The Worthington advance. [volume] (Worthington, Minn.) 1874-1908, 1881-07-14

+ 41VASe OO1 ~ - = k0u0k0A RUE I&y8l. and ara
associated Nth unmistakable symptoms Of =
vsry. .9rave character. Extensive wounds Of
Eshsnotrhasls Into the cevity rot thss psritoneum.
which b elnost invariably IL tho hemorrhaae
beprofu.el followed BY extravasation, collapse
':As ~ condition Of the president up % tie
present time has not been signalized by the
grave symptoms 1have enumerated It might be-
reasona6ly hoped that, II the liver 10 tho orgaa
rtds reached q by tho ball. the Part OF that organ
and that it is outside tho cavity Of The pertpue.
place" >s's' i''3' '-'0E'-'
Suppose the injury to tho liver to be but
slight-the tissues Of the liver to be but slight
over?" asked tho reporter:
mo. Even after reaction has taken place
suppuration in such wound as the ono We are
speaking OTIS certain to take place to- greater
or less extent, and Purulent sbsorption or sep-
hc9mis may take place and produce fatal re-
..Is this : possible or probable danger"
: II should say it might bo . possible intercur-
rent complication in this case The reports
are that Gen. Garfield has : fine physique, and
itwo9ld not be 60 probable in the case Of
cedent broken down physique"
"When would such secondary symptoms bo
likely to show themselves:" : -
"From the fifth to the twelfth day."
Then would he be ont Of danger in two
.'Not even then, for prolonged suppuration
might be attended by puruient absorption 1t
any time during the progress Of . suppurative
wound"
:.,' :.When will he be out Of danger. then!"
'sWith the presence of foreign body in tho
system until suppuration had entirely ceased il
could scarcely be said that Ill danger was over,
Ou' IN g,,nsnot wounds II tho aoaom,nal organs
resume their normal functions tho prognoss
then becomes almost absolutely favorable"
''1s it possible that the bullet wounded none
OF the organs you have tnentiOned?"
''By bare possibility, tho mesentery or tho
omentum might be pierced without very dan
gerous symptoms occurring, but such 4 thing
would be almost like that which saw in the
case Of Poole, the pugilist, who received . bull
hemorrllage simply because the bullet slipped
incidentally under the coronary artery"
"What course is the most proper to be pur-
sued in regard to the extraction of the bullet
10 President Garfelds case.
fammation sets in along the track of the gun
shot wound. and generally renders search for
the bullet futile at that time. suggestion OF
Dr.: Wales to search for the bullet by the
gentle insinnation Of the finger soon after the
wound was received was most j'!dicious, and
i properly followed up, might have At that
time discovered the seat OF tue ball Until
Inflammation has subsided along the track Of
the wound and suppuration shall have freely
set in, interference in regard to the search for
the ball would be contrary to established
rule"
"Might the hall remain in the system and be
harmless?"
Eyes. Bullets remain encysted among the
Tissues and at times remain harmless. as oc-
CURED in the case Of Poole to which just re-
ferred. He lived eleven days aftcr he vac
shot, an the ball was found to be entirely en-
velol ed in cyst without the slightest degree
of s1ppurstion."
''Then what killed Poole?"
"Poole died of Inflammation Of the pericar-
the pericardium.
swell, DOCTOR" said the reporter, '.if you
balance the chances, is it more likely that Geu.
Garfield will live or die?"
Il should say to th.t," replied DR.. Car
nochan, ''thathaving escaped 50 far the grave
symptoms which l have just enumerated tho
chances IN favor OF his recovery have greatly
increased"
DE. AGNEw's OPINION
DR.. A. hayes Agnew Was found at his coun-
try seat at Harerford station, on the Pennsyl-
vania railroad, this evening, aud courtcously
interviewed By the Herald correspondent The
bulletin sent him during the day by the four
physicians in attendance at tho White House
was read over by DR.. A3now with groat care,
and he pronounced tho symphonic 40 hourly
In the evening papers up to o'clock, be said,
confirmed the hopes expressed in tho earlier
message to him.
''The absence of any further distension of
the abdomen the disappearance of the pains
idents strong system is -easserting itself are
oil too gratifying to be passed over without
comment" said the humsne physician II am
avorse to limiting at the new dangers that
threaten the patient, because tho newspapers
AnE >IA s>>A- - u
alarming ease Everybody reads the newspa-
pers about the White House. found them,
actually. in the sick room. Therefore. think
1t wise not to talk about the dangerous way
marks that stand 1t intervals along the
fo.d tsnt to recovery Consideration for the pa
ing TO see the effects Of the future stages Of
the wound ,all Of which are natural and likely
to artse) that the progress Of the patient eau be
constantly assisted. For Instance, the favor
far more clearly than the natural action OF the
bowels that the intestines have not been sew
cred, because had the stomach or an intestine
been cut death from blood poisoning would
have occurred ere this do not regard the
search tor the ball Is wise at this stage. and do
ed. DR.. Degraes, OF Georgia. was the first to
propose the heroic treatment suggested by DR..
6imms in the Herald; but doubt very much
II the London surgeon would have
pursued that course under al cir
know exactly where that ball is lodged. I in-
serted my huger to its full length into tho
wound, far past tho broken rib; still cannot
say where It ia I can surmise; but who would
dare to cut patient open on . nero gness?
Wherever the ball is there exists cot of
blood which nature or science must eliminate.
had great number of cases during the war
quite similar to President Garfield's. some t,f
whom recovered. Therefore, bis case is not
hopeless, although in the great majority of in
stances fatal result follows The tinsling in
the legs is not serious symptom as might bo
inferred, especially since MI. Garfield moves
his legs readily. He turned over on bis face
readily to permit us to examine his wound'
"What 10 the exact location of tho wound?"
1T is on tho right side. four inches from
the spine, replied DR.. Agnew. "The missile
entered between the tenth and eleventh ribs.
the latter being broken. From :he exterior
appearance Of the wound tho presumption GER
tainly would be that the liver has been trav-
lower part Of tho abdomen. Either case would
be equally dangerous"
"Mhat are TO great symptoms In his favor:"
First OF al. the evidences that are conclu-
etve to Physician's mind that none Of tho
uninjured. The growing desire OF the patient
Tor more nourishing food (which he has evincetl
especially to-day. I am informed) indicates tho
return OF normal action on the par: Of the
stomach When saw him Mr.. Garfield gave
many evidences Of . herculean constitution
and great strength Of mind uuder trying or
deal he had no sdvice or suggestions u give,
bnt was, tn short smodsl patient Ihave d.
ready AID ofdcially Expressed my approval OF
the treatment prior to my visit to the White
House. II no acnto symptoms Of peritonitis
OF tho presidents recovery Vii perhaps be-
quite even"
The guarded manner In which tho fanoue
physician spoke showed clearly that he still
had grave doubts ~ to the recovery OF tho
wounded president -',,
soME WORDS FROM pErcHrR.
NEW 1oa1, July 4.-Rev. Henry Ward
VeScehlcr: y his prayer meeting, referring 70