n lie pTrtnied S appearance
n, .erI,ct collapse. the lines Of oppression "t't
Ib. ~ ,u me-, ,ipufe: pulse exceedingly small 'rtbi"
ar frequent and ranging about ~ ne hL'1l' I,7
upon the mattress indicated that ne ha4 rrfny III,
wa onG ppor mentioning th" tact the troEdeni reph,
tlat ne had not hut assurances lp'h pt F ~. -
o,,I mad taken Mace while hc was uEcoN srou. lhfIt
Tnds n 9crspiraion stood upon his lace, forehead
r were Trscn ut that time Or. smit' rownsend
the Rcalth Oficcr 81 the District ana Ut; tuaiS.
President nlorrrad me that ne had admlns,'e'' nii q"
ounce Of brandy and drachn OF "Eone,r saI
hon removed; the remainder 81 MS rI''ihk we 't'
except that the region 81 ne Wou'., %IHn wa"
TIC President complained - sense ~ "elfr' hh5
uuIuhucss and subsequently OF unpng inrie
noir IN the lower rXtrcmltlcs Win view o rhV'.u-
he ,yorrl 10 ascertain the cnn'r ~ the pan nId ,N'
organs involved IN ~ a5f'sr; @ "a ,11 ,5rr on
a lire which would represent t"hi Yl ct.'
roW oTnositc 70 the umbnicup The point Of
crtrts,cc oi tbr hall which was oval and sha.pE Ct'
M % ~ vi M side four inches from the mcian I'm
", tbc 80 sr,-e and on a line with the eleventh rib. \
Il-,hlrcr pf blood was ufflhE from ,i'- ','''
ana had socd The clothing. passed The prom" IN ne ~
tai space. for distance oi uIt' anu " 'i a. ~.
cayv and WAS unable 80 detect any iurIh -u-,lu,t
hrvoud the rib 10 indicate tAr pfr'tHo, "' ~
bone or thr missile. luattcWpiiu- 70 NIlhuI'" ', @
il became engaged between the fracture " l,l.i's a'
the end of the rio and could MOI %, h''IS" S",n
sure was made upon the .tfhM 'lu VI NJ 80,
sn os 10 slightly elevate its fractured CNItWEi
/ then passed the little finger OF my lrI. NAM
To it, ull extent INT" the wound, "h.n ~, 90,
character ANA extent OF the fracture NJ the IN" ana W.
only able reach point on Inc WIN nG ',rI , SUI
lace Of the rib Whcrr II cane III contact WI % ~,
pr9rcd Ia Dee laceuied tissue or compHiiu.rN u4In
ro1.u'a probably the latter Amer WtI' iWh3 my
49, ,,,.i, an yl5ritirn with Tong hry'hl" blv'r
frn,o which / suitably carved hriof" 'ht'T'hG' hlu
gently passed IL down ard and bac h""rl In several NJ
-; yi,b a yic,, oi indicating the course ot The bal,
90 ~ been detected 10y contnct with the rib and rect
lhL WI of dc.ert on being iuc!i1 10 so"
opui,n thar the ua,i had entered nc hNti i 'v'
would moi varian, further ey'or'ior o. imi 'r't@
rs tni. tire q large number Of ply scldue Ia. gam
cred Ina the room au1 Save 10 'Aeu tuIIl'u account
TrLgr cyflpIaou- -uouId ts made during the stage oi
collapse and tuat s'imulaHs D., lu' -'uIi"h '"" D" @
an nan iuur h. given. 90 ilc Tr,!cn vas rnrnns
nom constant nausea uI 10 his c"-diNg" 'i collapse
absorption would DOT take pi...' U" wv '"'L VIZ, NV!
opuiuuS expressed ~ the council n ono u''I 81 t'
room the plysici, ms conrurrrd me t,i'' ~ ~ AZ
tendance 90 TINS ,iIt, ~ lar o. can ',oh u ",l'
1o..nsuond, PunIs, EcyhIIn, MOTIFS. Lincoln anu
REMOVAL To TIT WHITE HousE.
r, pr,.,,,,i r,peli,.y requested that he Dee takcn
70 fe Vl,c House ard after further consultation and a
fuu understanding of the manner and detail ~ M trans
f,r I'll. ,rcrdy removal was agreed uron On ms arrvn,
thituol careful examination was made OF MS condl
ion The pulse continued feeble frequent and "T-
trcI,eiv coinpr,--b.c; the Icsiiph"h "h7 $40" ana
siobiur oAtrrrcs and surface cold with occasional
vomiting end prolsc Uerspron over the entire body
v- husky with constant Compliant Of severe pains iu
tbe inferior oSfrcmic- lie placed upon his righi
eide 80 ~ Ia uak, the wound dependent, t. 'Hcilhic
DRAINAGE Hnd keep the li-.eIa .h '"utl WIN l'' w
Irrd sri,r- with view II prrvrLiur further hem
o,I'1-, 81 W.. 49,, ,tfor,uui Amer concentration h
was icrurd improper O." remove 70" cHiHus. as .uch
~, small quau,it.cs often rufcaJ,d This
n'c,-.li.icd by tar extreme thirst mona winch ia"
re- ,ynodrrrric Injection a. onr,lohih ~ rrau Of
u. rpLuc and ouc-rirhuch gram %. aif"p' 4" 90 A"mm
l.tcr,I 20 y,rtr.. DO" pain 90 She 'Ni '' '.d %,
mono permanent eiIwulant g. a,kii f'a'l"H. lE'
pcr selected fo injection ~a7 ih' aoiai ASPECT 90 thc
forearm This was about 10 o. n., JHN =
Thrc hnt uttr change h. OBJ" CONDITION ~ The pa
tent either u icup'n'ufc, respiration ~ pulse, un ID
about ococs, when u was drterHnoli 90 r"Icu lhf
morphine lu ~" hO-r oil "ncAih % GRAIN ihr 'ifoFh
b.us omitted Ih- -uYG h1I the Ci',t ui modifying
the uaia and di.c'u,uri. and o." rtpr"t on hr'".'
| H. ,h, -tmullut. Nausea aud vomiting continued az
Intervals Of thirty minutes aurIuE the entire HAy aua
unil p. ~, vncu % became -7 H.I,'l.' "lh .,'
rctch@-Ir flrt. being simply reconciliation ~ ih"
huiI- o. ,he stomach IHi. continue" al longer Intervals
! until O'Clock tAr folio 'lif i"plHlrt
A. $50 y. IN, 80 nccoiI.n.r WIN previous under
standing with the p, -iriaHr. lhr clothing "t- n"''d
by u,iu- cnt from II' Dolly lh -I'h mann ~ '' I''
ven; amy motion or agitation, uud to permit ih' more
! the entire buo.. when hhd h'ru Wri CIV a'.'hi
| uIlahcd ucfo'. tpuu examination. Wslhruu'd trd
OF iunc-- over the region of tho w"nd, thought to br
due 10 brmouhaee "a ih' slh-'.'e g." '"r "''i' H"hF
tho -.pp,-, tr4c of t' ball extended -rf'n AMI one.
! lal ilrar- autcr"p"-i'n"fi! AMI I'VE AMI one bali
Atop 49, hcpulsr was l7s. temperature o. 81 rcsplr-
alton - which the .iDs' cri'rdl pr1ri Attending
the collapse AZ 100 r. 90. tao evidences OF reaction
| BEGAN To- manifest thrW-elE,.
Inc patient slept 81 short .rryas generally arousng
with an effort al tr-usalI"n 81 we CONF ri7 "i Ar
stomach. but utlcfw-r expressed ichlE "i comfort
10 b. refreshed aud com! atatTcy free from u.
Thor. wa, time after ny nr-t visit. up to this period.
that the patient Wa not pr "ctiy rational, aud often
made brief pertinent iuduire aHio the character OF the
| wound AMI bis condition.
| At the evening consultation July . p Ia, th" opn
ion was by some of the medical ilcmeu uy
ed the case that internal h'muftha2" lad taa, place
and that lac would not survive the night, ami Trey
pressed these views g. the council The symptoms Of
profound collapse we're 80 grave thhi surgeon "nch
Wales was induced to express Tue "plnon That the fr'
The gruen invited by me 70 visit the bedside were
Wales Surgeon j. J. Woodward. and
| Dr. i;cybIrn ON That occasion the opinion Was OK
rc.srd that the field nf dunr-. heretofore referred o.
Inc boundaries % which well defined. thought
10 be due II hcmurTagc III the substance OF the liver
from the passage the ball into through II. The
| opinion obtained, ana was expressed H. ihe
| council. THAI internal heInorrhhgc Was then
taking place and that the extreme pTOstratiOn and
rcbcu1n OF the rcspA alton were duo 10 That cause aud
that the President would not survive the night There
wHa some ouZnL Of dark ycnOuH blood during the entire
night sufficient TO sauratc the CarbOEcd cotton and
| STAN the bed. on the following morning tho hcmor
ragc had entirely ceased ana the dressings became nd
hrrent the skin All the plysCiaus visited the White
House AT a. IN, July g. for The morning consultation
agTeeably prey understanding hat suci should
! be the case II tie President survive the night
Al this consultation. SugcUnGeucral Barnes and Sur
| gcOn woodward, L. :. A., Dr. Kcybnrh aud DR. y. =
Lincoln, visited the bedside of the patient with with
a view making the necessary examinations dressing
the wound and reporting results To- the member,
81 the council. The patient was found wIth pusc o.
1lJ the temperature was nearly normal wea the res
piraio. lie cheerful evidence of being rested
and made debate inquiries regarding ms condition
| prospects Tie use OF morphine hypOuenuraly, II
doses sufficient quantities 10 control the pain the
rIremitics advised and II agreed that the pa