New Ulm weekly review. [volume] (New Ulm, Minn.) 1878-1892, 1885-03-25
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Two Leading Eedical Journals Give r..
ports and Comments upon theGeneral'.

Two Leading Kedica1 Journals Give r..
ports and Comments upon the;General's
Condition.
New York, March 19.-After his visit to Gen
Grant o-nisht Dr. Douglas said:
The. general slept seven hours continuously
last night. he was very well through the dav
He ssked for roast mutton, and ate ut drIlne
the afternoon andeyening. The general revised
enough of his books to keep the printers busy
three days. When left him tonight he was in
cllned tos sleep. She patients throat looks bet
ter this evening 1T has not the angry appear
anceit has had There was a catarrahaf diff
Guilty in the morning that caused gagging, but
40 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 Medical
Record on Saturday:
During the past week the local disease OF
Gen. Grant has shown no marked tendency
toward progressing liberation. At the recent
weekly consultation DR.; Fordyce Barker was
Henry B. Sands and George r. shrady, wlae
were present, made asthacough examination of
the generals throat with a view of discussing
the expediehcy of: a surgical operation for the
removal of the growth. Such measure would
involve the division of the lower jaw in the
medlan line, the extirpatioI of the entire ton quo
and the greater part of tbs soft palate, to-
gether with the removal of the liberated
and infltrated fauces and indurated CLAN
uular structures under the right angle of
the lower jaw This was considered mechan-
lcally possible, despite the close proximity
and probable involvement of tissues adjoining
the large arteries and veins in the neighbour
hood of the liberation; but inthe best interests
Of the distinguished patient the surgeons did
not feel inclined to recommend dho 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
by severe shock to the constitution already
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
intolerable pain reported with that condition:
put 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 leports, 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 is
taken with reasonable relish.
PHILADELPHIA CONTRIBUTION.
The Philadelphia Medical News this week
will say editorially, concerning the disease
from which Gen. Grant is suffering:
Lingual apithelioma, as rule rapidly pro-
crosses toward fatal termination when left to
itself. The life of the patient, from the first
appearance of the disease, varies in accordance
with the estimates of different observers from
FIVE to thirteen months, the average being sew
en- months. Death ensues first from general
cation OF the disease; secondly, from the in
halation of putrid emanations, which result
from decomposition of the products of the ul-
cerated surface; third, from starvation through
the pressure of in6ltrated Emphatic glands
and surrounding parts upon the osophagus.
thereby interfering with deglutiticn; and
lastly from hemorrhaage proceeding
from liberated linngual arteries Or
vessels OF the neck. The duration of the life
of those who survive an operation averages
nineteen months. Not only does operative in
reference prolong life and relieve suffering,
but it effects cure in ID per cent of all cases.
In obtaining these results it must be remem-
bered that the inclsion of the tongue is attend
ed with a mortality of % per cent. the prin-
cipal dangers being the shock, hemorrhage,
picatumone, or erysipelas- Of which risks
can be avoided by taking careful precautions
during the operation and by perfecting antisep-
tic measures during and after the procedure,
When in addition to disease of the tongue it.
self, the palate and tonsiis are involved, and
proSnosls is far more grave-whether the dis
ease shall be permitted to pursue all unaided
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 justifable