in the semi-obscurity. By the light of the candle I saw an elderly man with good features and a refined, intelligent and even attractive face, but dreadfully emaciated, bloodless and sallow. He lay quite motionless except for the scarcely perceptible rise and fall of his chest; his eyes were nearly closed, his features relaxed, and, though he was not actually asleep, he seemed to be in a dreamy, somnolent, lethargic state, as if under the influence of some narcotic.
I watched him for a minute or so, timing his slow breathing by my watch, and then suddenly and sharply addressed him by name; but the only response was a slight lifting of the eyelids, which, after a brief, drowsy glance at me, slowly subsided to their former position.
I now proceeded to make a physical examination. First, I felt his pulse, grasping his wrist with intentional brusqueness in the hope of rousing him from his stupor. The beats were slow, feeble and slightly irregular, giving clear evidence, if any were needed, of his generally lowered vitality. I listened carefully to his heart, the sounds of which were very distinct through the thin walls of his emaciated chest, but found nothing abnormal beyond the feebleness and uncertainty of its action. Then I turned my attention to his eyes, which I examined closely with the aid of the candle and my ophthalmoscope lens, raising the lids somewhat roughly so as to expose the whole of the irises. He submitted without resistance to my rather ungentle handling of these
