The Portland daily press. [volume] (Portland, Me.) 1862-1921, 1885-04-16
GEN. GRANT.
A Continued Improvement Noted
in His Case.
Information Concerning the Pro-
gress of the Disease.

New YORK, April 15.-The following bulle.
tin was issued at 8. q. M:
General Grant has enjoyed refreshing sleep
OF eight and half hours, His pulse Is "a and
Of fair volume, and his temperature normal.
He is inclined to 30 cheevful and chatty. He
has, at present. 10 pain in his throat, nor has
he suffered from any during the night.
When DR.. Shrady LETT Gen Grants housa
after the consultation today he said the general
condition of the patient was improved. "How
do you account for this steady improv ement
was asked?"
"The Generate bad attacks have been caus-
ing complications, associated with the usual
progress of the disease, was the answer.
These have been overcome for the present aud
OF course h9 is better. The temporary irrta-
tion in the throat has been relieved and the re-
suit is what the bulletins have stated"
"And do the bulletins state everythiDg?'
was asked. "The bulletins deal with the plain
fscls OF the case and with facts only" respond
ed DIR. Shrady.
During the consultation this afternoon Gen.
Grant remarked to his physicians: doctors
outside I am informed are writing about my
case and talking about it, and some OF them
seem TO think they know moro about than you
gentlemen do. But it is like time of war
when the men at home think they know more
about it and how to do it than the generals
who are on the field fghting.' Soon after his
throat was treated tnis morning Gen. Grant
said he thought he would get we'll.
A0ab iHS pnDliC luHJ DO EuADt6u 10 thorough
iy understand the cas- as it is, and form reiia-
bic opinion, the following absolute facts are
given as a basis for pablic and personal judg-
ment: Gen. Grant is not greatly emaciated
about the body. He mas lost some flesh, but
how much cannot be told, as he has not been
weighed for some time. His face is not much
changed, but it has a caEeworn appearance.
The gland is swollen on the right side and the
swelling outside varies as there is more or less
swelling on the inside. The glandular swell
ing has at no time been larger than hens egg
and from that down tr the size of pigeon 3
egg. IL is located at the angle of the right
jaw. It has never entirely disappeared sinoe
it came months ago. This swelling il due first
to the irritation OF the growth and finally to
the progress of the disease in this glands them
selves. There is no positive evidence ct pre-
gent that the glands have becone actively dig
eased thoughs the presumption ia they are dis
eaSed. The disease does not extend TO nor
affect any OF the processes OF the Generals ear
though there ia some danger sof that--a poss-
biiity but not a probability st present. r. ia
not going in that direction. The disease is
spreading very gradually backwards into the
back part of the throat and behind the palate.
Ii has also communicated somewhat to the
back part or the nose in front of and above the
palate. There is no lump on the tongue but
there IS an ulcer away back on the side of the
tongue, g small ulcer. 1t has never bsen shown
TO its whole extent bot it is small ulcer irreg-
uar in shape aud from quarter TO half an
inch in diameter. La cases OF epithelioma
there Is no lump, it is an ulcer. There is q dis
charge from the ulcerated surface composed of
mucous broken down tissue and some little
matter, in other words it is mucc-pus. This
exudes from the liberated back part of the
throat and right side of the tongue.
There is chance for general improvement of
the patient by temporary arrests of the disease,
and the atmosphere of the mountains or OF the
West would in fair weather be better for the
General than the salt air of the sea board.
In all cancerous cases in the throat there are
complications of irritation about the throat
which might be called accidents of the disease
ana 1t ls these complications that have given
trouble rather than the steady progress of the
disease. In this case these complications are
the swelling of thes throat. increase of infiamma.
tlon, spasm, bemorrhage and increased flow of
mucous. Six drops or minims of morphia are
given each six hoars, Just enough TO control
the pain aud induce sleep. Without morphia
the pain would at times be unbearable. The
General takes for food from Que to two tuls-
blerfuls OF mixture of beef extract of egg
and milk every two to four hours night and
day He relshsd little clam broth TODAY as
much as he relishes any thing. The General
usually recines in a chair attirad in knitted
underwear on the feet knitted wool moccasins,
dark brown dressing gown trimmed with silk
and belted with heavy cord, while over the
lap is spread silk and satin guilt filed with
down, and upon his head he wears a silk can
which he has long worn to protect his head
from attacks of neuralgia. DIR. Douglass re-
| manned with the General tonight and o con-
sultation will be held at p. N, tomorrow
II p. m.-Gen. Grant has been very free
from pain during the afternoon and evening,
and his condition has not materially changed
since the last report. He has coughed infre-
qnently and has not been troubled by any &C.
cumulation of mucous. His pulse at 10 D. m.
Was " and temperature normal He is now
sleeping quietly.
(Sgned) j. FL. DOUGLASS, MD.