The Montgomery advertiser., 1901-10-18
HARMONY PREVAILED
AMONG PHYsICIANs ATTEND.
 ING PRESIDENT M'KINLEN
Report of Surgeons Who Waited on
 the Executive to Be Printed in The Medical Journal of New York.

New York, Oct. T-The New fork Medical Journal for October 18th VIII contain the full official report of the sur eeons who attended the late President Mckinley in Buffalo. The report lays emphasis on the complete harmony that existed among the physicians. It says or the operation that the utmost care was used to prevent infection of the abdominai cavity and of the wound. The Wounus ',l in the stomach were sutured with SIX, using double rows of stitches so arranseo that the greatest possible security maS given to the sutured spots. The appnSa, ton of these stitches was accoIhpa
 by great difficulty especially tne su. M as of the opening in the posterior wan
 the Stomach. The chief trouble was me denth of the abdominal cavity, the lack of Instruments to draw the edges or the wound apart during the sewing ana tne lack of good light. Speaking or .he search for the bullet during the operatioh the report says: ''The operation on .ile stomach now being finished, pr. Mann in- troduced his arm so as to paipa.e - s,,,,,, aN the deep structures behind the .ton,ach No trace of the bullet or or .h. further track of the bullet could De fonnd As the introduction of the mana in this way seemed to have pao III, duence on the Presidents pulse. proiotsyo search for further injury done by the nui, ,et ar for the bullet itself was oesis'eo from" .oa,,o. any
 If was decided not to introduce any my gauge or tubes into the aodoHieh ioi drainage, , ,o.h +ool, ,,oce inc much discussed removal or Stitches from the wound in the apooni- nal wall. The report says: Tn .hs evening the dressings were exaniheu anu as there was considerable straifins lion' tha discbarpes. it was thought best to re move four stitches and to separate .ne edges of the wound. A ht,ie sauuSi .t was observed near the ou,ie. tIo covered a space nearly an men ,'r.t,on saa,nad to extend down to the muscle.
 The remainder of the wound iooneo .a,thv and 1t was thought that the Ill., lection was due to the puilet oi n;ooa of clothing which had been car ,asS into the wound at the time or tne shootinp The wound was then oresseo and on the following day the pa.ieN' 3 condition was very much improVeu
 The findings at the autopsy as mH the inc developments of the case durlhs tne ,ast days exclude all possibility or anso- | 1,,ta iniurv to the stomach by prematui 7 aiv;ng of solid food as was alleged al .ha time when unfavorable symptoms | came on after change to sono oiet' tSa f.ftb day the President slipped not water on the sixth he had peer Julee' l the first food taken by mouth snlce 'he l operation. ov,o. were
 In the meantime nutritive enenas
 .,a hut were not well retained. Al s.ao in the morning of the 7th day he was aIowed chicken broth, very small pieGe | of toast and a small cup of cofiee. Ee | did not care for the toast and ate scarceIS | onv of if The wound had in the mean | srh,,e heen doing very well and hao peer | arassed daily after the removal or .ne stitches and the sloughing tissue ' l President seemed at his best ana laso. o.
 able result was now conndentiy P',, PleS l cd There was no sign or Dlooo poiSo
 , ~. of infammation of the peritoneum
 Tha only alarming symptom was ms rapi' | nulse and as it had been of fralrly soo' nuolitv right along the surgeons oio iio
 attribute very great importance 10 tni
 sign, On the 7th day towards noon, .n' | pulse began to grow weaker anu s s. rapidly worse Stimulants were slVv'
 and tbe food was discontinued whli
 castor oil and an enema ol oAsan isn;sh
 given to move the bowels. AL nlluiIis ,n II
 thara was some improvement In the puis | of+ar an infection of salt solutloh lhI
 the sub-cutaneous tissue. c ~,
 On the egiht day the conditions ol LII
 President was described as very se[iou
 and he did not respond to stinluia.ion Stimulants and injections of salt soiu.ioii coffee and broth were given, put "ilho"
 much effect. ,-. o,d con
 At o'clock oxygen was gwen anu e0
 tinued for some hours.
 At 6:SO o'clock the President was rest less; at 10 D. m. he lost consciousness ai,' it continued to sink until he died at %'l a. m. on September A. 1 In speaking of the criticism that Roehl gen rays should have been used to loca.
 the bullet, Dr. Mann says in ms repoI '
 We were often asked why a1ter en
 oneration. we did not use the H-ray U
 and the bullet. In the first place ther
 at no time any signs that the bullet wa wa
 doing harm. To have used the A-ra! simply to have satisfied our curloeit!! ! would not have been warranlaple ae would have greatly disturbed ana ahnoS
 ed the patient and would have sub1ecte' him also to a certain risk hau lne'' ' been signs of abscess formauoh , tne the x-ray could and would nave oee' used" o,-.,u5
 The renort of Dr. Harvey R. Gaylord pathologist to the New York State fa'n
 ological Laboratory on the autopsy, iE lengthy and detailed. The aodoniiha
 wound showed no evidences or hecloS or sloughing. No inflammation or th' peritoneum was found. The wound in tho front wall of the stomach was iouHO held intact by silk sutures." but the area of stomach wall around it was discoloreo grayish- green and easily torn. The area around the wound on the posterlor Wal of the stomach was also of dull gray color but the sutures held the wound III tact. Behind the latter wound there wa: : a spot of discoloration which showed that the sloughing process had gone backward in the track of the bullet. me gangrenOus cavity found behind the |, stomach involved the pancreas and tho | surrounding loose tissues, the bottom O
 the blind pocket being formed by tho upper end of the left kidney. which wal found to be lacerated at that point tt the extent of about two centimetres.
 The track of the bullet was then traced
 through gangrenous tissues in the ia
 behind the kidney to the muscles of tn
 back wall of the abdomen; the direction of tn bullet, however, could not be traced
 any further.
 The earch for the bullet was mos thorough and painstaking, but in spit of all efforts it could not be found, ana the autopsy had to be discontinued be
 cause the time allotted to it by the fam
 iIv of the late President had already beer
 Examination of the heart muscle show
 e6 that fl was affected with we'll marked fattv degeneration, and in some place. the muscle flores showed groups of darl bror,,, .,raruias demonstrating a diSeas