Reporter and farmer. [volume] (Webster, Day County, Dakota [S.D.]) 188?-1946, 1885-03-26

GENERAL GRANTS CONDITION.
Two Leading Medical JournalS Give r.
ports and Comments upon tho Generals
Condition.

Two Leading Medical Journals Give Re-
ports and Comments Upon tho Generals
Condition.
New York, March f9.-After his visit to Gen
Grant tonight DR.. Douglas said;
The general slept seven hours ~tontinuousl!
last night. Ho was very well through the day
He asked for roast mutton, and ate il during
the afternoon and evening The general revised
enough Of Iis books TO keep the printers busy
three days. When ! left him to-nighthe was in
clined TO sleep. The patients throat looks bet
ter this evening. Itfas net the angry appeal
anceit has had There was a catarrahsl diff
Guilty in the morning thst caused gsgging, but
no bad results. Cocaine Is not now being used,
and there is no pain. There is mental occupa-
ton that renders the general wskefuL
MORE MEDICAL LORE
The following will appear in the Medical
Record on Saturday.
During the past week the local disease OF
Geu. Grant has shown no marked tendency
weekly consultation DIR. Fordyce Barker was
unavoidably absent Drs. J. II. Douglas,
Henry b.. Sands aud George f. Shrady, who
were present, made = thorough examination OF
the generals threat with 4 view OF discussing
the espediency Of q surgical operation for the
removal of the growth. Such a measure would
involve the division Of the lover jaw in the
median line, the extirpation of the entire ton que
and the greater part of the soft palate, to-
gether with the removal of the liberated
and infiltrated fauces and indursted CLAN.
CulaF structures under the right angle OF
the lowar law Thi. Ne. considered mechan-
ically possible, despite the close proximity
and probable involvement OF tissues adjoining
the large arteries and veins in the neighbor-
rood Of the ulcerau0n: but in the best interests
OF 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 tho limits OF the disease would
be reached without immediate risk to the life
by a severe sbecS 81 he 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 moi
progressed far enough to produce the usual
intolerabIe pain reported with that condition
but should the latter symptoms appear il may
be advised to divide the gustatory nerve. The
general tone OF the patients system remains
about the same as at last reports, notwithstand.
ing he has suffered much from insomnia The
latter, within the last day or two, has been KEEP
under control by suitable anodynes. There ID
no pain in swallowing, and sufficient food ID
taken with reasonable relish.
A fhALADELfhlA iONthlBJJio
The Philadelphia Medical News this weel
will say editorially, concerning the disease
from which Gen Grant is suffering;
Lingusl apithelioma, - a rule, rapidly pro,
crosses toward fatal termination when left tc
itself. The life of the patient, from the frs
appearance ofthe disease, varies in accordance
with the estimates Of different observers from
i've 10 thirteen months, the average being sew,
en- months. Death ensues first from ~generSlt
yNtlpu Of tho HieRa so anR0n1IV from tina in
halation of putrid emanations, which result
from decomposition OF the products Of the Ill
cerated surface; third, from starvation through
the pres sure Of infltrated Emphatic glands
and surrounding parts upon the 9sophagu-
thereby interfering with deglutiti, n; anC
lastly from hemorrhage proceeding
from liberated lingual arteries OF
vessels of the neck. The duration OF the lif,
Of those who survive an operation average,
nineteen months, Not only does operative in
reference prolong life and relieve suffering
but ID effects a cure ia Ia per cent Of all cases
In obtaining these results il must be emem
bored that the incision OF the tongue is attend
cd with a mortality Of Is per cent, the prin
cipal dangers being the shock, hemorrhage
9dima OF the CLOTHS, septic lung affections
~pieatunone, or erysipelas-some Of which risk
can be avoided by taking careful precautions
during the operation and by perfecting antisep
tic measures during and after the procedure
Whom in addition to disease Of the tongue 1t
self, the palate and tonsiis are involved, an,
prognosis is far more graye-whether the dis
ease shall be permitted 10 pursue an unaideC
course or whether il shall be subjected to tn,
knife In the latter event not only will III,
tongue have TO be extirpated, but disease O
the palate and tonsils have 10 be reached "
far as we can learn, there is no example Of tn
performance Of a double operation on record
anditis, in our opinion, not justifiable.