d, and that he frequently felt that he was going to
choke.

"On examining his throat, a large clot of blood was found to be
adherent to the posterior wall of the pharynx. On removing this clot of
blood, no signs of the presence of a leech could be detected. However,
on account of the symptoms complained of by the patient I introduced a
polypus forceps into the lower part of the pharynx and toward the
esophagus, where a body, distinctly moving, was felt. This body I
seized with the forceps, and with considerable force managed to remove
it. It was a leech between 2 1/2 and three inches in length, and with a
body of the size of a Lee-Metford bullet. No doubt during the eleven
days it had remained in the man's throat the leech had increased in
size. Nevertheless it must have been an animal of considerable size
when the man attempted to swallow it. I send this case as a typical
example of the carelessness of natives of the class from which we
enlist our Sepoys, as to the nature of the water they drink. This man
had drunk the pea-soup like water of a tank dug in the side of the
hill, rather than go a few hundred yards to a spring where the water is
perfectly clear and pure. Though I have not met with another case of
leeches being taken with drinking water, I am assured that such cases
are occasionally met with about Agra and other towns in the North-West
Provinces. This great carelessness as to the purity or impurity of
their drinking water shows the difficulty medical officers must
experience in their endeavors to prevent the Sepoys of a regiment from
drinking water from condemned or doubtful sources during a cholera or
typhoid epidemic."

Foreign Bodies in the Pharynx and Esophagus.--Aylesbury mentions a boy
who swallowed a fish-hook while eating gooseberries. He tried to pull
it up, but it was firmly fastened, and a surgeon was called. By
ingeniously passing a leaden bullet along the line, the weight of the
lead loosened the hook, and both bullet and hook were easily drawn up.
Babbit and Battle report an ingenious method of removing a piece of
meat occluding the esophagus--the application of trypsin. Henry speaks
of a German officer who accidentally swallowed a piece of beer bottle,
3/8 x 1/8 inch, which subsequently penetrated the esophagus, and in its
course irritated the recurrent laryngeal and vagi, giving rise to the
most serious phlegmonous inflammation and distressing respiratory
symptoms. A peculiar case is that