Butler citizen. [volume] (Butler, Pa.) 1877-1922, 1881-09-28

majority shall then be printed in the
same manner as the previous. Copie:
of this shall be furnished as before anC
shall be interlined as before At anoth
er conference this second commentary
shall be submitted and criticized and
the report as then agreed upon by {
majority of the conference shall stand
as the autopsical record of the case
and shall be as such published.
RESULT OF THE POST MoRTEM
The following official bulletin was
prepared at II tonight by the sur
geons who have been in attendance
upon the late President:
BY previous arrangement the post
mortem examination of the body o
President Garfield was made this after
noon in the presence and with the as
sistance of Drs Hamilton, Agnew
Bliss, Barns, Woodward, Reyburn
Andrew II. Smith, of Elberon, ant
Acting Assistant Surgeon D. S Lamb
of the Army Medical Museum, Wash
ington. The operation was performed
by Dr. Lamb. 1t was found that the
ball after fracturing the right eleventh
rib had passed through the spinal col
umn in front of the spinal canal, frac
turing the body of the first lumbar
vertebra, driving number of small
fragments of bone into the adjacent
soft parts and lodging just below the
pancreas, about two inches and hall
to the left of the spine and behind the
peritoneum, where it had become com
pletely encysted. The immediate cause
of death was secondary hemorrhage
from one of the meseDteric arteries ad
joining the track of the ball, the blood
rupturing the peritoneum and nearly a
pint escaping into the abdominal cavi-
ty- This hemorrhage is believed tc
have been the cause of the severe
pains in the lower part of the chest
complaining of just before death An
abscess cavity six inches by four in
dimensions was found in the vicinity
of the gall bladder, between the liver
and transverse colon, which were
strongly interadherent 1t did not in,
volve the substance Of the liver, and
no communication was found between
it and the wound A long suppurat-
ing channel extended from tie external
wound between the loin muscles and
the right kidney, almost to the right
groin This channel, now known tc
be due so the burrowing of pus from
the wound, was supposed during life
to have been the track of the ball. On
examination of the organs of the chest
evidences of severe bronchitis were
found on both sides, with broncho
pneumonia of the lower portions of the
right lung, and though to much less
extent of the left. The lungs contain
ed no assesses and the heart no clots
The liver was enlarged and fatty, but
free from assesses, nor were any found
in any other organ, except the left
kidney, which contained near it's sur
face small abscess about one third of
an inch in diameter.
In reviewing tho history ofthe case in
connection with the autopsy, it is quite
evident that the different suppuratine
surfaces, and especially the fractured
spongy tissue of the vertebra, furnish
sufficient explanation of the septic con.
dition which existed.
ID. w. BLISS,
D. X. BARNES,
j. j. WOODWARD,
ROBERT REYBURN,
+. III. HAMILTON,
ID. HAYES AcNEw,
ANDREW II. SMITH,
d. s. LAMB
The autopsy of the Presidents body
commenced about five o'clock and was
not concluded until nearly s. A large
crowd OF persons assembled at Elberon
to hear the result DR.. Bliss stated
the autopsy had been very tedious
one, and that the time occupied in
searching for the ball alone was nearly
three quarters Of an hour The doctor
said Mrs. Garfield was feeling much
relieved since the autopsy, inasmucf
as it resulted in establishing the fact
that the patients death was inevitable
The doctor stated further that the
point Of the ball was somew hat blunt
or in battered condition, caused by
the force with which 1t struck the rib
while in other respects its original
shape was not altered. DR. Bliss took
charge Of the bullet and sealed it for
preservation until the courts should
require it's production.
The State Of New Jersey has issued
n permit for the removal of the body.
NO INQUEST HELD.
There was considerable discussion
over the subject of holding an inquest.
The Jersey law, it seems, il very EN-
phatic on the subject, not only in re-
quiring an inquest but in refusing TO
receive death certificate from ply
sicians not registered in the State
The attending physicians. Drs. Agnew
and Hamilton, have not license tC
practice in New Jersey, and therefore
cannot give certificate Of death which
can be accepted by the Assessor, who
acts like the Board Of Health A law
ph5S'b pN ti' J'"i
made it an indictablc oi1cnse for any
physician to practice without first filing
u copy Of his diploma with the County
CLERK An instance where physician
failed to file his diploma came up BE-
fore the grand jury in the October tern
of Monmouth County Court in 1880
The physician was DR.. Kinmouth, d
resident Of Mansquan The CRANE
jury found an indictment against bin
for not filing n copy Of his diplomt
with the county clerk, but the ply
sician was discharged because the fore
man of the grand jury failed to attacl
his signature to the Indictment
Attorney General MacVeagh wa
strongly opposed to an inquest, ant
after considerable trouble succeeded IL
arranging matters so as to avoid it.
THE PRESIDENT AFTER DEATH.