The Wheeling daily intelligencer. [volume] (Wheeling, W. Va.) 1865-1903, 1885-08-01
MEDICAL HISTORY
what Caused tlls cane,erto Yolt;mll4.Fhe smols
Ing Habit of ths General nroushs rton.
Tho symptoms Of tho Disease-no
ths Pat.snps End was Painlsss.
OF GEN. GRANTS rATA1 DISEASE,

49, i - y
NEW YoaK. July 3l.-An article by DR..
shrady on the surgical and pathological
aspect Of General Grants case win appear
in the Medical Journal Saturday. DIR.
Douglas viii hereafter describe the :reat-
ment more elaborately. Extracts from
Dr.. shrady' article are subjoinsd:
II Is mot definitely known when the
throat trouble commenced, but probably
Il was earlyin June, 1884, as ss tha. time
General Grant first complained Of soreness
in the right tonsilar region. on March
7th, when / tirst saw the patient, in,eon-
sultation with Ds. Barker, Douglas and
Sands. 1t was found that the perforation
Mt the base Of the anterior pillar bad ex-
tended SO that its internal edge was con-
yerted into 0 mere bride Of tissue. The
entire soft palate was uniformly Redeemed
and swollen from infialnmatory inhltra.
ton, and the surfaces OF the right tonsilar
region and adjoining portion Of the vault
Of the pharynx were covered with q thick
consistent yeilowish exndadoR resembling
'sloughing tissue. This deposit was evil
dently the result OF an acute process en-
grated upon the original disease, and par.
took in It's clinical as well rs physical
features OF many Of the characters Of .
diphtheritic membrane. The enlarged
and hardened gland nndefthe angle oil the
Jaw was then freely movable.
a HORRIBLE PROPOSITION.
This view Of the complication explains
many Of the grave symptoms which were
subsequently associated with great pros
tratiop, but which were not directly trace
able to the progress Of the epithelion-
matous degeneration. The expediency Of
d radical surgical operation for the re-
moysl Of the growth was discussed early
lin the case. Il was considered that such
q measure would have involved the diyt-
sion OF the lower jaw in front Of the
ranas, the extirpation Of the entire tongue
and the greater part OF the slft palate, 70.
lgetheriwith the removal ofthe liberated
and infiitrated fauces and the endnfated
slandular structures under the right angle
ef the lower jaw.
This was considered mechanically pos.
stble, despite the close proximity and
probable Involvement OF the tissues ad-
Joining the large arteries and veins In the
lneiehborhood Of the alterations, but In
the beat interests OF the distinguished
patient the surgeons did not feel inclined
to recommend procedure. Even by such
means there could be no guarantee in
view OF the extensiye surrounding intiitra.
| lion that the LIMITS Of the disease could
| he reached without immediate risk 10 life
Inv the severe shock to q constitution
already much enfeeblsd.
On April Z hemorrhage from the throat
Occurred about midnight Which ceased
spontaneously after four ounces OF blood
ihad been lost. The occasion Tor the
bleeding was the detachment OH portion
Iof slough from the right side OF the
pharynx. Nolarge vessel was implicated
During the twenty .toar honfs succeeding
1.-THE hemorrhage the pulse became more
feeble, frequent and intermittent, and the
Temperature, at one time rose 10 102 de
grees. -
In order 10 relieve pain and procure
sleep, the patient was kept mildly nntei
1.-THE influence OF morphine, the latter being
infected bypodefinatieally to the amount
\ ot six minims every six hours. The NOR
Iphine was afterwafd decreased to ely min,
Inns In the twenty.ioar hours, and ba'
slightly exceeded that, save on one or tive
Occasions, up to the time Of his death
| The separation OF theslougli was anxionsly
AWAITED, and when It occurred the patient
l IS was expected, became mnch relieyedo o.
lmany Of his more distressing local symEp
/ toms and OF his depressed bodily copdi
| lion. Then It was announced by the
/ press that because the General had rallied
the physicians had erred in diagnosing thy
case, and consequently the patisnfl
chances Of recovery were good.
The Temporary rally Of the pateuts
strength was taken advantage Of IN ever,
| possible way to conserve his vital force.
and make his last days as comfortable a
possible. The success attending these
efforts was manifested in many ways.
MS HEROIC YogrfTppR. j