febrile disturbance has occurred since the bulletin of yesterday
evening. This morning the improvement of his general condition is
distinctly perceptible. He appears refreshed by his night’s rest,
and expresses himself cheerfully as to his condition. Pulse, 92;
temperature, 98.4: respiration, 18. 12:20 P. M.—The President bore
the dressing of his wound this morning with less fatigue than
hitherto. It appears well and is discharging sufficiently. His pulse
is now 94; temperature, 98.5; respiration, 18. 7 P. M.—The President
has passed a pleasant day, and has taken his nourishment with
apparent relish. His temperature continued normal until about 5
o’clock, when a moderate afternoon rise occurred, which, however,
gives the patient but slight discomfort, and causes no anxiety. At
present his pulse is 104; temperature, 100.5; respiration, 20.”
During the day a sensational report was started to the effect that Dr.
Agnew—in whose skill as a surgeon the people had come to have the
greatest confidence—had said that the President’s life could not be
saved unless the ball was excised at an early day. This rumor, however,
was promptly denied, as were also some alleged unfavorable remarks of
Dr. Hamilton. About this time, however, some eminent surgeons—notably
Dr. Hammond, of New York City—began to express, and even to publish,
very serious strictures upon the views and treatment adopted by the
attending and consulting physicians of the President; and, in some
instances, the reasoning of the critics seemed to be so well borne out
by the facts as to put the medical and surgical skill of those who
managed the President’s case to a very hard strain.
_The twenty-eighth day._—On the 29th of July a Cabinet meeting, at which
all the members except Attorney-General MacVeagh were present, was held
at the White House. Public matters were discussed, and certain routine
official business disposed of in the usual way. All this indicated a
belief, on the part of the members, that the President was on the road
to recovery. There was, however, no marked change in his condition or
prospects. He had passed a comfortable night—so said the attendants—and
the afternoon fever was less pronounced than on the previous day. The
three bulletins of the surgeons contained about the only information
which could be obtained of the progress of the distinguished patient.
They were as follows:
“8:30 A. M.—Immediately after the evening dressing yesterday the
President’s afternoon fever began gradually to subside. He slept
well during the night, and this morning is free from fever, looks
well, and expresses himself cheerfully. A moderate rise of
temperature in the afternoon is to be anticipated for some days to
come. At present his pulse is 92; temperature, 98.4; respiration,
18. 2:30 P. M.—The President bore the dressing of his wound well
this morning, and exhibited very little fatigue after its
completion. He rests well, and takes an adequate quantity of
nourishment. At present his pulse is 98; temperature, 98.4;
respiration, 19. 7 P. M.—The President has been comfortable and
cheerful during the day, and has had quite a nap since the noon
bulletin was issued. At present his pulse is 98; temperature, 100;
respiration, 20.”
To these reports very little can be added for the day, except the
confirmation of their substance in the evening dispatch of Secretary
Blaine, which was as follows:
“LOWELL, _Minister_, _London_:
“The President’s afternoon fever was less to-day than yesterday, and
at this hour—half-past 11 P. M.—has almost disappeared. Temperature
very nearly normal. His wound is in a healthy condition, and he is
doing well in all respects. His physicians are greatly encouraged.
“BLAINE, _Secretary_.”
_The twenty-ninth day._—With the morning of the 30th of July came the
report of a farther—though slight—improvement in the President’s
condition. He was said to have waked early in the morning after a
refreshing sleep. He showed no fatigue from the dressing of the wound in
the course of the forenoon, and ate with relish a moderate quantity of
solid food. He was able, with the aid of a contrivance placed under the
mattress, partly to sit up in bed. The afternoon rise in temperature was
moderate. Several times during the President’s illness the question of
malarious influences about the White House, as affecting his prospects
of recovery, was discussed by the physicians and the general public. It
was noticed that several of the employes had been taken sick in a way to
indicate malaria in the surroundings. The condition of the Executive
Mansion itself was reported as being unfavorable to health. So the
question of removing the President to a more healthful place was again
raised and seriously debated by the surgeons. Dr. Bliss, who was a
member of the Washington Board of Health, which several years before,
after a long struggle, had succeeded in having a large number of
disease-breeding tenement-houses removed, was very emphatic in his
condemnation of the “conveniences” of the White House, and said the
family of the President should be removed while engineers should
overhaul and renovate the entire plumbing arrangements of the premises.
Of course all possible means are taken to keep the unhealthy influence
arising from this condition of affairs from the sick-room of the
President; and the closed doors, together with the elaborate new
ventilating apparatus, were believed to furnish ample protection.
Mr. Blaine, in his night dispatch to Minister Lowell, spoke
encouragingly of the situation, and the official bulletins were pitched
in the usual hopeful key:
“8:30 A. M.—The President enjoyed a refreshing sleep during the
greater part of the night. A gradual improvement of his general
condition in all particulars is observable, and is recognized by
himself. His pulse is now 92; temperature, 98.5; respiration, 18.
12:30 P. M.—The President showed no fatigue from the dressing of his
wound this morning. His general condition continues gradually to
improve. A moderate quantity of solid food has been added to his
nourishment, and was eaten with relish. At present his pulse is 98;
temperature, 98.5; respiration, 20. 7 P. M.—The President has passed
the day comfortably and without drawback or unpleasant symptoms. The
afternoon rise of temperature is moderate, and did not commence
until about 5 o’clock. At present his pulse is 104; temperature,
100.2; respiration, 20.”
_The thirtieth day._—The physicians again found time to discuss the
location of the ball in the President’s body. The majority had still
held the opinion that the missile had passed through the peritoneal
cavity, and was lodged in the front wall of the abdomen. In a dispatch
of the day, it was even alleged that the surgeons were now agreed in
this opinion.
It was believed that the black-and-blue spot, which had been visible on
the right side of the abdomen for several days after the President
received his injury, marked the bullet’s location, and this theory was
apparently confirmed by such results as had thus far been obtained with
the induction balance. However this might be, it was said by the
physicians, with much confidence, that the ball was, by this stage of
progress, encysted, and that not much further trouble would or could
arise from its presence in the body. The bulletins of the thirtieth day
were as follows:
“8:30 A. M.—The President slept well during the night, and awoke
refreshed this morning. His appearance and expression this morning
indicate continued improvement. At present his pulse is 94;
temperature, 98.4; respiration, 18. 12:30 P. M.—The President bore
the morning dressing of the wound without fatigue. It continues to
look well and discharge adequately. The quantity of nourishment now
taken daily is regarded as quite sufficient to support his system
and favor the gradual increase in strength, which is plainly
observable. At present his pulse is 100; temperature, 98.5;
respiration, 19. 7 P. M.—The President has passed an excellent day.
The afternoon rise of temperature has been quite insignificant. At
present his pulse is 104; temperature, 99; respiration, 20.”
On this day it was announced that Professor Bell had completed his
instrument for determining the location of the ball. A description of
the apparatus was given to the public, which, though couched in
scientific language, may prove of interest to the general reader. The
induced electrical current, and the interference therewith by the
presence of a metallic body, were the fundamental facts of the
invention. The instrument consisted of two circular primary coils of
insulated copper three inches in diameter and half an inch in thickness,
the one being constructed of No. 19 wire, and containing between seven
and eight ohms of resistance, forming the primary coil, and the other of
No. 28 or 30 wire, giving more than eighty ohms of resistance, forming
the secondary coil, the two being connected in separate metallic
circuits. In the circuit with the former there was placed an electrical
battery and a spring vibrator, the latter so adjusted as to make a very
rapid series of “breaks” of the circuit, sending a hundred or more
electrical pulsations over the circuit and around the primary coil of
wire per second. A hand telephone only was placed in the circuit with
the secondary coil. The batteries being connected, and the vibrator set
in motion, the secondary coil was placed so as to cover the primary, and
the operator having the telephone at his ear, hears the pulsations of
the primary current sent through the vibrator with each motion of its
spring, an induced current being produced in the secondary coil by its
contiguity with the primary.
Up to this point the ground traversed had been familiar to all
electricians for many years. Professor Bell’s discovery, which made the
subject of special interest, consisted in the fact that if the secondary
coil be gradually turned to one side, so as to uncover a portion of its
primary, the inductive effects and the resultant tone from the vibrator
diminish until a point is reached, where only about one-third of the
surface of the secondary coil remaining upon the primary coil, the
sound-producing effect of the induction ceased altogether. If the
secondary coil be moved beyond the point of silence the sonorous results
become immediately apparent.
At the point of silence it was discovered that that portion of the
secondary, which still covered an equal portion of its primary, was very
sensitive to the presence of metallic substances not connected in any
way with the circuits of which the two coils formed a portion,
disclosing their proximity by making again audible the sounds from the
vibrator. The results obtained from this instrument were equal to those
given by the Hughes balance, but the latter furnishing a more convenient
form for general use, it was first adopted as the basis of experiments.
Such was the instrument which the electricians completed, but would it
work in practically discovering the place of the ball? It was determined
that on the morrow the apparatus should be tested.
_The thirty-first day._—Two things on this day occupied the public
attention: First, the regular reports; and second, the experiments of
Professor Bell. The bulletins were as follows:
“8:30 A. M.—The President slept well during the night, and this
morning is cheerful, and expresses himself as feeling better than at
any time since he was hurt. He appears stronger, and has evidently
made progress toward recovery during the last few days. His pulse is
now 94; temperature, 98.4; respiration, 18. 12:30 P. M.—The
President’s wound continues to do well. At the morning dressing it
was found to be in all respects in a satisfactory condition. At
present his pulse is 100; temperature, 98.4; respiration, 19. 7 P.
M.—The President has taken nourishment well and in sufficient
quantity, and in all respects continues to do well. The rise of
temperature this afternoon is slight. At present his pulse is 104;
temperature, 99.5; respiration, 20.”
After the morning dressing of the President’s wound, it was decided to
make a formal trial of the induction apparatus for determining, if
possible, the location of the fatal bullet. Professor Bell was
accordingly brought, with his instrument, to the President’s bedside,
and there conducted his experiments. Later in the day he wrote out and
presented to the surgeons an official report of the results, as follows:
“VOLTA LABORATORY, 1,221, CONNECTICUT AVENUE,}
“WASHINGTON, August 1, 1881.}
“_To the Surgeons in attendance upon President Garfield_:
“GENTLEMEN—I beg to submit for your information a brief statement of
the results obtained with the new form of induction balance in the
experiments made this morning for the purpose of locating the bullet
in the person of the President. The instrument was tested for
sensitiveness several times during the course of the experiments,
and it was found to respond well to the presentation of a flattened
bullet at a distance of about four inches from the coils. When the
exploring coils were passed over that part of the abdomen where a
sonorous spot was observed in the experiments made on July 26, a
feeble tone was perceived, but the effect was audible a considerable
distance around this spot. The sounds were too feeble to be entirely
satisfactory, as I had reason to expect, from the extreme
sensitiveness of the instrument, a much more marked effect. In order
to ascertain whether similar sounds might not be obtained in other
localities, I explored the whole right side and back below the point
of entrance of the bullet, but no part gave indications of the
presence of metal, except an area of about two inches in diameter,
containing within it the spot previously found to be sonorous. The
experiments were repeated by Mr. Taintor, who obtained exactly
corresponding results. We are therefore justified in concluding that
the ball is located within the above-named area. In our preliminary
experiments we found that a bullet like the one in question, when in
its normal shape, produced no audible effect beyond a distance of
two and a-half inches; while the same bullet, flattened and
presented with its face parallel to the plane of the coils, gave
indications up to a distance of five inches. The same flattened
bullet, held with its face perpendicular to the plane of the coils,
produced no sound beyond a distance of one inch. The facts show that
in ignorance of the actual shape and mode of presentation of the
bullet to the exploring instrument, the depth at which the bullet
lies beneath the surface can not be determined from our experiments.
I am, gentlemen, yours truly,
“ALEXANDER GRAHAM BELL.”[5]
Footnote 5:
In the light of the discoveries made at the examination of the
President’s body, after death, it would not appear that the Induction
Balance, viewed as an agent to determine the position of concealed
balls of metal—especially lead—is an instrument calculated to improve
the reputation of science or scientific men.
_The thirty-second day._—Less space was given to-day in the public press
to reports of the President’s progress than on any previous day since
the assassination. An incident of the hour was the reception by Mrs.
Garfield of a draft for a hundred pounds sterling, sent by the
Disciples, of England, to aid in the reconstruction of the church in
Washington where the President was in the habit of attending worship.
The reports for the day were of the same general tenor which they had
borne since the surgical operation of the 25th July. The bulletins were
as follows:
“8:30 A. M.—The President passed a very pleasant night, and slept
sweetly the greater part of the time. This morning he awoke
refreshed, and appears comfortable and cheerful. Pulse, 94;
temperature, 98.4; respiration, 18. 12:30 P. M.—The President is
passing the day comfortably. At the morning dressing his wound was
found to be doing admirably. His pulse is now 99; temperature, 98.4;
respiration, 19. 7 P. M.—The President has continued to progress
favorably during the day, and appears perceptibly better in his
general condition than yesterday, a more natural tone of voice being
especially perceptible. At present his pulse is 104; temperature,
100; respiration, 20.”
_The thirty-third day._—“President Garfield continues,” says the New
York _Tribune_, “to gain steadily. In a fortnight more, if all goes well
with him, he will probably be able to sit up and give some attention to
the business which awaits his action. He is still very weak, but when
the healing process in his wound is well begun, he will, no doubt, gain
strength rapidly.” Such was the opinion of the country. The physicians
in charge, and the attendants upon the President, all seemed to believe
confidently in his early convalescence. The most noticeable change in
his condition was the return of his voice to its wonted fullness and
resonance. His attendants said that the change in this respect had been
very marked as compared with three or four days previous. The quantity
of morphine given by the physicians, in order to produce sound sleep,
had now been reduced to one-eighth of a grain daily, and the President
was able to take more than the usual amount of nourishment, including
beefsteak, milk, meat extract, toast saturated with beef juice, and a
little coffee. His strength had increased, and he was able already to do
more in the way of turning himself in bed, and helping others to raise
his body, than the surgeons thought it prudent to allow.
The bulletins of the day were in every way satisfactory and encouraging:
8:30 A. M.—The President slept tranquilly the greater part of the
night. This morning his temperature is normal, and his general
condition is satisfactory. Another day of favorable progress is
anticipated. At present his pulse is 90; temperature, 96.4;
respiration, 18. 12:30 P. M.—The President continues to progress
steadily toward convalescence. He has taken to-day an increased
proportion of solid food. His wound is doing well, and his general
condition is better than yesterday. At present his pulse is 100;
temperature, 98.4; respiration, 19. 7 P. M.—The President has passed
a very satisfactory day. The rise of temperature this afternoon is
slight. At present his pulse is 102; temperature, 99.4; respiration,
19.
The proposed removal of the President from the White House was again
under discussion. It was decided, however, to do nothing definite in
regard to such removal until he could himself be taken into the counsel
of the physicians, and indicate his preference. Two plans had thus far
been discussed: one to take him upon a naval vessel, and depart for any
point upon the coast where the surroundings seemed to promise most for
his physical improvement; the other, to take him to the Soldiers’ Home,
three miles from the White House, and keep him there until he should be
able to make the journey by rail to Mentor, his Ohio home.
_The thirty-fourth day._—No news of interest to-day. The space allotted
in the newspapers to accounts of the progress and condition of the
President was still further reduced. In conversation about the
President’s condition, Dr. Hamilton was reported to have discussed the
situation quite freely, and expressed the opinion that President
Garfield was advancing toward recovery in a very satisfactory manner. In
reply to the direct question: “Do you think the President will recover?”
the Doctor said: “I have no doubt whatever of his ultimate recovery.”
Dr. Hamilton also expressed the opinion that there was no malaria in the
patient’s system. In response to interrogatories relative to moving the
patient from the Executive Mansion, the doctor said that nothing could
yet be determined, as the President was in no condition to be moved. He
thought, however, when the proper time arrived, that a trip down the
Potomac would be decidedly beneficial, and would hasten his recovery.
In accordance with the custom which the physicians had now adopted, only
two bulletins were issued during the day, and they were of a sort to
create no excitement.
“8:30 A. M.—The President continues to improve. He slept well during
the night, and this morning looks and expresses himself cheerfully.
Another satisfactory day is anticipated. At present his pulse is 90;
temperature, 98.4; respiration, 18. 7 P. M.—As the morning bulletin
indicated would probably be the case, the President has passed
another good day without drawback or unpleasant symptoms of any
kind. At 10:30 P. M. his pulse was 96; temperature, 98.4;
respiration, 18. The afternoon rise of temperature came on late and
was moderate in degree. Now his pulse is 102; temperature, 100.2;
respiration, 19.”
Thus from day to day, and from week to week, the time wore on, the
people regarding it merely as a matter of time when their beloved
President would be restored to life and health. At this date they did
not anticipate an alternative issue.
_The thirty-fifth day._—In the leading papers of August 5th, no more
than a quarter of a column was devoted to President Garfield. The
citizens of Newport, Rhode Island, sent, through the mayor of the city,
an invitation to the President to come to their famous resort as soon as
his wound would permit, and to remain as their guest until complete
recovery. The bulletins of the day contained the only information. They
said:
“8:30 A. M.—The President slept naturally the greater part of the
night, although he has taken no morphia during the last twenty-four
hours. His improved condition warranted, several days ago, a
diminution in the quantity of morphia administered hypodermically at
bedtime, and it was reduced at first to one-twelfth and afterward to
one-sixteenth of a grain in the twenty-four hours, without any
consequent unpleasant result, and finally has been altogether
dispensed with. His condition this morning exhibits continued
improvement, and another good day is anticipated. At present his
pulse is 88; temperature, 98.4; respiration, 18. 7 P. M.—The
President has passed another good day. He has taken an adequate
quantity of nourishment, and has had several pleasant naps during
the day. At 12:30 P. M. his pulse was 98; temperature, 98.4;
respiration, 18. After 4 P. M. his temperature began to rise as
usual, but to a moderate degree and without perceptible dryness of
skin. His pulse is 102; temperature, 100.4; respiration, 19.”
_The thirty-sixth day._—The public had now accepted, with abiding trust,
the oft-repeated assurances of the surgeons that the President was on
the road to health. The White House, from being the center of interest
for the people of the whole country, as it had been two weeks before,
had become the dullest place in Washington. Doctors came in and went
out, and casual inquirers continued their visits. The military guards
patrolled the space in front of the one gate through which access was
had to the grounds, but beyond this nothing in the appearance or
surroundings of the place indicated that public attention was, in any
marked degree, turned in that direction. Great interest in the progress
of the case continued, but it was not so intense and all-absorbing as
hitherto. The bulletins were again the only news:
“8:30 A. M.—The President has passed an excellent night, sleeping
sweetly the greater part of the time. This morning he is cheerful,
and all the indications promise another favorable day. Pulse, 92;
temperature, 98.4; respiration, 18. 7 P. M.—The President passed a
comfortable morning, his symptoms and general condition being quite
satisfactory. At 12:30 P. M. his pulse was 100; temperature, 98.5;
respiration, 19. The afternoon rise of temperature began as late as
yesterday, but has been higher, though unaccompanied by dryness of
skin. At 7 P. M. his pulse was 102; temperature, 101.8; respiration,
19. The appearance of the wound at the evening dressing was,
however, good, and there has been no interruption to the flow of
pus.”
_The thirty-seventh day._—The 7th of August was probably the most quiet
day since the President was wounded. There was some comment about the
city regarding the information contained in the morning bulletin, the
language of which was, that the President “this morning is in good
condition, although the effects of the febrile disturbance of yesterday
are still slightly perceptible in pulse and temperature.” Many persons
construed this sentence as indicative of unfavorable symptoms; but the
general public accepted it as reassuring, and consequently there were
but few inquiries at the Mansion in the course of the day.
Within a narrower and better informed circle it was suspected that
another pus sac was forming in the President’s body, but the opinion did
not, for the time, obtain publicity. The two official bulletins of the
day were as follows:
“8:30 A. M.—Shortly after the bulletin of last evening was issued
the President fell into a pleasant sleep, during which the febrile
rise subsided and was no longer perceptible when he awoke at 10 P.
M. Subsequently he slept well, though with occasional breaks during
the rest of the night. No morphia or other anodyne was administered.
This morning he is in good condition, although the effects of the
febrile disturbance of yesterday are still slightly perceptible in
pulse and temperature. At present his pulse is 96; temperature,
98.7; respiration, 18. 7 P. M.—The President has been comfortable
during the day, although his temperature began to rise earlier than
yesterday, and rose almost as high. At 12:30 P. M. his pulse was
104; temperature, 100; respiration, 20. At this hour his pulse is
104; temperature, 101.2; respiration, 20. He has taken nourishment
as usual, and has had several refreshing naps during the day.”
One of the unofficial reports of the day was to the effect that an
effort was making to trace out exactly the course of the wound, and that
to this end an instrument, called the electric probe, was to be inserted
in the track of the ball. Professor Taintor was called to the Executive
Mansion late in the afternoon to consult with the attending surgeons
regarding the use of the electric probe. After the consultation, he was
requested to return in the morning and to bring with him a battery of
two cells. The purpose was, should it be determined to experiment with
the instrument, to endeavor to ascertain the exact course of the wound
from the surface of the body to the spot where the ball was lodged, and
if possible to discover whether there was a pus cavity, and, if so, its
exact location.
_The thirty-eighth day._—On this morning the physicians held a
consultation. The question of the President’s afternoon fever was
discussed, and Dr. Agnew was reported as having urged upon the surgeons
the fact that the febrile rise was greater and more persistent than it
should be if occasioned by the natural and inevitable processes of
healing. The opinion was freely expressed that the channel of the wound
was in some measure obstructed, and the propriety of a second operation
to relieve the difficulty was suggested as the proper remedy.
Accordingly, after the morning dressing of the wound, a second operation
was performed, of which Dr. Bliss has given the following official
account in the _Medical Record_ for October 8, 1881:
“The necessity of the operation was plainly developed by passing a
flexible catheter through the opening previously made, which readily
coursed toward the crest of the ilium, a distance of about seven
inches. This cavity was evacuated twice daily, by passing through
the catheter, previously inserted in the track, an aqueous solution
of permanganate of potash from a small hand-fountain, slightly
elevated, the water and pus returning and escaping at the opening
externally.
“The indications for making a point of exit in the dependent portion
of this pus sac were urgent, and on August 8th the operation was
performed by extending the incision previously made, downward and
forward through the skin, subcutaneous fascia, external and internal
oblique muscles, to a sinus or pus channel. The exposed muscle
contained a considerable number of minute spiculæ of bone. Upon
carrying a long, curved director through the opening between the
fractured rib downward to the point of incision, there was a deeper
channel which had not been exposed by the operation thus far, and
the incision was carried through the transversalis muscle and
transversalis fascia, opening into the deeper track and exposing the
end of the director. A catheter was then passed into the portion of
the track below the incision, a distance of three and one-half
inches, and in a direction near the anterior superior spinous
process of the ilium. The President was etherized during this
operation.”
This description of the operation, as narrated by Dr. Bliss, may
doubtless be accepted, though involving many technical expressions
which, under the circumstances, are unavoidable, as in every way correct
and adequate. The regular bulletins were issued as usual and presented
the following summary of symptoms:
“8:30 A. M.—The President passed a comfortable night and slept well
without an anodyne. The rise of temperature of yesterday afternoon
subsided during the evening, and did not recur at any time through
the night. At present he appears better than yesterday morning.
Pulse, 94; temperature, 98.4; respiration, 18.
“10:30.—It having become necessary to make another opening to
facilitate the escape of pus, we took advantage of the improved
condition of the President this morning. Shortly after the morning
bulletin was issued he was etherized. The incision tended downward
and forward, and a counter-opening was made into the track of the
ball below the margin of the twelfth rib, which it is believed will
effect the desired object. He bore the operation well, and has now
recovered from the effects of the etherization and is in excellent
condition.
“7 P. M.—After the last bulletin was issued the President suffered
somewhat for a time from nausea due to the ether, but this has now
subsided. He has had several refreshing naps, and his general
condition is even better than might have been expected after the
etherization and operation. At noon his pulse was 104; temperature,
100.2; respiration, 20. At present his pulse is 108; temperature,
101.9; respiration, 19.”
_The thirty-ninth day._—The effect of the surgical operation was
salutary in so far as to make it practicable to dispense with the
drainage-tube, to the great relief of the patient. The effects of the
etherization, however, were somewhat distressing, and the shock of the
operation no doubt told unfavorably on the President’s small reserve of
vitality. None the less, his condition was so far from unfavorable that
Dr. Agnew returned to Philadelphia and Secretary Blaine made
preparations to take a brief respite from care by a visit to his own
State. The ripple of anxiety, excited by the recent operation, passed
away, and matters went on as before. The official reports of the day
were as follows:
“8:30 A. M.—Notwithstanding the effects of yesterday’s operation,
the President slept the greater part of the night without the use of
morphia. This morning his pulse is 98; temperature, 99.8;
respiration, 19. Since yesterday afternoon small quantities of
liquid nourishment, given at short intervals, have been retained,
and this morning larger quantities are being administered without
gastric disturbance.
“12:30 P. M.—At the dressing of the President’s wound this morning,
it was found that pus had been discharged spontaneously and freely
through the counter-opening made yesterday. He has been quite
comfortable this morning, and taken a liberal supply of liquid
nourishment. His pulse is now 104; temperature, 99.7; respiration,
19. 7 P. M.—The President has been very easy during the day, and has
continued to take the nourishment allowed without gastric
disturbance. The degree of fever this P. M. differs little from that
of yesterday. Pulse, 106; temperature, 101.9; respiration, 19.”
It was one of the incidents of the day, that the President wrote his
name, with the date, August 9, 1881, in a comparatively steady hand and
without a serious effort.
_The fortieth day._—The morning news recited that the President’s
appetite had somewhat improved, but this cheering information was
coupled with the announcement that the sufferer had not recovered
sufficiently to be raised, as hitherto, into the semi-recumbent
position. It transpired that the writing of the President’s name on the
previous day had been an official act, namely, the attestation of a
paper of extradition in the case of an escaped Canadian forger, who had
several years yet to serve in prison. The general indications were
thought so favorable that Secretary Blaine did not longer delay his
departure, but left on his contemplated visit for home. In the afternoon
Mrs. Garfield sat for a long time beside her husband, talking with him,
in a quiet way, of things most dear to each. The physicians’ official
report closed the history of the day, as follows:
“8 A. M.—The President slept soundly during the night, and this
morning his temperature is again normal, although his pulse is still
frequent. At present it is 104; temperature, 98.5; respiration, 19.
12:30 P. M.—The President is getting through the day in a very
satisfactory manner. He has asked for, and taken a small quantity of
solid food in addition to the liquid nourishment allowed. His
temperature and respiration continue within the normal range, though
the debility following the operation is still shown by the frequency
of pulse. At present his pulse is 110; temperature, 98.6;
respiration, 19. 7 P. M.—The President has passed an excellent day.
The drainage of the wound is now efficient, and the pus secreted by
the deeper portions has been coming away spontaneously. The
afternoon rise of temperature is almost a degree less than yesterday
and the day before. Pulse at present 108; temperature, 101;
respiration, 19.”
_The forty-first day._—The passing epoch was again marked by a division
of opinion among the newspapers. A series of leading articles in the New
York _Herald_, understood to be from the pen of Dr. Hammond, were not
only despondent in tone and severe upon the attending surgeons, but
positively prophetic of a fatal termination of the President’s case.
This view of the matter was, however, ably controverted in other leading
papers, and the people were thus both led and misled. Looking to the
sick room itself, there seemed to be not much cause for alarm. The
President had improved somewhat in strength and appetite. He conversed
freely. Especially did he surprise and gratify his attendants by calling
for a writing tablet and penning a short but affectionate letter to his
mother,—the last he ever wrote.
Turning to the official reports of the day, the following summary of the
President’s progress was presented:
“8:30 A. M.—The President has passed an exceedingly good night;
sleeping sweetly with but few short breaks, and awaking refreshed
this morning at a later hour than usual. At the morning dressing,
just completed, it was found that the deeper parts of the wound had
been emptied spontaneously. His temperature shows an entire absence
of fever this morning, and his pulse, which is less frequent than
yesterday, is improving in quality. At present it is 100;
temperature, 98.6; respiration, 19.
“12:30 P. M.—The President is doing well to-day. Besides a liberal
supply of liquid nourishment at regular intervals, he has taken for
breakfast, with evident relish, an increased quantity of solid food.
He continues free from fever, his skin is moist, but without undue
perspiration. Pulse, 102; temperature, 98.6; respiration, 19.
“7 P. M.—After the noon bulletin was issued, the President’s
condition continued as then reported until about 4 P. M., when the
commencement of the afternoon febrile rise was noted. In its degree
it did not differ materially from that of yesterday. His pulse is
now 108; temperature, 101.2; respiration, 19.”
[Illustration: FAC-SIMILE OF THE LAST LETTER WRITTEN BY GARFIELD.]
_The forty-second day._—Not much change. The President was weary and
longed for a change of scene. The day when he could be safely removed
from the White House was anxiously anticipated both by himself and the
physicians. The United States steamer Tallapoosa, which had been
undergoing repairs and fitting out for sea during the past month, was
finally in complete readiness, and would be manned on the morrow.
Assistant Paymaster Henry D. Smith, formerly of the Dispatch, had been
transferred to the Tallapoosa. In a conversation of the morning, Mr.
Smith gave a description of the manner in which the vessel had been
fitted out. A suite of rooms had been prepared expressly for the use of
President Garfield in the event of its being found practicable to take
him out on the water, and at this time the suggestion of such a cruise
seemed to please him greatly. The suite consisted of four comparatively
large rooms, including a bed-chamber, reception and ante-room, and a
bath-room. Paymaster Smith said further, that if it should be determined
to take the President on the vessel, a swinging bed would be hung in his
chamber so that the patient should not be annoyed by the motion of the
vessel. Such were the plans and hopes which were never, alas, to be
realized.
The surgeons’ reports for August 12th contained about all that could be
said concerning the President’s condition for the day:
“8:30 A. M.—The President slept well during the greater part of the
night. The fever of yesterday afternoon subsided during the evening,
and has not been perceptible since 10 P. M. His general condition
this morning is good. Pulse, 100; temperature, 98.6; respiration,
19.
“12:30 P. M.—The President has passed a comfortable morning. He
continues to take, with repugnance, the liquid nourishment allowed,
and ate with relish for breakfast, a larger quantity of solid food
than he took yesterday. At present his pulse is 100; temperature,
99.3; respiration, 19.
“7 P. M.—The President has passed a comfortable day. At the evening
dressing the wound was found to be doing well. The quantity of pus
secreted is gradually diminishing. Its character is healthy. The
rise of temperature this afternoon reached the same point as
yesterday. At present the pulse is 108; temperature, 101.2;
respiration, 19.”
Thus from hour to hour, from day to day, from week to week, did the
President tread the long and weary way onward and—downward.
_The forty-third day._—It was about this time that the attending
surgeons finally abandoned their original diagnosis of the wound; that
is, in so far as it concerned the direction of the ball. For some time
Dr. Hamilton had given it as his view that the bullet, instead of
entering the peritoneal cavity, and perforating the liver, had been
turned downward at nearly a right angle to its course, and was lodged in
the region behind the ilium. This view of the case was now accepted by
the physicians in charge. In a conversation of the day, Dr. Bliss said
that the latest examinations of the wound had clearly shown that the
ball did not go through the liver. The liver was certainly injured by
the shot, either by concussion or inflammation. At the present time,
however, every indication corroborated the idea that the ball was in the
region of the iliac fossa, and also that it was doing no harm.
Things had not gone well during the night. The President had been
restless; and, contrary to the usual history of the case, fever was
reported in the morning bulletin. The foreign dispatch of Hon. R. R.
Hitt, Acting Secretary of State, referred to the President’s excited
condition, and could only reiterate the somewhat uncertain echo of the
bulletins, that the surgeons thought him “doing well.” The official
reports themselves were couched in the following language;
“8:30 A. M.—The President did not sleep as well as usual during the
early part of the night. After midnight, however, his sleep was
refreshing, and broken only at long intervals. This morning he has a
little fever, nevertheless he expresses himself as feeling better
than for several days past. Pulse, 104; temperature, 100.8;
respiration, 19. 12:30 P. M.—The President has been cheerful and
easy during the morning, and his temperature has fallen a little
more than a degree and a half since the morning bulletin was issued.
His pulse is now 102; temperature, 99.2; respiration, 18. 6:30 P.
M.—Since the last bulletin the President has continued to do well.
The afternoon fever has been half a degree less than yesterday. At
present his pulse is 104; temperature, 100.7; respiration, 19.”
_The forty-fourth day._—One of the difficulties with which President
Garfield had to contend was a certain weakness of digestion.
Notwithstanding his great bodily strength and general robustness, it
appears that never after the war were his assimilative powers equal to
superficial indications. He had been, both by preference and necessity,
a plain liver. The “eating” of the White House had not suited him. The
French cookery of the establishment had proved at once distasteful and
injurious to his health and spirits. After he was wounded, this weakness
in his bodily functions became at once more pronounced. Great difficulty
was experienced in securing an alimentation sufficient to sustain life
and repair the fearful waste to which he was subjected. The
sensitiveness of the digestive organs at times became critical. It was
so on the 14th of August, when the physicians were almost baffled in the
attempt to maintain nutrition. For the first time there was talk of the
stronger stimulants. Whisky and brandy were both used, though not in
large quantities. It could be plainly seen that under the outwardly
confident tone of the official reports there lurked the shadow of fear.
The regular bulletins of the day came out as usual, with the following
account of the sufferer’s condition:
“8:30 A. M.—The President slept well during the night, and this
morning expresses himself as feeling comfortable. His temperature is
one degree less than at the same hour yesterday. His general
condition is good. Pulse, 100; temperature, 99.8; respiration, 18.
12:30 P. M.—The President has done well this morning. His
temperature has fallen one-half a degree since the last bulletin was
issued. At the morning dressing the condition of the wound was found
to be excellent, and the discharge of pus adequate and healthy.
Pulse, 96; temperature, 99.3; respiration, 18. 6:30 P. M.—The
condition of the President has not materially changed since noon.
The afternoon febrile rise is about the same as yesterday. Pulse,
108; temperature, 100.8; respiration, 19.”
_The forty-fifth day._—A day of great alarm; and the alarm was fully
justified. There was evidence of weakening all around. The respiration
had gone up. The temperature had gone up. So had the pulse to a fearful
rate. The enfeebled stomach had broken down. That was the secret of the
difficulty. Without food a well man can not live. How much less a man
wounded to death and wasted by forty-five days of suffering! With every
attempt to feed the President, his stomach rejected the food. If this
state of things should continue, life would go out like a taper. It was
to the credit of the surgeons in charge that they took the situation
coolly and set about devising the best possible means of triumphing over
the fearful obstacle which lay squarely across the possibility of
recovery. The plan suggested and resorted to was artificial alimentation
by the administration of enemata. In the after part of the day,
Washington, and indeed the whole country, was filled with wild rumors
which conveyed very little information and could be traced to no
authentic source. The only trustworthy information was to be obtained
from the official bulletins of the surgeons, which were as follows:
“8:30 A. M.—The President did not rest as well as usual last night.
Until toward three o’clock his sleep was not sound, and he awoke at
short intervals. His stomach was irritable and he vomited several
times. About three o’clock he became composed, and slept well until
after seven this morning. His stomach is still irritable, and his
temperature rather higher than yesterday. At present his pulse is
108; temperature, 100.2; respiration, 20. 12:30 P. M.—Since the last
bulletin, the President has not again vomited, and has been able to
retain the nourishment administered. At the morning dressing, the
discharge of pus was free and of good character. Since then his
pulse has been more frequent; but the temperature has fallen to a
little below what it was at this time yesterday. At present his
pulse is 118; temperature, 99; respiration, 19. 6:30 P. M.—The
irritability of the President’s stomach returned during the
afternoon and he has vomited three times since one o’clock. Although
the afternoon rise of temperature is less than it has been for
several days, the pulse and respiration are more frequent, so that
his condition is, on the whole, less satisfactory. His pulse is now
130; temperature, 99.6; respiration, 22.”
These reports clearly indicated the most serious crisis which had yet
occurred since the President was shot. Unless the functions of the
stomach could be restored by rest, there could be but one issue, and
that was near at hand.
_The forty-sixth day._—All that could be said was that there had been
slight improvement in some particulars. In the main matter—that of
nourishment—the case was as bad as ever. Neither the city nor the
country would have been surprised to hear that the President was dying
or dead. The whole question, as matters now stood, was this: How long
can he live? He himself was conscious, in good measure, of the appalling
odds against him, but his calm heroism never wavered for a moment. From
the first he only once—and that but for an instant—gave way to
despondency, when he said to his wife that, considering the fact that he
was already fifty years old, and that the brief remainder of his life
would, perhaps, be weakened—possibly helpless—from his injury, it hardly
appeared to be worth the struggle which his friends and himself were
making to save it. This thought, however, found but a moment’s lodgment;
and even now, when his vital forces seemed to be flowing out to the last
ebb of despair, he stood up manfully and faced the enemy. His will
remained vigorous, and he was cheerful in spirit—this, too, when the
very water which was tendered him to refresh his exhausted powers was
instantly rejected by the stomach. It was clear that no human vigor
could long withstand so dreadful an ordeal; and the physicians
recognized and acknowledged the fact that their unnatural system of
alimentation was but a makeshift which would presently end in failure.
Then death. The bulletins said:
“8:30 A. M.—The President was somewhat restless during the early
part of the night. Since three o’clock he has slept tranquilly most
of the time. Nutritious enemata are successfully employed to sustain
him. Altogether the symptoms are less urgent than yesterday
afternoon. At present his pulse is 110; temperature, 98.6;
respiration, 18. 12:30 P. M.—The President has been tranquil since
the morning bulletin, but has not yet rallied from the prostration
of yesterday as much as was hoped. The enemata administered are
still retained. At present his pulse is 114; temperature, 98.3;
respiration, 18. 7 P. M.—The President’s symptoms are still grave,
yet he seems to have lost no ground during the day, and his
condition on the whole is rather better than yesterday. The enemata
are retained. At present his pulse is 120; temperature, 98.9;
respiration, 19.”
_The forty-seventh day._—Notwithstanding the desperate extreme to which
the poor President was reduced, the dispatches came, on the morning of
August 17th, with the news that he was better. The dreadful nausea had
passed, and two or three times some nutritive food had been swallowed
and retained. Moreover, he had slept as much as an hour at a time. The
examination of the wound, too, showed some little ground for
encouragement, for the process of healing had gone on, notwithstanding
the terrible exhaustion of the last three days. In the inner circle
about the President’s bed there was a more hopeful feeling. “Little
Crete,” the darling wife of the suffering Chief Magistrate, ventured
out, with her three boys, to take a drive in the open air. Mr. Smalley,
of the _Tribune_, thus spoke of her, as her carriage passed through the
gateway:
“Her face, as she gave a nod and a smile of recognition, looked
bright and hopeful. I knew that the agony of apprehension must be
over and the President must be on the upward road again. The brave
little woman! What a terrible strain she has endured and with what
wonderful courage and patience she has met every fresh draft upon
her strength and resolution, keeping always out of her face the pain
and dread tugging at her heart, lest the slightest glimpse of it
should discourage her husband in his long battle with death! I
remember that at Elberon, just before the fatal journey to
Washington, General Garfield spoke of her with tenderness and pride,
as a steel-spring sort of a woman—supple, bright, enduring, and
rebounding after the severest strains. If he wins his way back to
health again he will owe his recovery, I firmly believe, as much to
the loving and cheerful ministrations of his wife, as to the six
doctors who wait upon him, skillful and devoted as they are.”
Later in the day, Mrs. Garfield received a dispatch from the Queen—there
has been only one Queen since the President was shot—which was answered
by the wife in her own way. The dispatches were as follows:
“_To Mrs. Garfield, Washington, D. C._:
“I am most anxious to know how the President is to-day, and to
express my deep sympathy with you both.
“THE QUEEN, Osborne.”
“_Her Majesty Queen Victoria, Osborne, England_:
“Your Majesty’s kind inquiry finds the President’s condition changed
for the better. In the judgment of his medical advisers there is
strong hope of his recovery. His mind is entirely clear, and your
Majesty’s kind expressions of sympathy are most grateful to him, as
they are gratefully acknowledged by me.
LUCRETIA R. GARFIELD.”
The regular bulletins gave the usual epitome of symptoms, as follows:
“8:30 A. M.—The President has passed a tranquil night, sleeping most
of the time. He continues to retain the nutritive enemata, and has
not vomited since the last bulletin. His general condition appears
more hopeful than at this time yesterday. Pulse, 110; temperature,
98.3; respiration, 18. 12:30 P. M.—The President’s condition has not
materially changed since the last bulletin. He has been tranquil and
has slept some, has not vomited, and the nutritive enemata are still
retained. Pulse, 112; temperature, 98.7; respiration, 18. 6:30 P.
M.—The President’s condition is even better than it was this
morning. The wound continues to do well. At present his pulse is
112; temperature, 98.8; respiration, 18.”
Meanwhile the trusted Secretary Blaine had reached Washington and was
again at the bedside of his chief. In the evening he sent abroad two
dispatches containing a brief summary of the President’s condition as
determined by the official reports and by his own observation. And so
the day closed in hope rather than despair.
_The forty-eighth day._—The President was still further improved—so
thought and said his physicians. The mutinous stomach, which had
threatened to end his life by refusing to perform its work at a time
when it was not possible for his weakened system to bear for any
lengthened period the strain of the wound and the fever without
sustenance, had renewed its functions, and the experiments made during
the day gave reasons to hope that nourishing food might now be
administered with safety. It was good news indeed, and it would have
been better if it had not been coupled with the statement that the
President was reduced almost to a skeleton. From 210 pounds—his weight
when shot—he had wasted away till his weight was hardly 135 pounds. Yet
with only this pitiful bony structure of himself left he was reported as
_cheerful and brave_! He was able to take more nourishment than on the
previous day, and it appeared that his alimentation was now likely to be
sufficient; but just as this beneficial reaction became noticeable,
another complication arose which threatened to overbalance all the
expected good. On the 17th of August a slight inflammation was noticed
in the right parotid gland. By the following morning the swelling was
more pronounced, and immediately became a source of annoyance and alarm.
The tumefaction assumed the appearance of a carbuncle and there were
indications of approaching suppuration of the gland. The face,
especially on the right side, became distorted, and the President
suffered great pain from the inflamed part. It was clear that in some
measure the blood of the sufferer had been poisoned by the discharges of
the wound, and that nature was attempting to relieve her distress by the
destruction of a gland. The official bulletins of the day, though
pervaded with the same spirit of optimism which characterized them all,
were not of a sort to inspire confidence. They said:
“8:30 A. M.—The President has passed a very comfortable night,
sleeping well the greater part of the time. This morning his pulse
is slower and his general condition better than yesterday at the
same hour. Pulse, 104, temperature, 98.8; respiration, 17. 12:30 P.
M.—The President is suffering some discomfort this morning from
commencing inflammation of the right parotid gland. He has asked for
and retained several portions of liquid nourishment, much more than
he could swallow yesterday. The nutritive enemata continue to be
used with success. At present his pulse is 108; temperature, 98.4;
respiration, 18. 6:30 P. M.—The President has done well during the
day. He has taken additional nourishment by the mouth this afternoon
with evident relish and without subsequent nausea. His general
condition is rather better than at this time yesterday. Pulse, 108;
temperature, 100; respiration, 18.”
_The forty-ninth day._—With the 19th of August a more hopeful feeling
again predominated. It was alleged by the surgeons that the President
had made some improvement. Some was better than none. His nutriment for
the day amounted to nine ounces of liquid food. The physicians gave
assurance to the public that the inflamed gland did not necessarily
imply blood poisoning. The President slept at intervals. In his waking
moments he was still cheerful, but expressed a great yearning to get
away from Washington and return to his home at Lawnfield.
In these days of alternate hope and anxious alarm the question naturally
arose as to what had become of the Executive Department of the
Government. The President was still himself in a certain sense, but he
was without doubt utterly incapacitated to perform any executive duty.
There was no acting President, and to tell the truth the people did not
desire one. Some leading papers advocated the assumption of certain of
the duties of the President by members of the Cabinet; but this untried
and—it may be added—unconstitutional measure was not attempted; and so
all executive functions remained in abeyance. The acts usually performed
by the President were simply omitted until he should recover.
Fortunately in a time of peace and during a recess of Congress, these
acts could be postponed without any great detriment to public interests.
The appointing power, except in so far as it is delegated by law to the
heads of Departments, was in a state of complete suspension, but this
fact occasioned no trouble, except to applicants for office. Under our
system, where vacancies in Presidential appointments occur, by death or
resignation, there is usually a deputy or some other officer who is
authorized by law to perform temporarily the duties of the office. In
the cases of post-offices where there are no deputy postmasters, the
Post-Office Department is authorized to send special agents to take
charge until the vacant postmastership can be filled. If the President’s
prostration should continue—so reasoned the people—until the meeting of
Congress—a contingency wholly improbable—there would be no stoppage of
any part of the machinery of Government. In short, the American people
were taught by a practical, though painful, example the great lesson,
how little need there is for a nation of freemen to be governed—how
amply able such a people are to adapt themselves to any emergency. The
official reports of the day gave as usual the facts on which various
opinions of the President’s prospects were based:
“8 A. M.—The President slept much of the night, and this morning is
more comfortable than yesterday. The swelling of the right parotid
gland has not increased since yesterday. Nutritive enemata are still
given with success, and liquid food has been swallowed and relished.
Pulse, 100; temperature, 98.4; respiration, 17.
“12:30 P. M.—The President’s condition has perceptibly improved
during the last twenty-four hours. He is taking to-day an increased
quantity of liquid food by the mouth. His pulse is now 106;
temperature, 98.8; respiration, 17.
“6:30 P. M.—The President has been very easy during the afternoon
and the favorable conditions reported in the last bulletin continue.
Pulse, 106; temperature, 100; respiration, 18.”
_The fiftieth day._—There could be no denial of another rally—though
slight—on the part of the President. During the day a surgical
experience occurred. Dr. Bliss, in treating the wound, succeeded in
passing with a flexible tube what he _supposed_ to be an obstruction in
the path of the ball. When this was done, the tube suddenly dropped,
almost of its own weight, down the channel[6] to the depth of _twelve
and a half inches_! The end of the probe was thus brought, as was
confidently believed, into immediate proximity with the ball. The
parotitis, from which the President was now suffering so severely, was
reported as “about the same.” As a consequence of this inflammation,
though no acknowledgment of the fact was made at the time, the patient’s
face suffered a partial paralysis, which continued seriously to afflict
him to the last. The summary of symptoms was published at the usual
hours by the surgeons and presented the following statement of the
President’s condition.
Footnote 6:
This channel was, of course, not the track of the ball, but the
insidious burrow of the pus, unfortunately assisted in its downward
progress by the mistaken manipulations of the surgeons.
“8:30 A. M.—The President has passed a quiet night, and this morning
his condition does not differ materially from what it was yesterday.
The swelling of the parotid gland is unchanged and is free from
pain. This morning his pulse is 98; temperature, 98.4; respiration,
18.
“12:30 P. M.—The President continues to do well. He is taking liquid
food by the mouth in increased quantity and with relish. The
nutritive enemata are still successfully given, but at longer
intervals. His pulse is now 107; temperature, 98.4; respiration, 18.
“6:30 P. M.—The President has passed the day quietly. He has been
able to take more liquid food by the mouth than yesterday, and the
quantity given by enema has been proportionately diminished. The
parotid swelling remains about the same. Pulse, 110; temperature,
100.4; respiration, 19.”
_The fifty-first day._—It was a long and sorrowful journey. There were
pitfalls in the way. That inflamed gland now became a source of profound
anxiety. The salivary secretions were so augmented and at the same time
vitiated as constantly to fill the patient’s throat, threatening
strangulation. The tendency to nausea was thus excited, and the
President’s stomach again rejected food. This fact told immediately on
the modicum of strength still remaining, and as the day progressed it
appeared that medical skill was about exhausted in a hopeless struggle
against the inevitable. The surgeons, however, as is the wont with the
profession, still renewed the battle, now with this expedient and now
with that, but always with the purpose of keeping the President alive
until some kind of favorable reaction could supervene. The feature of
the day’s history was that the most serious alarm was spread abroad
after the issuance of the evening bulletin. The three official reports
were as follows:
“8:30 A. M.—The President awoke more frequently than usual, yet
slept sufficiently during the night, and appears comfortable this
morning. The parotid swelling is about the same, but is not painful.
He took liquid nourishment by the mouth several times during the
night as well as this morning. Pulse, 106; temperature, 98.8;
respiration, 18.
“12:30 P. M.—The President’s condition continues about as at the
morning bulletin, except that there is a slight rise of temperature.
Pulse, 108; temperature, 99.4; respiration, 18.
“6:30 P. M.—The President has vomited three times during the
afternoon; the administration of food by the mouth has, therefore,
again been temporarily suspended and the nutritive enemata will be
given more frequently. Pulse, 108; temperature, 99.2; respiration,
18.”
To these regular bulletins may well be added the foreign dispatch of
Secretary Blaine, who, at a late hour, sent to Minister Lowell the
following message:
“LOWELL, _Minister_, _London_:
“The President’s sleep last night was broken and restless. His
symptoms throughout the day have been less favorable, and his
general condition is not encouraging. He is unable to retain food on
his stomach, having vomited twice during the afternoon, the last
time at 5 o’clock. This evening he has been able to drink water and
retain it. The swelling of the parotid gland has not increased.
Pulse and temperature about the same as yesterday. His sleep up to
this hour (11 P. M.) has been somewhat disturbed. We are all deeply
anxious.
“BLAINE, Secretary.”
_The fifty-second day._—The question was, how much longer the wheels of
vexed and exhausted Nature could continue to revolve. Every power of
life within the uncomplaining man was prostrated or dead. The
inflammation in the gland had now progressed to a terrible extent, and
an operation for its relief was already contemplated. That blood
poisoning to some extent now existed, could hardly be controverted. Even
the oversanguine Dr. Bliss was forced to admit it. In a conversation of
the day, and in reply to questions with regard to the inflamed gland, he
said: “The glandular swelling is still hard, and shows no signs of
subsiding. The swelling of the surrounding parts has pretty much
disappeared. Whether suppuration will take place or not we can not yet
tell. I am inclined to think it will. I do not, however, apprehend any
serious consequences even in that case, provided we can maintain the
patient’s strength. The pus which forms is likely to be of a healthy
character, and we shall liberate it promptly by an incision. There has
been no pain in the gland this afternoon, and it has caused the patient
little annoyance.”
With regard to the septic tint in the blood, which was the predisposing
cause of the glandular inflammation, Dr. Bliss said: “In cases of this
kind, where the patient becomes enfeebled by long-continued fever and
suppuration, there is always a low and impoverished state of the blood.
It is, indeed, a sort of mild blood poisoning, but it is very different
from pyæmia. Pyæmia is caused by absorption into the blood of the
disunited elements of broken down pus. Small fragments of fibrine are
carried into the circulation, and wherever such a fragment lodges in one
of the minute blood-vessels it becomes a center of suppuration. The
symptoms of pyæmia, such as the disorganization and peculiar odor of the
pus, the yellowish tint of the skin, the odor of the breath and the
increased temperature of the body, are all marked and unmistakable, and
none of them has at any time appeared in the President’s case.”
Thus with vain conjectures and provisos did the distinguished surgeon
attempt to keep up his own courage and that of the public. But it was
now well known that, bulletins or no bulletins, the President, unless
promptly relieved either by medical skill or some unexpected revival of
nature, was down to the very door of death. The official reports of the
day were as follows:
“8:30 A. M.—The President has not vomited since yesterday afternoon,
and this morning he has twice asked for and received a small
quantity of fluid nourishment by the mouth. He slept more quietly
during the night, and this morning his general condition is more
encouraging than when the last bulletin was issued. Pulse, 104;
temperature, 98.4; respiration, 18.
“12:30 P. M.—The President has continued this morning to retain
liquid nourishment taken by the mouth as well as by enema. There has
been no recurrence of the vomiting and no nausea. Pulse, 104;
temperature, 98.4; respiration, 18.
“6:30 P. M.—The President has continued to take nourishment in small
quantities at stated intervals during the entire day, and has had no
return of nausea or vomiting. The nutrient enemata are also
retained. Pulse, 110; temperature, 100.1; respiration, 19.”
_The fifty-third day._—How is the President this morning? The President
had made a gain. Of a certainty, he was not any further in the shadow of
the valley than on yesterday. He had taken in all, since the morning
before, about thirty ounces of liquid food without disturbing his
stomach. Several times he called for food himself. One of the physicians
said during the day that the President had taken more than sufficient
food to repair the day’s waste. At one time his pulse was down to
ninety-six—the lowest point it had reached for more than a fortnight.
Secretary Blaine—in whose dispatches the people had learned to place the
highest reliance—expressed himself somewhat more hopefully to Minister
Lowell, in the night message, which read as follows:
“LOWELL, _Minister_, _London_:
“The President’s condition is more encouraging than it was at this
time last night. During the last twenty-four hours he has swallowed
ten ounces of extract of beef and eighteen ounces of milk, retaining
and digesting both. He has twice asked for food, which he has not
done before for several days. Pulse and temperature are both
somewhat lower. The swelling of the parotid gland has not specially
changed. Its long continuance at the present stage increases the
fear of suppuration. At this hour—11 o’clock—the physicians report
that the President has rested quietly the entire evening.
BLAINE, _Secretary_.”
Anxious concern about the President’s condition on the part of the
public was tempered with so much hopefulness that the evidences of
excitement somewhat abated. The street gatherings about the
bulletin-boards in the principal cities were not so large as they had
been, although the three official bulletins from the physicians and
Secretary Blaine’s message to Minister Lowell were eagerly waited for
and much talked of in public places. These bulletins were, in the usual
form, as follows:
“8:30 A. M.—The President slept the greater part of the night, but
awoke at frequent intervals. He has taken since last evening a
larger quantity of liquid food by the mouth than in the
corresponding hours of any day during the past week. The use of
nutrient enemata is continued at longer intervals. Pulse, 100;
temperature, 98.4; respiration, 18.
“12:30 P. M.—The President continues to take by the mouth and retain
an increased quantity of liquid food. At the morning dressing the
wound looked well and the pus was of a healthy character. The mucus
accumulations in the back of the mouth are less viscid. At present
his pulse is 104; temperature, 98.9; respiration, 18.
“6:30 P. M.—The President has continued to take liquid food by the
mouth at regular intervals during the day, and has had no recurrence
of gastric disorder. Pulse, 104; temperature, 99.2; respiration,
19.”
_The fifty-fourth day._—The events of the day were two: First, the
lancing of the inflamed gland—an operation but partially successful in
its results; secondly, a consultation of the surgeons in regard to
removing the President from the White House. Dr. Agnew was summoned to
the city by telegram. He was driven at once to the Executive Mansion,
where the cabinet and medical council were in consultation, and remained
closeted with them until nearly midnight. The consultation lasted rather
more than an hour; and, so far as could be ascertained, it resulted in a
disagreement. All of the participating surgeons who could be seen
refused to talk upon the subject, as did also the members of the
Cabinet, most of whom were at the White House until after eleven
o’clock.
A third circumstance of the day’s history was the reported delirium of
the President. This was for awhile concealed, and then palliated by
those nearest the bedside. Colonel Rockwell, one of the attendants, in
conversation with a reporter, described the mental disturbance thus:
“The President is sometimes a little incoherent for a moment after he
awakes and before he fully gets control of his senses, just as any body
would be in his weak and debilitated condition and after seven weeks of
fever; but at all other times his mind is as clear as ever.”
The dispatch of Secretary Blaine was very much less hopeful than the one
of the night before. It read as follows:
“LOWELL, _Minister_, _London_:
“The President has not gained to-day. He has had a higher fever,
which began earlier than is usual with his febrile rise. In the
afternoon an incision was made in the swollen parotid gland by Dr.
Hamilton. The flow of pus therefrom was small. The one favorable
symptom of his swallowing liquid food with apparent relish and
digestion has continued, but the general feeling up to midnight is
one of increased anxiety.
“BLAINE, _Secretary_.”
To this might well be added the additional hopeful circumstance that
during the day the President’s assimilative powers appeared to be again
in such condition as to warrant the physicians in dispensing with the
system of artificial alimentation. The regular bulletins for the day
were as follows:
“8:30 A. M.—The President has passed a very good night, awaking at
longer intervals than during several nights past. He continues to
take liquid food by the mouth with more relish, and in such quantity
that the enemata will be suspended for the present. No change has
yet been observed in the parotid swelling. The other symptoms are
quite as favorable as yesterday. Pulse, 100; temperature, 98.5;
respiration, 17.
“12:30 P. M.—The President continues to take liquid food by the
mouth as reported in the last bulletin. His temperature has risen
slightly since that time. In other respects his condition is about
the same. Pulse, 104; temperature, 99.2; respiration, 17.
“6:30 P. M.—Shortly after the noon bulletin was issued an incision
was made into the swelling on the right side of the President’s face
for the purpose of relieving the tension of the swollen parotid
gland, and of giving vent to pus, a small quantity of which was
evacuated. He has taken a larger quantity of liquid food by the
mouth to-day than yesterday, and has been entirely free from nausea.
Pulse, 108; temperature, 100.7; respiration, 19.”
_The fifty-fifth day._—The first report of the morning indicated that
there was no more than a bare possibility of President Garfield’s
recovery. His condition was such as to cause the gravest apprehensions
as to the immediate result. He continued to take food, but there was no
perceptible increase in strength. His condition—with his wasted form,
distorted and half-paralyzed face, dreadful wound, and suppurating
gland—was pitiable in the last degree. Hallucinations came on, and he
talked incoherently—now of his immediate surroundings, and now of his
old home at Mentor. There was little remaining for the surgeons to do.
Their effort for the time was directed chiefly to the alleviation of the
inflamed gland, which was now playing havoc with the few springs of
vitality yet remaining as a source of hope. The whole gland was found to
be infiltrated with pus, and the outlook, even for the night, was grave
in the extreme. The physicians’ bulletins, four in number to-day, were
published, as usual, and presented to the anxious country several points
of interest:
“8:30 A. M.—The President slept most of the night. He has taken
liquid food by the mouth at stated intervals and in sufficient
quantity, so that the enemata have not been renewed. No modification
of the parotid swelling has yet been observed. Pulse, 106;
temperature, 98.5; respiration, 18.
“9:15 A. M.—The subject of the removal of the President from
Washington at the present time was earnestly considered by us last
night and again this morning. After mature deliberation the
conclusion was arrived at by the majority that it would not be
prudent, although all agree that it will be very desirable at the
earliest time at which his condition may warrant it.
“12:30 P. M.—Since the issue of this morning’s bulletin a rise in
the President’s temperature similar to that which occurred yesterday
morning has been observed. Pulse, 112; temperature, 99.2;
respiration, 19.
“6:30 P. M.—There has been little change in the President’s
condition since the noon bulletin was issued. The frequency of his
pulse is now the same as then. His temperature has risen somewhat,
but it is not so high as yesterday evening. No unfavorable change
has been observed in the condition of the wound. He has taken by the
mouth a sufficient supply of liquid food. Pulse, 112; temperature,
99.8; respiration, 19.”
_The fifty-sixth day._—The morning papers were almost exclusively
devoted to the President and the prospect of death. The great New York
dailies presented page after page of dispatches, interviews, and
discussions. The sum of it all was this: The President was alive, but,
in all probability, on the verge of death. His pulse rose to a mere
flutter. The abscess in the gland burst into the cavity of the ear. His
mind still wandered, but there was slightly less aberration than
yesterday. Washington was a strange scene. There was suppressed
excitement, but no noise. Little knots of people gathered in groups here
and there before the bulletin-boards, where the latest intelligence was
posted, while negro newsboys in their picturesque costumes cried their
extras in the mellow Southern accent peculiar to their race. The intense
August sun poured down his rays on the broad streets and asphaltum
boulevards. The trees were browned with the dust and heat, and the
patches of grass here and there in the yards and parks were withered
into hay. Above it all, gleaming white and silent, rose the great dome
of the Capitol. Alas, what was it all to _him_?
There was in the midst of infinite rumors and conjectures only a modicum
of news. It was this: the President could still take food. His mind had
cleared a little since yesterday. As for the rest, he lay helpless,
ready to die. The bulletins said:
“8:30 A. M.—The President slept most of the night, awaking at
intervals of half an hour to an hour. On first awaking there was, as
there has been for several nights past, some mental confusion, which
disappeared when he was fully roused, and occasionally he muttered
in his sleep. These symptoms have abated this morning, as on
previous days. His temperature is slightly above the normal and his
pulse a little more frequent than yesterday morning. Pulse, 108;
temperature, 99.1; respiration, 17.
“12:30 P. M.—His pulse and temperature are at present higher than at
the corresponding hour for some days. He continues to take by the
mouth the liquid food prescribed; nevertheless, we regard his
condition as critical. Pulse, 118; temperature, 100; respiration,
18.”
“6:30 P. M.—The President’s condition has not changed materially
since the last bulletin was issued. He continues to take, by the
mouth, the liquid food prescribed, and occasionally asks for it.
Since yesterday forenoon, commencing at 11:30 A. M., the enemata
have again been given at regular intervals, as a means of
administering stimulants, as well as nutrition. They are retained
without trouble. Pulse, 116; temperature, 99.9; respiration, 18.”
_The fifty-seventh day._—Another long day of suspense. It was the
peculiarity of President Garfield’s illness that just as some great
crisis came and his constitutional forces seemed to break hopelessly, at
some other point there would be a rally. In this last case, when the
distressing abscess in the parotid gland had added its aggravating
horrors to horrors already accumulated, and just as tired nature seemed
sinking to everlasting rest, there was a rally in the assimilative
powers. Unexpectedly, the stomach began to perform its work; and thus
the tree of life, shaken back and forth by conflicting forces, still
rose feebly and stood. It was a melancholy sight to see this enfeebled
and wasted life, so dear to the Nation, still standing, with its
glorious foliage torn away—withered, blighted, dying.
The Queen on this day again expressed her great anxiety about the
President. Her dispatch, and Mr. Blaine’s answer, were as follows:
“LONDON, Aug. 27.
“BLAINE, _Secretary, Washington_:
“I have just received from Her Majesty the Queen, at Balmoral, a
telegram in these words: ‘I am most deeply grieved at the sad news
of the last few days, and would wish my deep sympathy to be conveyed
to Mrs. Garfield.’
LOWELL, Minister.”
“WASHINGTON, Aug. 27.
“LOWELL, _Minister_, _London_:
“I have submitted to Mrs. Garfield your telegram conveying the
kindly message from Her Majesty the Queen. Mrs. Garfield is
constantly by her husband’s bedside and does not give up all hope of
his recovery. Her request is that you will return to the Queen her
most sincere thanks, and express her heartfelt appreciation of the
constant interest and tender sympathy shown by Her Majesty toward
the President and his family in their deep grief and most painful
suspense.
BLAINE, Secretary.”
[Illustration: BLAINE READING LETTERS OF SYMPATHY TO MRS. GARFIELD.]
The Americans, in a political point of view, do not like kings and
queens; but it will be many a long year before the womanly greatness and
tenderness of Victoria, manifested in our hour of sorrow, will be
obliterated from the American heart. _Vivat semper Regina!_
The daily bulletins of the surgeons told all that could be known of the
beloved President:
“8:30 A. M.—The President slept from half an hour to an hour or more
at a time throughout the night. He continues to retain the liquid
food administered by the mouth and the stimulating enemata.
Nevertheless, his pulse has been more frequent since midnight and he
is evidently feebler this morning than yesterday. Pulse, 120;
temperature, 98.4; respiration, 22.
“12:30 P. M.—There has been no improvement in the President’s
condition since the last bulletin was issued. He continues to retain
the liquid food administered by the mouth as well as the enemata. At
present the pulse is 120; temperature, 99.6; respiration, 22.
“6:30 P. M.—The President’s symptoms show slight amelioration this
afternoon. His pulse is somewhat less frequent and his temperature
lower. The liquid food given by the mouth and the enemata continues
to be retained. Pulse, 114; temperature, 98.9; respiration, 22.”
_The fifty-eighth day._—The reports of the morning were briefer. They
were also more encouraging. It was clear that the President,
notwithstanding his desperate condition, had held his own for
thirty-eight hours, and that there were some unmistakable signs of
improvement. It could not be said with truth that the change was great
or marked, but there had been some amelioration. The shadow of death was
lifted, at least for a day. The people, quick to run to extremes, gave a
sigh of relief at the more cheering reports of the morning, and went
whither they listed. It was said that the President had had another
relapse and was now better again. Even the cautious Secretary of State
was impressed with the belief that the President’s improvement was more
than a temporary rally. In his foreign dispatch he summed up the case
thus:
“_To_ LOWELL, _Minister_, _London_:
“The condition of the President at 10 o’clock continues as favorable
as could be expected. Within the past thirty hours his improvement
has given great encouragement to the attending surgeons. He swallows
an adequate supply of liquid food; the parotid swelling discharges
freely, and gives promise of marked improvement. His mind is
perfectly clear. He has, perhaps, a little more fever than was
anticipated, and his respiration is somewhat above normal. The
general feeling is one of hopefulness. Two or three days more of
improvement will be needed to inspire confidence.
BLAINE, Secretary.”
The monotonous official reports were telegraphed as usual, in the
following messages:
“8:30 A. M.—The amelioration of the President’s symptoms announced
in last evening’s bulletin continued during the night. Since
midnight some further improvement has been observed, the pulse
diminishing in frequency. The stomach has continued to retain liquid
nourishment administered, and last evening he asked for and ate a
small quantity of milk toast. Stimulating and nutrient enemata
continue to be retained. Pulse, 100; temperature, 98.4; respiration,
17.
“12:30 P. M.—At the morning dressing of the President several
yellowish points were observed just below the ear over the swollen
parotid, and an incision being made, about a teaspoonful of
healthy-looking pus escaped. Pulse, 104; temperature, 99.5;
respiration, 18.
“7:30 P. M.—The improvement in the President’s condition, declared
yesterday afternoon, is still maintained. He continues to take
willingly the liquid food given by the mouth, and is apparently
digesting it. The stimulants and nutrients given by enema are also
retained. At the evening dressing an increased quantity of
healthy-looking pus was discharged from the suppurating parotid. But
little rise in temperature or pulse has taken place since noon.
Pulse, 110; temperature, 99.7; respiration, 20.”
_The fifty-ninth day._—More than eight weeks had now elapsed since the
President was shot. The country had become used to alarms. It had also
learned to make allowance for the shortcomings of newspaper reports,
born of the heat of an oversanguine imagination. It had learned, too,
the more valuable lesson that the Government of the United States is not
to be shaken from its pedestal by the bullet of an assassin. Guiteau was
a fool. Perhaps the despicable wretch thought the course of events,
sweeping on like the planets, could be changed by the crack of a pistol.
He might as well have fired into the air. The glorious institutions of
the Republic will perish when Americans are no longer fit to be free;
but until then the assassin’s rage and frenzy is the most futile folly
of the world. All the officers of the United States may be murdered in a
day, but the Nation will stand immovable as adamant. Let the assassin
foam and gnash upon the iron bars of the cage of fate! It is only a
mad-dog gnawing his chain.
The President, they said, was better. Thoughtful men doubted it. As a
matter of fact, the judgment of the country had given him up to die.
Sentiment still kept him alive; reason said that the time of the fatal
foreclosure was near at hand. It could be said, truthfully, that the
local symptoms traceable to the abscess in the President’s face had
measurably abated. It could also be said that he was still able to
receive food enough to sustain life—nothing more. Mr. Blaine’s dispatch
for the evening was, however, rather hopeful than desponding. It said:
“DEPARTMENT OF STATE, August 29, 10:30 P. M.
“LOWELL, _Minister_, _London_:
“At half-past ten to-night the general condition of the President is
favorable. Late in the afternoon his pulse rose to 112 and his
temperature to 100, both a little higher than the surgeons expected.
Pulse has now fallen to 108, and fever is subsiding. The parotid
swelling is steadily improving, and is at last diminishing in size.
Apprehensions of serious blood poisoning grow less every hour.
BLAINE, Secretary.”
These dispatches of the Secretary were generally but the pith of what
the surgeons said in their official reports. These, for August 29th,
were as follows:
“8:30 A. M.—The President’s symptoms this morning are as favorable
as yesterday at the same hour. He slept, awakening at intervals, the
greater part of the night. At these intervals he took and retained
the liquid nourishment administered. His mind continues perfectly
clear. Pulse, 100; temperature, 98.5; respiration, 17. 12:30 P.
M.—Nothing new has been observed in the condition of the wound. The
usual daily rise of temperature has not yet occurred, and the
general condition has not materially changed since morning. Pulse,
106; temperature, 98.6; respiration, 18. 6:30 P. M.—The daily rise
of the President’s temperature began later this afternoon than
yesterday, but rose eight-tenths of a degree higher. The frequency
of his pulse is now the same as at this hour yesterday. He has taken
willingly the liquid food prescribed during the day, and had,
besides, during the morning, a small piece of milk toast. At the
evening dressing a pretty free discharge of healthy pus took place
from the parotid swelling, which is perceptibly diminishing in size.
The wound manifests no material change. Pulse, 110; temperature,
100.5; respiration, 18.”
[Illustration: MORNING GREETING BY MRS. GARFIELD AND MOLLIE.]
_The sixtieth day._—The President still held out. All the world knows
the story, how, day after day, owing to the native robustness and
essential soundness of his constitution, he stood out against the death
that awaited. As usual there were some who said he was better. Others
said he was not. Once for all it may be said that such contradictions
regarding the President’s condition can easily be accounted for when the
surroundings of the White House are considered. Only a few persons knew
of their own observation how he appeared from day to day. Visitors were
strictly, and necessarily, excluded from the sick-room. From the Tuesday
after General Garfield was shot, not more than ten persons in all,
excluding the physicians, had seen him, and, of these ten, some only
once or twice. Mrs. Garfield and her children, Mr. Blaine, General D. G.
Swaim, Colonel A. F. Rockwell, Dr. Boynton, Dr. Susan Edson,—one of the
nurses,—the President’s private secretary, Mr. J. S. Brown, and Mr.
Pruden, completed the list. Mr. Blaine had seen him once, Mr. Pruden
once, and Mr. Brown had been in five times, being usually called because
the force of persons necessary to lift the President was a little short.
Indeed, of all the strange impressions to be got from this novel event,
there was none more peculiar than to stand in the private secretary’s
room in the second story of the White House, and feel that only a few
yards away was the sick-room on which the eyes of the world were
centered, and yet that not more than three persons besides the
physicians, nurses, and family, have passed the door in two months! It
can thus be easily seen how correspondents and reporters were generally
at sea, particularly when the physicians were reticent or out of sight.
Mr. Blaine continued to express all that could be reasonably said of
better prospects. His dispatch was as follows:
“_To_ LOWELL, _Minister_, _London_:
“The President, if not rapidly advancing, is at least holding his
own. His fever is less than last night, and his swollen gland
steadily improves. His pulse continues rather high, running this
evening from 110 to 114. Perhaps the best indication in the case is,
that the President himself feels better, and his mind, being now
perfectly clear, he readily compares one day’s progress with
another.
BLAINE, Secretary.”
The regular bulletins of the day were fuller if not more explicit:
“8:30 A. M.—The President slept the greater part of the night,
awakening at intervals, and retaining the liquid nourishment
administered. His general condition this morning is about the same
as at the same hour yesterday. Pulse, 102; temperature, 98.5;
respiration, 18. 12:30 P. M.—At the morning dressing another small
incision was made in the lower part of the swelling on the right
side of the President’s face, which was followed by a free discharge
of healthy-looking pus. A similar discharge took place through the
openings. The swelling is perceptibly smaller, and looks better. The
wound remains in an unchanged condition. Pulse, 116; temperature,
98.9; respiration, 18. 6:30 P. M.—The President has passed
comfortably through the day. He has taken the usual amount of
nourishment by the mouth, with stimulating enemata at stated
periods. Pulse, 109; temperature, 99.5; respiration, 18.”
_The sixty-first day._—In these stages of the President’s illness
neither the optimist nor the pessimist newspapers were to be trusted in
their accounts of the sick man and his surroundings. Even the dry
records of the surgeons’ reports were so many bones of contention among
the wranglers, some of whom would have the President well while others
would have him dead. The optimists on this last day of August head-lined
their reports: “On the high road to recovery;” “Still better;” “Almost
out of the woods,” etc.; while the pessimist said: “The valley and the
shadow;” “The end at hand,” etc. Unfortunately the pessimist—not from
any virtue in himself—was the truer prophet. It could not be denied,
however, that in some material points the President had improved with
some steadiness for several days. These favorable points, rather than
the dark ones, were dwelt on in the official reports, which presented
the summary of symptoms for the day:
“8:30 A. M.—The President has passed a tranquil night, and this
morning his condition is quite as favorable as yesterday at the same
hour. Pulse, 100; temperature, 98.4; respiration, 18. 12:30 P. M.—At
the dressing of the President this morning the parotid swelling was
found to be discharging freely. It looked well and has materially
diminished in size. The wound remains in about the same state. His
general condition is evidently more favorable than at this hour
yesterday. Pulse, 95; temperature, 98.4; respiration, 17. 6:30 P.
M.—The President has passed a better day than for some time past. He
has taken his food with increased relish, and the usual afternoon
rise of temperature did not occur. Pulse, 109; temperature, 98.6;
respiration, 18.”
_The sixty-second day._—The fall month dawned with little additional
news. The little that was presented was not good. The luxuriance of the
scribes who had written up and written down almost every circumstance
and symptom were about this time clipt of some of their superfluity. The
public had grown stern and angered at being trifled with on so grave a
matter as the condition of a dying President. A few manufactured
conversations were still published, but the amount of space so devoted
in the journals of the day showed a pronounced shrinkage. Mr. Blaine’s
dispatches, always honest and sincere, were more than hitherto sought
after as giving the hungry and heart-sore people the most authentic
information concerning their stricken Chief Magistrate. The Secretary’s
telegram for the evening was as follows:
“_To_ LOWELL, _Minister_, _London_:
“The President continues to do well in his eating and digestion, and
the swollen gland steadily improves, but in the past twenty-four
hours he has made no substantial progress in his general condition.
In the judgment of his physicians, however, he still holds the
ground gained on Sunday and Monday last. His pulse and temperature
to-day have shown marked increase over the record of yesterday. The
weather has been exceedingly warm and sultry, and this may account
in part for the adverse changes noted. Even in the September climate
of Washington such an oppressive day as this has been is rare.
“BLAINE, Secretary.”
The views of the surgeons were presented as usual in their official
bulletins:
“8:30 A. M.—Toward nine o’clock last evening the President had some
feverishness, and his pulse ranged from 108 to 116. He had on the
whole a good night, and his condition is fully as favorable as
yesterday at the same hour. Pulse, 100; temperature, 98.4;
respiration, 17. 12:30 P. M.—At the morning dressing of the
President the abscess of the parotid was found to be discharging
freely. It looks well and continues to diminish in size. The state
of the wound remains the same. His general condition is not
materially different from what it was at this hour yesterday. Pulse,
108; temperature, 98; respiration, 18. 6:30 P. M.—The condition of
the President has not materially changed since the last bulletin,
except that there has been a moderate rise of temperature this
afternoon. The President has had no rigors for several weeks. Pulse,
108; temperature, 99.4; respiration, 18.”
_The sixty-third day._—It was said, in the dispatches of the morning,
that the President had still further improved, and that he was now
better than at any time since the setting in of the parotid
inflammation. Perhaps he was. There was no doubt that for some days he
had held his own. The question of the day, however, was the revival of
the project to remove the sufferer from Washington. This proposition had
been previously voted down in a consultation of the physicians and the
members of the cabinet. But since then things were changed. Doubtless
the surgeons were now convinced that, remaining where he was, the
President must inevitably die in a very short time. To this should also
be added the persistent entreaties of General Garfield himself, who
never forbore, on proper occasions, to urge upon those who were in
responsible charge of his case, his earnest wish to be taken away from
the scenes of his glory and grief. By the 2d of September it was
understood that the minds of the physicians were about made up to
attempt the hazardous enterprise. It was known also that the
Pennsylvania Railway had already prepared a special train with a view to
readiness in case the removal should be finally decided on. The train
even now stood in readiness.
A publication in the London _Lancet_, for the current week, was perused
with great interest by thousands of professional and unprofessional
readers. Some encouragement was gleaned from the excerpt, which was as
follows:
“We do not think the healing of President Garfield’s wound will be
promoted by probing to learn how far granulation has proceeded. The
most favorable signs are the fall of temperature to the normal, and
the frequency of the pulse. This is a thoroughly safe criterion of
increased strength and the subsidence of blood poisoning; and,
together with the improved power of digestion, ability to sleep
soundly, mental clearness and cheerfulness, affords solid grounds
for the hope of recovery.
“The case is a striking illustration of the power of a good
constitution to hold up against illness that would certainly have
killed a feebler person; but another failure in the President’s
digestive powers, or symptoms of blood poisoning, might at any time
turn the balance against him; and what we have hitherto insisted
upon so often we are bound to repeat, that President Garfield will
not be out of danger until the wound is healed.”
The usual bulletins, from the surgeons in charge, were published thus:
“8:30 A. M.—The President slept well during the night, and this
morning his condition is in all respects as favorable as yesterday
at the same hour. Pulse, 100; temperature, 98.4; respiration, 17.
12:30 P. M.—The President’s condition has not materially changed
since the morning bulletin was issued. Pulse, 108; temperature,
98.4; respiration, 18. 6:30 P. M.—The President has passed a
comfortable day, and this evening appears better than for some days
past. This evening his pulse is 104; temperature, 99.2; respiration,
18.”
_The sixty-fourth day._—The removal of the President was fully
determined on. The surgeons were unanimous that it should be undertaken.
Long Branch was settled upon as the resort to which the wounded man
should be removed. The physicians were unanimous in their selection of
this place, and all necessary precautions were taken to insure the
President’s comfort during his removal. It was a perilous business, and
for the remaining days of the sojourn at the White House the energies of
those who were responsible for the President’s well-being were
constantly engaged in making suitable arrangements for the removal. The
account of the President’s progress for the day, notwithstanding his
critical condition, was almost overlooked in the keen interest
immediately excited by the project now imminent. The surgeons themselves
were unusually brief in their official reports, which ran thus:
“8:30 A. M.—The President was somewhat more restless than usual
during the early part of the night, but slept better after one A. M.
There is a slight increase in the frequency of the pulse. Pulse,
104; temperature, 98.6; respiration, 18. 12:30 P. M.—The Presidents
condition has not materially changed since the morning bulletin was
issued. Pulse, 104; temperature, 98.4; respiration, 18. 6:30 P.
M.—The President has done well during the day, and has taken with
some relish a sufficient quantity of nutriment. Altogether, his
general condition exhibits some improvement over yesterday. Pulse,
102; temperature, 99.6; respiration, 18.”
_The sixty-fifth day._—The President himself was somewhat excited about
his removal. In some respects this excitement was beneficial and in
others hurtful to him. His spirits and hopes were in some measure
aroused, and a stimulus thus afforded to his exhausted powers. But the
energy thus awakened was withdrawn from the long enfeebled stomach, and
twice during the day his food was rejected. Otherwise, there were no
alarming symptoms for the passing hour, and so public attention was
wholly turned to the preparation. President Roberts, of the Pennsylvania
Railroad, commissioned George C. Wilkins, general superintendent of the
Baltimore and Potomac Railroad, to take direction of the train which was
to carry the President away. Mr. Wilkins was also directed to issue
orders to his men, which would enable him to stop every freight and
passenger train that might be on the road between Baltimore and
Washington on half an hour’s notice, and to give the special train the
right of way at any hour of the day or night. On the 4th of September,
Mr. Wilkins accordingly issued orders to carry out the following
arrangement: When the day and hour of departure of the train is known,
he should be informed, and a message would be sent along the entire
road, stopping all freight trains that might be on the road. Passenger
conductors would at each station receive an order either to stop or
proceed to the next station, where the subsequent movements of their
trains must be governed by the orders there awaiting them. In this way,
which is, in fact, the “blocking” system in force on many roads, the
movements of all trains would be controlled from the Union Depot, and
they would be so handled as to give the special train the right of way
and at the same time prevent the “regulars” while in motion from passing
the special. This was done to prevent the President being disturbed by
any jarring or disagreeable noise.
No stops were to be made at any of the stations between Baltimore and
Washington; but should it be necessary to rest the nerves of the
patient, the special train was to be halted in the open country, where
fresh air and the absence of noise and crowds would be insured.
Immediately on hearing of the appointed hour, Mr. Wilkins was to leave
Baltimore for Washington in a special car, and come over to Baltimore
with the President’s train. This train was to be run around the city to
Bayview, where William Crawford was to take charge of it and convey it
to Philadelphia. His arrangements were like those of Mr. Wilkins. An
engine of the New York division of the Pennsylvania road, and two
Pullman palace cars, which were in part to compose the train, arrived at
Baltimore on the 4th, and became subject to the orders of Colonel
Wilkins whenever needed.
The reports of the surgeons contained about the only authentic account
of the President’s condition during the day. These were as follows:
“8:30 A. M.—The President vomited once last evening and once about
an hour after midnight. Notwithstanding this disturbance, he slept
well most of the night, and this morning has taken food by the mouth
without nausea, and has retained it. His pulse is somewhat more
frequent, but in other respects his condition is about the same as
at this hour yesterday. Pulse, 108; temperature, 98.4; respiration,
18. 12:30 P. M.—The President’s condition has not changed materially
since the last bulletin was issued, and there has been no further
gastric disturbance. Pulse, 106; temperature, 98.4; respiration, 18.
6:30 P. M.—The President has passed a comfortable day. He has taken
his food with some relish, and had no return of the irritability of
stomach reported in the morning’s bulletin. The parotid swelling
continues to improve. The wound shows no material change. The rise
of temperature this afternoon has been very slight, but his pulse
was more frequent, and he showed more fatigue after the dressings.
Pulse, 110; temperature, 99; respiration, 18.”
_The sixty-sixth day._—It is the last day in Washington! Again the
President is almost forgotten in the hustle of preparation. Mr.
Francklyn, owner of one of the finest cottages at Elberon, Long Branch,
has tendered it as a home for the wounded Chief Magistrate, and Colonel
Rockwell has accepted the offer with thanks. So it is thither we are
going on the last of our earthly pilgrimages. Every thing is ready for
the departure, and it is set for to-morrow morning at six. A retinue of
strong men has been appointed to carry the President down stairs to a
wagon specially arranged to convey him to the depot. The day is hot; the
air like a furnace. Down at Elberon there is a weird scene to-night.
Three hundred skilled engineers and workmen—a loyal company of sturdy
patriots—are laying a temporary track to connect the main line with the
cottages on the beach. To perform this work laborers have been gathered
together; a supply of ties and rails lie waiting the strong hands that
are to fling them into place. The length of the new track is 3,200 feet.
It is to be laid directly to the hotel grounds, describing a curve to
the very door of Francklyn cottage, from whose windows we shall once
more look upon the sea. Crowds of men and women, gathered from the
various hotels, stand witnessing the scene. Anon the clouds gather.
Headlights are put in place to furnish illumination. At intervals the
workmen are served with refreshments from the Elberon. All night long
the work goes bravely on, and ere the dawn of morning the track is
completed over which the suffering President is to take his last journey
in the land of the living. And now, while the shadows steal across the
landscape in this sultry September evening, let us once more stand
before these now familiar bulletin boards and read:
[Illustration: LAYING A SPECIAL RAILROAD TRACK TO FRANCKLYN COTTAGE.]
“8:30 A. M.—The President was somewhat restless during the early
part of the night, but slept well after midnight. He has taken by
the mouth and retained the nutriment prescribed. This morning his
pulse is less frequent than yesterday. Pulse, 102; temperature,
99.5; respiration, 18. 12:30 P. M.—Pulse, 114; temperature, 99.5;
respiration, 18. 6:30 P. M.—No material change has taken place in
the condition of the President since morning. The parotid abscess
continues to improve, and the wound remains about the same. Pulse,
108; temperature, 99.8; respiration, 18. Should no untoward symptoms
prevent, it is hoped to move the President to Long Branch
to-morrow.”
And here is the faithful Mr. Blaine’s dispatch to Minister Lowell, in
London:
“_To_ LOWELL, _Minister_, _London_:
“This has been the hottest day of the season, and the heat has told
upon the President. His pulse and temperature have been higher than
for several days past. In other respects there has been no special
change, either favorable or adverse. It is expected that he will be
removed to Long Branch to-morrow. It is hoped that the sea air will
strengthen him.
BLAINE, Secretary.”
Can the journey be made with safety? The morrow will tell the tale. Here
in the twilight of that last day in Washington, as the hum of
preparation settles to a calm, and as our eyes turn toward him whom we
have followed so long in his heroic struggle, doubting yet hoping, we
may well say with the London _Punch_:
So fit to die! With courage calm
Armed to confront the threatening dart.
Better than skill is such high heart
And helpfuller than healing balm.
So fit to live! With power cool
Equipped to fill his function great,
To crush the knaves who shame the State,
Place-seeking pests of honest rule.
Equal to either fate he’ll prove.
May Heaven’s high will incline the scale.
The way our prayers would fain avail
To weight it—to long life and love!