The news & observer. [volume] (Raleigh, N.C.) 1894-current, 1901-10-27
CAUSE OF DEATH so GIVEN
The Report Remarke BILE for the Minute
Details of the Patients
Exact Condition.
CASE CLOSELY FOLLOWED 10 THE END
The Name Of Ev ry Remedy Employed, Time
of Giving, Effects, Hour When Water
Was First Given, and Many
Other Details.
(By the Associated Press


Washington, Oct. 26-"In the line of
duty, while receiving the people, was shot
by Leon F. Czolgosz.'' is the official state
ment filed with tho Surgeon General of the
Inspector, L. s. N. as the introduction
for his report upon the woupding, illness
and death OF the late President Mckinley.
The cause Of death is thus stated:
"Grangrene of bouth walls of 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 during his
mortal illness. 1t is in the shape of a
ships log almost, showing at intervals
OF d very few minutes sometimes a sin
gle minute, rarely more than an hour,
the patients progress towards the end
But perhaps the most valuable data con-
tanned fIcIn a medical point of view is the
accurate registering of the Inedica ton of
the case-not a single morsel of food nor
dose of medicine, or a bath is omitted
in this account Included in The running
story at the proper intervals are the bull
letins which were given to the public
as the case progressed.
The report begins with IN account of
the first operate al the Emergency Hos
rital September 9Th the two wounds be-
ing described exactly as they have been
treated in the preceding medical reports
Dr. Rixey, stating that ali the physicians
present agreed to immediate laparotomy
makes his first entry at 80 D. m when
Dr.. Mann made a vertical incision pass
irg through The wound, and found at the
very beginning a piece Of cloth carried
in by the bullet. Eight minutes later
strychnine was administered hypodermi-
cally. Some time after that brandy was
administered in the same manner, and
then morphine likewise was administered
This same application became necessary
five minutes after the patient arrived at
| The Milhurn house the result being an
improved pulse but slight nausea.
THE FIRST DAY.
The first bulletin issued to the public
was dated p m. II described the char
! acter of the wound; the general outline of
the operation, and spoke of the condition
of the patient as gratifying and justfying
hopes of recovery. The next entry at
S:43 declares that he rested quietly for
eight minutes, but at 9:15 the patient
vomited small quantity of partly di-
gested food and a blood clot. Vomitin
followed at $40 also. AT 10:40 the bulle-
tin was issued stating that the Presi-
dent was rallying satisfactorily and rest
Ing comfortably. AT 10:45 p. IN, there
were occasional twinges of pain and slight
diseoloration of dressings. At 10 O'Clock
midnight, saline enema was retained.
At l a. M, an hour later, the bulletin
described the President as free from pain
and resting well.
THE SECOND DAY.
The notes followed at intervals of less
thf.A an hour until 4:55 the second day.
September 7th. The patient was sleep
ing but at the latter hour large amount
Of gas was expelled and ten minutes la
ter, at sos a. M, the entry reads pain
severe on deep inspiration" At 500 the
patient is said to be restless after re-
tanning one pint of saline enema At 6
a. M, the official bulletin announced 1.-THE
President has passed a good night" Fiji
teen minutes later an injection of NOR
phine was given and at 9 a. M. ii was an
nounced that the President had passed
a fairly comfortable night aud no serious
symptoms had developed At noon on the
second day more morphine was admins
tered hypodermicaliy at 1:15 there was
a saline enema; and NJ so there was a
hypodermic injection of digltalis the pa
| tient passing much gas by the mouth
The first alcohol bath was given at
$3.50 on this day, while the patient was
sleeping but passing gas by the mouth.
AT $50 the patient complained of Intense
rain in the pit of the stomach He was
given a hypodermic of morphine. No
pain but restless. Sponged with alcohol
and rested quietly for half an hour. The
official bulletin announced no change for
the worse. At TAO p. M, digitalis was
administered hypodermically, and the bull
letin at $50 declared that the condition
continued much the same, the President
responding we'll to medication He had
fifteen minutes quiet sleep when a saline
enema with somatose was administered,
part of which was rejected. Then there
was another hypodermic injection of digi-
tails at 10:40 and fifteen minutes later of
morphine the patient being very restless.
THE THIRD DAY.
The third day, September Sth, began
Continued on Tenth Page.)