The Worthington advance. [volume] (Worthington, Minn.) 1874-1908, 1885-03-26
azzzaA1 CRAMPS oonD141os.
Two Leading Medical Journals aavc Re.
ports ana Comments upon the aensral's

Two Leading Medical Jouz1a,s aavc 1..
ports ana Comments upon the Generals
Condition.
New York, March 10-After his visit to Gen
Grant tonight Dr.. Douglas said:
The general slept seven hours continuously
last night. He was very we'll through tho day.
He asked for roast mutton. and ate Il during
the afternoon and evening. The general revised
enough Of his books 10 keep tho printers busy
three days. 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 . catarrahaf .1ifi-
Guilty IN tho morning that caused seggins, but
and there is no pain. There 10 mental cocupA-
ton that renders the general wakeful
MORE MEDICAL LORE
The following win appear in tic Medical
During the past week ths local disease 81
Gen Grant has shown no marked tendency
toward progressing liberation. At the recent
unavoidably absent Drs. ]. H. Doueiss.
Henry B. Sands and George F. shrsdv. who
were present, made = thorough examination of
the generals throat with q 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
meian line, the extirpation Of tho entire ton xue
and the greater part of the soft palate to-
gether with the removal of the ulcerated
and lnfiitrated fauces and indurated CLAN
Galar structures under the right angle Of
the lower jaw: This was considered meohan-
lcaiiy possible, despite the close proximity
end probable involvement Of tissues adjoining
the large arteries and veins in the neighbor-
hood OF the liberation; but in tho best interests
OF tho distinguished patient tho surgeons did
not feel inclined to recommend the procedure
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 severe shock to the constitution already
much enfeebled His vital power is 30 low
I'll od tor the present at le.st, no kind
liberation on the side of the tongue has not
progressed far enough to produce the usual
intolerable 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 last reports, n0twithstand-
ing he has suffered much from insomnia The
latter, within the last day or TWO, has been kept
under control by suitable anodynes There ID
no pain in swallowing, and sufficient food il
taken with reasonable relish.
PHILADELPHIA CONTRIBUTION.
The Philadelphia Medical News this week
viii say editorally, concerning tho disease
from which Gen. Grant il suffering:
Lingual apithelioma, Is a rule, rapidly pro-
greeses toward fatal termination when lott to
ITSELF The life Of tho patient, from the first
appearance of the disease, varies in accordance
with the estimates of different observers from
hvo to thirteen months, the average being sew
en- months Death ensues first from genersll-
cation OF tho disease; secondly, from the in
aalatlon OF putrid emanations, which result
from decomposition OF the products of the ul-
cerated surface; third, Transformation through
the pressure, of indltrated Emphatic glands
mere, 1He11eby interfering With dselutitin; and
from liberated ling iineusi .rte 1Eseso'n ne
vessels of the neck Tho duration of The lifa
OF those who survive In Operation averages
nineteen months. Not only docs operative in:
reference prolong life and relieve suffering
put 1t effects cure in IA per cent of all cases
bered that the inclsion Of the tongue is attend
cd with mortality of q per cent, the prin.
clPal dangers being the shock, hemorrhage.
@dima of tho CLOTHS, septic lung Affections
plcatumone or erysipelas-some of which risks
can be avoided by taking careful precautions
curing tho operation and by perfecting antisep-
TIC TIC; measures during and after the procedure
When in addition to disease of the tongue it.
SELF, the palate and tonsi:s are involved, and
Prognosls 10 far more grave-whetber tho dis
ease shall be permitted to pursue an unaided
coorse or whether it shall be subjected to tho
knife In the latter event not only will the
tongue have to be extirpated, but disease of
the palate and tonsils have to be reached. So
far as we can learn, there is no example Of the
performance of double operation on record,
andltls, IN our opinion, not justidable.