Semi-weekly south Kentuckian. [volume] (Hopkinsville, Ky.) 1883-1889, 1885-03-27
GEN, GRANT.
Review Ct His Case From a Med
ical Standpoint.

ical Standpoint.
New York, March lJ.-The follow
ing will appearin the Medical Record
March 81;
During the past week the local
disease of Gen. Grant has shown nc
marked tendency toward progressive
liberation. At the recent weekly con-
sulalion DIR. Fordyce Barker was
unuvoidably absent. Drs. }. II. Doug
las, Henry B, Sands aud George +.
Shardy, who were present, made Il
through examination of tho generals
throat, with view of discussing the
expcdiency Of radical surgical opera
tiOn for the removal of the growth.
Such measure would involve the
division of the lowerjaw in a median
line, eXtiIpatiOn of the entire tongue
and greater part OF the soft palate,
logrthcr with removal of the ulcera-
ted aud intillrated iauces and indura-
ted glandular structures under the
right angle Of the lower jaw. This
was considered mechanically possible,
despite the close proximity and
probable Involvement of the tissues
adjoining the large arteries and
veins in the neighborhood of the
alterations, but in the best interests
OF the distinguished patient the sur
gGons did not feel inclined to recon-
mend the procedure. Even by such
means there could bo no guarantee,
IN view of the extensive surrounding
iniiliratiOn, that the limits of the
disease could be reached without
immediate risk to his life by a severe
.hock to his constitution, already
much enfeeblcd. The low vital
power is such strong element in
the decision that for the present, al
least, no kind of operation will be
undertaken.
Liberation on the side of the tongue
has not progressed far enough to
produce the usual interlable pain
associated with that condition, but
should the latter symptom appear il
may be teemed advisable to divide
the guslaiory nerve. The general
tone Of the patients system remain,
about the same rs a: the last report
Notwithstanding he has suffered much
from insomnia. The latter in the
last dav or two has beeu kept under
control by suitable anodyne. There
is M pain in swallowing, and suflici-
cnt food is takeu'ewith. .Lreasonable
relish.
AN0THET ACCOUNT.
The Philadelphia Medical News
this week. will say cditorially con-
cerning The disease from which Gen.
Grant is suffering:
MNGuAL EPITHELIoMA.
as a rule, rapidly progresses towards
fatal termination. When leitto itself,
the life OF the patient from the first
appearance of lhc disease varies, H.
accordance with the estimates of Ih'
different observers, from 1913 10 10
months, average being III mouths.
Death ensues, first, from gcncraliza-
ton of the disease; secondly, from
SP'io pne"'lioi''a ,i iion' ,ne ~, in'"io ,,n'.,,
from the decomposition Of the prod
ucts Of tile liberated surface; thirdly,
from starvation, through pressure
,"iG''ou I on .,1 "pna'n"''u sn""us, w.
""u h..',D su, ,o"" ,nnn' in,onco,.;n p po" ,v;,I
usopnSS"s' sneiop! ,n'V,o,s ,,i' '. WV"
uvs,u''''on, "nui 'a'''y mo" ,'e,.','. mo,io,
rhasc procecu'ns run u'eo.".eu ",
llnguraa IA ar'eIies vi ,he Vcese's a, ,, ~ 'ne e
heoh' % @ lhc uuias,on i VI '"o l.e y,
ailose ~ who surviae '.,,,, ,hc oSe,a..2n ,.I
aNc'nSes niuc'ven '',o.'ua' ] wv on,!
@ uoes ,nc ,r oieI"'..u "; ,''',cnonuo ,,,,.,'i Pio
ions iic anu 'eiieNe sHunneiins ou.
y !, eilec's Heels d hna' curc III A'per 0e"'' VI
" IN na,,s;,;,o,loso rosuIts u m,s,
howovnr ba ssmemhered tho incision
of the tongue is attended with NOR.
,aI;,v oT oS nor cont Tho nrinc;nal
Iangers he,nw a shnck hemorrhav.
oS t6e mJeme of Tho glnt,;s sam,i,.
Inng a,fections nvmmia and ervsinc-
las Some of whicI, riskscon hn .voidcn
Nv taking careful precautions during
,Ie "nes,tion and Inv adontinS
sn,;ser,;c measures durinu and after
the nrocedurc when in addition TO
The disease of tho tonoue itself ,he
maIa,e amd ,onsii ara ;mvolvcd The
prognos;s is tar more grave whether
The disease he nermitted n nursue m,
mnaidcd conrse or wheiher II be suh-
iecteJ IN ,he knife In The latter
cvnnt not only will the ton0no have
to he extirpated Mut tbe disease of
the palate end tonsil will have TO be
reached So far as we can learn there
ia M examnle of n nreformonce of n
double operation on record and il is,
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