Evening star. [volume] (Washington, D.C.) 1854-1972, 1901-10-26

ical point of view is the accurate register
ing of the medication Of the case-not
single morsel of food nor dose Of medicine
or a bath is omitted in this account. In
cluded in the running story at the proper
intervals are the bulletins which were given
to the public the case progressed, anu
it is perhaps interesting to note the charac-
ter of DR. Rixey's private notes 1mme-
d:ately preceding the issue Of each bulletin.
The Day of the Shooting.
The report begins with an account of the
first operation at the Emergency Hospital
September g. the two wounds being de-
scribed exactly as they have been treated
in the prec eding mdcal reports. DR.. Rixey,
stating that all the physicians pres
ent agreed to immediate laparotomy,
makes his first entry at 6:30 pm, Wnen
DR.. Mann made vertical tncislon, passing
through the wound, and found Ut the very
beginning a piece of cloth carried in by the
bullet Eight minutes later strychnine was
administered hypodermically. Some time
after that brandy was administered IN the
same manner, and then morphine was like
wise administered. This same application
became necessary five minutes after the
patient arrived at the Milburn house, the
result being an improved pulse, put shgh.
nausea The first bulletin issued to the
public was dated at pm. 1t described
the character Of the wound, the general
outline of the operation and described MS
condition as gratifying and 1ustl1yinng. FL hopes
of recovery. The next entry, at S:4S, de-
clares that he rested quietly Tor eight
minutes, but at 9:15 the patient Vom1ted a
small quantity of partly digested food ano
a blood clot. Vomiting followed at 9:4O
also. At 1O:4O the bulletin was issued,
stating that the President was rally1ng
satisfactorily and resting comfortaply. AT
1915 pm. there were occasional tWinges
of pain and slight discoloration of dress
fnes At - midnight a saline enema was
retained At / am, an hour later, the
bulletin described the President free
from pain and resting we'll
The Second Day.
The notes follow at intervals of less than
an hour until 1855 the second day, Septem-
Der T. The patient was sleeping, but at
the latter hour large amount OF gas was
expelled and ten minutes later, at 800 am,
the entry reads: Pain severe on deep in
SEPARATION" At $40 the patient was said
to be restless, after retaining one pint of
saline enema. At am. the official bulle-
tin announced 1.-The President has passed
a good night" Fifteen minutes later an in
lection of morphine was given. ana at y am;
it was announced that the President had
passed a fairly comfortable night and no
serious symptoms had developed. At noon
on the second day more morphine was ad-
ministered hypodermically; at 40 therc
was a saline enema, and at 4:3O there was
a hypodermic Injection of digitalis, the pa
tient passing much gas by the mouth The
first alcohol bath was given at $50 or this
day, while the patient was sleeping put
passing gas by the mouth. At $50 the pa
tient complained of intense pain in the pit
of the stomach. He was given a hypoder-
mic of morphine. No pain, but restless.
Sponged with alcohol and rested quietly
for half an hour. The official bulletin an
nounced no change for the worse. At $40
pm digitalis was administered hypodermic-
ally, and the bulletin at $3.50 declared that
the conditions continued much the same,
the President responding well to medical
ton. He had fifteen minutes quiet sleep,
when saline enema with somatose was
administered, part of which was rejected.
Then there was another hypodermic injec-
ton of digitalis at 10:4O, and fifteen min
utes later of morphia, the patient being
very restless.
The Third Day.
The third day, September 8, began with
the entry at 1890 of Restless during
sleep. Limbs sponged with alcohol. Quiet
and slept from to 3 o'clock" The 800
am. bulletin said the President had passed
a fairly good night At $3.50 there was an
other enema Of salt and somatOse. From
4 to 4:3O the patient was said to be Con
fused and very restless" At am, Com
plains Of feeling chilly, but 1t passed in a
moment" The patient was restless and
laxative from 8 to o'clock am, ex-
polling brown fluid and gas There are fire.
quent entries Of the quotations, and be-
fore o'clock there were two hypoderm1c
injections Of morphia and digitalis. Ihe
am bulletin said in part: THE President
passed a good night, and his condition this
morning is quite encouraging. His mind Is
clear and he Is resting well.
At 1915 am. after a short sleep, there
was another hypodermic injection Of digi-
tails, followed in ten minutes by high
enema of EPSON salts, glycerine and wa
ter, which was followed by small evacu-
alton. The IL noon bulletin recorded
continuance Of the improvement in the
Presidents condition. A hypodermic of
strychnine was followed at L. 80 pm. by a
saline enema with somatose which was not
retained, and an alcohol rub The next bull
letin at pm. stated that the President
had slept four hours quietly He was given
a hypodermic of strychnine and was next
recorded as sleeping. At 4:45 I'm. he was
restless and talkative, and for the first
time was given water by the mouth. At
400 an enema Of sweet oil, soap and water
brought away some slightly colored fluid
and very little mucus. During the after
noon gas was passed several times; the pa
tient had water at intervals of about an
hour; he was given a nutritive enema of
egg, whisky and water (Which was partly
rejected, and injections of digitalis and of
strychnine, hypodermic. At Pm there
was discharge of water from the bowels,
and the patient was set down as very rest
less" At $40 great deal of gas was
passed and some fluid, with particles of
focal matter. The o o'clock bulletin said:
1.-THE President is resting comfortably and
there is no special change since last bulle-
tin" The next entry was Restless" AT
Quiet only few minutes at time"
Fourth Day.
The fourth day. September 8. opened with
an entry at 1901 am stating that the pa
tient was sleeping, but passing gas by
mouth. He is recorded as Restless from
1 to 1:20 o'clock" At 2 am. as quiet and
sleeping, but passing gas. At 3:15 pm. as
Very restless. and mind much disturbed. -
Codeia phos. was administered hypodermi-
cally. There was also nutritIve enema
at 800 am. and an alcohol bath, and the
bulletin issued at am. showed that he
had passed a somewhat restless night
After an hours sleep with more discharges
of gas, the record is made, at TOO am,
Mind clear, feels chilly" The patient
drank water frequently in small quantities.
AT 9 am. the record is Restless from
to O'Clock. Passing gas by mouth and
rectum." At 900 the bulletin was issued:
THE Presidents condition Is becoming
more and more satisfactory ETC. At 10
o'clock on this morning, the doctors began
to administer calomel in very small doses.
dry on the tongue. This was given with
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