The San Francisco call., 1901-10-27

" N Y line of duty, while RECEIVING ing
V " F. CzolgosZ," is the official
statement filed with the sur
geon general of the navy by DIR. 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 deatn
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 detail OF
the exact state of the patient curing his
mortal illness. 1t is in the shape Oh
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
nerhaps the most valuable data contained
from a medical point of view is the ac-
curate registering of the medication OF
the case-not a single morsel or 1000 nor
dose of medicine or bath is omitted IN TINS
account Included in the running story
at the proMr intervals are the bulletins
which were given to the public as Tie
case progressed.
The report begins with an account OF
the first operation at the Emergency hos
pital 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 $50 p. m, Wneh
Dr. Mann made vertical incislon passing
through the wound, and found at the very
beginning a piece of cloth carried In oy
the bullet. Eight minutes later stryUh-
nine was administered hypodermlcally'
Some time after that brandy was admin
istered in the same manner ana theh MOI no
phine likewise was administered rms
same application became necessary nv
minutes after the patient arrived at the
Milburn house the result being an I'M
proved pulse, but slight nausea
News From Bulletins.
The first bulletin issued to the pup
lie was dated at p. M, ,1t descrlolng g, tnv nv
at S.4S declares that the patient rested
Quietly for eight minutes, but at s;!9
vomited a small quantity OF paE.y; py;,,Iae. ui-
reste6 food and a blood clot. vomiting
followed at $40 also. At -l0:40> the pulletln
was issued stating that the President Was
raIlying satisfactorily and resting coni-
sional twinges of pain and slight dlscoioT-
alton Of dressings At IL o CLOCK Hlu-
night saline enema was retained ,o..
The notes followed az ihtersar9 ha secon3 daV,
September Z, when large amouIit VI
was expelled and ten minutes ldler, a.
sos a. m, the entry reads: Falh seHeue
deep respiration: fter AZ SZp petairins ta one
At $40 the bulletin said the Presldent
had passed a good night. AT q. III. IL
was announced that no serious symptoms
had developed At noon on the second
day more morphine was administered
hypodermically; at 1:15 there was sallie 9
enema and at 4:30 there was a hypoueIiilic
Injection of digitalis. the patient passinS
mich gas by the mouth. The first aIconoi
bath was given at $50 on this day. wniie
the patient was sleeping, but passing sds
by the mouth. AT b:SO- tne patnGht p;t f SVtn H.
niained of intense pain in the PIT OF tne
stomach. He was given hypodermic i IN
lection. of morphine. No pain but rest rest
less spongsd ,f with hnnr aoGTnoi The he officiaI
bniletin announced no change for the
worse At 7;40 p. m. digitalis was ad-
miristered hypodermically, and the pull
letin at 9:3O declared that the cond1tions
continued much the same, the Presloent
resnonding well to medication. He had
fifteen minutes quiet sleep, when sa-
line enema with somatose was admlniSter- @
there was another hypodermic injection
of digitalis at 1O:4O and fifteen minutes
later. of morphine, the patient being very
restless.
Third Day Developments.
The third day, September s. began with
the entry at l2:5O: Restless curing sieep;
slept from to O'clock The 3:20 a. m.
bulletin said the President had passed a
ether enema Of salt and somatose. From
4 to 4:3O the patient was said to be "con-
fused and very restless" At a. m,
s.compiains of feeling chilly, but it passed
in a moment" The patient was restless
and talkative from 5 to 6 O'Clock a. M,
expeling brown fluid and gas. There are
frequent entries of these eructations, and
before o'clock there were two hypoder-
mic injections of morphine and digitalis.