The Portland daily press., 1881-09-19
yesterdav,s Historv Of the case.

Yesterdays HISTORY or tne Ease.
There were great fears early this morning
That That's rsi sNs WApd The attending surgeons
ordered applications of hot cloths, which
proved successful treatment. There were in
dications of cooling of the extremities, but the
hot applications brought an increase Of tenn
perature and the GOODNESS gradually wore away
without producing chill. Had rigor oc
CURED this morning, it is thought it would
have been very serious one as the patient
home tonight and will return Tuesday. Col
Corbin also left this evening for Washington
With the exception of the renewed efforts en-
ployed to keep the temperature from falling
below the normal range, the day was unevent
full. Notwithstanding the comparatively favor
able condition of the patient noted in the
evening bulletin, however, in less than an
hour after its issuance another rigor occurred
lasting about ten minutes. In comparison with
the one yesterday, it was light, though. as DR.
Bliss remarked tonight, it was severe enough
Statements of Drs. Boynton and Bliss
DIR. Boynton tonight said: 81 do not think
the low pulse and temperature of last night
and this morning favorable indications. The
low pulse and temperature, sound sleep and
freedom from cough and expectoration are
indications of a very low state of vitality and
cannot be considered favorable symptoms. II
he grows stronger, there will be a rise in pulse
and temperature, and his cough and expectora-
ton will return.
AS to the cause of the chills, it is possible
they are merely the reflex of the Presidents
low state of vitality, but in all probability
they are the result of the suppuration process
going on in some part of the body. Probably
there is an extension of the lung trouble. The
abscess in the right lung is what we call a Sec
ondary abscess. 1t occurs in the course of
blood poisoning, or rather as a complication
. 1t is one Of the most frequent complications of
chronic pyemea 1t begins as lobular conges-
ton. Each lobule of the lung is about the
size of pins head. A number of these lob
ules become congested, and after time sup
purate and form as many small Assesses By
and by this congestion extends to surrounding
lobules, which, in turn, suppurate, forming
other small abscesses If the patient lives
long enough, these minute assesses open into
each other, forming pus sacs about the size of
a hens egg. That portion of the lung con-
tanning assesses becomes consolidated, or he
patiZed. A portion of the Presidents right
lung, reaching MP to the sixth rio, is now con-
solidated 1t is not true that stated last
Bight that the Presidents case was hopeless.
l said his case was extremely critical, but NOT
hopeless. My opinion tonight is the same as
last night.
For several weeks he has at times made sat
isfactory improvement, but in each instance
the improvement has been followed by relapse,
which has left him on a lower plane of vitali-
ty than before. This feature of his case is pc
cular to most cases of chronic pyaemia. The
President has a wonderful constitution, but it is
doubtful If it is sufficient to carry him on to
recovery.
DIR. Bliss said the chill this evening was of
about ten minutes duration, and was what
might be called quite chill. The President is
suffering considerable from its effect. No vom
iting occurred aud the patient experienced a
reaction imediately afterithe rigor subsidized by
the appearance of fever. The doctor said the
rigor may have been due to local causes, but if
So they were not manifest. 81 Think he said
'fthe recurrence due to the enfeebled condition
of the patient. The depraved condition of the
fluids, together with local sores are sufficient
TO produce chills if he is not repairing. and it
Is evident he has not repaired any
during the past "a hours but has merely
held his own. 1t is probable another chill
will occur during the night The dulness of
the lung has not extended The coughing has
been very slight to-day. 1t is reasonable to
expect the recurrence of rigors every twenty
you on the outside have no idea of it,
DIR. Bliss admitted the situation was very
critical but said there is still a chance for his
recovery. During the afternoon Gen. Grant
made bis daily visit to Francklyn cottage.
Administration of Defbrinated Beef
Blood.
LONG BRANCH, Sept. 1S-Dr. Bliss yester-
day explained a new treatment which had
been commenced last night, which, it appears,
H''o DSSoiAiO AOOoocdIy lIom tuo 4 iOciuOAp ~
creased loss of vitality, and which, is now in
such low condition that the food taken by
the stomach has ceased to assimilate properly
or at least sufficiently to overcome tue waste
which is going on. The new treatment is the
administration of defbrinated beef blood by
enemsta. The blood is procured fresh every
morning from New York abbatoirs, and
whipped until it is entirely free from the fib-
rine or stringy part of the fluid. This process
also prevents the danger of its becoming clot-
ted. "What effect do you expect this new
treatment to have, DOCTOR" was asked.
"Well," was the reply, sit is good nourish-
ment, and may purify the blood to certain
extent" "Willit be brought here daily?'
eyes, we will get it fresh every day."
Attorney General Mcveagh's Despatch.
LONG BRANCH Sept. 1S.-The following was
cabled to night:
To LoaoeH, Minister, London:
The President passed comparatively quiet
and comfortable day, but this evening he had
onother chill, of less Duration than that of yes
terday, but sufficient to increase the very great