Lincoln's life is slipping away. Mary Lincoln lays her head to the president's breast as Major Rathbone uses his one good arm to yank the music stand from its notch in the doorway. Booth's knife missed a major artery by just one-third of an inch. Otherwise Rathbone would now be dead.

The major swings open the outer door of the state box. Dozens of unruly theatergoers fill the dress circle and try to fight their way into the state box. "Doctors only!" Rathbone shouts as blood drips down his arm and pools on the floor. The truth is that the major needs medical attention, but all eyes are on Lincoln.

"I 'm bleeding to death!" Rathbone shouts as a twenty-three-year-old doctor, Charles Leale, fights his way forward. Dr. Leale came to the theater solely because he wanted to see Lincoln in person. Now he is the first physician to come upon the crime scene. Leale reaches out a hand and lifts Rathbone's chin so that he might look into his eyes and gauge his physical condition. Noting in an instant that Rathbone is quite obviously not bleeding to death, Dr. Leale turns his attention to Lincoln.

"Oh, Doctor," sobs Mary Lincoln as Leale slowly removes her from her husband's body. "Can he recover? Will you take charge of him?"

"I will do what I can," Dr. Leale says calmly. With a nod to the crowd of men who have followed him into the box, the young doctor makes it clear that Mary must be removed. She is ushered to a couch on the other side of the box, next to Clara Harris, who begins stroking her hand.

Leale asks for a lamp and orders that no one else be admitted to the state box except for physicians. Then he stands in front of the rocking chair, facing Lincoln's slumped head. He pushes the body upright, the head lolling back against the rocker. He can feel the slightest breath from Lincoln's nose and mouth, but Leale is reluctant to touch the body without making a preliminary observation. One thing, however, is quite clear: Lincoln is not dead.

Dr. Leale can't find any sign of injury. Onlookers light matches so that he can see better, and the call goes out for a lamp. The front of Lincoln's body shows no sign of physical violence, and the forward slumping indicates that the attack must have come from behind. Y et there's no visible entry wound or exit wound. I f Dr. Leale didn't know better, he would swear that Lincoln simply dozed off and will awaken any minute.

"Put him on the floor," the doctor orders. Gently, ever so gently, Lincoln's long torso is lifted by men standing on both sides of the rocking chair and then lowered to the carpet.

Based on Major Rathbone's wounds, and the fact that he didn't hear any gunshot during the performance, Leale deduces that Lincoln was stabbed.

He rolls the president on one side and carefully searches for a puncture wound, his fingers slipping along the skin, probing for a telltale oozing of blood. But he feels nothing, and when he pulls his hands away, they're completely clean.

He strips Lincoln to the waist and continues the search, cutting off the president's white shirt with a pocketknife. But his skin is milky white and smooth, with no sign of any harm. Leale lifts Lincoln's eyelids and examines the pupils. Finding clear evidence that the right eye's optic nerve has somehow been cut, he decides to reexamine. Perhaps Lincoln was stabbed in the back of the skull. Head wounds are notorious bleeders, so such a wound is unlikely, but there has to be some explanation.

Dr. Leale, more befuddled by the mystery with each pa.s.sing moment, runs his hands through Lincoln's hair. This time they come back blood-red.

Alarmed, Leale examines the president's head a second time. Beneath the thick hair, just above and behind the left ear, hides a small blood clot.

I t's no bigger than the doctor's pinkie, but when he pulls his finger away, the sensation is like a cork being removed from a bottle. Blood flows freely from the wound, and Lincoln's chest suddenly rises and falls as pressure is taken from his brain.

Dr. Leale has been a practicing physician for all of two months, having just graduated from Bellevue Hospital Medical College. He wears an army uniform, as befitting a doctor who currently works in the Wounded Commissioned Officers' Ward at the U.S. Army's General Hospital in nearby Armory Square. The bulk of his medical education took place during the Civil War, so despite his short time as a practicing physician, he has seen more gunshot wounds than most doctors see in a lifetime. Y et he encountered those wounds in hospitals far removed from the battlefield, when the patients were in advanced stages of recovery. He has never performed the sort of critical life-saving procedures that take place immediately after an injury.

But now Dr. Leale somehow knows just what to do-and he does it well.

Working quickly, Leale straddles Lincoln's chest and begins resuscitating the president, hoping to improve the flow of oxygen to the brain. He shoves two fingers down Lincoln's throat and presses down on the back of the tongue, just in case food or drink is clogged in the esophagus. As he does so, two other doctors who were in the audience arrive on the scene. Though far more experienced, army surgeon Dr. Charles Sabin T aft and Dr. Albert King defer to Dr. Leale. When he asks them to stimulate the blood flow by manipulating Lincoln's arms in an upand-down, back-and-forth manner, they instantly kneel down and each take an arm. Leale, meanwhile, presses hard on Lincoln's torso, trying to stimulate his heart.

Then, as Leale will one day tell an audience celebrating the one hundredth anniversary of Lincoln's birth, he performs an act of great and urgent intimacy: "I leaned forcibly forward directly over his body, thorax to thorax, face to face, and several times drew in a long breath, then forcibly breathed directly into his mouth and nostrils, which expanded the lungs and improved his respirations."

Dr. Leale lies atop Lincoln, his lips locked with Lincoln's, offering what looks to be a lover's kiss. The theater below is a madhouse. Men in the box around him look on, recognizing that Leale is performing a medical procedure, but struck by the awkward pose nonetheless.

Dr. Leale doesn't care. Every bit of his energy is poured into accomplishing the impossible task of saving Lincoln. Finally, he knows in his heart that the procedure has worked. He will later recall, "After waiting a moment, I placed my ear over his thorax and found the action of the heart improving. I arose to the erect kneeling posture, then watched for a short time and saw that the president could continue independent breathing and that instant death would not occur. I then announced my diagnosis and prognosis."

But Dr. Leale does not utter the hopeful words the onlookers wish to hear. They have seen the president breathe on his own. They know that his heart is functioning. Clearly, they think the president might survive.

Only Dr. Leale has seen the dull look in Lincoln's pupils, a sure sign that his brain is no longer functioning. "His wound is mortal," Leale announces softly. "I t is impossible for him to recover."

A soldier vomits. Men remove their caps. Mary Lincoln sits just a few feet away but is in too much shock to comprehend what's been said.

Someone hands Dr. Leale a dram of brandy and water, which he slowly dribbles into Lincoln's mouth. The president's prominent Adam's apple bobs as he swallows.

The pandemonium in the theater, meanwhile, has not diminished. The frenzy and shouting are deafening. No one in the state box speaks as Dr.

Leale works on Lincoln, but its list of occupants has grown larger and more absurd. With John Parker, Lincoln's bodyguard, still strangely missing, no one is blocking access to the little room. T o one side, on the couch, the distraught Mary Lincoln is being comforted by Clara Harris. Major Rathbone drips blood on the carpet, trying to stanch the flow by holding tight to the injured arm. There are three doctors, a half dozen soldiers, and a small army of theater patrons who have battled their way into the box. And then, almost absurdly, the actress Laura Keene forces her way into their midst and kneels at Lincoln's side. She begs to be allowed to cradle Lincoln. Dr. Leale, somewhat stunned but knowing it can do no harm, agrees.

Keene lifts the president's head into her lap and calmly strokes his face. Before becoming an actress she worked for a time as a restorer of old paintings, so she is more than familiar with the world of art and sculpture. She knows that this moment is Michelangelo's Pieta come to life, with her as Mary and Lincoln as Christ. Surrounded on all sides by what can only be described as anarchy, Laura Keene nurtures the dying man. The war years have been hard on her-drink has made her face puffy, and the constant wartime barnstorming has done little to stop her slowly declining popularity. The chestnut-eyed actress with the long auburn hair knows that this moment will put her name in papers around the world, so there is more than a touch of self-indulgence in her actions. But Laura Keene is not maudlin or the slightest bit dramatic as Abraham Lincoln's blood and brains soak into the lap of her dress. Like everyone else in the state box, she is stunned. Just a few minutes before, the president of the United States had been a vibrant and larger-than-life presence. Now everything has changed.

CHAPTER FORTY-SIX.

FRIDAY, APRIL 14, 1865 WASHINGTON, D.C.

11:00 P.M.

The president of the United States cannot die on a dirty floor. No one knows how much longer he will live, but he must be moved. Dr. King suggests they move him to the White House, where he can pa.s.s the final moments of life in the comfort of his own bed. But Dr. Leale knows better than to attempt a b.u.mpy carriage ride through Washington, D.C., particularly through panicked crowds that will necessitate the driver stopping and starting and turning quite suddenly. "He will be dead before we get there," Leale says firmly.

The young doctor agrees, however, that Lincoln should be resting in a bed, not on the floor. Dr. T aft sends a soldier to scour nearby boarding- houses for an empty room. Four other young soldiers are ordered to lift Lincoln back into the rocking chair and carry the president out of the theater.

But Dr. Leale overrules T aft. The logistics of carrying a rocking chair containing a man with very long legs borders on the absurd. Just getting down to the lobby involves navigating sharp angles, a narrow corridor, two small doorways, and a flight of stairs. A stretcher would be ideal, but none is available. Leale orders the four soldiers to stop gawking and get to work. They will lock their hands beneath the president and form a sling.

Two will lift the torso, while two will carry the legs. They will transport Lincoln headfirst. Leale will walk backward, cradling Lincoln's head in his hands.

Laura Keene steps aside. She can't help but marvel at Lincoln's upper body, still possessing the lean musculature of the young wrestler renowned for feats of strength. The youthful power and appearance of his chest is in marked contrast to that famously weathered face. The only clue that this great body is actually dying is that his skin is pale and growing more so by the moment.

The four soldiers-John Corry, Jabes Griffiths, Bill Sample, and Jacob Soles of the Pennsylvania Light Artillery-now slip their hands under that torso and raise Lincoln to a sitting position. Dr. Leale, with help from the other two physicians, dresses the president in his frock coat and b.u.t.tons it.

"Guards," barks Leale. "Clear the pa.s.sage."

As if leading a processional, Laura Keene waits for the body to be lifted. She then marches out of the box, followed by the backward-walking Leale, the four soldiers, and Dr. King, who supports a shoulder, if only so he can remain a part of the action. Through the hallway, out into the dress circle, and down the stairs they travel. Mary Lincoln follows in their wake, stunned and shaky as she walks.

Their progress is slow, for two reasons. The first is that theatergoers block the way, desperate for a peek-desperate to be able to say they saw Lincoln's corpse. The faithful make the sign of the cross and mumble a quiet prayer as Lincoln pa.s.ses before their very eyes.

"Clear the way," Leale barks. Soldiers in the crowd respond, jumping forth to push back the mob. I t becomes a wrestling match. Chairs are destroyed. Punches are thrown. Noses are bloodied. A Union officer finally draws his sword and threatens to cut down any man standing in Lincoln's path. This manages to quiet the crowd but only for an instant.

The second reason for the dawdling pace is that the bullet hole in Lincoln's head is clotting at an amazing rate. When this happens, Lincoln appears to be in obvious discomfort from increased pressure against his brain. So despite the anarchy all around him, Dr. Leale orders the processional halted every few feet. Then he slips his forefinger into Lincoln's skull to clear the hole, bringing forth even more blood but taking pressure off the president's brain.

They finally reach the lobby but don't know where to go next. By now, soldiers have found the part.i.tion usually used to divide the state box. At seven feet long and three inches thick, it makes a perfect stretcher for Abraham Lincoln. His body is shifted onto the board.

Dr. Leale and the other two surgeons decide they will carry Lincoln into T altavul's, right next door. A soldier is sent to clear the tavern. But he soon comes back with word that Lincoln will not be allowed inside-and for very good reason. Peter T altavul is a patriot, a man who spent twenty-five years in the Marine Corps band. Of all the people in the crowd on this frenzied night, he is one of the few who has the foresight to understand the significance of the presidency and how the night's events will one day be viewed. "Don't bring him in here," T altavul tells the soldier. "I t shouldn't be said that the president of the United States died in a saloon."

But where should they bring him?

Leale orders that Lincoln be lifted and carried to the row houses across the street. There is an enormous crowd in front of Ford's. I t will be almost impossible to clear a path through their midst, but it's vital that Leale get Lincoln someplace warm and clean, immediately. The pine stretcher is lifted and Lincoln's body is carried out into the cold, wet night, the procession lit by that murky yellow light from the tar torches. Lincoln's carriage, with its magnificent team of black chargers, is parked a few feet away.

Then his bodyguards arrive. Not John Parker, for the instant he heard that Lincoln was shot he vanished into the night, continuing his villainy. No, it is the Union Light Guard, otherwise known as the Seventh Independent Company of Ohio Volunteer Cavalry, that gallops to the rescue. These are the men who have served as Lincoln's bodyguards during his rides around the city and out to the Soldiers' Home. They raced over from their stables next to the White House when they heard about the shooting. Rather than dismount, they work with other soldiers on the scene to make a double-wide corridor from one side of T enth Street to the other. Leale and the men carrying Lincoln make their way down Ford's granite front steps and onto the muddy road, still not knowing where they will finally be able to bring him but glad to be away from the chaos and frenzy of Ford's.

Only more chaos awaits them in the street. The violent mob has swelled from dozens to hundreds in mere minutes, as people from all around Washington have sprinted to Ford's Theatre. Many are drunk. All are confused. And no one is in charge.

"Bring him in here," a voice shouts above the madness.

Henry S. Safford is a twenty-five-year-old War Department employee. He has toasted the Union victory every night since Monday, and tonight he was so worn out that he stayed in to rest. He was alone in his parlor, reading, when the streets below him exploded in confusion. When Safford stuck his head out the window to see what was happening, someone shouted the news that Lincoln had been shot. Safford raced downstairs and out into the crowd, but "finding it impossible to go further, as everyone acted crazy or mad," he retreated back to the steps of the Federal-style brick row house in which he rents a room from a German tailor named William Petersen. Safford stood on the porch and watched in amazement as Lincoln's failing body was conveyed out of Ford's. He saw the confusion on Dr. Leale's face as the contingent inched across T enth Street, and witnessed the way Dr. Leale stopped every few feet and poked his finger into Lincoln's skull to keep the blood flowing. He saw Leale lifting his own head and scanning the street front, searching for someplace to bring Lincoln.Now Safford wants to help.

"Put him in here," he shouts again.

Dr. Leale was actually aiming for the house next door, but a soldier had tried and found it locked. So they turn toward Safford. "This was done as quickly as the soldiers could make a pathway through the crowd," a sketch artist will remember later. Just moments earlier he had been so enthralled with the happy crowd in front of Ford's that he had impulsively grabbed a pad and begun drawing??"women with wide skirts and wearing large poke bonnets were as numerous as the men ... . The scene was so unusual and inspiring."

But now he is sketching a melee and the sad scene of "the prostrate form of an injured man."

He will later say, "I recognized the lengthy form of the president by the flickering light of the torches, and one large gas lamp. The tarrying at the curb and the slow, careful manner in which he was carried across the street gave me ample time to make an accurate sketch. I t was the most tragic and impressive scene I have ever witnessed."

Leale and his stretcher bearers carry Lincoln up nine short, curved steps to the front door of the Petersen house. "T ake us to your best room," he orders Safford. And though he is hardly the man to be making that decision, Safford immediately realizes that his own second-floor room will not do. He guides the group down to the s.p.a.cious room of George and Huldah Francis, but it is locked. Safford leads them deeper into the house, to a room that is clearly not Petersen's finest-but that will have to do. He pushes open the door, which features a large gla.s.s window covered by a curtain, and sees that it is empty.

The room is that of William Clark, a twenty-three-year-old army clerk who is gone for the night. Clark is fastidious in his cleanliness, so at just under ten feet wide and eighteen feet long, furnished with four-poster bed, table, bureau, and chairs, the bedroom is a cramped though very neat s.p.a.ce.

But Lincoln is much too big for the bed. Dr. Leale orders that the headboard be broken off, but it won't break. Instead, the president is laid down diagonally on the red, white, and blue bedspread. The lumpy mattress is filled with corn husks. His head points toward the door and his feet toward the wall. I ronically, John Wilkes Booth often rented this very room during the previous summer. In fact, as recently as three weeks ago, Booth lolled on the very bed in which Lincoln is now dying.

Everyone leaves but the doctors and Mary Lincoln. She stares down at her husband, still wearing his boots, pants, and frock coat; there are two pillows under his head, and that bearded chin rests on his chest. Now and then he sighs involuntarily, giving her hope.

"Mrs. Lincoln, I must ask you to leave," Dr. Leale says softly.

Mary is like a child, so forlorn that she lacks the will to protest as others make her decisions for her. The first lady steps out of William Clark's rented room, into the long, dark hallway.

"Live," she pleads to her husband before she leaves. "You must live."

CHAPTER FORTY-SEVEN.

SAt.u.r.dAY, APRIL 15, 1865 WASHINGTON, D.C.

MIDNIGHT TO DAWN.

Dr. Leale strips Lincoln's body. He, too, marvels at the definition of the muscles on the president's chest, shoulders, and legs. This is clearly the body of a man who has led a vigorous life. Dr. Leale searches the body for signs of another wound but finds none. The area around Lincoln's eyes and forehead is becoming swollen and black and blue, like a boxer's face after a tough fight.

Moving down the long and slender frame, Leale is disturbed to feel that Lincoln's feet are now icy to the touch, which he immediately treats by applying a mustard plaster to every inch of the front of Lincoln's body, from shoulders down to ankles. "No drug or medicine in any form was administered to the president," he will later note. "But the artificial heat and mustard plaster that I had applied warmed his cold body and stimulated his nerves."

He then covers the president with a blanket as Dr. T aft begins the process of removing the ball from Lincoln's head. T aft inserts his index finger into the wound and p.r.o.nounces that the bullet has penetrated beyond the fingertip.

Meanwhile, Lincoln's pockets are emptied and his belongings carefully cataloged: an I rish linen handkerchief with the embroidered letter A; money, both Confederate and U.S.; newspaper clippings; an ivory pocketknife; and a pair of gold-rimmed gla.s.ses whose broken frame the president had mended with string.

More brandy and water is poured between Lincoln's lips. The Adam's apple once again bobs during the first spoonful but not at all for the second. With great difficulty, the doctors gently turn Lincoln on his side so that the excess fluid will run from his mouth and not choke him.

Lincoln is battling to stay alive. This is quite clear to each doctor. A normal man would be dead by now.

The surgeon general of the army, Dr. Joseph Barnes, arrives and takes control of the scene. Barnes is closely followed by future surgeon general Charles H. Crane. Dr. Leale has been bold and aggressive these past few hours since the shooting. He now explains his course of action in great detail to two of the most powerful and well-regarded physicians in America. Both men agree with Leale's a.s.sessment and treatment, much to the young physician's relief.

The human brain is the most complex structure in all the world's biology, a humming and whirring center of thought, speech, motor movement, memory, and thousands of other minute functions. I t is protected on the outside by the skull and then by a layer of connective-tissue membranes that form a barrier between the hard bone of the cranium and the gelatinous, soft tissue of the brain itself. Lincoln's brain, in which a Nelaton's probe (a long, porcelain, pencil-like instrument) is now being inserted in hopes of finding the bullet, contains vivid memories of a youth spent on the wild American frontier. This brain dazzled with clarity and brilliance during great political debates. I t struggled with war and the politics of being president, then devised and executed solutions to the epic problems of the times. I t imagined stirring speeches that knit the country together, then made sure that the words, when spoken, were uttered with exactly the right cadence, enunciation, and pitch. I t guided those long slender fingers as they signed the Emanc.i.p.ation Proclamation, giving four million slaves their freedom. Inside his brain, Lincoln imagined the notion of "One country, one destiny." And this brain is also the reservoir of Lincoln's nightmares-particularly the one in which, just two weeks earlier, he envisioned his own a.s.sa.s.sination.

Now, thanks to a single round metal ball no bigger than a marble, Lincoln's brain is finished. He is brain-dead.

Dr. Leale realizes that he is no longer needed in that cramped bedroom. But he does not leave. Emotion supersedes professional decorum. Leale, like the others, can barely hold back his tears. He has noticed that Lincoln is visibly more comfortable when the wound is unclogged. So he sits next to Lincoln's head and continues his solitary vigil, poking his finger into the blood clot every few minutes, making sure there's not too much pressure on Lincoln's brain.

A light rain is falling outside, but the crowd is eager for news and will not leave. In the room next door, Secretary of War Stanton has arrived and now takes charge, acting as interim president of the United States. Word of the a.s.sa.s.sination has brought a crowd of government officials to the Petersen house. The police investigation is beginning to take shape. I t is clear that Booth shot Lincoln, and many believe that the actor also attacked Seward in his bed. Vice President Andrew Johnson, whose luck held when his a.s.sa.s.sin backed out, now stands in the next room, summoned after learning of Lincoln's plight.