Show S RIXEY MAKES I HIS REPORT REPORTS S C Statement of Death is Filed FiledS S o t 1 DETAILS ARE GO GONE E INTO I S EXACT STATE Of PATIENT DU I TUNO BING ms S PAPAL FATAL ILLNESS Washington Oct 26 In the line of or ord duty d while the people p ople was I shot by Leon lAun F P Czolgosz is the of ot official statement filed with the surgeon gener t f the We navy by Dr Presley M oI Rixey medical inspector U S N Nas Nas Nas as the introduction for his report upon u on the wounding Illness and death of oC the lats Int President McKinley The cause e of ot death is thus thu stated Gangrene of both walls of the stem stomach stomach t ach and pancreas following gunshot wound The Th report itself is remarkable for forUs 1 Its Us exhibition In the closest possible de dO detail dOS S talk tail of oC the exact state of ot the patient during his mortal illness It is in the theS S shape haps of f o lif ships ship log almost showing at intervals of oC a very few tew minutes sometimes a single minute rarely more than an hour the patients pro progress ress tess toward the end ena But perhaps p the most valuable data contained from a Medical point of view is the accurate a 4 1 registering of oC the medication of ot the case not a single morsel of food nor P dose of ot medicine or bath is 18 omitted In this account Included in the run running runS S ning Ilin at the Intervals are toe tile bulletins which were Iven to the theS S public as the casa ens c progressed Th report begins with An accurate S S account of the first operation n at the emergency hospital Sept 6 the two vou la being described exactly as 55 they have been treated in the paced preceding ing reports Dr Rixey stating that all the present agreed to t l Immediate Im his first entry at p fa m when Dr Mann nade ade a vertical inc sion slon passing pa through the wound and found at the Very ery beginning a piece of 0 cloth oar car carried ried In by the bullet i Eight minutes later strychnine was wasS S J administered hypodermically Some SomeI I alter that brandy was adminis S teed leset te In the same manner and then morphine likewise was as administered This same ume application became bec m necessary Gary sary five after the patient pat nt at ar arrived atS S rived at a the tb Milburn house the result ree lt I being beIns an pulse but slight slightS S nausea S r S S SS S e n to tD Public The bulletin Issued to tile the th pub public lie lic was dated ad at 7 p m rn the wound wind the operation The next I entry v at t 34 42 declares that the patient patientS S rested quietly but at vomited a small quantity of or partly digested food tood and a n blood clot Vomiting followed at also At 1040 1001 the bulletin was issued stating that the president was rallying satisfactorily and comfort aLly GUy At 1046 p m n there were ware occa 7 of 0 pain p tn and slight dis discoloration coloration of dressings At t 12 SS midnight a saline enema was retained The notes zotes follow follo at Intervals of less tess h hAn ban n an hour until 41 the second day dayS dayt S sr pt t 7 and ten t n minutes later tit at u a m the entry reads 5 Pain severe on deep respiration At AtS S the tae patient Is said to be restless after atter retaining on one pint of ot salt enema enemaS At 1510 the bulletin said the president S S dent had paused passed pa ed a good night At 9 II IIa a was Mat no serious symptoms oms had developed At noon on the second secund day more morphine was wag ad administered administered ministered at there thero was a saline enema and at there was a hypodermic injection of digitalis the patient passing much gas gasby gasby by ly the th mouth The Th first alcohol bath was given at of or this day while whileS S th patient tient wax sleeping but passing gas by mouth moth At th patient complained of or in intense tense pain III Hi the pit of or the stomach He was vas given a hypodermic injection injectionS S of or morphine No pain but restless Sponged with alcohol and rested quiet quietly Iv ly 1 for half halt an hour hou The rhe official bul bulletin bulletin letin announced no change for tor the worse At p m in was ad administered administered administered ministered hypodermically and the bulletin nt declared that the con condition litmUS continued much the same me the president well to medica medication medication S tion lion He H had fifteen minutes quiet when a saline sa line enema with soma somaS S oz was administered part of which was wa rejected Then Than there was another hypodermic Injection of or digitalis at atS S 10 1040 40 and fifteen minutes later of ormo mar mor morphine marS phine the patient being berng very restless S S On the Third Day The third day S Sept pt 8 S began with the entry at 1230 Restless during sleep Limbs sponged with alcohol I Quiet and slept from 2 S to 3 The a m bulletin said the pree pres president ident had bad passed a fairly good night At 3 thee was wag another enema of calL alt and e From 4 to the theS S patent patIent was said to be confused d and andery very ery restless At 5 a m complains of ot c feeling chilly but it passed in a moment The Th patient was restless S nl talkative from Crom 6 It to 6 a m Before 9 there were Vere two hypo hypodermic injections of morphine and digi digitalis digitalis talis tails A hypodermic of strychnine was followed at 1230 p m by b a saline enema with matose r which was not and an alcohol rub At p in ro 1 the patient was restless and talkative and for Cor Cit first time was given iven water by b the mouth At 45 4 an enema of sw et oil soap and water brought brou bt away awn some slightly colored I fluid and a very cry little mucus At S 8 a am ain m tn the patient was set down as very tery restless On the fourth day Sept 9 the pa patient patient tient s recorded as restless from rom 1 to I At Ili p m as very ver restless and mind much disturbed was vas administered hypodermically After ACter an hours houYs sleep the rec roe record ord Is made at 10 a m to mind clear Led chilly The patient drank water frequently in small quantities At the bue bute bueIn tin In was issued The presidents president con condition condition is becoming more and more mart sat satisfactory satIsfactory etc tAt 10 the th doc doe doctors tArs tors began to administer ter hourly doe of ot calomel Meanwhile a nutritive enema of r egg e g whisky whisk and water there were two high enemas Otto orte with sons wa wat and ox gall gaU At 3 p m rn the bulletin said The Tho presidents I dents dente condition steadily improves and he is comfortable without pam pain or or un unfavorable unfavorable favorable symptoms symptom Bewel and kid kidney fey ney n functions normally performed Complained C mp ln rl of Nausea Naw a i At of this day following a dress dreis dressing lug ing of ol of about an arf hour the 4 patient spit up greenish bitter Hot lot water was as given at gO and half h C Can an hour Jour Inter later the patient pa ent complained of nausea day Sopt Sept 10 began begun at a rn m after a bert abort sleep with this entry Uncomfortable turning fre fee frequently There are three entries of ot sleeping and arid then the bulletin stating that the president had passed the th most meet comfortable night since the attempt on his life The 9 a m bulle bulletin bulletin bulletin tin predicted a rapid convalescence falling complications The bulletin at ati i 10 SO 5 said ald the presidents condition was wast t unchanged and described the removal of the stitChes and the causes The sixth days treatment tr was market marked by the administration atlon of ot the t food into the stomach stoma h beef beet Juice which the note said tasted good T e were seven administrations of this thiEf beef boet juice between bet midnight and andI ft I vr 1 e next morning The pa patient patient tient complain complained of or feeling chilly but buti butis i is III recorded as snipping l aping more than usual and nd the t 9 odeck said that he lie rested comfor bly ly Iy and his ls condi condit J t tion was waa excellent The patient com corn complained of headache at and cam camphor earn camphor 1101 was ws applied to the head The bulletin at stated that the president president president dent continued to gain and the wound was becoming healthy The seventh day began with the ad administration administration administration ministration of o a beef beet Juice and the diet 55 was ills varied this time the patient corn com complaining om of pain in the abdomen by and water and chicken broth j rt t l p m digitalis and strychnine mci been injected hypodermically Meantime the patient was given the second piece of ot toast and one egg The entry reads Did not relish it and atu ate very little Quieter and more snore ch edul since having last strychnine Patient Becomes Worse At 45 It is said sald mind wandering and restless Calomel whisky and water and digitalis lIs were again admin administered administered i The skin skia was moist and cold and tin th the bulletin reported the pres presidents president res resIdents ident condition n not so favorable At I Dr RIxey writes Whole body moist and cold Pulse weak and un unsteady unsteady unsteady steady Slept quietly twenty minutes At 11 ii of that night salt solution solution tion was injected beneath the skin At midnight whisky and water was given with an infusion of digitalis For the 1 I first fi t time resort was had to Inhalation of ot oxygen The Te bulletin buletin issued at that time read All unfavorable symptoms symptom symptoms toms tom in the presidents condition have Improved d since the last bulletin etc The Te eighth and last day of orthe the preal presidents dents life lite Sept 13 opened with this entry at 1220 a m Restless and and complains of headache Whisky and water ater was given and a perspiration I was induced but at 1 a t m is In this entry ent Very V ry r restless and wants to get up tired tred 0 The same medical treatment was con continued continued tinned involving a plentiful use of ot oxygen digitalis strychnine and mor morphine morphine morphine phine and Still at the patients patents condition is reported as grave The Te oxygen was wa continued There was no response to stimulants and morphia were injected the te patient patent being almost less The Thelast Thelast last entry was wa made at at 9 9 p m and there was a gap of five hours between gp that and the end Heart sounds very ery feeble Oxygen continued Slight reflex movements and ant at a a m Sept Sept 14 1 1901 the t e president died Attached to the report are the re results result suits sult of ot the autopsies and the chen cher I lea ical and bacteriological examinations which Wl h have already ad Been Jeen published in inthe th th the medical journals g S S |