The evening times. [volume] (Washington, D.C.) 1895-1902, 1901-10-26

ger. The wound of the stomach was
secured with douh'a row Of silk SUI
lures Respiration s.- pulse. 50. both
OF good character IucIsiou Increased
Jn 49, CHA Abdominal cavity care
fully explored and am bleeding points
tied rW. IuttStDrs examined omen
tuUi Ii-at,i and divided. after which
peri ration Do EuS-DTfDr wall of StGW-
aeh was readily found. 10 was about
IL en- ia diameter The wound was
carefully surgT,t.
"t.-g r. m.-Tufs.. Ice. only fair I'm
character, respiration. s9- &c r e.. Of
brandy given hyu"d,rmicaUy.
""--I %. m--Er Roswell Park Medi-
cal Director pau-AueTitaU Exposition.
arrived IN the operating room.
'r-.l p. m.-NIG.miu1l cavity irri-
gated with stDri!o silt solution and alb
GDmuai opening Suturot'
An Important stage.
This WAS am Important stage Of the
operation. The saIt solution with which
the abdominal cavity was irrigated was
( not. tho object OF it's use being 20 r,stuI,
vitality o. The exposed parts and as a
| haal p-rcauJiau against semitic poisoning.
$50 o. m.-Ahiom5naI sutur,s iu
place. sflk-worm gHt sujuT,s. with
C.tEEt between
"T-Ei p. III. -AnpSthrtic ~tsuntf
go. D. m.-Bauda-juu completed.
pulse. I--. respiration 81
ga De- -IiyUrdermi. OF morphine.
ert gram administered
80 D. m--RemDL,d from the hos
pIJtt jo Tho ambulance HrS. Park and
NaSeiu accompanying the President.
At this tiray his condition was good.
put he was sim under the Influence Of
the au,sthrJiy.
$50 p. m.-Arrivcd at the MHburu
house and put 10 bed in fair condition.
Pulse, 49, temperature. 1906, TrsUira-
ton, 30 The nurses ON duty were
Miss X r Simmons and Miss 4. ID.
Barnes, from the Emergency Hpspit-
al"
II is interesting 10 note that the first
| record of pulse and respiration i'm the
case, AT $50 p m.-one hour and forty
eight minutes after tho shooting indicat-
ed pulse 81 and respiration -, both OF
good character. At 500 p. m. after be
ing put to bed at the Milburu home. the
pulse was recorded at ~ and respiration
80, the increase in the pulse being ascrib-
able Co the anaesthetic and 81 no way
considered omiuous by the physicians.
The first bulletin issued by the Prssi-
dents PHYSICIANS, dated at p. m was
! as follows.
The President was shot about 4
o'clock one bullet struck him ON the
upper portion Of the breast bone.
CHANGING and not penetrating the sec
o1" bullet penetrated the abdomen
u 70 inches below the left nipple and
Cle and uue-halt iaeEcs TO the loft of
II" mCdia1 line. The abdomen was
90, ned through the line OF the bullet
wound. Ii was found that tho bullet
had penetrated the stomach The
opening in the front wall Of fI- Stcm-
ach was carefully closed with silk SUI
lures after which search vas made
fer hole in the hack wall of the
stomach Z his was found. and also
closed in the same way The further
course of the bullet could not zoe dis
covered, although careful search was
made. The abdominal wound was
closed without drainage no injury 20
the intesti1es or other abdauiua. or
gan was discovered
The patient stood ,no operation
well Pulse Of good quality rate Of
100 Condition at the conclusion Of The
operation WSS EraliELlE- Inc result
cannot De f0retCld His CONDITION at
present justihes hope OF recovery
From the time the patient was put %
| bed until midnight. pulse. temperature. and
respiration showed nothing unusual iu
such cases, the vomiting being at~ibut-
able 90 the aHacsthetic administered in
I the operation
Hopeful Day.
The report then reviews each days
symptoms and Developments
| In cases Of anticipated septic poisoning
the third day is tho moment OF import
auCe, from the medical standpoint In
the first bulletin Of that day. issued at
/ 800 a. m, the physicians were careful to
/ say only that the President had passed a
I fairly good night" the wording Of the
/ bulletin indicating that the condition Of
| the President was not as good as might
/ have been expected. This and the sue
/ coeding bulletins proved TO be some of the
most important in the whole record.
4 4 careful study Of the details given
shows high pulse and temperature. chilly
/ feeling, and restIessuess all of which are
+ significant symptoms, yet giving no indi-
/ cation of 1eritouitis. The observations
1 Of the patients condition made public
stated Some Improvement Seven hvu1-
dernics Of digitalis or sfryenuine We're
+ given, in addition TO uutrisive enema Of
/ whisky and egg. made necessary by the
! fact that the patient was able To take
/ no ngurishmsut by the mouth
The fifth day was the first hopeful
/ one. and on tho sixth the favorable signs
/ continued. The seventh day f0reshadow-
/ cd the end.
From the first record al a. m on that
/ day september - il is stated that the pa
/ tieDt was very restless and later on com
| planned Of pains; atIl q. m. restless and
( depressed, with the same rapid pulse. IDS.
! and respiration. 2s. skin moist and cold.
I headache and nausea, an uufay0ra bic
/ symptoms. Heart stimulauts Were adj
/ minlsteTcd at frequent intervals: whisky
/ by the mouth diElJalis and strychuiue
/ hypodermicauy- The physicians. ignorant
/ OF the real condition Of the stomach. ad-
I HiEIster,d n0uri-hment by the mouth
/ beef juice. chicken broth toast. cUh GO.
. ana soft-EoiIed CgE-o1 the mistaken as
/ sumption that the wound had healed ~lr-
/ rC.rltiy Tor The stomach 10 retain uour-
/ ishment administered by tho mouth