The age-herald., 1901-10-27
Such Is Dr. RiNey's Statement in Official Report of iha
 Presidents Illness DETAILS oF HIS DEATH
Cause of Death Is "Gangrene of Both Walls of the Stomach and Pancreas Following Gum
 shot Wound"

Washington, October 26-"In the line of duty while receiving the people the President was shot by Leon F. Czolgosz." is the official statement, by Dr. Presly M. Rixey, medical inspector United States Navy, as the introduction for his report of 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 gun shot wound"
 The report itself Is remarkable for it's exhibition In the closest possible details of the exact state of the patient during his mortal illness. It is the shape of ships log almost, showing at intervals of 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 nor bath is omitted in this ac- count. Included in the running story are the bulletins which were given to the public as the case progressed.
 
 the first operation at the Emergency Hospital. September 6. the two wounds being discovered exactly as they have been treated in the preceding medical reports. Dr. Rixey stating that all the physicians present agreed to immediate | laparotomy.
 First Entry Made.
 He makes his first entry at 5:so p. m.. l when Dr. Mann made a vertical incision- passing through the wound and found
 at the very beginning a piece of cloth carried in by the bullet. Eight minutes
 later strychnine was administered hypo- | dermically. Some time after that brandy | was administered in the same manner | and then morphine likewise was admin l istered. This same application became | necessary five minutes after the patiens arrived at the Milburn house. the result | being an improved pulse but slight nausea. The first bulletin issued to the public was dated at p. m. It described the character of the wound, the general outline of the operatio~ and spoke of the condition of the patient as gratifying The next entry at s:43 declares that he rested quietly for eight minutes, but at 8:15 the patient vomited a small quantity of partly digested food and blood clot. Vomiting followed at 9:40 also. At l0:40 the bulletin was issued, stating that the
 
 resting comfortably. At 10:45 D. m. there were occasionally twinges of pain and slight discoloration of dressings. At l2 o'clock last night a saline anema was re- tained. At 1 O. m. an hour later the bull ldttn described the President as free from pain and resting well. The notes follow dt intervals of less than an hour until 4:45 o'clock. the second day. September 2. The Second Day. The patient was sleeping. but at the latter hour a large quantity of gas was expelled and ten minutes later at 6:05 a. m. the entry reads:
 "Pain severe on deep inspiration" At 5:20 the patient is said to be resting after retaining one pint of saline anema. At 6 a. m. the official bulletin announced the President passed a good night" Fifteen m inutes later an injection of morphine was given and at 9 a. m. it was an-, | nounced that the President had passed Q fairly comfortable night and no serious symptoms had developed At noon on the second day more morphine was admins tered hyperdermtcally and at 1s15 there was saline anema; and ct 4:3o there was a | hypodermic injection of digitals, the pa- l tfent passing much gas by the mouth l The first alcohol bath was given at 6:30 of | this day, while the patient was sleeping, | but passing.
 Gas by the Mouth. | At 6:3O o'clock the patient complained l of intense pain in the pit of the stomach | He was given a hypodermic injection of morphine. No pain, but restless. Sponged with alcohol and rested quietly for half an hour. The official bulletin announced no change for the worse.
 At TAO p. m. digitalis was administered hypodermically. and the bull<tin at 9:a0 declared the conditions continued much the same, the patient responding well to medication. He had fifteen minutes quiet sleep. when saline anema with soma tose was administered. part of which was elected. Then there was another hypo- dermic injection of digitalis at 10:45 and fifteen minutes later one of morphine, the patient being very restless.
 Restless During Sleep.
 The third day, September 8, began with the entry at 12:30. Restless during sleep; limbs sponged with alcohoi quiet and sleep from 2 to 8 o'clock" The 3:2O a. m. bulletin said. the President had passed T fairly good night. At 3;30 there was an- other anema of salt and somatose. From to 4:3O the patient was said to be 'con- fused and very restless" At 5 a. m., complains of feeling chilly, but 1t passed in a moment" The patient was restless and talkative from to 6 o'clock a. n., expelling brown fluid and gas. There arc frequent entries of these eructations.
 Before 9 o'clock there were two hypo- dermic injections of morphia and digi- talas. hypodermic of strychnine was followed at 12:3 D. m. by saline anema with somatose which was not retained and an alcohol rub. At 5:45 D. m. the patient was restless and taIkative. and for the first time was given water by the mouth. At 4:55 an anema of sweet oil soap and water brought away some slightly colored fluid and very little mucous. At 8 a. m. there was a discharge of the bowels and the patient was set down as ''very restless" At s:20 great deal of gas was passed and some fluid.
 Mind Much Disturbed.
 On the fourth day. September !. tho patient is recorded as restless from to 1920 o'clock. At 3:15 p. m. as s'very restless and mind much disturbed. Co., deia phos. was administered hypodermi-