The Wheeling daily intelligencer. [volume] (Wheeling, W. Va.) 1865-1903, 1885-03-13
GENERAL GRANTS CONDITION.
Medical Records Bullstin-Bettor in Some
Ways and Worse in Others.

Medical Records Bulletin-BettOr in Some
Ways and Worse in Others.
New YoRG, March l2.-The Medical Rec
ord OF the 18th will contain the following:
Since the last bulletin Of the Medical Rec
ord was issued consultation has been
held on General Grants case, attended by
Drs Fordyce Barker, ]. II. Douglas, Henry
B. Sands and George F. Shrady. AT that
time, March Sth, the general condition OF
the distinguished patient was quite feeble,
although he was able to walk across his
library and seat himself in chair for the
necessary examination OF his throat. Tho
latter was possible without giving him
pain. 1t was found that the liberation of
the posterior pillar Of the right iauces
had extended, and that the pefforation ut
base OF the anterior pillar had increased
SO that its internal edge was converted
into small bridle OF tissue. The entire
soft palate was uniformly redeemed and
swollen and the right posterior border OF
the tongue was indurated from point
just in front OF the anterior pillar OF tho
fauCes as far back US could be reached by
the finger. The gland under the right
angle OF the jaw was still enlarged and
hard, but quite moyahle. The pain in
the ear had entirely disappeared and
there was no special difficulty in
swallowing, neither was there any
marked salvation. The most grateful ap-
plication to the throat next to a spray Of
four percent solution ~0f cocoaiHe was
that Of hot solution OF salt aud water
in proportion Of FIVE parts to thousand,
used occasionally as agargle. The patient
complained that his sleep was irregular
and fitiul, and he was thereby converting
night into day. Codeine in grain doses
was accordingly recommended as an ano.
dyne. Otherwise no change in the gem
eral treatment was suggested. The local
applications employed by DR.. Douglaswere
fully endorsed. The previous liagnosisof
the disease Of the throat was unanimously
confirmed. The administration Of ano-
dyne was subsequently attended with
good sults,securiugfvG. hours Of uninter-
rupted slumber at time. In the course
Of the following three days the effect was
not so marked, and another sedative was
prescribed. THE angry redncss OF the
palatal churtain has in measure disap.
peared and there is now. Occupying q con-
siderable portion OF its left side triangu-
lar shaped sharply defined granular ex-
urberance which has an ominous appear
ance. The liberation process in the an
terror pillar has since tho consultation ex-
tended to the adjoining side OF tho tongue,
and the bride Of the tissue bouniry per-
foration OF the anterior pillar internally
had gone way Wednesday,.
During Thursday the patient was in a
reasonably comfortable state. His tenn
peratnre was normal and pulse regular,
but he was suffering somewhat from tho
effects Of insomnia. His digestion is good
and semi.soIid food is taken easily and
with reasonable relish. He suffers no
pain. In the face Of oil these general
symptoms the local difficulty has marked
" increased and parts in the vicinity Of
the alterations are becoming more in
fiItratel.