Evening capital. (Annapolis, Md.) 1884-1910, 1888-10-13

had had any existence outside of Pro-
fessor Gerhardt's imagination. DR.. Macken-
Zie accuses the German physician of having
make charge which he knew to be false in
order to shake the confidence of the crown
prince in his new adviser. He maintains
that his German colleagues fully share his
responsibility for the line of treatment which
was adopted, as il they distrusted him they
should at once have openly dissociated them
selves from him. They made no sign, how
ever, and even as late as the beginning of
October Professor Won Bergman is said to
have admitted that the course which Sir
Morel Mackenzie had pursued was the right
one.
Interesting details are given as to the
heroic fortitude with which the prince re-
ceived what was in fact sentence not only
of death, but of prolonged previous suffering
at the consultation at San Reno in the early
part of November. when the great crisis in
the disease occurred. He says that on that
occasion DIR. Schmidt, so far from thinking
that the case was one of cancer running a
normal course, maintained in opposition to
all others that the disease was specific
In describing the tracheotomy, DIR. Mac
kenzie admits that the operation was ON the
whole, performed by DIR. Bramann in salts
factory manner, but affirms and apparently
proves that the trachea was opened three
millimetres to the right of the middle line
DR.. Bramann inserted a cannula of alto
gether unusual size and shape The lower
end of this instrument, according to DIR
Mackenzie, impinged on the posterior wall of
he trachea, causing destruction Of the tis-
sue and intense discomfort, with consequent
exhaustion He complains that the German
doctors obstinately refused to lister to his
suggestions as to a more suitable tube till it
was too late. When the case was restored to
the English physician he substituted Dur
hams tube for the German cannula with
| relatively satisfactory results But irretriev-
| able mischief had already been done.
Professor Won Bergman is accused of
having diagnosed secondary cancer of the
lung from finding dullness in the back Of the
| liver. Proft ssor Kussmaul had to be brought
all the way from Strasburg to convincs him
| of his mistake.
Dr. Macksnzie's account of the events OF
the fatal 18th Of April is very different from
Professor Won Bergmann's DIR. Mackenzie
does not hesitate to say that Emperor Fred
erick the Third received his death blow on
that occasion. The false passage made by
| the tube gave rise to an extensive suppura-
| tion around the trachea, which steadily
drained away the remaining strength of the
august patient and shortened his life by about
| ten months
| An interesting statement is made in con-
| nection with this subject, that except at the
time the false passage Was made, and es-
/ pecially when Professor Won Bergman
| thrust his finger into the wound, the emperor
never suffered any actual pain. After the
| death of the emperor DR.. Mackenzie alleges
| that an attempt was made TO entrap him into
q false position by urging him to give his
| opinion in writing as to the nature of the
disease, in the hope, no doubt, that thinking
himself safe from any exposure he would re-
| turn an ambiguous answer. He Disconnected
| his enemies, however, by stating unequivo-
| cally that the emperor had suffered from q
cancer Of the larynx
/ In the controversial part Of his reply Dr.
Mackenzie contends that thyrotomy in cases
| Of cancer, so far from being free from danger,
| is in fact most deadly operation.
| In dealing individually with his German
| assailants DR.. Mckenzie rejects the testimony
| of Professor Gerhardt as being that Of a dis
| credited rival He brushes aside the evidence
| Of DR. Landgraf on the score of want Of
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