The Montgomery advertiser., 1901-10-27
GANGRENE CAUSED DEATH
Complete Details of the Presi-
 dents Illness.
Most Valuable Data from Physician's Point of View is the Register ing of the Medication
 of the Case.

Washington, Oct. 26.-''In the line of duty while receiving the people. the Presi- dent was shot by Leon F. Czolgosz," is the official statement by Presly M. Rixey. Medical Inspector, United States Navy as the introduction for his report of the wounding, illness and death of the late President Mckinley. The cause of death is thus stated:
 "Gangrene of both walls of the stomach and pancreas, following gunshot wound"
 The report itself is remarkable for its exhibition in the closest possible details of the exact state of the patient during his mortal illness. It is the shape of ships log almost. showing, at intervals of a very few minutes, sometimes single minute, rarely more than an hour, the patients progress toward the end. But perhaps the most valuable data, known from a medical point of view, Is the reg istering of the medication of the case not a single morsel of food. TOT dose of medicine. nor bath is omitted in this account. Including in the running story are the bulletins which were given to the public as the case progressed.
  the first operation at the Emergency Hospital, September S. the two wounds being discovered exactly as they have been treated in the preceding medical reports. pr. Rixey stating that all the physicians present agreed to immediate laparotomy. He makes his first entry at 5:30 p. m., when Dr. Mann made a vertical incision passing through the wound and found at the very beginning a piece of cloth carried in by the bullet. Eight minutes later strychnine was ad- ministered hypodermically Some time after that brandy was administered m the same manner and then morphine ike wise was administered. This same ap- plication became necessary five minutes After the patient arrived at the Miipurn house. the result being an improved pulse but slight nausea. The first bulletin ts- sued to the public was dated at D. m. If described the character of the wound, the general outline of the operation and spoke of the condition of the patient as gratifying and justifying hopes of recovery.
 The next entry at S:43 declares that he rested quietly for eight minutes, but at S.15 the patient vomlted a small. quantity of partly iigestcd food and blood clot. Vomiting followed at $40 also. At lO:4O the bulletin was issued. stating that the President was rallying satisfactorily and resting comfortably. At 10:45 p. m. there were occasionally twinges or paln' shgnt discoloration of dressings. At l2 o'clock last night a saline anema was retained Al a. m. an hour later the bulletin described the President as free from pain and resting well. The notes follow. at in- teryials of less than an hour untll 4:4o o'clock the second day. September '. The patient was sleeping, but aa the later hour large quantity of gas was ex-
 I,Nz at Q the entry reads: .
 "Pain severe on deep inspiration" At b:2O the patient is said to be restless after retaining one pint of saline anema. At A n the official bulletin announced the President passed good night. f1f- teen minutes later an injection Of mor- phine was given and at 9 a. m. It was announced that the President had passed A fairly comfortable night and no serious symptoms had developed. At noon on on the second day more morphine was administered hyperdermically and at 1:15 there was saline anema; and at 4:SO there was a hypodermic injection Of digltalls, the patient passing much gas by the mouth. The first alcohol bath was gwen at 5:3O of this day. while the patient was sleeping, but passing gas by the mouth.
 At 63o o'clock the patient complained of intense pain in the pit of the stomach. He was given 6 hypodermic injection of morphine No pain, but restless. Sponged with alcohol and rested quietly for half an hour. The official bulletin announced no change for the worse.
 At TAO D. m. digitalis was administer cd hypodermically, and the bulletin at 9:3o declared the condnons continued much the same the President responding well to medication. He/ had fifteen minutes quiet sleep, when a saline anema with somatose was administered, mart of which was elected. Then there was another hypodermic injection of digitalis at 1O:45 and fifteen minutes later of morphine. the patient being very rest less
 ,,,,tb inc entry at 12:30, Restless during s,een Limbs sponged with alcohol Quiet snd sleep from to o'clock" The SEQ m bulletin said the President had nassed a fairly good night. At a:S0 there was another enema Of salt and somatose. From to 4;SO the patient was said to be confused and very rest less At a. m. complains of feeling chilly. but 1t passed in a moment" The natient was restless and talkative from to o'clock a. m., expelling brown fluid and gas. There are frequent entries of these eructations.
 Before 9 o'clock there were two hypo- dermic infections of morphia and dist- talas hypodermlc ol sH4 4Niii'4'S wac we" followed at I2:30 D. m. by saline anema xvItb soratose which was not retained and an alcohol rub. At 4:45 p, m the patient was restless and talkative' and for the first time was given water by the mouth. 4:55 an anema of sweet oil soap and water brought away some slightly colored fluid and very httle mucous. At s a. m there was dis charge of the bowels and the patient was set down as ''very restless.' At S:2O a great deal of gas was passed and some fluid.
 On the fourth day. September 9th. the patient is recorded as restless from 1 to 1:2O o'clock. At SIS D. m. as very restless and mind much disturbed. Codeia phos. was administered hypodermicaly. After an hours sleep the record IS made at 7:1O m. Mind clear, feels chilly" The pdfient drank water frequently in small qlantities. At s:2O the bulletin was