The Salt Lake herald. [volume] (Salt Lake City [Utah]) 1870-1909, 1885-03-20
General Suffering From
The Wan Want Of Sleep.
.ovos1s OF THE THROAT
report ss.ss9- tn; @'s5s: in General
Health.

week ne II health and gradually getting
ins s,s ,sllI and though such a report was
stFons ;pg only in the direction of giving
enSs.i confidence that his life might be
some .o and did not in any way in
Pl0iol That the malady from which he
di'a, 'oa fSr could be cured, still it was
Tas s- 5a, to know that the health OF
sa'lI r.nsraI was in condition that en-
the 9I In, to resume some of the occu-
' aottr 81 that engrOssed him before he
Pl'io attseked by what is believed to be a
fatal illness.
., wednesday night the General did
~ .1aen as well as he had done on the
~, i night, and the insomnia
Pi', SIa manifested itself more or less
troQ a.Jov He had also some little pain
lyes 3Ea face and ear. DR.. Douglas, when
ID 'l r,eot, luT from the Generals house
nc nc iI T;gbt said: II cannot say that the
iGassn 1 ra7 much worse, but | am certain
S gsL e moi anv better. His pulse and
t lg are about normal Inc
s .I is still trouble toius:
'iI Il the afternoon Dr.. Brown, OF North
dams 1 Mass, paid a visit to General
e arr,i.G; house and had an interview
9TH uiJ Colonel Fred Grant. The doctor
5ssired TO apply some remedies to the
GI,l throat which he said would
UT-l The disease. The Colonel told the
5 or that the family had decided that
Moss Or, Brown would disclose to the
rbvsicians who had charge OF the case
ne nature and properties of those rene
dos tbey must decline to allow him to
see the General. DR.. Brown refused to
accept the condition imposed and left
the house.
WHAT THE MICROSCOPE SHOWS.
The following account OF the micro
s,opical examination by DR.. George r.
Elliot, of specimens removed from Cen
gal Grants throat will appear in the
MEDICAL Record this week
From the numerous inquiries that
have been made of me regarding my
microscopic examination of the specl-
mems removed from General Grants
throat, and from the great interest
manifested in his case, have consented
to place before the medical profession
the data upon which the diagnosis
rested.
When the importance of using the
microscope to determine the exact
nature Of the malady became apparent,
was invited BY DR.. ]. II. Douglas to
assist him, and be then sent me some
scrapingS from the surface of the sore
on the right posterior pillar of the
fauces. These little particles l carefully
prepared in the usual way and exam
med with the microscope. Little, how
ever, Of definite value could be made
out, because the specimens had, unfor-
tlnately, been allowed to dry up before
they came into my possession. They
we're consequently useless for purposes
Of microscopic examination.
On the morning OF February IS, 1885,
the Importance of further and more
satisfactory investigation was sug-
gested to General Grant, and the neces-
lty OF removing asmall'piece of the dis
eaSed tissue Tor that purpose was
made known 10 him. Consent was
readily obtained. l was then permitted
% see the extent OF the gross lesion, aud
was furnished with Il history of its
Development.
The description given in the Medical
record on March 7, 1885, of the site and
tAIeht Of the disease corresponds with
my iec0lleCtionS of the accounts that
.sCelVed at that time. As there stated,
t Nc area Oh disease was not great, and
' i pillars OF the fauces on the right
slgs were the parts most involved, the
cunning uE1lIg side of the tongue being in
uT ps toa slight extent only.
AL litsll9lnary to cutting off any of the
80. Used tissue, the throat was sprayed
sb1a. a per cent solution of the hydro
, ,1ao.a'e Of cocaine, which allayed, to 9
IA 80. extent, the irritability of the
s-s1seu tissue. A piece about as large
q q small pea was then removed by DR.
II. ~ Mley from the liberated edge oil
.ae posterior pillar of the fauces. The
tbs ,e1el took but moment, and gave
MsI p4uent little discomfort. The speci
rsto. was placed at once in alcohol anC
- -, equal parts, for the purpose Of
rrsooeeulhg 1t. After immersion fol
trsnaly,Ienr hours the specimen was
VbioL te !. to absolute alcohol, in
lo1 l.I 1t was kept for twenty-four hour.
n9Po ., @hen 1t was found possible tt
gsinoI INN sections. The latter were
ssa -TG i. IN order to bring out more
Na me minute component parts
staining reagents used wer,
hamatOO4yion, Bismarck brown, anC
qufnfl tO4ylon and eosine. Subse
gias a ssi;5 these sections were mounted OF
fo Sr-qes !, In Canada balsam.
tom noaa5 mat the tissue examined wa
aOp TSseQ largely of epithelial elements
dise5c,u frequently under the form O
thesa ii 9pules. The cells formin,
ShowsGG Fay in close contact, AMI
anged (; marked tendency to lie ar
This Ist ~ eoncentric globes or NESTS.
chars"st.o.1g:f arrangement of epitheIia j
now TO'ellStc Of that form of cameo
NosIt aS the epithelioma.
ian esr !. the globes were found to b
not wish y stage of formation. l d
diagnosis " oe understood as basing m,
taese globe.o 81 epithelial cancer 1poi
lectop'OTvs or nests only, but in con
Clinical do HI4 other pathological an,
highly s Ga,a ! regard their presence a
he epitbsIinaqI uniformity in the shane q
Iaeinportaanl. elements was another Z
Under e eSsrant findings in the snecin1en
f5Saees Of cell lI- mon; while distinct ev
e Malpig6iapp r,ol1eration were seen i
Fs a q the spit By the l %ooi
mn, iae new cai II indicated tendenc
Nv w. the deeneere n formation to burro,