The Life and Work of James A. Garfield, Twentieth President of the United States / Embracing an Account of the Scenes and Incidents of His Boyhood; the Struggles of His Youth; the Might of His Early Manhood; His Valor As a Soldier; His Career As a Statesman; His Election to the Presidency; and the Tragic Story of His Death.

by John Clark Ridpath

“In the absence of Mr. Blaine, the attending physicians have requested me to inform you of the President’s condition. He has during the day eaten sufficient food with relish, and has enjoyed at intervals refreshing sleep. His wound and the incisions made by the surgeons all look better. The parotid gland has ceased suppuration, and may be considered as substantially well. He has exhibited more than his usual cheerfulness of spirits. His temperature and respiration are now normal, and his pulse is less frequent and firmer than at the same hour last evening. Notwithstanding these favorable symptoms, the condition of the lower part of the right lung will continue to be a source of anxiety for some days to come.”

The seventy-fourth day.—Tuesday, September 13th, was for the most part uneventful, except that at 11 A. M. he was placed in a semi-recumbent position upon an easy chair, in which position he remained half an hour without fatigue or discomfort. In reply to a question by Dr. Bliss, President Garfield said he experienced no pain and did not even feel tired. At 8:30 A. M. the pulse was 100; temperature, 99.4; respiration, 20. At noon, pulse, 100; temperature, 98.8; respiration, 20. At 5:30 P. M. pulse, 100; temperature, 98.4; respiration, 20. A favorable report was cabled by Attorney-General MacVeagh to Minister Lowell.

The seventy-fifth day.—“Still gaining slowly,” was the morning report. It was announced that the patient suffered from a septic infection of the blood, but this was not believed to be very serious. Dr. Boynton was the only physician who expressed much anxiety about it, and his views were invariably soothed by the belief that the President’s robust constitution would eventually conquer all his physical complications. At 8:30 A. M. the pulse was 100; temperature, 98.4; respiration, 19. At noon, pulse 104; temperature, 98.8; respiration, 20. At 5:30 P. M., pulse 112; temperature, 99.2; respiration, 21. The bulletins looked sufficiently unfavorable, but the physicians viewed them with complaisance. Dr. Boynton, however, informed a reporter that the pulse frequently reached 120, but this fact was kept from the family and the public. At 10 o’clock Attorney-General MacVeagh reported as follows:

“Lowell, Minister, London:

“There is an increase this evening in the President’s temperature, pulse, and respiration; but it is so slight as not necessarily to indicate that the condition of the blood is producing any new complications. The trouble in the right lung is not increasing, and is causing him less annoyance. He has taken adequate nourishment, and his sleep has been natural and refreshing; so that, if he has gained nothing, he has probably lost nothing during the day.”

The seventy-sixth day.—“Slight progress toward recovery” was reported. The surgeons concluded not to admit that the septic condition of the patient’s blood amounted to pyæmia, and they expressed confidence that the difficulty would be overcome. The President took food in variety, but not with a strong appetite. In the early morning hours he was quite wakeful, and gave way to fits of despondency. In one of these he called aloud to an attendant: “Save me; don’t let me sink.” Words of encouragement were uttered, but for a time he could not bring himself to believe that he yet had hope of recovery. “I fear bringing me here will prove but a roaring farce after all,” said he. He was not readily reassured, and the incident was not regarded as favorable. Still the physicians and newspaper correspondents sent out fair reports to the country, and the people were therefore quite unprepared for the events so near at hand. At 8:30 A. M. the pulse was 100; temperature, 98.4; respiration, 20. At noon, pulse 102; temperature, 98.9; respiration, 21. At 5:30 P. M., pulse 104; temperature, 99.2; respiration, 21. Attorney-General MacVeagh reported to Minister Lowell that all the symptoms were substantially the same as on the previous day, except that the expectoration from the right lung was rather less difficult and less profuse.

The seventy-seventh day.—A day of “unfavorable symptoms.” Great anxiety was experienced by the immediate friends of the honored sufferer, and the physicians acknowledged the gravity of the occasion. His physical weakness had never before been so apparent, and his utter exhaustion seemed ominous of the end. Those who had never before questioned his ability to rally, now began to doubt it; and, when it was found that the pulse frequently reached 130 beats, intelligent men and women were struck with wonder at the persistent vitality of the man. At 8:30 A. M. the pulse was 104; temperature, 98.6; respiration, 21. At noon, pulse 116; temperature, 99.8; respiration, 21. At 5:30 P. M., pulse 104; temperature, 98.6; respiration, 22. Attorney-General MacVeagh cabled as follows:

“Lowell, Minister, London:

“There has been no very marked change in the President’s condition, but it is not at this hour reassuring. The different symptoms are almost all slightly aggravated. The temperature and the pulse have fluctuated more than usual, and the respiration is rather more frequent, while the character of the discharges continues to be unsatisfactory. There is, therefore, a sensible increase of anxiety.”

The seventy-eighth day.—“A day of deep anxiety.” The President was worse. He was sinking beyond reach of the strong arm of science and the willing hands of love, never to be reclaimed by earthly agencies. A chill, continuing half an hour, was followed by perspiration and a rapid rise of temperature. The situation was alarming, although the immediate effects of the chill did not appear as serious as might have been expected,—for the pulse fell, in a few hours, from 120 to 102, the temperature from 102 to 98, and the respiration from 24 to 18. These were phenomenal changes. Yet the word “rigor,” as translated in the medical vocabulary, is invested with nameless terrors, and the condition of the patient was assumed, on all sides, to be precarious in the extreme. The attending physicians were startled, but they did not fail to predict another rally, and a decided improvement in a few days. They did not seem to realize that the crisis was upon them, and the country certainly did not. The Attorney-General cabled to Minister Lowell that “the situation is now probably more grave and critical than at any time heretofore.”