Evening star. [volume] (Washington, D.C.) 1854-1972, 1881-07-05
URGEON EaiuELr0N OPINION.
All OF the Presidents Sympto
NaTEantia- n Grave Pr0gnOSiS.

SaTEanfsa- n Grave Pf0gaOSis.
N. 7. Sun, To-dIy.I
Dr. Frank X Hamilton. who was called to
WASHINGTON Oh SUNDAY night. to consult With
,s-t esea,
Tie PRESIDENT S physicians returned la
ing. He arrived at 1125 from Washington
nearly az hour late, and drove directly to his
hoUse at 43 West 32i street. Police Captain
Laams vas az the train TO meet him. At his
h h;a Ut. Hamilton said, as he dropped into
his study chair:
'All can say Is that when LETT at O'Clock
Tue PRESIDENT vas no worse than he was this
luOiAipg when arrived at 69. There was 10
eslue nee That he. was sinking; nothing 10 lead
10 suspicion that he was at that THE. he had
oeen vomiting little during the morning. &c
oelng OF greenish Color but In the last three
vi Ioui hours OF my stay that had very much
uituihlsned. The greatest source OF his suffer-
ny mas oeen the pain in his feet aud legs and
u Wy u, GiaoSt the only source OF SUFFERING bIt
curing the forenoon that abated very much. He
appears bright ard cheerful. aud Is prompt and
5ss1y 10 answer any questions He turned over
"IhCut aid In bed to have his wound eX lmlned
ara said the turning over didn't hurt him at
an. me EFFORT OF remaining so for twenty
minutes accelerated his pulse little, but not
more than 1t would the pulse of any pers On.
pefnapS. with hot serious wound.
Ihese symptoms have not the highest de-
gree OF gravity, ard might not of themselves
IN connection with the fact that the ball
seems to have penetrated the liver although
vi tbaU We cannot speak with absolute posi-
uVensss, and that IL remains beyou the reach
OF detection, the symptoms may be fairly To-
terpfeteo, should say, as leading to grave
p1ognosis. The progress of the tDf1am nation
seems to be limited II progressing, 1t is pro-
hea1ly at the natural standard and his pulse
Is not gre atty accelerated.
"haVe you expressed any opinion, Doctor, as
10 the probability OF the Presidents recovery
81 may have done so privately. But 1t h -
oeen the policy OF The gentlemen present at the
consultation to give the facts without any
abatement, and let the world interpret for
themselves. We cannot, OF course, interpret
them for the public. II entertain any per-
sonal views OF the probability OF the Presi-
cents recovery, would not like to state it.
Up 10 the time when l left the President no.
tlced no increasing palor on his countenance
Ills lace is pale, OF course and 1t has a Aaoby
appearance, bit there was nothing In Its ap-
pearaLce 10 denote that he was growing
worse.
"Tympanttes is An indication OF peritonitis
put IL Is also an Indication that patient has
t peer taking morphine. Now, morphine had to
tGat the ty mpanites observed may result from
the morphine. and we cannot argue certainly
rom II as to peritonitis: Dr. Slmms propose1
the making Of an tncision into the ah1Onnina Al
cavity in ORDER to remove the ball and the
material that may have accumulated near It,
NOW Dr. SIMS IL accuSt, med to the removal Of
ovarian tumoIs. He knows just where an
ovarian tumor Is and he can cut iyht down UPON
IL. He also takes very great care that none of
the intesttnes shall escape through his Ina ,ton.
me ease Is very different with this bail, Ii &c
hes In the abdominal cavity at all, we do not
Know exactly whtre 1t IS I5 would have to be
sea1cht for. This operation would e ,essltate
agreat disturbance Of the intestine; PROBABLY
the man would die before the operation was
completed. Inflammation OF the intestinal tuba
arrests all OF it's functions. 1t paralyzes IL the
same as Inflammation paralyzes muscle. The
Intestine cannot assimilate food in the case OF
Inflammation. II yields to pressure
- 1t Is either too early or loo late nov tn
search for the ball. lmme diately after wound
q leg may fe amputated. II 1t Is not ampll.
tdttG then it IS rule Of surgeons to put OF the
ampulau0n as long as o. sSihle. Tue bullet
should not low be searched for. IN a month
or tWo when an access is formed, the surgeon
VIII theh know where the bullet Is, and NAV
cut it cut with Comparatively little danger. To
attempt TO remove 1t now would be c0ntrary
TO all rules OF surgery
The Idea that al Examination may be- mada
lnrcugh Inc WounO, which has been suggestej
IN some u the dispatches, implies an ignor.
ance OF surgery. the wound WAS never mole.
Inc mOulh OF it was hollow about the SIZE Of
the end OF my little finger. The bottom was
visible at the depth OF not over quarter OF an
inch. - 'A'
"W hat was reported as disagreement among
me physicians probably mad reference to the
aecssslty which arose OF reducing the humber
aDliormitp. may say, among the physicians as
10 all essentials In the treatment OF the Presi-
cent: but the consulting board was too large
Tor a sick chamber. There were at least eight
ply s1c1ans In the board before DR.. Agnew ar
llyed 1t was absolutely necessary mat sthe
DON'T think the qualifications of the phys-
ciahS ned any thing to do With the decision "a
10 " no should remain. do rot know who II
was that made the SELECTION"