The gold leaf. [volume] (Henderson, N.C.) 1881-1911, 1901-11-07
Mckinley Case Reviewed.
DIR. RIXEY MAKES REPORT ALMOST LIKE A
SHIPS LOG.
Not Single Dose of nedicine or Nor
sci of Food Omitted in the Account
Valuable Medical Data Furnished
in Detailing Treatment Given the
DISTINGUISHED Patient.


Distinguished Patient.
Washington, October 26.-''In the
line of duty, while receiving the Peo-
people, was shot by Leon F. Czolgosz, ;"
is the official statement filed with the
surgeon general Of the navy by DR..
P. NJ Rixey, medical inspector,
United States navy, as the introduce
ton for his report upon the wound
ing, illness and death of the late
President Mckinley.
The cause OF death is thus stated:
..Gangrene Of both walls OF stomach
and pancreas, following gunshot
wound
The report itself is remarkable for
it's exhibition in the closest possible
detail of the exact state Of the patient
during his mortal illness. 1t is in
the shape of ships log almost,
showing at intervals of very few
minutes, sometimes 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 intervals
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 September 9th, the two
wounds being described exactly as
| they have been treated in the pre-
ceding medical reports. DR.. Rixey,
stating that all the ply sicians present
agreed to immediate laparatomy,
makes his first entry at $50 p. M,
when DR.. Mann made vertical in
cision passing through the wound and
found at the very beginning piece
OF cloth carried in by the bullet.
Eight minutes later strychnine was
administered hypodermically. Some
time after that brandy was admins
tered In the same manner, and then
morphine likewise was administered.
This same application became neces-
sary five minutes after the-patient
arrived at the Milburn house, the re-
suit being an improved pulse, but
| slight nauseau.
The first bulletin issued to the pub
lie vast dated Z p. M 1t described
the character OF the wound, the gen
eral outline of the operation, and
spoke of the condition of the patient
as gratifying and justifying hopes OF
recovery. The next entry at S:l3
o'clock declares that he rested quietly
for s minutes. but at 9:15 o'clock the
patient vomited small quantity OF
partly digested food and a blood clot.
Vomiting followed at $40 also. AT
1O:4O the bulletin was issued stating
that the President was rallying salts
factorily and resting comfortably. AT
1O:45 p. M, there were occasional
twinges of pain and slight discolora
tions of dressings. At II o'clock
midnight, saline enema was retain
ed. At l a. M, an hour later, the
bulletin described the President a:
free from pain ard resting well.
The notes followed at intervals o
less than an hour until 4:55 O'CLOCK
the second day, September I. TIL,
patient was sleeping, but at the lattel
hour large amount of gas was ex
PEELED and ten minutes later, at So
o'clock, the entry reads: pain sever
on deep inspiration"
NnRpJJJ<E I-SEn Cn%TI<I-AJJy
At 5:2O the patient is said to b
restless, after retaining one pint 0
saline enema. At s a. m, the officia
bulletin announced:
The President has passed goo
night
Fifteen minutes later an injection
OF morphine was given and at 8 a. m
it was announced that the Presiden
I had passed fairly comfortable nigh
and no serious symptoms had de
t veloped. At noon on the second da
: moro morphine was administers,
e hypodermically; at lis there was
saline enema, and at 1880 there was
e hypodermic injection of digitalis
Z. the patient passing much gas by tn
| L
given at $50 on this day, while tn
patient was sleeping, but passing ga
: by the mouth. At $50 the patien
4 complained of intense pain in the pi
4 Of the stomach. He was given a hypo
y dermic of morphine. No pain, bu
restless. Sponged with alcohol an
$ rested quietly for about an hour. TIL
0 official bulletin announced no chang
e for the worse. At $40 p. M, digitali
e was administered hypodermically an
at $50 the bulletin stated that tn
conditions continued much the same
. the President responding we'll t
medication. He had fifteen minute
! quiet sleep, when saline enema witt
somatoss was administered, While
e part was rejected Then there wa
e another hypodermic injection {
/ digitalis at 1910 and fifteen minute
/; later Of morphia. the patient yer
d restless.
d The third day, September 8, bega
e with the entry at 1890: "Restles
during sleep. Limbs sponged. wit
/ alcohol. Quiet, and slept from ,
l. 8 o'clock
The $3.50 a. M. bulletin said tn
President had passed fairly goo
l. night. At $50 a. N. there ws
g another enema of salt and somatos.
From to $3.50 the patient wa. sal
S to be confused and very restless.
At 3 a. m, complained of feelin
: chilly, but it passed in a moment.
| The patient was restless and talkativ
from to O'Clock a. M, expellin
brown fluid and gas. There are fir.
quent entries of these eructations
| and before Q O'Clock there ware tw