The Indianapolis journal. [volume] (Indianapolis [Ind.]) 1867-1904, 1901-10-27
Filed Under Caption, "In the Line OF
Duty, While Receiving the People,
Was Shot by Leon n. CzoIEOcz.
CONTAINS VALUABLE DATA
NOT SINGLE DETAIL OF TREAT
MENT OR A BULLETIN OMITTED.
'.Gangrenc of Both Walls Of the Stom-
shot wound" the Cause OF Death.

WASHINGTON, oct. 26.-"In the line OF
duty, while receiving the people, was shot
by Leon f. Czolgocz," is the official state
ment fled with the surgeon general of the
navy by Dr. Tresly NJ. Rixey. medical in
spector, L. S. N, as the introduction OF his
report upon the wounding, illness and death
of the late President Mckinley.
The cause of death is thus stated: Can
creme Of both walls of the stomach and
pancreas. following gunshot wound"
The report itself is remarkable for its ex-
hibition in the closest detail of the exact
state of the patient during his mortal Ill
ness. 1t is I'm the shape of ships log al
most, showing at intervals of a very few
minutes, sometimes a single minute, rarely
more than an hour. the patients progress
toward the end. But perhaps the most
valuable data contained. from a medical
point of view. is the accurate registering
of the medication of the case-not a single
morsel OF food, nor a dose OF medicine or
a bath is omitted in this account Included
in the running story, at the proper inter
walls. are the bulletins which were given to
the public as the case progressed.
The report begins with an account of the
first operation at the emergency hospital
Sept. 8, 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 10 immediate laparotomy, makes his
first entry at $50 D. m, when DIR. Mann
made 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 admin
istered hypodermically. Some time after
that brandy was administered in the same
manner, and then morphine likewise was
administered. This same application be-
came necessary five minutes after the pa
tient arrived at the Milburn house. the re-
suit being an improved pulse but slight
nausea.
The first bulletin issued to the public
was dated at I p. m. 1t described the char
acter OF the wound, the general outline Of
the operation and spoke OF the condition or
the patient as gratifying and justifying
hopes of recovery. The next entry at SAB
declares that he rested quietly for eight
minutes. but at 9:l6 the patient vomited
small quantity of partly digested food and
blood cOt. Vomiting followed at $40
also. At l0:40 the bulletin was issued stat
ing that the President was rallying salts
factorily and resting comfortably. At 1913
p. m. there were occasional twinges of pain
and slight discooration of dressings. At
IL o'clock. midnight, a saline enema was re-
tanned. At a. m, an hour later, the bull
letin described the President as free from
pain and resting well.
FIRST ALCOHOL BATH.
The notes follow at intervals of less than
an hour. unit; 4:55, the second day. Sept. Z.
The patient was sleeping, but at the latter
hour large amount of gas was expelled
and ten minutes later, at sos a m, the
entry reads: pain severe on deep inspira-
ton" At $40 the patient was said to be
restless after retaining one pint of saline
enema. At a. m. the official bulletin an
nounced: THE President has passed a
good night" Fifteen minutes later an in
lection of morphine was given, and at .
a. IN. il was announced that the President
had passed a fairly comfortable night and
no serious symptoms had developed At
noon or the second day more morphine
was administered hypodermically, and at
lis there was a saline enema, and at 4:30
there was q hypOdermic injection of dig
italiS. the patient passing much gas by the
mouth. The first alcohol bath was given
at $50 of this day while the patient was
sleeping, but passing gas by the mouth.
At $50 the patient complained of intense
pain in the pit of the stomach. He was
given a hypodermic injection of morphine.
mo pain. but restless. Sponged with alcO-
hol and rested quietly for half hour"
The Official bulletin announced no change
for the worse. At 7:4O p. m. digitalis was
administered hypOdermically, and the bull
letin at $3.50 declared that the conditions
continued much the same, the President
fifteen minutes quiet sleep, when saline
enema with somatose was administered,
part Of which was rejected. Then there
was another hNpoGermic injection of dig
tails at 1O:40 and fifteen minutes later of
morphine. the patient being very restless.
The third day, Sept. g. began with the
entry at 1890, Restless during sleep
Limbs sponged with alcohol. Quiet and
sleep from 2 to 3 o'clock" The 800 a. m
bulletin said the President had passed a
fairly good night At 800 there was on
other enema of salt and sOmatOse. From
4 TO 4:S0 the patient was said TO be "con-
fused and very restless At ; a IN. com
plains of feeling chilly but it passed in
moment" The patient was restless and
talkative from TO o'clock a. m. expelI-
ing brown fluid and gas There are frequent
entries of these eructations. and before 9
o'clock there We're two hypOdermic iniec-
tons of morphia and digitalis. A hypoder-
mic injection OF strychnine was followed at
! 1890 p. m. by saline enema, with soma
| tOse, which was not retained. and an alco-
| hold rub At AS p. m. the patient was
| restless and talkative, and for the first
| time was given water by the mouth At
| ASS an enema of sweet OIL soap and water
/ brought away some slightly cOlored fluid
| and a very little mucuOuS. At s a. m there
was discharge of the bowels and the pa
| tient was set down very restless" At
| $40 a great deal OF gas was passed and
/ some fluid.
THE FOURTH DAY.
On the fourth day Sept. ., the patient is
recorded as restless from l to 1:2O O'Clock.
| At 3:15 p. very restless and mind
much disturbed" Codeaphos was admins
tered hypodermically. After an hours
| sleep the record is made at a. m, Mind
| clear: feels chilly" The patient drank
water frequently in small quantities At
| go the bulletin was issued. The Pres
| idents condition is becoming more and
/ more satisfactory" etc At 10 O'Clock on
/ this morning the doctors began 10 admins
! ter hourly doses of calOmel. Meanwhile
! following a nutritive enema Of egg whisky
and water. there were two high enemas
one with soap, water and OK gall. which
brought away 4 cOpiOus discharge. with
/ gas At 8 p. III. the bulletin said: The
| Presidents condition steadily improves and
| he is comfortable without pain or unfavor-
/ able symptoms. Bowels and kidney func-
/ tions normally performed vt 40 OF This
/ dav. following dressing of the wound of
| about an hour. the patient spit up greenish.
| bitter fluid. Hot water was given at $50
| and an hour later the patient complained
| The nth day. Sept 10 began at1:a6a.
| fer a short sleep. with this entry. ~ n
| comfortable turning frequently There are
/ three entries of sleeping. and then the
| 800 bulletin, stating chat the President had
! rassed the most comfortable night since
| ~ ATTEMPT on his life. The 8 a. IN bulletin
| predicted "A rapid cOnvalesc-nce. failing
! compltcations The bulletin at 1880 said the
PRESIDENT condition was unchanged and
! described the removal OF the stitches and
| The cause therefor The sixth days treat
n1ent was marked by the administration OF
/ the first food into the stomach. beef Juice.
/ which the note says. tasted good" There
/ were seven administrations OF this beef