New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1881-08-21

parayze the muscles of the rectum go as TO intrfere
"ion regular movements of the bowels; that state
neht Is simply nonsense like so many others made
Wy noh-professonal, and, am sorry to say, by pro-
iessionai men who ought TO know and who do know
oeV'er they know perfectly well that men with
diseases OF the stomach have been sustained
hrty ana forty days by enemata. until they
were well, without any bad effects AS a matter of
iacI the PRESIDENT has natural movements of the
bowels from time to time. There is no trouble
'here nor is there apparently in the stomach that
seems to be settled and ready to perform its accus
TONED functions. Nor does the Inflammation of the
p'io'io giand give us any uneasiness, although it
ahhoys the President. Did you ever have the
niuhpsf That Is the gland that swells YOU know.
ana you remember how disagreeable the swelling
was Juso under your ear. You had great difficulty
win ohe piiiegm in your throat it was obstructeh
by the swollen gland The President has the Same
trouble; he coughs it up however and spits il ont
with httl difficulty. But the swelling has copo
oown considerably and will disappear after while
NOW about the wound. This discovery made yes-
terday morning, rather completed then was not
very surprising, although the depth of the channel
was greater than expected to find it. We knew
all along beyond the three or four inches that we
could see of the wound there was pocket or some
thing that contained pus. We knew that because
when we pressed gently the abdomen, in the
lilac region, pus issued from the inner portion Of the
wound the Outer portion, having been dis
charged, was cleansed. We knew that there
was pus somewhere beyond the slight
oart'er separating the inner and outer
halves of the wound. For some davs I have
been trying to what it was that interposed be-
tween our eyes and the inner portion Of the wound
and what was beyond it. Very gently at each
dressing have with delicate Instruments striyen
to pass the barrier. l soon found that it was a
cellular tissue fixed in the channel of the vound
as TO act as valve which swung outward but not
inward 1t opened readily TO give the pms egress
but il did not open readily give our drainage nbe
or the cathcter ingrcss. tried in every way imaC-
Unable TO get il out and at last with two peculiar
Instruments succeeded. 1t was at yesterday morn
lhgs examination we observed, after the ou.er
portion of the wound had been cleaased
a small quantity of pus-white pus of the
healtlnest kind-oozng forth from beyond
the valve. Extracting the latter we introduced a
rubber catheter. thin ana flexible which penetrated
a depth of between twelve and thirteen inches
We had found the inner end of the track of the
wound. it dld not enter the abdominal cavity be-
cause 1t did not pass the pertoaenm 1t travelled
down through the body in the course OF the bullet.
30 far as We know ii touched nothing Ii
would not touch the bullet. That is probably en-
cysted beyond the innermost point of the track
an inch or more. Our way to it, however
is tcerably clear. We may look for
1t with the electrical probe We have not talked of
1t as yet but ii il quite possible There is no imme-
dlate reason for the extraction of the bullet Ii is
making no disturbance What have we gained by
this discovery We have q certainty where We had
an uncertainty. We know what was behind the
valve, and there = "a it nothing but announcement
for us. Behind ire yive the rest OF the track
confirming oor dia rno-is, suppurating and granu-
lating in healthy manner and healing, as a matter
of course"
Did that valve dana up the pms matter so that it
was unable 20 esr7oe IN sufficient quantity, and was
ths pns absorbed into the systerl cGnsng pylia -
No, il did not. In the first place you must
remember, what many forget that pyemia
IS caused by the absorption not of pure, healthy
pus-that is not abSorbet-but by the absorption OF
the products of the decomposition of pas. Now the
pus contained in the inner portion of the track sup
posing it TO have been damned up by the valva
which WAS not the case, could not have caused
pyGmia, because il had never been exposed 10 the
air. and hence had not decomposed. Bat there is
not an inch of ground upon which to build up a
pycnia theory The rus matter discharged from
the inner portion of the wouad has been uniformly
better than that from the outer. There can
be no pycmia under such conditions These
men who talk of pyGemja every time n
buletio comes out talk nonsense. They have never
seen the patient they know nothing OF his symp-
toms>~~N hey know anything, they know the symp-
toms of pyTmia very marked. They know that
the formation o. little pus cavities in the lungs The
liver and other portions of the body is accompanied
invariably by peculiar fever a dedth-ke pallor a
fading out of the lines of expression a Swo.tish odor
of the breath and other equally we-defned symp-
toms We know that these symptoms have not an
pcGrcd in the present case. How absurd, then 10
talk of py1mia. Others speak OF septic1Ina;
tho difference between the ty0 is rs
great the difference between scarlet foyer
and measles. We do not the symptoms Of either
in the President. Now anybody may be in a septic !
condition; YOU and are very often. Tho blood is
in bad condition; of the organs do not operate
naturally; Our bodies are covered with eruptOns
our glands are inaamcl and swolen-but we are not
affected with either pyemia septic@nia. Neither
is the President. Draw the line-a wide oae-be-
tween the two diseases. and between them both
and a septic condition OF the system. You can dis
'ingush all these with if you are a physician.
Take great hospital with thousand or two thou
sand cases and staff of twenty surgeons. Half
dozen men are brought n This one has pye-
mia. You see that upon very brief inspection.
There is one thing about this discovery. We are
able NOW to cleanse the wound throughout its ell
tire extent Thus we free pus which otherwise
might remain lodged in angles OF the track. You
see the wound is not straight channel with even
sides The bullet, lattened on the RIBS went saving
ts way into the body and its course is more OF less
jagged this account. We get ROW
at every portion of the wound, and get
ont in consequence every particle of the pus The
wound is drained and cleansed from mouth TO bot
tom.
OFFICIAL BULLETINS.
J..