Evening star. [volume] (Washington, D.C.) 1854-1972, 1888-01-28

this confidence afterward in more WAYS than one.
but the most substantial evidence was my ap-
pointment to the position now hold. But even
In the paymaster's case the money was not stolen
directly from the Treasury" said the Official as he
the i've hundredth time tsat day. ana tsutS
Iully repeat my answer TO your first question
that losses Of money are rare here. and robberies
almost unknown"
CANCER Oh PERlChONDRITIs,
II the Crown Prince has the Latter he
May Recover.
Dfs1AsH NOT NECESSARILY sATAL-wHAT A THROAT
SPECIALIST SAYS ABOUT 1.-THE REPORTED sYMP-
TONS INDICATE PERrcHoSpRrTIs-srILLT TIE MALADr
NAY BE CANCER.
'Perichondritis Ii not necessarily a fatal dis.
ease" said a well-known throat specialist to q
STAR reporter, after reading the London dispatch
or Thursday in relation to the case OF the crown
prince OF Germany. The dispatch intimated that
Prof. virchow had come to the conclusion the
crown princes ailmenr was perichon1ritis, which,
| the dispatch added. was just as certain death as
cancer. only slower. "If 1t be perichondrits" the
physician continued, 'the princes chances for
hnal recovery, with his splendid physique and the
best medical care, ought to BE- good. have
thought for some time, as have most physicians
who have given attention to the case ana are not
committed to the cancer theory, that It
uilgut Uc periCnOnf.rltlS, WHICH, you KNOW, Is IN
Inflammation OF the membrane covering the cartil-
ages-in this fnsta nee the carriages OF the laynx
In fact, there is but one other apparent eypana-
| ton or the symptoms with which the European
dispatches have made US acquainted. and that is
cancer. The persistence II the trouble for long
time, in spite o: the best medical ana surgical
skill In the world renders IL impossible that the
| growth In the princes throat could be a simple
one benign in It's nature. 1t Is either cancer or
perichondritls There Is no other alternative, 1t
"Or it may be BOTH" the physician continued,
after pause. THAT is, IL may be perlchond1tis
| lew days ago it was said the prince had
coughed up fragments Of dead cartilage. This
necrosis shows that the work OF destruction has
been going on, but 1t does not follow because ne
crossed cartilage Is coming away that the throat
has healed Can er may still be lurking there
| hiding It's time TO develop.
"B1t is It possible" the reporter asked athat it
| can be cancer, in view OF the recent great I'm.
| provement in the local throat affection md the
maint iin?"
'sThere is nothing in the history OF the case, so
far as have followed IT," the phi scian answered,
ito preclude the idea OF cancer This disease FIRE.
quenily runs long time before the general health
becomes affected and often the local i'm
only to break out again and take its fatal course
The recent marked Improvement Is no guarantee
at all that the crown prince ha MT C Incer."
HOW PERICHoSDRITIs ACTS.
SHOW does perichondritis act?n asked the re-
| porter
at begins as a swelling which, when in the
throat, in this case, difculty OF BREATH
| ing and loss Of voice. Both these symptoms were
ago. .nd the latter stin remains. AFTER a time
the swelling or tumor bursts and suppurates and
under favorable conditions heas up. Now, think
something OF this kind was reported from San
Reno preceding the favorable turn In the case"
Then isn't IL possible That the prince may en-
tirely recover, supposing the trouble to be peri
chondritis, and that no permanent injury win re-
suit to the organs?" the reporter inquired.
"he may throw of the disease" the physician
throat win ever regain Its former condition De-
structton OF cartilage has already taken place, and
as usual in such cases cicatrlzation viii produce
more less construction or the iarynx and conse-
Quent impairment OF the voice and difficulty in
breathing. These effects OF course depend on the
extent VI the necrosis OF Cartilage. Frequently
they are so great as TO cause death or TO render
tracheotomy necessary. THIS operation mas been
frequently discussed In connection with the crown
princes Case"
"1f tracheotomy We're resorted TO-" the reporter
said, IAN artificial breathing tube would have to
| be inserted in the patients throat believer"
ayes. tracheal tube would have to be used.
Have you ever seen one OF them?"
The reporter had not, and the physician took
from drawer curved silver tube about three
inches In length and an eighth OF an inch in dia-
meter, with plate at one end, in which were oblong
holes The plate or guard v as intended 70 keep the
tube from slipping into the throat and the oblong
Examination showed that there were two tubes.
one slipping Into the other. The inner one could
be removed for cleaning when necessary.
inserted into the trachea Below S the aasms pple'
as 1t is commonly called, and through 1t the air
passes into aud out or the lungs. It is, at best
very uncomfortable way OF breathing, as the air
goes into the lungs without being heated or
freed from dust, as II Is when inhaled through the
natural chanel Consequently, lung troubles are
readily brought and the existence OF the patient
fs very uncomfortable. In most cases re patient
loses the voice entirely. Where this Is not the
case, when he Waits TO speak he Is compelled to
stop up the opening In the tracheal tube order
to phonate. In Germany saw many persons who
getting along tolerably well with them. know
OF no case In Washin ston."
THE Causes OF PgRrCHoNDRrrIs.
"what causes perichondntis?" inquired the
reporter.
SIT may come from severe cold In the larynx or
an injury to the part, and IL may be du. to con-
sumptive or scrotulouS faint in the pitisat, or
lastly TO blood poisoning Now, II Is pretty well
known that no conSumptive faint exists In the
family OF the crown prince and he never received
any injury to MS throat You know there has
been certain amount OF reserve and mystery
about the case from the first, and as far as can
learn the doctors have never given out of1cially
any diagnosis OF &c case. The reports sent out
| have been, think, made up rrom words dropped
here and there BY the physicians, or theor1es that
tive assertions or the nature Of the princes I'll.
ment. II tue physicians who have charge OF the
princes case declared the disease CANCER cannot
| believe tn y made mistake. Any man, OF course,
may make a mistake In diagnosis, but when six
OF the greatest doctors In Cue world get together
II Is tnconce1vable that they should be in error In
| their conclusions However, the unfortunate
prince has the sympathy OF the Who'll. world, and
take great interest In the case and IL has been
several times discussed II the meetings OF the
medical society here"