Show GENERAL GRANTS DISEASE from no on the anil hect pe ct ol 01 the cae V letl wor the treat YORK july sit atio aro extracts from an by dr tho and pathological aspects ot general which will appear lu the cal ot next the treatment alu bo moro elaborately described dr K it la bot definitely known when throat trouble probably in june 1831 as it general grant first of la the regions ls 1 on march I ibo pa blont douglas and sills it boand that sur lacos ol 01 tho right region and portion of the vault ot tho pharynx were covered with a thick yellowish exudation resembling tissue thin deposit was evidently the result ol 01 an acute proceso upon the disease ami partook ot giuy 0 tho ch of a relic this view ot abo complication explains many ot the gravo symptoms which were associated socia ted with alic great but which were not directly traceable to the ot the tr allon the progress ol 01 the local disease was a steady ono ironi iho beala the lots of aba and cent 01 ol part with thu ol 01 perfect control ot iho cicat difficulty lu swallowing just before ho wa transferred to mt mcgregor ho rather lost his voice never to it this was due to thick cuing of the vital chardi by infiltration and partly to A relaxation pi the parts from general weakness A brict summary ol 01 iho treatment li all tint it will be necessary to sire now birly in the lu order to every possible chance 0 error in the diagnosis the tallcut was placed treat mant although alii clinical history of tho cac gave only negative indications 0 iti this treatment although continued jor a period produced no effect in the or in arresting ibo progress ol 01 the disease lodo torm was aed a a local application to the ulcers as well at gargles composed 0 salt and water diluted carbolic add and solution 0 of potash and yeast A tour pur cent solution ol 01 cocaine was occasionally applied to painful parts with happy results but it was never employed to any such excess as la generally thought by the public nor were lher any bid effects roin Us the latter were with abo ull knowledge that abo drug was a new one aud that only its cautious use was itce clover hii alvn aults but produced no effect whatever upon alto 1 il disease it only proved iteck busot as a laxative and was 60 employed least harm lul 0 medicines 0 its bort tor continuous dla gnoK ivoa birly la the caso ana proved to by tho microscope by the history ot the pa aleut mid by the lat tissue the disease hal a much shorter ahn asual owing to the pro ot tho pa system dependent in a great upon other causes the cause 0 the disease in ibis case Is largely conjectural as a rule starts from local and unlike other forms ol 01 c incur 1 not dependent upon hereditary predisposition to the disease roust however aside rooi this be 3 latent tendency toward cancerous cao cerous troubles which Is dioro pronounced la some individuals than in others otherwise wo bo unable to explain why simple and continued circulation would induce iho in one ciso and not in another it is however quite probable aliat excessive ng waa the active caubu ot the cancer in general grants case or at least it Is tt to presume ho would not had tho disease it aln habit lal not acca to excess this assumption id boado in halace that ol 01 the thousands who smoke all gutter rom the disease although there was more or less constant aln 0 a gnawing character the patient was happily spared that agony 0 which Is otten associated with the invasion 0 abo deeper parts 0 the by cancerous disease had the litter occurred it was proposed to divide tho nerve of the gus tilory through abo month which operation elves absolute such pila as existed however was kept under control by cocaine nod morphine BO abit the last wish of the patient that bis dalh should be a one was lully |