Little Falls transcript. [volume] (Little Falls, Morrison County, Minn.) 1876-1894, 1885-03-27
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Ewo Leading Medical Journals Give R..
ports and Comments upon the Generals
| Condition. II s*z
New York, March 10 After his visit to Gen
Grant tonight DR.. Douglas said: .sa.
| The general slept seven hours continuously
last night. He was very well through the day.
| He asked for roast mutton, and ate it during
, the afternoon and evening The general revised
enough Of his books to keep the printers busy
three daya When left him tonight he was in
cllned to sleep. The patients throat looks bet
| ter this evening. Ithas not the angry appear
| ance it has had There was CATARRHAL diff
Guilty in the morning that caused gagging, but
! no bad results Cocaine is not now being used,
and there is no pain There is mental occupa-
ton that renders the general waksful
MORE MEDICAL LORE
! The following will appear in the Medical
Record Oh Saturday:
During the past week the local disease OF
Gen. Grant has shown no marked tendency
| toward progressing liberation. At the recent
weekly consultation Dr.. Focdyce Barker was
nnavoidably absent Drs. J. Fl. Douglas,
Henry B. Sands and George F. Shradv, who
were presant, made thorough examination of
the generals throat with view of discussing
the expediency of surgical operation for the
removal OF the growth. Such measure would
involve the division of The lower jaw in the
nedian lne the extirpation of the en- tire ton que
and the greater part of the soft palate, TO-
| Sether with the removal of the liberated
| and inflvrated fauce5 and lnduratcl CLAN
ular structures under the right angle Of
| The lower jaw. This was considered mechan-
ically possible, despite the close proximity
! and probable involvement OF fissues adjoining
the large arteries ana VEINS in the neighbour
hood of the ulcersuen; but in the best interests
# = at, <Ioc
moi feel inclined to recommend the procedure.
Even by such means there could be no guaran-
! tee. in view Of the extensive surrounding in
filtration, that the limits of the disease would
BE- reached without immediate risk to the life
! By a severe shock to the constitution already
! that for the present, at least no kind
Of operation will be undertaken The
alteration on the side of the tongue has not
progressed far enough to produce the usual
ntolerlbie pain reported with that condition;
: Int should the latter symptoms appear it ma Y
ba advised to divide the gustatory nerve. Tic
general tone OF the PATIENTS system remains
about the same at last reports, notwithstand-
ing he has suffered much from insomnia. The
latter, within the last day or two, has been kept
under control by suitable anodynes. There is
! 90 pain in swallowing, and sufficient food is
taken with reasonable relish.
i PHILADELPHIA CONTRIBUTION
The Philadelphia Medical News this week
will say elitorially, concerning the disease
from which Gen Grant is suffering:
I Llngual aplthellcDta, as a rule, rapidly pro-
crosses toward fatal TERMINATION when left to
itself. The life OF the patient from the first
| appearance OF the disease, varies in accordance
with the estimates of different observers from
tive to thirteen months, the average being sew
On months. Death ensues first from genersl,-
cation OF the disease; secondly, from tho in-
halation OF putrid emanatioDs which result
from decomposition OF the products of the Ill
ccrated surface; third, from starvation through
the pressure of initrated lyn,phatic glands
Ind surrounding parts upon the nsophagus,
thereby interfering with deglut1. n; and
, lastly from hemorrhase proceeding
from liberated lingual arteries or
vessels of the neck. Tho duration Of the life
/ Of those who survive IN operation averages
nineteen months. Not only does operative i'll
but it effects u cure in IA per cent of ali cases.
In obtaining these results it must be renepl-
bered that the lnclson Of tho tongue is attend,
ed with q mortality Of % percent, the pril,-
cipal dangers being the shock hcmorrhage,
ndima Of the CLOTHS, septic lung affections,
plcatumone, Or erysipelas--sOme Of which risks
! can be- avoided by taking careful precautions
during the operation and by perfectnlS antsep-
! tic measures during and after the procedure.
When in addition to disease Of the tongue it.
| self, the palate and ,onsits are involved, and
prognOsls is far more graye.-whcther the dis
ease shall be permitted to pursue all unaided
course or whether il shall be subjected to the
: knife In the latter event not only will the
tongue have to be extlrpated but disease Of
/ the palate and tonsils have to be reached So
far as wo can learn, there is no example OF the
performance Of double operation on record,
anditis, in our opinion, not unsuitable.