considerably
increased. She is a member of the Church of England, and has been
confirmed."

Dr. Fowler then adds some other interesting particulars, all going to
show the impossibility of the girl's being the subject of any exhausting
disease, or of even having been continuously in bed, as her parents
asserted, for nearly two years; and then says:--

"The whole case is in fact one of simulative hysteria, in a young girl
having the propensity to deceive very strongly developed. Therewith may
be probably associated the power or habit of prolonged fasting. Both
patient and mother admitted the occasional occurrence of the choking
sensation called _globus hystericus_."

This letter excited renewed discussion in the newspapers, and a second
public meeting was called to make arrangements for a second watching. At
this meeting it was decided to bring down from Guy's Hospital, London,
several trained nurses, who were to conduct the watching; and the
following resolutions were adopted, as expressing the terms under which
the inquiry was to be conducted:--

1. It would be advisable, before taking any steps in the matter, to
obtain a written legal guarantee from the father of Sarah Jacob
sanctioning the necessary proceedings. 2. That the duty of the nurses
shall be to watch Sarah Jacob with a view to ascertain whether she
partakes of any kind of food, and at the end of a fortnight to report
upon the case before the local committee in Carmarthenshire, and, if
required, at Guy's Hospital. 3. That two nurses shall be constantly
awake and on the watch in the girl's room, night and day. 4. It would be
advisable for the nearest medical practitioner to watch the progress of
the case; and it will be absolutely necessary for him to _be prepared
against any serious symptoms of exhaustion, supervening on the strict
enforcement of the watching, and to act according to his judgment_. 5.
That the room in which the girl sleeps shall be bared of all unnecessary
furniture, and all possible places in the room for the concealment of
food shall be closed and kept under the continual scrutiny of the
watchers. 6. That if considered desirable by the local medical
practitioner, or by the nurses, the bedstead on which the girl now lies
shall be replaced by a single iron one. 7. That the bed on which the
parents now sleep, in Sarah Jacob's room, shall be given up absolutely
to the nurses. 8. That the parents be not allowed to sleep in the same
room as