New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1885-07-31


bis powers to the end that he enabled to take
his allotted quantity q food lie Was cd nn
| bier without taking breath. At the compile
ton Of the swallowing q choking At would
The "n as poron Of result The oo sosn
mouth and nostrils The latter difficulty was In great
Douglas not TO attempt to swallow the last mouthfui
sncd During all his illness the breathing was not
mechanically mpeded by the extension OF the disease
McGregor he rather sudd,ny lost his voice. never 70
regain it, This was due partly to thoenng OF the vocal
cords by the lniammatOry inntratlon, ana parity 10
relaxation OF the parts from general weakness
SUMMARIZING THE MEDICAL TREATMENT.
brief summary OF tho treatment IL all that VIII be
necessary to give Early In the disease In order to
eliminate every possible chance OF in the diagnosis,
the patient was placed under specific treatment although
the clinical history OF the case gave only negative III
dicaiionS for Its necessity. This treatment, although
continued for sufficient PERIOD produced no effect In
healing the liberation In arrestng the progress of the
disease 0do0rm was used aS local application 10 Inc
diluted earboIc acid solutions Of pernangdnae OF
potash and yeast. four per cent solution OF cocaine
results but il was never employed any such
Is generally believed by the public, nor were there any
time The latter were carefullyguarded against with the
full knowledge mat the drug new one, and tha
given quite constantly. but produced no effect whatso
ever upon The local disease IL only proved itself useful
harmful Of medicines Of Its sort for continuous admin
Ills food consisted of beef extracts milk eggs and
farinaceons materials. always In li1itd form In al
would ocesso~aIiy manifest was the glide for any
change. The rule was to deny nun nothing ne might
crave.
During the last two days of life he began to fa very
perccpiiby. ON the evening Of July - he slgniei
his wish be transferred to bed This was tho trst
time he had left his easychar for purposes OF rest or
sleep snce early In March. Dr. Sands and myslf, VINO
had been previously summoned at the final consultation
agreed with Dr. Douglas the end near. and that
nothing was to be done than to make the patient
comfortable possible. The General Ind then lost
",
and feeble. and his aspirations 70 per minute ana
night Continuing to sink. he died without a struggle
at 1908 n. NJ. Thursday, July 23 1850.
Much to the regret Of the entire staff no autopsy was
permitted. Tho family for tho refusal
mat each member was entirely satisfied with tho
diagnosis and treatment OF the disease
Thus ended remarkable case. In commenting upon
it, it be conceded heuaf Of scientific
medicine that every thing possible IN the present Slaa
OF knowledge done To prolong life aud make II
as oerahlo as the circumstance, OF the disease would
admit The diagnosis given early In the case wa.
proved to DO correct by tho microscope by the clinical
history VI the patient. and by the fatal Issue eat,
Ing the usual course OF the disease the stan at no tino
any period for death until within the last twenty
four hours; did member OF 1t at any time during
the patients Illness give tue sShtost reason lor a
ing the public BY sens ional minors As 10 L. the DIS
ease had much shorter course than usual owing to the
prostraion OF the patients SYSTEM dependent In great
measure upon other canses.
SMOKING PROBABLY CAUSED THE CANCER.
The causo OF the disease In this Is largely
jecturaI Epitheoma. rule. starts from local irrl-
tation and unlike otner forms OF cancer is not
pendent upon hereditary predsposon to tho disease.
ineLs ni,t; ,si,s I'm v1,c is ,nore nr u.
nonnced In some individuals than In others, otherwise
should be unable TO explain why simple anu con
tnuod irritation would induce the disease IN one case
and not In another II L. however quite probable that
the irritation OF smoking was the active cause f the can
IN General Grants at least IL isfsir To
that ne would not have had the disease II his habit
bad not been carried TO excess This assumption Is
smoke. but very small proportion suffer from the
dlsrase
A. far rs can b. estimated. the commenced only
nine months before death. Fortunately the breathing
was never affected by tho Involvement Of the parts
around h~winipipe. nor was thero any inpcdment to
swallowing 10y the extension OF the growth To the rsop
ngus. Both Of these conditions might have obtained
had the patent lived long enough 10 give opportunity
for the local disease to gain sufficient hoad"ay me
cancer presented unusual feature III first aiding the
side OF the throat rather than that OF the tesgue as the
latter most frequent the or gina seat OF tnls ulsease
The appearance the throat 81 sOuHhng dur
Ing tho regular progress OF the cancer WAS circum
stance worthy OF note aud eNplaiacd much OF tho
hauson re patient during OF his critical periods
II had been for this accidental complcation tho
eptheemI would have taken its usual course and tue
public would not have misaken the extension OF the In
ready believe that the original disease was
disappearing when the songhy deposit was disc harged
Tho patient AZ the time was better OF tue complication
Of tho The latter never changed but fpr
tie worse
The occurrence Of homorhags from tho erosion OF the
walls the larger vessels In the neighborhOod was be-
lieVed to DO eventually possible, but was at no time
seriously feared. nature han thrown ont her |
safeguards IN the shape Of dense deposits around the
branches OF the carotid artery ana Jugular veins
Although there was more or less constant pain or
gna~Rg character the patient happily spared that
OF suffering which Is often associated Win the
the deeper OF the tongue by cancerous
disease. Had the latter occurred was proposed 10
divide the sensitive OF the tonguo tRusLatory)
through the mouth which operation oftontmos gives
absolute relief. Such pain "A existed. however, was
kept under control by cocaine and morphine that III"
ws ~ the patient taat his death should be peace
ful one was fully realized.