Trauma surgery President Garfield was shot in the abdomen by Charles J. Guiteau. Two days later, a miner was shot outside Tombstone. On July 13, 1881, Goodfellow performed the first recorded laparotomy to treat the miner's gunshot wound. The man had a perforated small intestine, large intestine and bowel. Goodfellow sutured six holes in the man's organs. Similarly, President Garfield was thought later to have a bullet possibly lodged near his liver but it could not be found. Sixteen doctors attended to Garfield and most probed the wound with their fingers or dirty instruments. Unlike the President, the miner survived. Goodfellow treated
1880 United States presidential election for months, eventually declining to return either man to the Senate. Before that result was known, however, tragedy struck as Charles Guiteau, a mentally unstable man disappointed at being unable to secure a patronage appointment, shot Garfield on July 2, 1881. Garfield lingered for two-and-a-half months before dying on September 19, 1881. Vice President Chester A. Arthur, the New York Stalwart, was sworn in as president that night. Garfield's murder by a spoilsman inspired the nation to reform the civil service—and Arthur, erstwhile member of the Conkling machine, joined the cause. In 1883, a bipartisan majority in Congress passed the