he patient to his wife, and sent to
me, gives a clear account of his condition ten months later:--

I am pleased to say my memory is better than it was some time
ago, though at times I am entirely lost and really forget all
that I was speaking about. I also find that I often call things
and places by their wrong names. I sometimes try to read a
paper or book which I have to read letter by letter, sometimes
calling out the wrong letter, such as B for D &c., and by the
time I have read almost halfway through, I have forgotten the
commencement.

My sight is about the same. There is no improvement in the
right eye, and the doctor at Stoke said that the left eye was
not as it ought to be and might get worse.

I ofttimes go to take up a thing, but find I am not near to it,
though it appears to me so.

I have no pain to speak of in the head, though at times a
shooting pain.

I have a continual noise in the left ear as if of a locomotive
blowing off steam, and a deafness in the left ear which I had
not before being wounded.

I am extremely indebted to my friend Mr. J. Errington Ker for the notes
of the above case, so successfully treated by him.

(69) _Injury to occipital lobe._--Wounded at Modder River.
Scalp wound in occipital region. Two days later on arrival at
the Base the patient was extremely restless and in a condition
of noisy delirium. The wound was explored (Mr. J. J. Day) and a
vertical gutter fracture discovered 1/2 an inch above and to
the left of the occipital protuberance. The gutter was 1-1/2
inch in length and finely comminuted, the dura wounded, and the
left occipital lobe pulped. A number of fragments of bone (one
lodged in the wall of, but not penetrating, the lateral sinus)
and pulped brain were removed. No improvement took place in the
general condition, but the patient lived twenty-two days,
during which time he coughed up a large quantity of gangrenous
lung tissue and foul pus.

At the _post-mortem_ examination a wound track was found
extending to the crest of the left ilium, where the bullet was
lodged. The patient was no doubt lying with his head dipped
into a hole scooped out in the sand (a common custom) when
struck; the bullet then traversed the muscles of the neck,
entered the upper opening of the thorax,