Secretary Gresham was taken ill on April 30, the earliest symptoms appearing while he was at a Cabinet meeting; on the following day he was suffering from acute epigastric pain, which was so severe as to require the use of morphia hypodermatically. On May 3 the pain changed its location to the right infra-axillary region. By reference to the thermometric chart it will be seen that during these days he had fever. At this time he was under the care of another physician.
Early on the morning of May 4, I received a note asking me to call and see Secretary Gresham at the Arlington. I was requested by him to take charge of his case. The chief symptoms which were presented to me, at my first visit, were fever, embarrassed breathing, his voice being broken during conversation, and his facial expression indicating suffering; the pulse was 100 and not
JOHNSTON WW. HISTORY OF THE CASE OF THE HON. WALTER Q. GRESHAM, LATE SECRETARY OF STATE OF THE UNITED STATES. JAMA. 1895;XXIV(26):996–999. doi:10.1001/jama.1895.02430260002002
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