was in progress in medical knowledge escaped him; and his interest in the public undertakings to which he had given his time or his attention suffered no abatement. Yet his state, amidst this unwearied activity, was such as to occasion me, who saw him but occasionally, some misgivings as to his long continuing to enjoy life; whilst on those who saw him daily, the impression it produced was such that, when he incurred the accident now to be mentioned, they at once despaired of his recovery.
In his Hospital Book, bearing the date of July 30, 1833, the last note made by my lamented friend is found, relating to the examination of a body that day in the hospital. The note is headed Medullary Sarcoma of the Bronchial Glands; and it is observed that the subject of the case had been a patient of Dr. Booth. "The left lung was infiltrated with pus, and the left pleura was inflamed, as was, also, the pericardium; there was a very large quantity of serum in this pleura, and the pericardium was very much distended with a dark coffee-coloured fluid. The bronchial glands of this side were very much enlarged, and changed, for the most part, into a white medullary mass, which involved the left primary division of the bronchi; and though the wrinkled state of the lining membrane enabled us to trace its passage, the colour was lost, as, also, was most of the cartilaginous substance. A part of this medullary mass was quite soft, and almost fluid, and in another part it had a pinkish hue. There were, also, some fibrous white bands traceable."
These, I believe, were the last words ever written by Dr. Darwall, and they conclude by a date of the
