The morning news. [volume] (Savannah, Ga.) 1887-1900, 1888-03-04
HAS THE PRINCE A CANCERq
The Case of New York Man Which
Attracted Attention.

me Case OF New York Man Which
Attracted Attention.
NEW YoRK. March 3.-It is extremely
,robobla +ba+ y Mr. vor, rr;,to,. rooa,,+1y
rN',0 80 :"
onJOSe" 0he uis.llic'lol Vi ny ing Vi Vne ili'''-
any which Is killing the Crown Prince OF
Germany. The physician who had charge
of the case consented to describe it to a
reporter of the Euening sun, and the sad
history of the affair may have prophetic
interest at tins time. In the hrst place 1t
should be said that the physicians IN this
CITY gave very meager Information concern
ing tue crown fflnce cohdluoh' Out taxing
ali the reports Tor what theY are worth, the
| specialists ON throat diseases substantially
agree that the malady from Wnich the
royal patient Is suffering is perchondut-
| Is II the larynX, or III popular language, an
Inflammation and consequent thlCkenlng of
| the carriages of the larynX In speaking
OF the case, the doctor to whom alluSlon has
been made, sad: II do not beleve that
the puDhc realizes now serious must nave
been the condition OF the crown Prince
before resort was made TO the OPERATION OF
tracheotomy. IL Is not an operation dlrected
locally to the cure OF the disease, but IN
tended simply as a last resort Tor the reliet
OF the sufferer. The employment OF TINS
means shows IN II the crown irlhce was at
the point of suffocatlon from the closure OF
his larynX; that ms breathing was iabored
ana painful TO the last degree that ne was
suffering torture anu III the rear Oh dealn.
1t also implies that constant care must be
exercised Tor long tlfne, ana that though
ne patient may, ana propaoiy Will rally
the disease Is III no way cured by the sue
cess OF the operation.
IF THE DISEASE is IN REALITY PERCH
oNDRITIs
of the larvnx then the case which 7 treated
must h. closely ANALOGOUS II is 81 rare dis
ease and tbA cauSe cannot he defnitelv
stated In the casa of tha Crown Prinre
neric. ,ondritis If present. is n new commit
cation The original maiadv. as we over
here understau nd II made itself visible in
the shane of a swelling upon one OF the
vocal chords which resulted in hoarsaness
This qrowth was removed bv DR. Maclen.
zje It cannot he said that perichondritis
resulted from the affection TO winch otten-
tion was first directed The connection he
tween them if anv is n matter of hvDo. he-
sis Recen.iv the svmntoms which noint
tO nericho Drifts hive anne areI and the
rapidity of development Indicates A fatal
termination
"Now for the case which treated The
natient came to me because no suffered from
hoarseness His GENERAL health was good
An examination of the throat showed a
swelling of the Ialvnx internally mon one
side His breathing had beoun TO be some.
what DISTRACTED Without following, the
case too much in detail. [ will saw that |
treated him with the result of RELIEVING his
distress Later he was persuaded hva friend
to rive nm NV treatment and was nrar-
ticaIIv without medical advice for some
months Then I was suddenly called TO
attend him. | found him walking back
and forth across the floor of his room
evldantlv i'm the greatest distress His
breathing was labored TO such a degree
that | cannot describe il to one unfa-
mil;ar with such a case He was on
during the panps of suffocation. An aDpIi-
cation Of cocoaine reduced the inflammation
in his Iarvnx which was nearly closed and
gave him relief. The next day he was re-
moved to the New York Eve. Ear and
Throat Hospital on Second avenue. His
condition became worse and a consultation
of physicians resulted in the decision tbot
trachaotornv was absolutely ,,eeassa,.v Tho
operation was performed successfully. and
in about two weeks the patient had rallied
sufficiently To he ahout n must not he
sunnosed that any progress had been made
against the disease. We had simnlv secured
the patient breathing space. The maIadv
still continued to advance. but for a time
If was not sufficient to overcona hin,
When had first seen him
there had been a swelling of the
larynx upon one SIDE only. 1t had gradu-
ally spread, and similar inflammation had
appeared elsewhere upon the larynx, until
the aperture nas merely thin slit. To the
best of my belief there was nothing cancer
Gus III the afrectlon. "A month or more after
the operation or tracheotomy was
performed the patient was able to go
to work still wearing his tube: This tube,
by the way, was inserted in an incision
made exactly In the middle OF the throat,
in front. An outer tube, which curves
downward is put in and is fastened by a
band of tape passing around the neck. An
inner tube sthea inserted. AT first this has
to be removed every few hours and
cleaned. The outer tube also has to be
taken out at longer intervals For some
weeks after the operation l was present
when the outer pipe was cleaned, but later the
patients wife learned to do it safely The
strain upon her nerves and those of the pa
tent must have bsen intense at such times.
There he lay gaspinR with fear lest some
thing should prevent the return of his tube
and she who had never seen the simplest
surgical operation before was obliged to
cleanse and replace the instrument. A hole
in a mans throat is not pleasant thing 10
look at and | often wondered at the little
woman's nerve. But she learned to do it
with the most cOnsummate skill