New-York tribune., 1881-09-02
deepest and is through that that most of the pus
Is now discharCedn

Is the discharge of pus continuousp
1T oozes ont more or less all the time, but we
crease the outflow. We shall repeat the operation
once in the night in order to avoid the febrie rise
single ounce Of pns in the gland Is sufficient to
cause good deal Of fobrile Disturbance
Is the opening from the gland into the mouth
an opening through the duct or through the cellu-
Lar tissue kn ao1acf adjacent tt theretG'' . m ~
close beside the duet"
Would not an opening INTO the duct be difficult
to heal on account of the continuous flow of saliva
through it ?"
It might bc'
...Wil' there be any distortion of the Presidents
face after the gland heals upf"
% think not. The right eyeid has been slightly
nerves run directly through the p,rotid gland and
they have been badly squeezed by the Inflammation,
@ oa and Or DONE hnk yon Would
notice it at ALL
",Upon tho whole the condition of the gland to-
night is very much improvedp
" Yes 1T has never looked better"
Is the wound doing equally welW ~
The wound has not changed much in appear
ance The quantity of pus discharged from it this
morning was not as large as expected, although
utahlew
surface isnow ,comparatively small and growing
smaller, while the Granuating surface is increasing;
If such be the ease the diminished secretion and
the outflow of pus arc natural"
ITO what depth is the wound now open "
" could not get tho cathetor in this morning to
greater depth than eleven inches.
The wound has been open heretofore, has it not,
to a distance of twelve inches and hafi"
Yes, and | am inclined to think that the inch
and-a-half of difference is due to heal ng.n
e Has the process of granulaton been fully rees-
1T is going on slowly. That process tho
last to give way during the partial naniton of last
1t viii however. 60 on rapidIy "nonob as soon as
the glanduar complication is disposed of and the
system begins TO feel the full influence Of the i'm
/ Al of ha bpI
wound is doing as. we'll rs could be expected"
is there anything to be said about the stomach!"
fairly we'll. The patient takes ali the food now
that he ought to have md it seems to be pretty well
| dlgested he had good movement Of the bowels
tins AFTERNOON and all the indications afforded by it
"Yon say that you think the patient has made
slight gain to-day; IN what is 1t nanifestedW
principally in the improved condition of the gland
sion His face has now an expression of ease, quiet
ness anl reposc. which it has not had heretofore
and which indicates better state OF the entire sys
:" Has there been anv further discussion to-day
of the question of removalT
Yes, we have talked il over some, but nothing
| has yet been agreed upon. We shall move the pa
ient of course rs soon as we can do with safety
but in what and TO what point we have not vet
decided | think my own preference is for removal
by rail. buy have not yet given the subject full
urged in favor OF transportation by water. | give
my opinion, therefore, with reserve"
Would not the noise and jar of railway travel be
injurious to tho patient 7"
think can 10 great degree escape both
We have received from a civil engineer, who has ev-
dcntly given good deal of thought TO tho subject
n number of suggestions with regard TO removal by
rail- which seem 10 us pertinent and valuable He
coaches which be obtained, remove the
centre by four ropes fastened at the top
! TO strong sp raj springs which should be
! firmly boltcd to the roof Of the car. Tho
springs, Il propeIy proportoned in strength TO the
weight of The patient and lhe bed, will soften all
jarring 10 make il almost imperceptihle He
suggests further that the DC baasted with bars
of railway iron so that IL viii more smoothly
and with less jumping, and that t be put in tho
front of the train with ,he surgeons next, a pal
third, and the engine last. BY this arrange
nent the Presidents ear would escape all the dust
and smoke and most of the nosc. We should not
of course. run very fast-say fifteen miles an hour
aud II our destination were, for instance, Long
Branch, IL might be necessary 10 stop some where
the road over night. This, however, could be easily
| managed We could take care of tho patient in Il
properly fitted car as well as anyw here else
Can you express an opinion 10 the time which
must elapse before the patient can bc safely moved
| III this wayp
| Not at present II. however he continues to do
as well rs he has done during the past two three
days, the time Will not be very long"
In conclusion DR. Bliss said that the subject will
be more fully considered and discussed tomorrow
Up to this OBSERVATION-DISCLOSURES has been no re-
port from the surgeons room Of any change in the
Presidents condition since Secretary Blaine's dis
patch to Minister Lowell.