| Show A DOUBT the Pre president passe passes a per lIv 11 xing period Per loid his ills Stoil linell Ile volts again at nourishment by W U Telez mph to tho the geraldl Heral dl night washington aug 21 73 a m the information received from the sickroom this morning mor ning is is in in sub su b stance that the president slept con co n sid erable during the night but wit i more frequent intervals of wakeful wakefulness during the forepart of the tile night than on tho the night previous his ilsc early this morning was reported c pd bitile by physicians to be about an and d ilia As temperature aal apparently art about normal no definite information can yet be obtained concerning ning the pro press gross of the glandular glon dular ax elling luring the ni night pit in tho tile early part of the nig t it was as very probably tho the cause of some of tho tile restlessness shown b by y the president alarming afternoon EXL MANSION MANsi ox aug 21 p ni official rho president has vomited twice during tile afternoon alie T lie administration of food by the mouth has therefore again been temporarily suspended and tho tile nutritive enci nata will vil I bo given en more frequently than yesterday ter bagi y afternoon the parotid swelling is is pai painless n lc but stationary pulse temperature respiration 18 signed si ned bliss barncs barnes woodward rayburn Rcy Roy burn furn agnew irritation of phlegm EXECUTIVE ex acuti vp MANSION mansio aug 21 73 30 p in dr bliss just left for homo home yie lie says that the united opinion of the tile attending surgeons is that the vomiting which occurred this afternoon was caused b by ni an irritation of tile phlegm in the tile T presidents resi d ants threat as a result resul tol of the tile inflamed gland A quiet day tho the day at tho the white house lias has been extremely quiet and until early in the afternoon nothing could bo be ascertained certa ined regarding the president I except what information the official bulletins contained callers were unusually few among those tho the most prominent born I nent were ex minister noyes judg judge wylie and first auditor reynolds the be latter being a constant visitor ulass ivorn worn out about one dr bliss came into private secretary browns room looking very tired and apparently worn vorn out when asked the cause of his uneasiness lie replied that lie had bad not had much rest during the night as the president was quito quite wakeful A dialogue tho following dialogue between tho the doctor and a representative of tho the associated press ensued what was the cause of the pres president being po so restless during the night doctor it was caused principally principally sally by the annoyance from the glandular inflammation in what particular manner r ganner was he annoyed principally by a secretion of the phlegm in his throat which awakened him about every half hour I suppose you are still endeavoring to scatter the swelling of the gland yes we are trying to prevent suppuration pu ration and to accomplish that the inflammation must be scattered what is tho the probability of succeeding ce elp well I cant say positively but the appearances do not riot indicate it as any worse has there been any gastric disturbance tur bance of the stomach yet none at all the stomach appears to be improving improving all the time have you decreased the tile enema still sti I more we now administer an twice during the day and twice during the night in the morning afternoon evening and at dawn about how much do you administer a day twenty ounces of beef extract with the yolks of four eggs do you contemplate trying try ing the patient with solid food soon wo we have not discussed that subject yet lie is getting sufficient nourishment now how do you account for the rise in the pulse evich was noted in tho the morning bulletin I do not know exactly what c caused asod it if the patient is turned over in the bed his pulse increases I increases ncr eases to 10 beats for a short time but soon goes down perhaps hia his broken sleep ladt night caused the rise I see no other reason for it I suppose it is not significant of anything extraordinary or unfavorable oil no for one in the presidents condition no significance can bo be attached to a slight variation of pulse docs does the patient complain at all of suffering pain from the inflammation of the parotid gland he ile suffers no pain his neck and jaw continue somewhat annoying but t the secretion caret ion of saliva is tho the most annoying feature as it causes him to cough and consequently lose rest how about the wound doctor the tile wound is in an excellent condition and the process of granulation has made it considerably smaller than it was how large la rge in proportion ion to the wound is tho the channel iannel cl in which the flexible tube was recently inserted the tube wo we used was no american measurement catheter which is quite small the tile wound will now hold a little less than two ounces of f water while previous to tho the commencement men cement of granulation it would hold more than three ounces that will give you an idea of how much smaller it is the doctor then explained OX bained that the small tubo tube nearly filled filled the channel of tho the wound which proves it was healing satisfactorily not decidedly better shortly after the interview with debliss dr bliss occurred dr boynton wat was asked if lie I ic considered con the tile president as is being decidedly better today to day than ho he was yesterday no replied the doctor he is not d decidedly e better I think there is a t slight improvement compared as corn pared with yesterday Cs erday and I feel more encouraged about suppuration continuing the tile conversation tho the doctor said in substance if the irritation of the parotid gland passes away avi without all out suppuration bo ile will feel much relieved llo thinks the patient is taking sufficient nourishment to build upon and arid barring further tiong lie considers the outlook a little more elcox encouraging tho the doctor was asked if it was not a well established theory that when irritation presented ilsk itself if in ili the form of a swelling the result which always followed was suppuration pu ration he ile admitted such was ordinary ord ordinarily inari ly tho case but in the presidents condition dit ionI said ho lie suppuration is not riot desai ed ack because ause of the pos isble injury which might follow what is the nature of tho lie injury feared from the suppuration of the gland was then asked in replying lie the doctor said it is impossible to say where it would end should suppuration aaion ensue it would be possible for the inflammation to extend to the interior of tho ear car and destroy that organ it I lit seriously affect the bonce bones of the face in the vicinity of that irritation and further than this there would bo be danger of impure matter which gat acred about the gland penetrating et rating the brain and in ill addition to these r risks it would bo be a ft considerable tax on oil tho tile little astren strength gt ii tho the president has left the doctor considered the glandular u complication the most serious fe feature at the present time As Aa arweila well WeIla as conw could llo dr woo woodward dward expressed the opinion as lio lie left the mansion about p in that the president wag was doing as well as be expected the tito stomach Stoina cli trouble one of the attending physicians informed a the afternoon that ho lie viewed the case in a more hopeful light today to day than he lie had for several days past when asked what he thought about tho the glandular trouble he lie said while lie should have preferred not riot to have met with that com complication nl ho lie now consider it of serious importance this surgeon feared that the patients stomach would not hold out and said lie considered that the most alarming feature of tile case tile patients bowels are said to have been moved more naturally and freely this morning than any time before for a week past which is considered aj indication that his stomach is again working naturally A change MANSI ox aug 21 in unofficial tharo has awn iao no vomiting since p in but is is great anxiety A change for better or worse is expected tomorrow to morrow mo morning tle the vomiting WAsu washington moToN aug 21 to nights bulletin stating that tho the president Ment had vomited twice this afternoon was a surprise to tho the public and had a somewhat what depressing effect tile surgeons have said of late that tile presidents recovery depended upon his stomach that ifft if it would retain nourishment enough to impart strength Ureng th hia ills final recovery ought to be hoped for in view of this statement of tho the case another spell of vomiting is regarded generally as is a most unfavorable symptom dr bliss however says that tho the vomiting did not proceed from nausea ang and therefore does not indicate a continued arrita irritability of the stomach he ile says that owing to tho the swelling of the parotid gland a mucous collection gathers in tho the presidents throat which it has been difficult for him to expel that thia this has caused the president considerable annoyance for two days past and when lie slept this gathering of phlegm in tile throat causes a retching that today to day his efforts to expel phlegm caused a violent spell of coughing which ended in vomiting and that tho the sc second ond vomiting followed a fit of coughing but not riot immediately bliss says that tho the vomiting came about two hours after nourishment had been taken into the stomach that there was no nausea whatever and all the evidences he lie said go to show that the stomach performs its functions end is comparatively free from arri irritability t abil I ty he ile said that although lie was satisfied that the vomiting was caused by a mucous collection and coughing it had bad been decided to twive give the stomach a short rest and that lat no would bo be put into it fora few hours that will be depended upon entirely to sustain the president until it is entirely safe to resume giving food bv the mouth chatas eliat as the stomach lias has had this ali ia strain it is better not to risk irritating it any with food ho says thia this statement of the cause of the vomiting was not riot indicated in the bulletin bea because ause it would have required too much explanation to make it understood and would have extended tile bulletin into a lengthy document the doctors considered the advisability of making this e explanation in tho the bulletin but concluded to simply state the fact that vomiting had occurred he ile said the first vomiting discharged the tile contents of tho the stomach ia but tho the second expelled about four ounces of blood and thus cleaned the stomach out the gland Swell inc tho the swelling of the gland ia is hardened and ia is preparing to suppurate tho the surgeons think it will not bo be in a condition to cut in less than four or five days the last spell of vomiting waa was at p in and up to there had bad not bean been any more so a message then received from on one of tho the doctors said gloomy views despite the explanation given of the tile cause of the vomiting there ie is a general disposition to take a gloomy view odthe of the case the tito marked reticence odthe of the surgeons and attendants ts of tho the president tonight to night tends to increase this feeling they have remained shut up in the rooms near tho the president except that two or three of the attendants passed through tho the private Secre office but th they ey would not say anything about the tile case efforts to get even a word from dr agnew failed he ile dealin declined e to bo be seen or send any message as to his opinion sim simply I re referring 11 tho the interviewers to ghetu the bulletin latt ll tt cabinet council counell whenever the president ap appears to bo be doing well it is not difficult to see the surgeons and attendants tonight to night all tho tile members mein bera of the cabinet met at tho the white house they have remained close in the tile cabinet room there alsa is a significant quiet prevailing at the white house uneasiness the count countenances enan ces of the inmates there indicate a feeling of uneasiness to say tile least there is a fear prevalent that the president is too we weak all to bo be nourished much longer by cne one mata although dr bliss pays kays this method hasso has far proved eminently successful and that tile president really gains some strength from it the white house closed the white house was closed about 10 tonight to night and all but the night watchmen doctors and nurses in attendance upon the president went homo home secretary brown stated then that the president was nals sleeping quietly and had been sleeping Ble most of the night that lie had not riot vomited again at half bastio one of tho tile night watchmen on oil the upper floor said everything was very quiet in ili tile presidents room and aa as it if lie were asleep tho the doctors were lying down nothing direct and positive tivo could be learned from the president looks I desperate Despe rute ritte washington aug 21 dr boynton S said id about half past nine tonight it was well to admit that this vo vomiting spell of oatlie tile pre president aident in might eglit portend serious results that while it was doubtless true this severe coughing lad brought brou glit on tile vomiting it ak ness of or the stomach that unless the presidents stomach will admit of his taki taking n nourishment into it from no now w on oil t alio h case would look desperate boynton thought tomorrow to morrow would deci decide dethe the u case one way or tile other iven wiss doubtful soon after dr bliss admitted aub ly that the condition conditi on of th the case tomorrow to morrow would bo be likely to show whether the tile president can recover or not lie ile himself as feeling hopeful but said t lie president be able to receive nour nourishment ish in a natural way if he lie is to recover lie ile believed tomorrow to morrow would probably show a favorable turn and if so there would be ground for hope if on oil the contrary the stomach should revolt against food tho the caso case would look badia mrs Clar ilela hopeful NEW NIM YORK aug 21 alio heralds ington special says sirs mrs garfield said that while tho the president washable was able to articulate distinctly lie lic was prevented from fron i speake speaking ng as freely aa as lie was inclined to do by the trouble in ill hie ills throat several times ho he lias has expressed his anxiety to be able to get away av ay from the white hou seas he lie fears malaria and lio be seems to have a preference fora for sea voyage several times today to day he lie lias has referred to it and alm ilm mrs garfield thinks lio lie favors the idea of going to long branch if mrs garfield entertains any fears of her husbands not recovering she conceals them wonderfully for there was not the slightest extreme mc anxiety in her manner this evening she speaks hopefully odthe presidents bein being able to stand the fatigue of a removal al at no distant day quiet sight night EXECUTIVE MANSION aug 22 a in everything is quiet in tile alie sick room the doctors are asleep the indications arc are that the president is resting quietly ominous 11 rumor unior NEW aug 21 tho worlds 11 orus washington ton special says mrs garfield dix did not leave the white house for her daily ride tho children remained indoors ind oora captain henry who returned from froin ohio only a 11 few daa days s ago is said to have gone back and an unconfirmed rumor has it that he lie has gone to bring on oil the tile presidents ino mother and the two young children should that rumor prove true it will reveal unmistakably tho the feeling of those who have access to the sick room |
