The Wichita daily eagle. [volume] (Wichita, Kan.) 1890-1906, 1901-10-27
AT h'EIMEYS SIDE
Dr. Rixey Issues Report Civ
ing Closest Possible Details of
EXACT STATE OF PATIENT
Is in Shape of Ships Log
Showing Progress to End.

! ~ LSOA 4. SzolSoSz, IS the Official state
ment filed by Surgeon General of tn,
| Navy, by DR.. Presley NJ. Bixbey, rnedica
| inspector u. S. N, as the introduction
for his report upon the wounding. lines,
! and death Of the late President Mckinley
The cause Of his death 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 detail Of the ex.
act state of the patient during his NOR
tai illness. 1t is in the shape Of a ships
| log, almost, showing at intervals Of a
very few minutes, sometimes a single
minute, rarely more than an hour, the
patients progress towards the end. But
perhaps the most valuable data contained
fro ma medical standpoint of view. is
the accurate registering of the medication
OF the case-not a single morseI Of food
nor dose of medicine or bath is omitted
in this account Included in the run
ming 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 6, the two wounds being de-
scribed exactly as they have been treated
in the preceding medical reports. DR..
RiXey stating that all the physicians
present agreed upon immediate uaparato-
my, makes his first entry at $50 p. m.
when DR.. Mann made a vertical incision.
passing through the wound, and found at
the very beginning piece Of cloth car
ried in by the bullet Eight minutes
later strychnine was administered by
podermically. Some tome after that,
brandy was administered in the same
manner and then morphine likewise was
administered. This came application be-
came necessary five minutes after the
patient arrived at the Milburn home, the
result being an improved pulse but slight
nausea. The first bulletin issued to the
public vas dated at p. m. It described
the character of the wound; the general
outline Of the operation, and spoke Of the
condition OF the patient as gratifying
and justifying hopes of recovery. The
next entry at SAB declares that he rested
quietly for minutes, but at e:15 the
president vomited a small quantity of
partially digested food and a blood clot
Vomiting followed at $40, also. At 1910
the bulletin was issued stating that the
president was ralIying satisfactorily and
resting COMFORTABLY. At 1915 p. m. there
were occasional twinges of pain and
slight discoloration OF the dressings. At
u o'clock, midnight. a~saline enema was
retained. At a. m, an hour later, the
bulletin described the president as free
from pain and resting we'll the notes fol-
low at intervals of less than an hour and
until $50 the second day, September q.
The patient was sleeping, but at the lat
ter hour a large amount or gas was ex-
PEELED and 10 minutes later, at sos, the
entry reads: Pain severe on deep in
spiration." At $40 the patient is said to
be restless, as retaining one pint of sa-
line anema. At 500 a. N. the official bull
letin announced: THE president has
passed a good night" Figteen minutes
later an injection of morphine was given
and at 900 a. m. it was announced that
the president had passed a fairly com
Portable nikht and no serious symptoms
had developed. At noon on the second
day more morphine was administered
hypodermically. at 11:15 there was q sa-
line anema. at 4:30 there was hypodermic
injection Of digatalis, the patient passing
much gas by the mouth. The first alco-
hol bath was given at $50 Of this day,
while the patient was sleeping, but pass /
ing gas by the mouth. At 6:3 0the patient
complained Of intense pain in the pit of
the stomach. He was given a hypodermio /
injection of morphine No pain, but rest /
less. Sponged with alcohol and rested !
quietly for half an hour. The official /.
bulletin announced no change for the I
worse. At 7:40 p. m. digitalis was admin I
istered hypodermically and the conditions (
continued much the same, the president /
wen to medication. Re had Is /
minutes quiet sleep, when a saline enama 1
with somatose was administered, part Of /
which was rejected. Then there was an /
other hypodermic injection of digitaHs |
ut l0:45 and Is minutes late rof morphine !
The patient being very restless.
The third day. September Is. the entry 4
1T 1890 was: Restless during sleep.
Limbs sponged with alcohol. quiet and
slept from 300 to 2:30 o'clock. The $50
bulletin said the president had passed a (
fairly good night At $3.50 there was an
'ther enama Of salt and somatose. From
eco to 1870 the patient was said 70 be
Confused and very restless" At 500 a.
n Complains OF feeling chilly, but il
passed IN a moment. The patient was
restless and talkative from 500 TO 500
o'clock a. m, expelling brown fluid and
gas.
There are frequent entries Of these eruc-
-ations, and before 500 o'clock there
we're two hypodermic injections Of NOR
lhine aud digitalis. \ hypodermic in
lection Of strychnine was followed at 1880
;. m. by a saline enama with somatose.
which was not retained. and an alcohol
-ub. At AS 2. n. the patient was rest
ess and talkative and for the first time
vas given water by the mouth At 41
IN enama az sweet oil. soap and water
brought away some slightly colored fluid
IN very little mucus. At SEQ a. m
here was discharge OF the bowels and
BE patient was set down as Every rest
ess. At SO a great deal OF gas was
,assed and some fluid.
on the fourth day. September Q. the
,atienJ is recorded IS restless from I
@ j &c o'clock" At SIS p. m. as s-very
estless AID mind very much disturbed
'odeiaphos was administered hypoder-
aically After an hours sleep the record
S made at T.I8 q. m, mind clear feels
hiily The patient DRINK water fire.
uently IN small quantities At $50 the
ulletin was issued: The Presidents con-
ition is becoming more ana more satis-
octory' etc. ~ 10 O'Clock on shis norm
ae the doctors began 70 administer hour
3 doses OF cslomel. Meanwhile following
nutritiVe enama Of egg. whiskey and :
7ater. there were two high enemas. one
'ith soap water ard oN-gail. which
7olgat away a oopious discharge with
as- A p. NJ. the bulletin said: The /
residents condition steadily Improves