Deseret evening news. [volume] (Great Salt Lake City [Utah]) 1867-1920, 1901-10-18
OFFICIAL REPORT
OF THE DOCTORS
Tells All About Treatment and
Death Of President.
WAS NO DISAGREEMENT.
Rumors 10 That Eject Unfounded-
Much stress Laid I'm the Fact That
Harmony Existed.

New York, oct. l7.--The New York
Medical Journal for Saturday, october
10, will contain the full official report
of the surgeons who attended the late
President Mckinley in Buffalo The
report contains more than $1,000 words,
and constitutes the official record Of the
case. The report is signed by Drs. Z.
NJ. Rixey NJ. D. Mann, Herman Mynter,
Roswell Park, Eugene Wasdin, Charles
McBurney and Charles c. Stockton, as
members Of the medical stan attending
the late President The report OF the
autopsy is signed by Rev Harvey H..
Gayior a pathoiogst OF the New York
State Pathological Laboratory, while
the meteorological examination bears
the signature Of DR.. Herman G.. Mat
singer, bacterioogisi Of the New York
State Pathological Laboratory.
DOCTORS ALL AGREED.
The important feature Of the report Is
the emphasis with which DR.. Matthew
ID. Mann, speaking for his colleagues
declares that there was never under
like circumstances more harmonious
and better agreed band OF consultants,
thus setting aside the rumors of dis
agreement among the attending physi-
clans and surgeons.
THE OPERATION.
The report describes in detail the
events Immediately following he Shoot
iDU which a alpaaAg Pa ia, a..
public. Then follows a description Of
the operation in all its technical manu-
tial. The utmost care was used to pre-
vent infection Of the abdominal cavity
and of tte would by the most APP
proved modern methods Of surgical
cleanliness. The wounds in the stom-
ach were sutured with silk, using dou-
bic rows OF stitches, so arranged that
the greatest possible security was given
10 the sutured spots. The application
or these stitches was accompanied By
great difficulties, especially in the SUI
turing OF the opening In the posterior
wall Of the stomach.
The chief trouble was the depth Of
the abdominal cavity, the lack Of in
struments TO draw the edge OF the
wound apart during the sewing and the
lack of good light In his comments on
the report Of the operation, Or. Mann
particularly emphasizes the dsadyan-
tages under which he labored when
suturing the wounds In the stomach,
with the falling light of a September
afternoon Later IN the operation a
movable electric light was used with
advantage.
SEARCH FOR BULLET.
Sneakino ~ ,ha ooorok 90 49,. t,,tt..
In the operatlcG. the report says: "The
operation on the stomach now being fin
ished, DR.. Mann introduced his ann so
as 10 palpitate carefully all the deep
structures behind the stomach. No
track OF the bullet could be found As
track of the bullet could be found. As
the Introduction Of the hand in this
way seemed TO have bad influence on
the Presidents pulse, prolonged search
Tor further injury done by the bullet,
or for the bullet itself was desisted
from Further search might have
caused the death OF the patient upon
the operating table.
AT the close OF the operation the sur
geons present unanimously asgired DR..
Mann In answer TO his questions. that
they were perfectly satisfied that every
thing that was possible had been done.
and that they had no further sugges-
lions to make. II was also decided not
to Introduce any gauze or tubes into the
abdomen for drainage, as this was not
necessary, but the wound was not
seWed up so tightly that no drainage
could take place naturally.
AFTER THE OPERATION.
The report then continues on the his
fOTN nf tho . no
The progress OF the illness Is given day
by day, and the bulletins as given out
by the attending physicians are incor-
porated In the report. on the fifth day.
September 10. took place the much
discussed removal OF stitches from the
wound in the abdominal wall. The re-
port says;
I'm the evening the dressings were ex-
amined and. as there was considpra-
bic staining from the discharges II was
thought best to remove four stitches
and to separate the edge OF the wound.
a little slough was observed near the
bullet track, covering a space nearly
an inch wide, the thickness OF the fans.
The suppuration seemed to extend down
10 the muscle The remainder of the
wound looked healthy, and Il was
thought that the infection was due TO
the bullet, or To piece OF clothing
which had been carried into the wound
at the time OF the shooting The
wound was then dressed and on the
following day the patients condition
was much improved.
TAKING OF SOLID FOOD.
"The findings at the autopsy. as well
as the developments Of the case during
the last days exclude all possibility or |
absolute injury 10 the stomach by
premature giving OF solid food. as was
alleged at the time when unfavorable |
symptoms came on after change 10
solid diet. on the fifth day the Pres- |
dent slipped hot water on the sixth he |
had beef Juice, the first food taken by |
mouth since the operation In the |
meantime nutritlve encmas were con
tinued. but were not well retained.
AT $3.50 o'clock In the morning OF the |
seventh day he was allowed chicken
broth a very small piece % toast and a |
small cup OF coffee. He did not care for |
the toagt and ate scarcely any OF a. |
The wound had, in the meanwhile. been
doing very well, and had been dressed |
daily after the removal Of the stitches |
ard the sloughing tissue. The President |
seemed az his best and favorable re- |
ENlA was INV fRnll'HAlN lINuItAFMf |
There was no sign OF blood poisoning |
or Of Inflammation OF the perltoneum
The only alarming symptom was his |
rapid pulse. but az the President had |
naturally a rather rapid pulse. and ag |
II had been Of a fairly good quality
right along, the surgeons did not aitrib- |
ute very great importance 20 this sign.
ION the seventh day, toward noon the |
pulse began 10 grow weaker and grew
rapidly worse Stimulants we're given |
and the food was discontinued, while
castor oil and an enema OF OK gall wers |
given 10 move the bowels. At midnight |
there was some improvement In thC
pulse. after an injection ~ salt sOlu- |
ton into the sub-cutaneOus tissues. on |
the eighth day the condition Of the |
President was described az very seri- |
Gus. as he did not respond 20 siimula- |
ton Stimulants and injections ~ salt |
eaI,,ffop 1offoa and hrpfher were given