Savannah morning news. [volume] (Savannah) 1868-1887, 1881-08-31

SECRETARY LlHcOtu hdlQ Inere was no ma
teT1al change from Yesterday, and there did
not appear to be any unfavorable symptoms
developing.
General Swain continues sanguine. He
said at nine O'Clock that the patient was
moving on towards recovery slowly, but, in
his opinion, surely.
ANOTHER TALK WITH DIR. BoYNToN.
Late this evening a representative of the
Associated Press obtained the following
statement regarding the Presidents case
from DR.. Boynton, Mrs. Garfeld's family
physician. The Doctor said:
"Were it not for the advent of septicamia
in the Presidents case, he would now be
convalescent. The stomach trouble of two
weeks ago, the glandular complication. the
stupor and delirium, the rapid pulse, the
loss OF strength, etc, were all due to this
cause. The wonderful vitality of the Presi-
dent enabled him to overcome ali the dan
gers and complications attending the wound
prior to the occurrence of the blood
poisoning. In his case septicemia had un-
dermined the very foundations of life, pro-
ducing a condition much resembling ty-
phoid fever, attended with stupor, delirium
and great prostratiOn. The processes of df-
gestion and assimilation had been
pretty much arrested, so that, al
though he partook of sufficient
ly emaciated and exhausted. His blood
besides being vitiated by the absorption of
septic matters, had become more and more
depraved on account of the failure of the
system to assimilate food and transform 1t
into blood. The President has been laboring
under the influence of this blood poisoning
for some time, end during the past week it
Became evident that unless a favorable
change soon occurred his vital powers would
n TN-s, I
the better was noticeable, the first indica-
tion of 1t being an abatement of the stupor
and delirium. This was followed by the ap-
pearance of other favorable symptoms, which
indicated that blood poison was being
eliminated, and that his system was making
an effurt to rally from the terrible depres-
sion caused by the septic@m mia. The prob
lem now was to sustain his strength until
nature could further eliminate the poison.
The President was weaker on Saturday than
at any previous time, yet his condition
was less critical than on the two preceding
days. On Saturday it was more struggle
with exhaustion, the cause of the ex-
haustion having to some extent been re-
moved, while on the preceding days the ex-
haustion was nearly as great with no appar-
ent abatement of its cause. II the blood
poison continues to be eleminated
and no more septic matters are absorbed,
the President will slowly but surely regain
his strength. In his present condition it is
not impossible that there may be further
absorption of the septic matters, bringing
with 1t serious complications, but it is conf
IDENTIFY hoped that such will not be the case.
No irreparable mischief has occurred to
any of the vital organs, and his recovery is
more than probable.
"As the processes of digestion and assimi-
lation become more fully re established bet
ter blood will be manufactured from the
food, which, as it circulates through the sys-
tenn, will stimulate to more healthy action
all the functions of the body. The pro-
cess of repair in the wound, which is
now at complete standstill, will be re-
established. The discharge of pus, which
has almost ceased, will again become nor
NAL as to quantity and quality. Granulations
will spring up and the wound will rapidly
heal. The. glandular trouble, although
IT suit Of the septic and depraved coudi
tion of the blood, became not only an an
noying but a dangerous complication, and
Its subsistence was very important element
in bringing about favorable change in the
Presidents condition"
In answer to the question as to the diff
ference between septic@mia and pY@ mia,
the doctor stated that the same condition
of blood poisoning ia 8 patient might be
pronounced py@mia by one physician and
septic8mia by another, but that in all
cases seplcemia preceded pyemia; that
septic@mia could aud did exist in
dependent of py@mia, but that py@-
mia had no existence independent
OF the septice mia, and that, of necessity,
the two condition often existed simutane-
ously in the same patient. During the
course of septc@mia, thrombi of the veins
sometimes occurs. Emboli produced by
such thrombi are carried by the nervous
blood to the right side Of the heart and,
through the pulmonary artery, to the lungs,
where they form what are known
as metattatic assesses. On the
same principle these assesses are some
times formed on the liver. spleen and
other portions of the body. If such state
of things occur the case becomes one of
typical py@dlia. If this clinical distinction
between the two diseases be accepted as
true, the President is suffering from
septic@ mia, and not pY@mia, for
In his case there have been no metastatic
assesses. The abscess In the parotid gland
is not supposed TO be metastatic abseess
"What l have described as septicemia
would no doubt be called by some physi-
clans chronic py@mia." The Mansion was
closed about eleven O'Clock, at which time
the patient was quietly sleeping.