Deseret evening news. [volume] (Great Salt Lake City [Utah]) 1867-1920, 1901-10-26

WaSnlnSlOl' wv ~V' ~ ''N
duty while receiving the people was
shot by Leon f. Czolgosz," Is the Of
fcial statement filed with the surgeon
general Of the navy, by DR.. Presley M,
Rixey, medical inspector, U. S. NJ, as
the introduction for his report upon
the wounding, illness and death Of the
late President Mckinley. The cause of
death is thus stated:
"Gangrene Of both walls Of the stom-
ach and pancreas, following gun-shot
wound"
The report itself Is remarkable for
its exhibition in the closest possible
detail of the exact state OF the patient
during his mortal illness, 1t is In the
shape Of q ships log almost, showing
at intervals OF very few minutes,
sometimes q single minute, rarely more
than an hour, the patients progress
towards the end But perhaps the mast
valuable data contained from medical
point of view is the accurate register
ing of the medication Of the case--not
a single morse OF food nor a dose of
medicine or bath Is omitted In this
account. Included In the running
story at the proper intervals are the
bulletins which were given to the pub
lie as the case progressed.
FIRST OPERATION.
The report begins with an account
of the first operation at the emergency
hospital September 6, the two wounds
being described exactly as they have
been treated in the preceding medical
reports. DR.. Rixey, stating that all the
physicians present agreed to immediate
laparotomy, makes his first entry At
$3.50 p. M, when DR.. Mann made a
vertical inoison passing through the
wound, and found al the very begin
ming a piece OF cloth carried In by the
bullet. Eight minutes later strych-
nine was administered hypodermically.
Sometime after that brandy was ad-
ministered In the same manner and
then morphine likewise was admins
tered. This same application became
necessary five minutes after the patient
arrived at the Milburn house, the re-
suit being an improved pulse but
slight nausea
FIRST BULLETIN.
The first bulletin issued to the public
was dated at p. m, describing the
wound and the operation. The next
entry at Si2. declares that the pa
tient rested quietly but at 9:l5 yomited
a small quantity OF partly digested
food and a blood clot Vomiting fol-
lowed at $40 also At l0:40 the bulletin
was issued stating that the President
was rallying satisfactorily and COM
tortably At l0;i5 p. m. there were oc-
casional twinges Of pain and slight dis
coloration OF dressings At IL O'clock,
midnight. a saline enema was retained.
The notes follow at intervals Of less
than an hour until 455 the second day,
September I, when large amount Of
gas was expelled. and ten minutes
later, at b:Q5 a. m, the entry reads.
Pain severe on deep respiration. At
$50 the patient is said TO be RESTLESS
after retaining one pint Of salt enema"
MORE MORPHINE ADMINISTERED
At 6:l0 the bulletin said the President
had passed a good night. At 9 a. m.
II was announced that no serious symp-
toms had developed. AT noon on the
second day more morphine was admin
istered hypodermcally, at i.l5 there
was a saline enema, and at i.3O there
was hypodermic injection Of dgitalls,
the patient passing much gas by the
mouth. The first alcohol bath was CIV
en- at $3.50 Of this day. while the patient
was sleeping. but passing gas by mouth.
Al $3.50 the patient complained Of in
tense pain In the pit of the stomach.
He was given hypodermic injection Of
morphine. No pain but restless.
Sponged with alcohol and rested quiet
ly for half an hour. The official bulle-
Tin announced no change for the worse.
AT $50 p. m. dlgitalis was administered
hypodermically. and the bulletin at $3.50
declared that the conditions continued
much the same. the President respond
Ing well to medication. He had 10
minutes quiet sleep, when a saline enc
ma with somatose was administered,
part of which was rejected. Then there
was another hypodermic injection OF
dlgitalis at l0:4O and fifteen minutes la
ter OF morphine, the patient being very
restless
THE THIRD DAY.
The third day, September s, began
with the entry al 1880 restless during
sleep. Limbs sponged with alcohol
quiet and slept from to 3 o'clock"
The l.20 a. m. bulletin said the Pres
ident had passed a fairly good night.
At $3.50 there was another enema OF salt
and somatose. From 4 10 $3.50 the pa
tient was said TO be confused and very
restless At a. m. complains Of feel
Ing chilly. but II passed In a moment"
The patient was restless and laxative
from TO o'clock a. M, expelling
brown fluid and gas. There are frequent
entries Of these eructations. and
before 3 o'clock there were two hypo-
dermic injections OF morphine and dlgi-
tails. a dypodermic OF strychnlne was
followed at 1890 p. m, by saline
enema with somatose which was not re-
talned. and an alcohol rub At AS D.
m. the patient was restless and talka.
tive, and for the first time was given
water by the mouth. At 4:55 an enema
OF sweet oil, soap and water brough,