Atlanta semi-weekly journal. (Atlanta, Ga.) 1898-1920, 1901-10-28
GANGRENE CAUSED
'KINLEY'S DEATH
DOCTORS REPORT GIVING ALL
DETAILS OF THE FATAL
ILLNESS.

WASHINGTON. oct. sS-''In the line OF
duty. while receiving the people the
president was shot BY Leon F. Cz0lgosz"
Is the Official statement by DR.. Presley
NJ Rixey. medical inspector. United
States. navy. as the introduction for his
report upon the wounding. illness and
death OF the late President Mckinley. The
cause OF death Is thus stated:
''Gangrene OF both walls OF the stomach
and pancreas. following gunshot
wounds"
The report itself Is remarkable for its
exhibition IN the closest possible detail
MS mortal illness. II is in the shap OF
a ships log. almost showing intervals OF
n very few minutes, sometimes a single
minute. rarely more than an hour. the
patients progress toward the end. But
perhaps the most valuable data known
from a medical point OF view. IS the regis
tering Of the medication OF the case-not
a single morsel Of food nor a dose OF
medicine or hath Is omitted in this ac-
count. Included in the running story are
the bulletins which were eaven 10 the
public as the case progressed
The report begins with an account OF
the first operation at the emergency hos
pitai. September 6 the two wounds being
discovered exactly as they nave been
treated in the preceding medical reports
DR.. Rixey. stating that ali the
physicians present agreed 20 immeoi-
ate lsparotomy makes his first entry az
SO p. m. when DR.. Mann made a YER
teal incision passing through the wound
and found al the very beginning piece
OF cloth carried IN BY the bullets. Later
strychnine was administered hypodermi-
callv. Some time after that brandy was
administered in the same manner ana
more strychnine was likewise admins
tered. This same application became nee
essary FIVE minutes after the patient ar
rived al the Milburn house. the result be-
Ing an improved pulse. but slight nausea
The first bulletin issued 20 the public
was dated at ! p m II described tne-
character OF the wound the general out
line OF the operation and spoke OF the
condition OF the patient as gratifying and
tustifyIng hopes Of recovery. The next
entry. at ss43. declares he rested quietly
for eight minutes. but at Sis the patient
vomited a small quantity Of partly digest
ed food and a blood clOt- vomiting Aoi-.
lowed at $50 also. At 1890 the bulletin
was issued stating that the president vas
raIlvinc satisfactorily and resting com
fortably. At I0:45 p m. there were Oc-
casional twinges Of pain and snsnt as
coloratiOn Of dressings Al Il ociock'
midnight. a saline enema was retained
At a. m, an hour later. the bulletin
described the president as free from pain
and resting well. The notes follow at IN
tervaIs OF less than an hour until 4-SS,
the second day. September I, The patent
was sleeping. but at the latter hour
large quantity OF gas was expelled ana
ten minutes later, at 500 a. m. the entry
reads:
pains severe on deep inspiration"
At $50 the patient Is said 10 be restless
after retaining one pint OF saline enema
At a. m the Official bulletin announced:
The president has passed a good
fnAN
Fifteen minutes later an injection OF
morphine was given and at 9 a. N IL was
a announced that the president had passed
a fairly comfortable night. and no serious
symptoms had developed Al noon on the
second day more morphine was admins
tered hvpodermicaIly and at lis there
was saline enemas and at 4.30 there was
q hynoderrnic injection OF digitalis the
patient passing much gas by the mouth.
The first alcohol hath was given at $50
OF this day. while the president was
sleeping. but passing gas by the mouth.
At $50 the patient complained OF in
tense pain in the pit OF the stomach. He
was given a nypodermic injection Of NOR
.phfne. No pain. but restless. Sponged
with alcohol and rested quietly for half
an hour. The official bulletin announced
no change for the worst. At z:40 p. m.
digitalis was administered hypodermical-
" and the bulletins at $50 declared that
the conditions continued much the same.
. the president responding well 10 medical
attention. He had fifteen minutes quiet
sleep. when a saline enema with soma
t0se was administered. part OF which was
rejected. Then there was another by
podermic injection OF digitalis at 1910
and fifteen minutes later of morphine,
the patient being very restless.
The third day. September s began with
the entry at 1870: Restless during sleep.
Limbs sponged with alcohol. slept 2 TO
3 o'clock"
The $50 a. m. bulletin said the ,presi-
dent had passed q fairly good night. At
ss50 there was another enema OF salt and
said to be CONFUSED and very restless"
At a. m complains Of feeling chilly but
it passed IN a moment. The patient was
restless and laxative from 20 o'clock
a. m. expelling brown fluid and gas.
There are freffuent entries OF these eruc-
tations.
There are frequent entries or these
quotations and before o'clock there
were two hypodermic injections OF NOR
phine and digitalis. A hypodermic OF
strychnine was followed at 1880 p. m. by
a saline enema with somatose. which was
not retained and an alcohol rub. At AS
D. m the patient was restless and talka-
tive and for the first time was given
water BY the mouth At ass an enema OF
sweet oil. soap and water brought away
some slightly colored fluid and a very
little mucus. At a. m. there was dis
charge OF the bowels and the patient was
set down as very restless" At $40 a
great deal Of gas was passed and some
fluid.
on the fourth day. September 9. the
patient IS recorded as restless from /