The Indianapolis journal. [volume] (Indianapolis [Ind.]) 1867-1904, 1885-06-26
GEN. GRANT OUT OF DOORS.
The Patient Spends Most Of the Day
with His Family on the Piazza,
1ndulging in Frequent Conversation by Means
of His Writing Tablet-The Medical
Aspect Of the Generals Case.

MOUNT McGREGoR, June 25.-At 1890 o'clock
last evening, when DR.. Shrady strolled down
to the Grant cottage, where he was a guest for
the night, he found General Grant doing. The
General reused up, however, when the Doctor
entered, and spoke to him about certain articles
of diet, explaining that he did so then lest he
should forget to mention it before the Doctor
left. At IL o'clock the General was sleeping.
He continued to sleep, with slight breaks,
until 2 o'clock this morning, when DR..
Shrady attended him. The patient
was coughing to clear his throat.
He was relieved at once by a saline solution with
carbolic acid, after which cocaine was applied
and the General again went to sleep. AT I o'clock
he was aroused. DR.. Shrady was up at 9 o'clock,
and as he entered the sick-room, hat and cane in
hand, the General glanced up and asked: "Are
you up already for the day, Doctor9'
"Yes, and going out to enjoy the air and seen
cry" was answered.
Pm glad you do; but there are two or three
hours sleep yet this morning for me-" added the
General, as he settled back in the pillows, which
were being beaten up afresh.
When the Doctor entered, at 9 o'clock, it was
believed that the patient had slept eight hours
since retiring, twelve hours before.
The day has been spent by General Grant,
practically. out of doors, with Instantly, upon
the piazza. The General to-day conversed much
in writing, not a little having reference TO him
self and his treatment He said that within two
weeks he has increased his food two eggs
per day. This morning, for instance,
the General received food between 5 and 6
o'clock. and at 8 o'clock he again felt a desire 10
eat, and he again partook of beef, eggs and milk.
On the point of his continued suffering, the
General expressed himself to-day. He said he
felt that he was tiding along about the same to-
day as yesterday, but the time was passing very
slowly. He has learned, and to day remarked
the fact. that the cocaine is powerless
until the secretions of mucus shall first have
been washed away. Some friends thought that
wine would be useful as a tonic, but the General
has expressed himself as having no desire for
stated that his greatest difficulty at present was
with his breath. 1t is believed that the General
can scarcely breathe through the nasal passages,
owing to accumulations Of mucus secretions in
the back part Of his head. The General
fully appreciates the fact that he could not
sleep without the use of morphine, and knows to
a nicely the quantity that is given him nightly.
Last night. for instance, the amount was six
minims. Having received the quantity at any
time, the General fixes his will upon sleep, and
w coNtCCuo III dAuku Nv IL " uO ~
the sick mans stubborn will seeming to play
about equal parts in securing sleep. During the
afternoon he was once more photographed.
AT 3 o'clock the General was put to bed, Drs.
Douglas and Shrady being present. Six
minims Of morphine were given. DR.. Shrady
thought the mucus secretions had decreased in
twenty-four hours. There had been very little
coughing during the evening. The voice was
doctors thought, at 10 o'clock, that the General
would pass a quiet night; but at that
hour a messenger came from the cottage to the
hotel and summoned both DR.. Douglas and
Shrady. The patient himself had sent for them
quite hurriedly. The physicians repaired to the
cottage, but DR.. Douglas returned in ten minutes
to the hotel, where he lodges to -night, DR.. Shrady
soon after retiring at the cottage. On his
return to the hotel DR.. Douglas said the sum-
mons implied nothing of moment. The General
had desired DR.. Douglas to clear the passages
of his head. This was done speedily, and the
Doctor said the General would, without doubt,
pass as quiet a night as any since coming here.
At midnight, all was quiet"
MEDICAL ASPECT OF THE CASE.
DR.. Shrady to-day telegraphed to the Medical
Record, for its Saturday issue, the following
official bulletin of General Grants condition:
1.-THE progress of the disease from which
General Grant is suffering is, barring accidental
complications, slow. Comparing the condition
Of the patient with what it was q month ago,
the changes which have taken place can be APP
preciated. Taking this period Of time into con-
sideratiou, it can be said that the swelling under
the angle of the lower jaw, on the right side,
has increased, and has become harder and more
deeply fixed. 1t has shown a tendency to
progress in a direction downward and forward
upon the right side of the neck, the %infltra-
ton extending to the neighboring glandular
structures. The lancinating pains in those
parts. although, fortunately, not frequent nor
severe, have a significance which cannot be
ignored. The liberation on the right side Of
the base Of the tongue has become deeper and
more irregular, although it's superficial area has
not perceptibly increased. This is the seat of
the pain occasionally in swallowing. and when
certain examinations of the throat are made.
The destructive process on the right side of the
uvula is apparently quiescent, although a new
portion of the margin Of the palatal curtain
is showing a tendency to break down. The voice
has been reduced to a whisper, due partly to in
fammatory Involvement Of the vocal cords and
partly to nervous action of the latter. There is
some impairment of general strength and some
loss in weight, although the appetite is un-
changed and the usual amount Of nourishment
is taken. The removal to Mt. McGregor has, so
far, proved beneficial. 1t has enabled the patient
to recover lost ground, and thus in a measure
has counterbalanced the effects of his local NAL
ady."