New-York tribune., 1901-09-13

In the coming issue of The Medical Record"
published in this city. which will appear to-
morrow. there will be article on THE Proba-
BILE Course of the Ball in President Mckinleys
Case" by Dr.: George F. Shrady. the editor.
DR. Shrady says
the important organs in the region of the wound
tract, the great wonder is that many of them
If the bali be actually lodged in the muscles Of
for fulfilling the conditions encystment, nor be
more out of the way for resisting the effects OF
ordinary pressure irritation.
DIR. Shrady continues:
RELATIVE POSITIONS NOT KNOWN.
At best. no absolute theory can be advanced as
TO the direction of the ball. the latter has not
been traced beyond its point of exit from the
tive information be obtained as the relative
positions of the woud-be assassin and his victim;
II was evidently intended that the pistol should
be fired point blank the parties nearly facing each
the absence of any psnof to the contrary, it must
be assumed that the aim was really in a direction
a horizontal plane.
the sn Gf @ t the 5 s in fa END FSfS ON
body is lodged in the muscles of the back some
space, and possibly in the substance of erector
spna muscles This would give the ball almost
is impossible to believe that it took more Internal
as or xen the aora Itself Womd as
nave been wounded 1t has been quite clearly
was the only important organ injured. The left
edge of the liver escaped harm by the merest
chance of It's position and thus most formidable
II not fatal complication was averted. There
was no injury TO the adjacent cartilage OF the
MORE PROBING NOT WISE.
not probing too much for the lost bullet such
blood vessels would have been extremely hazard
| Gus. Considering also the necessity OF shortening
no time for deliberate dissection or prolonged
o
when It is continued through the loose areolar and
fatty tissue usually found in the neghborhood of
the parts involved Inv In the operation 1t was not
the posterior wall Of the stomach to drop into the
peritoneal cavity. II such had been the case how
surgeons during their careful toilet OF the perito-
r neum If by y any chance the bah had ESCAPED de-
prompt clinical evidence Of the fact.
THE Medical Record" in editorial The
Attempted Assassination OF President McKin-
ley" will say. in part. follows:
,. The e, abdomen was opened by inclsion lnclud-
found that the missile had penetrated the ante
daelV Closed bT SoinagI mbar 41r Ihe mole was lmmei
then the organ was turned over. and a search was
This was quickly found. and sutured the some
careful examination showed that the intestine
ana other abdominal organs had not been injured
wound was closed without drainage The farther
% course Of The bullet could not be traced and the
The ilustrous patient stood the ether and the
termination
For about twelve hours after the operation the
temperature was in the neighborhood OF lnl de-
greeS and slowly rising; II then nuctuated bet ve.n
after Which very gradHay ' decnrGy ihrys3 6 hon[
was as; l2o to lSo. and the respiration about 25
Per,tons Ths I,s,o or 6s Of septic poisoning
penetrating power and the buet %ns 1ns Of Of sghf
@ Gapre: 1t otherwse the ball which struck
damage than that which perforated the stemach
even had II not caused instant death
WOULD HAVE USED X-RAY.
IT. The only trouble from the latter view CEN
Of the bullet Although believed to be lodged IN
s me muscles OF the back somewhere in the lower
@ dorsaI or upper lumbar region there has been no
nver bn aS yF. o o, proving such point or course.
bullet becoming encysted and consequently harm
up TO this writing. the X-ray so easily and erfect.
Gay applied has not been brought into service
curiosity-as remarked by one OF the eminent sur
the terminal track the missile n is TO be hoped
mat the bullet course behind and beyond the stom-
This would seem to be the only absolute guarantee
| purattng processes.
The New-York Medical Journal" of which
DR. Frank P. Foster is editor. Will contain in it's
| issue tomorrow number of articles on the
PRESIDENTS case. One of these was written by a
well known physician OF Buffalo. who was pres
ent at the operation. This article is entitled "A
| Consecutive Account of the Shooting of Presi-
dent Mckinley and of the Medical and Surgical
Features of the Case"
| Referring to the operation the writer of the
| article says:
At DR.: Manns request Dr. Wasdin assumed
tion OF ether at 5;2l-one hour and fifteen minutes
after, the wound was inflicted DR. Wilson
asked to keep the record DR. Mynter to stand OPP
enter d gt 10 stang next 70 pr Mann as consultant
or at he EXPOSITION G who Lee of St T. Louis lou ys
| before the other surgeons arrived was asked by
Dr. t N NJ RI RxeE Mynsfr who Ss %a an nn
moned from the Milburn home whittier he went in
operation began. DR.. Roswell Park had gone TO
agdTa nan va Fss and special train to bring him to
OF the New-York Central Railway.
DETAILS OF THE OPERATION
The President took the ether kindly and was well
under it's influence within the next minutes.
Inc abdomen having been asceptically prepared an
10 10 the body and including the Opening made by the
below the left nipple and inch and a half the
left of the median line The incision went through
reached. hence the incsion was enlarged another
inch a piece Of cloth-probably biz Of under
looked If 1T had been punched out" by the
bullet.
Upon opening the peritoneum. a bullet hole was
discovered in the anterior central portion of the
stomach This viscus drawn up into the opera
was closed With double row of silk sntures
tCzerny- LemberO A little oozing of the stomach
contents had occurred through the opening-all of
which was wiped away further enlargement OF
the incison now became necessary in order to ex-
other opening found. This sutured In |
m he cock a M % he int
amined for possible wounds but happily none were
A previous hypodremc Injection had been made
and now Is minims of brandy were similarly admin
discover IT. but ii became apparent that 1t had |
done no other vital damage with the strong p1 pr1No