New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1881-08-23

the profound dependency which prevailed every
where throughout the city last night.
At a. IN. the surgeons gave the patient an enema,
consisting If four of beef extract with tho
yolk of an egg and shortly afterward in compliance
with his request he given small quantity Of
koumiss, which he swallowed and retained without
discomfort Later in the morning, as there were no
signs of gastric disturbance, the patient was given
more koumiss and milk porridge AMI by noon he had
taken and retained ten twelve ounces.
The exciting cause of tho vomiting yesterday
tho mucus in the throat-seened to-day TO be
absent. These secretions from the inflamed par
otld gland were very scanty and gave the patient
little annoyance, and the gland itself caused little
if any pain. He, therefore, rested quietly than
usual, throughout the day swallowing liquid nou1-
lsiment at regular intervals wIthoIt nausea dis
comfort. Between 12 and O'Clock another enema
was given consisting of five of beef extract
and the yok Of an egg and shortly after this the
patient went to sleep With tho exception of the
usual slight rise of pulse and temperature, his
dition remained substantially unchanged through
out the remainder of the day.
III n conversation with reporter this afternoon,
DR.. Bliss who seemed rather than ordinarily
cheerful and confident said that the general condi-
ton Of the President had not changed very much
since yesterday, but that what change thoro had
been was in the direction of Improvement. "It is
furthermore" he sad d" change in precisely those
|
anxiety and which have the most direct bearing
upon the future of the case, viz, the symptoms
dependent on the condition of the st Omach The
great question is now the question of noursh mont
If the PRESIDENT stomach will take and assinilate
! food enough to meet the drain upon his
system caused by the fever and the constant
ton of pus to sustain his strength until other unfa
vorable complications disappear, and to enable
nature to carry the process of repair which has
! begun in the wound, l think there is every prob
! ability of compile recovery. The consequences of
the swelling of the parotid gland or of the slight
septic tant of the blood in which that swelling had
| its origin are of secondary Importance when com
| pared with the consequences of failure of the
| stomach to assimilate food Exhaustion is the
| thing most to be feared"
Upon being asked what he thought of the condi-
| tion of the patients stomach to-day DIR. Bliss
said: "It takes food to-day very we'll and
We hope to have further trouble with it. The
stomach itself was not much in fault yesterday.
The vomiting caused by the patients strenuous
| forts to get rid of the tenacious mucus in his
throat He told me at the time that he felt no
nausea. To-day hardly any mucus has been Sc
creted, and consequently the stomach has not been
| disturbed in that way"
| In reply to questions with regard to the inhamed
gland DR.. Bliss SAID THE glandular swelling is
| still hard, and shows signs yet of subsiding
although the swelling of the surrounding parts has
|
ton will take place or not we canuot vet tell
am inclined to think it will. ! do not, however
apprehend any serious consequences even in that
| case. provided we can maintain the patients
strength. The pus which forms is likely TO be of n
healthy character and we shall iberate it promptly
by an incision. There has been no pain in the gland
tins AFTERNOON and it has caused the patient little
annoyance"
With regard to the septic taint in the blood which
was the predlsp0sng cause of the glandular infam-
lion, Dr. Bliss said; In cases Of this kind where
the patient becomes cnfeebled by long-continncd
fever and suppuration there is always "A low and
Impoverished state of the blood 1t is, indeed,
thing from ,pyena. Pyemia is caused by absorp-
ton into the blood Of the disunited elements of
carried INTO the circulation and wherever such n
fragment lodges in one of the minute blood vessels
toms of pvma 81 suc tIn hS sp
tion and peculiar odor of the pus the ycllowish tint
temperature of the body are all marked and nnmis.
taxable; and none of them has at any time appeared
Upon beingasked whether septicmmia did not often
! precede py9mia, Dr. Bliss said: "Yes: but
pyama does not by any means necessarily follow
septic;enlia. They are distinct conditions. The
President has no symptoms whatever of pyemia"
M FGpy of to the With regard TO- he
1t is doing very well the quantity of pus Sc
creted is daily growing smaller, as might be ex-
Granulation which is natures process of repair is
noW no going on IL large part of the track of the
that although the President is extremely weak and
although his condition is one which naturally
! improved
of his stomach to-day gives ground for
encouragement. If he can be pro erly nourished he
Will ultimately recover.
IL p. M.-Soon after the evening examination the
tTesaemt went TO sleep and slept continuously for
pulse has fallen t. 102. Dr. Boynton who came
from ms room q short time since, reports that he
seems slightly better than at the date of the evening
| bulletin He nas swallowed to-day in all about
twenty ounces of liquid food, and has taken eiph-
Ten or twenty ounces more by enema SO far as the
aDity to take nourlshment is concerned his coudI-
| tlon Tonight Is better than last night.
| DIR. BOYNTON FEELING ENCOURAGED.
DANGER FROM sUPPURATIoN OF THE pARoTIp
| GLAND LESsENED-SILGHr DEILRIUM CAUSED By
| FEEBLENESS AND THE LONG ILLNESS.
| WASHINGTON. Aug. 22.-Dr. Boynton, Mrs Gar
| fields physician, had conversation to-day with n
| reporter of the Associated Press
| In your opinion, doctor, what is the outlook at
| present 7" asked the reporter
:" think the President is little improved to-
| day. He has taken aud retained his nourishment
| WELL"
What kind of nourishment arc you giving him
| to-dayi"
"The same as Observation-Disclosures and milk DOR
RIDGE"
| Does the President appear to relish it 2"
" Yes; he asked for it this morning."
| "Eow do you feel about the gandular trouble to-
uay @ ~ mas IL grown materially harder than it
| No. do not think it quite so largo as Il xyos
and am quite confident, should suppiration set ;n'
IL VIII be In much smaller degree and have laas,
serious effect than 1t would have had had If hcgnn
possibly it will not do any great injury "o"'
| tionf' "s '"pp'ra-
Il can't answer that question. 1t is a verv nm.
1 nn6n n.l.x.