d, and the patient was placed in blankets. Ammonia was
occasionally applied to the nostrils, since, although respiration had
returned, there was no sign of consciousness; the natural respiration
was at first attended by the expulsion of frothy fluid from the lips,
which gradually diminished, and auscultation revealed the presence of
a few pulmonary rales, which also passed away. There were efforts at
vomiting, and pallor succeeded cyanosis; there were also clonic
contractions of the flexors of the forearm. The pupils dilated
slightly at about one hour after beginning treatment. Unconsciousness
was still profound, and loud shouting into the ear elicited no
response. Mustard sinapisms were applied to the praecordium, and the
Faradic current to the spine.

Coffee was also administered by a ready method which, as a systematic
procedure, was, I believe, novel when I introduced it to the
profession in the _Medical Record,_ in 1876. I take the liberty of
referring to this, since I think it is now sometimes overlooked. It
was described as follows:

"A simple examination which any one can make of his own buccal
cavity will show that posterior to the last molar teeth, when
the jaws are closed, is an opening bounded by the molars, the
body of the superior, and the ramus of the inferior maxilla. If
on either side the cheek is held well out from the jaw, a
pocket, or gutter, is formed, into which fluids may be poured,
and they will pass into the mouth through the opening behind the
molars, as well as through the interstices between the teeth.
When in the mouth they tend to create a disposition to swallow,
and by this method a considerable quantity of liquid may be
administered."

After I had worked with the patient in the open air, for four and
three-quarter hours, he was carried to a cottage near by and placed,
still unconscious, in bed. There had been an alvine evacuation during
the time in which he lay in the blankets.

Consciousness began to return in the early part of the following
morning, and with its advent it was discovered that the memory of
everything which had occurred from half an hour previous to the
accident, up to the return of consciousness, had been completely
obliterated. With this exception the convalescence was steady and
uncomplicated, and of about a week's duration. From a letter which I
recently received from my patient, I learned that the lapse of memory
stil