Omaha daily bee., 1888-10-14
NUMBER 122

anSWcruOle 1or lts subsequent trans1orma-
tion into cancer
MACKENZIE WARNS THE PRINCESS.
Mackenzie himself used the galvano- eau.
terry when the crown prince and his amiable
princess visited England, and with the best
apparent results for the growth disappeared.
He details fully the precautions he took and
praises handsomely his assistant, Robert g.
Myles of New York. The patient and his
consul were iubilant, but Mackenzie, whilst
encouraging to the utmost the hopes of the
patient, for sanguincss was an element ia
the hoped for cure, deemed it his duty to
warn the princess not to be too sure. He
writes:
~ told her imperial highness my views as
to the prospects of her august spouse. was
frank. | said that although at that time the
affection did not seem to me to be of u maligs
nant character, yet 1T mightturn out to be so.
l impressed upon her that the possibility OF
an eventual unfavorable development must
not be ignored. That laid my views befvrd
the princess in the most complete way have
documentary evidence to prove. And | am
quite ready to place this evidence before the
president of the college of physicians and tho
German ambassador acting together in the
presence of the prince of Wales himself"
AT SAN RENO.
The next important development in the
tragedy, was at San Reno, on the west
coast of Italy, great resort for vale
tudinarans, and close to the famous gam
bling resort of Monte Carlo. Here Macken'
zic for the first time, began to dread that tho
malady would not yield to him. The narra-
tive relates as follows:
RAD NEWS.
"The worst is confirmed A new growth
hoe I'm ~ morning Of Nnypm-
Der 6 examined the patients throat. The
mucous membrane was moderately mdema-
tous, and of bright pink color. The new
growth is bright red in color, rather more
prominent in the center than elsewhere and
liberated on the surface. Its appearance
was altogether unlike the growth had de-
stroyed, or the other swelings which had
from time to time shown themselves in the
larynx 1t had in fact distinctly malignant
| look. Without rising from my chair | in-
formed his imperial highness that very un-
favorable change had taken place in his
| throat. He said, is it cancerf | replied,
Il am sorry to say, sir that it looks very
| much like it, but it is impossible to be cer-
| tain. | felt that under the circumstances an
| evasve answer would be out of place. The
crown prince received the communication
| with perfect calmness: after u moment Of
| silence he grasped nay hand, and said with
| that smile of peculiar sweetness which SO
well expressed the mingled gentleness and
strength of his character, Il have lately
| been fearing something of this sort thanE
| you, Sir Morell, for being so frank with
me-"
THE GERMAN DoCToRS AGAIN.
"At my request the German doctors were
summoned and came. On November there
was a preliminary meeting in my room in the
Hotel de la Mediterranje. Professor Won
| Schroeder, DIR. Schrader, DR.. Krause, DR..
Howell and myself were present, and res
lated to them my whole con-
nection with the case. l then de-
scribed the appearance of the new growth
as l had seen it on November 8, and I
concluded by saying, This growth looks
| like cancer Prof Won Schroeder there
| upon said that after my very clear state
ment he had no hesitat ion in pronoun
| ing the disease to be cancer. He was so sure
| of it that he felt there was no need for him
to see the patient, but he agreed to make the
| diagnosis out of respect to the patient. We
| then went to the Villa Sirio where the
! crown princes throat was duly examined.
| On returning to my room it was decided that
| he, DR.. Krause, and myself should each make
out separate reports in writing Prof Won
| Schroeder in his statement affirmed that the
| disease was cancer, and recommended ex-
| cision of the entire larynx.
"Dr Krause considered the disease malig.
nant neoplasm.
| 81 recommended that small piece of tho
| new growth should be removed through the
| mouth and submitted to Prof Virchow on
| whose report the future course of action
! should De based"
OPENING TIE PRINCES WINDPIPE.
1t was decided to operate through the
windpipe, and the imperial martyr was
placed under the influence of chloroform.
The operation of tracheotomy was performed
by Dr. Bramann, and Mackenzie describes is
with his usual frankness.
SIN opening the windpipe noticed that he
made his incison little to the right instead
| of on the middle line, but the deviation ap.
| peared TO me so slight at the time that | att
tachcd no Importance to it. After opening
the trachea instead of at once plunging in the
canula as is usually done by English sur
geons, Bramann held aside the two sides of
the wound for minute or two until the bleed
ing had ceased, and then inserted very
large, long and somewhat funnel-shaped tube.
On leaving the room said to Mr., Howell,
Did you notice that the trachea was opened
II little to the right of the middle liner He
replied, q did, but | should say considerably
| rather than a little.'n
| THINGS GREW WORSE F OR THE SUFFERER.
"Fcbruary -. The crown prince had a bad
| night, coughing almost necessarily. The dis
charge was more copious, and contained
bloody matter and mucus, with here and
| there small black shreds of tissue undergo
ing decomposition. / was now convinced
| that the lower end of the canula was
pressing on the back wall of the windpipe,
and | asked to be allowed TO introduce a
short rectangular tube. Prof. von Bergman
| would not, however, agree to my proposition
until five days afterward, at which time the
other canula had made wound of such d
shape that miEe would not rest in horizontal
position. but was considerably lower at the
inner end, where it passed the trachea, than
at the outer orifce. Although there was nc
longer any pressure upon the posterior wall
| was sure that my tube would irritate the
front part of the windppc. This is what
actually occurred, but at first the change
was very grateful to the patient who had
| ,,IlY ~ ,hn kr.1 II