Assassination of James A. Garfield - Garfield's Suffering and Death

Garfield's Suffering and Death

Garfield, conscious but in shock, was carried to an upstairs floor of the train station. One bullet remained lodged in his body, but doctors could not find it. Young Jim Garfield and James Blaine both broke down and wept. Robert Todd Lincoln, deeply upset and thinking back to the death of his father, said "How many hours of sorrow I have passed in this town."

Garfield was carried back to the White House. Although doctors told him that he would not survive the night, the President remained conscious and alert. The next morning his vital signs were good and doctors began to hope for recovery. A long vigil began, with Garfield's doctors issuing regular bulletins that the American public followed closely throughout the summer of 1881. His condition fluctuated. Fevers came and went. Garfield struggled to keep down solid food and spent most of the summer eating little, and then only liquids.

In an effort to relieve the sick man from the heat of a Washington summer, Navy engineers rigged up an early version of the modern air conditioner. Fans blew air over a large box of ice and into the President's sickroom; the device worked well enough to lower the temperature twenty degrees. Doctors continued to probe Garfield's wound with dirty, unsterilized fingers and instruments, attempting to find the location of the bullet. Alexander Graham Bell devised a metal detector specifically for the purpose of finding the bullet lodged inside Garfield, but the metal bed frame on which Garfield lay made the instrument malfunction. Because metal bed frames were relatively rare, the cause of the instrument's deviation was unknown at the time. On July 29 Garfield met with his Cabinet for the only time during his illness; the members were under strict instruction from the doctors not to discuss anything upsetting. Garfield became increasingly ill over a period of several weeks due to infection, which caused his heart to weaken. He remained bedridden in the White House with fevers and extreme pains. Garfield's weight dropped from over two hundred pounds to 135 pounds as his inability to keep down and digest food took its toll. Because of his inability to digest food, nutrient enemas were given in an attempt to extend his life. Blood poisoning and infection set in and for a brief period the President suffered from hallucinations. Pus-filled abscesses spread all over Garfield's body as the infections raged.

On September 6, Garfield was taken to the Jersey Shore to escape the Washington heat, in the vain hope that the fresh air and quiet there might aid his recovery. Garfield was propped up in bed before a window with a view of the beach and ocean. New infections set in, as well as spasms of angina. He died of a ruptured splenic artery aneurysm, following blood poisoning and bronchial pneumonia, at 10:35 pm on Monday, September 19, 1881, in Elberon, New Jersey. The wounded president died exactly two months before his 50th birthday and remains one of the only two Presidents who died before their 50th birthday, the other being John F. Kennedy, who was also assassinated when he was just 46 years and 177 days old. During the eighty days between his shooting and death, his only official act was to sign an extradition paper.

Most historians and medical experts now believe that Garfield probably would have survived his wound had the doctors attending him been more capable. Unfortunately for Garfield, most American doctors of the day did not believe in anti-sepsis measures or the need for cleanliness to prevent infection. Several inserted their unsterilized fingers into the wound to probe for the bullet, and one doctor punctured Garfield's liver in doing so. Also, self-appointed chief physician D. Willard Bliss and the other doctors had guessed wrong about the path of the bullet in Garfield's body. They had erroneously probed rightward into Garfield's back instead of leftward, missing the location of the bullet but creating a new channel which filled with pus. The autopsy not only discovered this error but revealed pneumonia in both lungs and a body that was filled with pus due to uncontrolled septicemia.

Chester Arthur was at his home in New York City when word came the night of September 19 that Garfield had died. After first getting the news, Arthur said "I hope—my God, I do hope it is a mistake." But confirmation by telegram came soon after. Arthur took the presidential oath of office, administered by a New York Supreme Court judge, then left for Long Branch to pay his respects before going on to Washington.

Garfield's body was taken to Washington, where it lay in state for two days in the Capitol Rotunda before being taken to Cleveland, where the funeral was held on September 26.

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