The Bad Lands cow boy. [volume] (Little Missouri, Dakota [i.e. N.D.]) 1884-1886, 1885-03-26
azHzEA1 GRANTS coNDxrIon.

Ewo Leading Medical Journals, GIVE h
ports ana Comments upon the deneraI,l
Condition. m; h. '.3
Now York, March 1a-4After his visit to Gen
Grant tonight Dr.. Douglas said:
The general slept seven hours continuously
last night He was very well through the day
He asked for rsast mutton, and ate it durins
the afternoon and evening. The general revised
enough Of his books to keep the printers busy
three days, When I left him tonight he was in.
clIned to sleep The patient throat looks bet
ter this evening. Ithas not the angry appear.
ance it has had There was d CATARRHAL diff,
Guilty in the morning that caused gagging, bu
no bad results. Cocaine is not now being used
and there is no pain There is mental occupa.
ton that renders the general wakeful
~ MORE MEDICAL LORE.
The following will appear in the Medica,
Record on Saturday: 2 ~
During the past week the local disease O,
Gen. Grant has shown no marked tendency
toward progressing liberation. AT the recent
weekly consultation DR.. Fordyce Barker was
nnavoidably absent Drss ]. B. Douglas,
we're present, made q thorough examination Of
the generals throat with view of discussing
The expediency Of a surgical operation for the
removal of the growth Such measure would
Involve the division of the lower Jaw In the
medan line, the extirpation Of the entire ton que
and the greater part of the soft palate, to-
gether with the removal y Of the liberated
and infltrated fauces and indurated CLAN
Gular structures under, the right angle OF
the lower Jaw. This was considered mechan-
ically possible, despite the close proximity
tlnd probable involvement Of tissues adjoining
the large arteries and veins in the neighbor-
~ khar
|bf the distinguished patient the surgeons did
not 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
much enfeebled. His vital power is SO low
that for the present, at least, no kind
Of operation will be undertaken. The
liberation on the side Of the tongue has not
progressed far enough to produce the usual
ntolerable pain reported with that condition
but should the latter symptoms appear it may
be advised to divide the gustatory nerve The
general tone of the patients system remains
about the same as at last1eports, 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
no pain in swallowing, and sufficient food lis
taken with reasonable relish. i,Sft n: -. +;
PHILADELPHIA CONTRIBUTION.
The Philadelphia Medical News this week
will say editorially, concerning the disease
from which Gen. Grant is suffering: .s47
Ingual apithelioma, as q rule, rapidly pro-
crosses toward fatal termination wien LETT to
Itself. The life of the patient, from the first
appearance of the disease, varies in accordance
with the estimates of different observers from
Eve to thirteen months, the average being sew
On months Death ensues first from generall-
cation Of the disease; secondly, from the in
halation of putrid emanations, which result
from decomposition OF the products Of the I'LL
Derated surface; third, from starvation through
The pressure Of 'iniltrated Emphatic glands
and surrounding parts upon the esophagus,
thereby interfering with deglutitiun; and
lastly from hemorrhage proceeding
from liberated lngual arteries OF
vessels Of the neck. The duration Of the life
Of these who survive an operation averages
reference prolong life and relieve suffering.
but it effects cure in IA per cent Of all cases,
In obtaining these results it must be remem-
bered that the incision ofSthe tongue is attend.
cd with mortality Of % per cent; the sprin.
cipal dangers being the shock, hemorrhage,,
ndima of the CLOTHS. septic lung affections,
picatumone or erysipelas-some OF which risks
during the operation and by perfechng antisep-
lc measures during and after the procedure,
When in addition to disease of the tongue il
self, the palate and tonsiis are involved, and
prognosis is far more grave-whether the dis
ease shall be permitted to pursue an unaided
course or whether it shall be subjected to the
knife. : In the latter event not only viii the
tengue have to be extirpated but disease OF Of
the palate and tonsils have to be reached So
Tar as we can learn, there is no example of the
performance of q double operation on record.
andltls, IN our opinion, not jushfable (