,transcrib]'s ,note4 ,italic text is indicat$ ) und]scores1 bold text ) equals4 ,small_/mix$ capitals h be5 replac$ ) ,,all ,,capitals4 ,obvi\s typographical & punctuation errors h be5 correct$ sil5tly4 ,inconsi/5t hyph5ation has be5 normalis$4 ,half-titles reit]ations ( ! *apt] title h be5 disc>d$4 ,,eu?anasia3 ,,or1 ,,m$ical ,,treatm5t ,,9 ,,aid ,,( ,,an ,,easy ,,dea?4 ,,by ,,william ,,munk1 ,m4,d41 ,f4,s4,a4 ,,fell[ ,,& ,,late ,,s5ior ,,c5sor ,,( ,,! ,,royal ,,college ,,( ,,physicians1 c41 c41 c4 ,,london3 ,,longmans1 ,,gre51 ,,& ,,co4 ,,& ,,new ,,york3 #ae1 ,,ea/ #af? ,,/reet4 #ahhg4 ,all rights res]v$4 ,,preface4 ,mu* has be5 ably writt5 on ,dea?1 & on ! physiology ( ! v>i\s modes ( ,dy+1 by ,bi*at1 ,alison1 ,wilson ,philip1 ,symonds1 & o!rs2 :ile b little has be5 writt5 on ! m$ical managem5t ( ! ,dy+2 or on ! ,eu?anasia1 to :i* su* managem5t %\ld contribute4 ,a %ort b valuable essay ( less ?an tw5ty pages1 8,on ! ,treatm5t ( ! ,dy+01 by ,dr4 ,f]ri>1 ( ,man*e/]1 9 #agih3 & a v elegant academical oration1 ( ab\t ! same l5g?1 at my own alma mat]1 ,leyd51 9 #agid1 by ,pr(essor ,p>adys1 8,oratio de ,naturali2 et quid ad eam concili&am ,m$ic9a valeat03--comprise all ,i "k t has be5 writt5 specially on ^! subjects 9 mod]n times4 ,sir ,h5ry ,hal=d1 :o 0 confess$ly a ma/] 9 all t conc]ns ! managem5t ( ! ,dy+1 did mu* by 8 example & c\nsel to comm5d ! subject to ! att5tion ( 8 m$ical bre?r54 ,b ! g5]ation he p]sonally influ5c$ has pass$ away4 ,8 little volume ( 8,essays & ,orations0 conta9s mu* on ?is subject t is v valuable1 & n to be f\nd else:]e4 ,b 8 rem>ks are unconnect$2 !y occur incid5tally 9 ! c\rse ( 8 v>i\s essays1 & are n[ b little kn[n4 ,!y 7 ! result ( an exp]i5ce s l>ge1 & s c>efully ?\ght out1 t ,i h be5 glad to adduce !m1 :5ev] ,i c\ld1 9 support (1 or 9 addition to1 :at ,i h _h myself to /ate1 on ! delicate & difficult subjects consid]$ 9 ! foll[+ pages4 #dj1 ,,f9sbury ,,squ>e4 ,sept4 #bd1 #ahhg4 ,,cont5ts4 ,i4 ,,on ,,"s ,,( ,,! ,,ph5om5a ,,( ,,dy+ #a ,,ii4 ,,on ,,! ,,symptoms ,,& ,,modes ,,( ,,dy+ #ea ,,iii4 ,,on ,,! ,,g5]al ,,& ,,m$ical ,,managem5t ,,( ,,! ,,dy+ #fc ,i4 ,,"s ,,( ,,! ,,ph5om5a ,,( ,,dy+4 8,quod ad nos ,p]t9et1 et nescire malum e/1 agitamus40 ,,horace4 ,"o ( ! wise/ ( our c\ntrym51 ,"l ,v]ulam1 saw reason to c5sure ! physicians ( 8 own "t = n mak+ ! ,eu?anasia a "p ( _! /udies4#a ,&1 al?\gh m ?an two c5turies h s9ce elaps$1 x may be d\bt$ :e!r z mu* att5tion is ev5 yet giv5 to ! subject z might be done1 to ! obvi\s b5efit & com=t ( ! dy+4 ,!re is little to be f\nd 9 m$ical writ+s on ! managem5t ( ! dy+1 or on ! treatm5t be/ adapt$ to ! relief ( ! suff]+s incid5t to t condition4 ,! subject is n specially taught 9 any ( our m$ical s*ools2 & ! "y physician ent]+ on ! active duties ( 8 (fice has to le>n = himself1 z be/ he may1 :at to d1 & :at n to d1 9 ! mo/ solemn & delicate position 9 :i* he c be plac$1--9 att5dance on ! dy+1 & adm9i/]+ ! res\rces ( ! m$ical art1 9 aid ( an easy1 g5tle1 & placid dea?4 ,! :ole subject ( ! ,eu?anasia1#b or ( a calm & easy dea?1 9 s f> z x respects ! physician is 9 ne$ ( special /udy2 & ( a sy/ematic treatm5t t has n hi!rto be5 accord$ to x4#c ,9 ! foll[+ pages ,i c b trace ! outl9es ( ?is subject1 leav+ to abl] h&s t full] treatm5t :i* its int]e/ & importance claim = x4 ,"l ,v]ulam held x to be z mu* ! duty ( ! physician to smoo? ! b$ ( dea?1 & r5d] ! dep>ture f ?is life easy & g5tle1 z x is to cure diseases & re/ore heal?4#d ,& ?is doctr9e1 s accordant ) ! be/ pr9ciples ( our nature1#e is comm5d$ to u by t mo/ e/imable & judici\s ( mod]n physicians1 ,dr4 ,heb]d52#f z x 0 also by ! example & c\nsel ( "o ( ! mo/ popul> & successful physicians ( ! pres5t c5tury--! late ,sir ,h5ry ,hal=d4#g ,! process by :i* dea? is br\ght ab\t v>ies greatly 9 diff]5t in/ances1 & ?is accord+ to ! disease1 or ! organ ( ! body1 f :i* x ess5tially results4 ,on ^! div]se modes ( dy+1 & ( dea?1 mod]n sci5ce has ?r[n mu* light2 & ) ! consolatory result ( %[+ t ! process ( dy+1 & ! v act ( dea?1 is b r>ely & exceptionally att5d$ by ^? sev]e bodily suff]+s1 :i* 9 popul> belief are all b insep>able f x1 & are express$ & emphasiz$ 9 ! t]ms 8mortal agony0 & 8dea? /ruggle40 ,montaigne 0 "o ( ! fir/ among mod]n writ]s to oppose1 by close argum5t1 ! g5]al op9ion ( ! pa9fulness ( dea?2 & he 0 foll[$ 9 ! la/ c5tury ) m eloqu5ce1 if ) less argum5t1 by ,buffon4#h 8,!re is h>dly any subject10 writes an amiable physician1 8on :i* books af=d u m impressive topics1 ?an ! consid]ation ( dea?2 & p]haps !re is none less /udi$ 9 its intimate details4444 ,x might be expect$ t a sc5e ?r\gh :i* we mu/ all pass %\ld excite a clos] att5tion especially z ! physical process ( dea? loses mu* ( its horror on a ne> view40#i ,physicians1 ! cl]gy1 & intellig5t nurses--all1 inde$1 :o are practically conv]sant ) ! dy+--te/ify to ! tru? ( ?is /atem5t4 ,sir ,h5ry ,hal=d1 t[>ds ! close ( 8 m$ical c>e]1 & aft] opportunities ( obs]vation1 su* z h fall5 to ! lot ( few physicians1 express$ 8 surprise t ( ! great numb] to :om x _h be5 8 pr(essional duty to h adm9i/]$ 9 ! la/ h\rs ( _! lives1 s few exhibit$ signs ( sev]e suff]+4 ,sir ,b5jam9 ,brodie1 ^: exp]i5ce ( dea? f surgical disease 0 second to none1 /ates t1 accord+ to 8 obs]vation1 ! m]e act ( dy+ is seldom1 9 any s5se ( ! ^w1 a v pa9ful process4#aj ,& ano!r di/+ui%$ surgeon1 ,mr4 ,savory1 writ+ on ! same subject1 says1 8,:atev] may h be5 ! am\nt ( previ\s suff]+1 we may fairly assume t1 except 9 extreme cases1 ! actual process ( dy+ is n "o ( int5se agony1 or inde$1 = ! mo/ "p1 ev5 ( pa940#aa ,la/ly1 ! great anatomi/1 ,dr4 ,william ,hunt]1 bore 8 own dy+ te/imony to ! same effect4 ,he reta9$ 8 consci\sness to ! la/1 & j be=e he di$ he :isp]$ to 8 fri5d1 ,dr4 ,combe1 8,if ,i _h /r5g? en\gh to hold a p51 ,i w\ld write h[ easy & pleasant a ?+ x is to die40#ab ,b ( f> great] weight ?an ! obs]vations & conclusions ( m$ical m51 h[ev] em95t1 t[>ds ! det]m9ation ( su* a "q1 is ! evid5ce ( ^? :o h be5 re/or$ f ! /ate ( app>5t dea? f dr[n+--a /ate :i* diff]s only f actual dea? 9 ! possibility ( reanimation "u ! influ5ce ( ext]nal treatm5t4 ,& al?\gh ! acc\nts giv5 aft] recov]y f dr[n+ v>y mu*1 !re are a numb] ( well-atte/$ cases :i* %[1 t 9 !m at any rate1 ! loss ( s5sibility & consci\sness has be5 pa9less1 or at mo/ att5d$ ) a feel+ ( oppression across ! *e/4 ,! process ( recov]y1 h[ev]1 is (t5 "o ( great bodily suff]+4 ,la/ly1 !re are ^? specially int]e/+ cases ( recov]y f ! app>5t dea? ( dr[n+1 9 :i*1 al?\gh ! m9d has be5 ke5ly alive & active ?r\gh\t1 !re 0 an entire abs5ce ( pa9 or o!r bodily suff]+ ( any k9d4 ,! be/ au!nticat$ ( ^! in/ructive & sugge/ive in/ances is t ( ,admiral ,beau=t1 z describ$ by himself 9 a lett] to ,dr4 ,wolla/on4#ac ,:5 a y\ng/] on bo>d "o ( ,h4,m4 %ips 9 ,portsm\? h>b\r1 he fell into ! wat]1 &1 be+ unable to swim1 0 soon exhau/$ by 8 /ruggles1 & be=e relief rea*$ him1 he _h sunk bel[ ! surface4 ,all hope _h fl$1 all ex]tion ceas$1 & he felt t he 0 dr[n+4 8,f ! mom5t t all ex]tion _h ceas$10 writes ! admiral1 8a calm feel+ ( ! mo/ p]fect tranquillity sup]s$$ ! previ\s tumultu\s s5sations--x might be call$ apa?y1 c]ta9ly n resignation1 = dr[n+ no long] appe>$ to be an evil4 ,i no long] ?\ght ( be+ rescu$1 nor 0 ,i 9 any bodily pa94 ,on ! contr>y1 my s5sations 7 n[ ( r a pleasurable ca/1 p>tak+ ( t dull1 b cont5t$ sort ( feel+ :i* prec$es ! sleep produc$ by fatigue4 ,?\gh ! s5ses 7 ?us dead5$1 n s ! m9d2 its activity seem$ to be invigorat$ 9 a ratio :i* defies all description--= ?\ght rose aft] ?\ght ) a rapidity ( succession1 t is n only indescribable1 b probably inconceivable1 by any "o :o has n himself be5 9 a simil> situation4 ,! c\rse ( ^! ?\ghts ,i c ev5 n[ 9 a great measure retrace1--! ev5t :i* _h j tak5 place1 ! awkw>dness t _h produc$ x1 ! bu/le x mu/ h occasion$1 ! effect x w\ld h on a mo/ affectionate fa!r1 & a ?\s& o!r circum/ances m9utely associat$ ) home 7 ! fir/ s]ies ( reflections t occurr$4 ,!y !n took a wid] range--our la/ cruise1 a =m] voyage & %ipwreck1 my s*ool1 ! progress ,i _h made !re & ! "t ,i _h missp5t1 & ev5 all my boyi% pursuits & adv5tures4 ,?us travell+ backw>ds1 e pa/ incid5t ( my life seem$ to glance across my recollection 9 retrograde succession2 n1 h[ev]1 9 m]e outl9e z "h /at$1 b ! picture fill$ up ) e m9ute & collat]al feature2 9 %ort1 ! :ole p]iod ( my exi/5ce seem$ to be plac$ be=e me 9 a k9d ( panoramic review1 & ea* act ( x seem$ to be accompani$ by a consci\sness ( "r or wrong1 or by "s reflection on its cause or its consequ5ces2 inde$1 _m trifl+ ev5ts :i* _h be5 long =gott51 !n cr[d$ into my imag9ation1 & ) ! "* ( rec5t famili>ity40 ,c]ta9ly two m9utes did n elapse f ! mom5t ( suffocation to t ( be+ haul$ up2 & accord+ to ! acc\nt ( ! look]s on1 he 0 v quickly re/or$ to animation4 8,my feel+s10 cont9ues ,admiral ,beau=t1 8:ile life 0 return+1 7 ! v rev]se 9 e po9t ( ^? :i* h be5 describ$ above4 ,"o s+le b confus$ idea--a mis]able belief t ,i 0 dr[n+ dwelt ^u my m9d1 in/ead ( ! multitude ( cle> & def9ite ideas :i* _h rec5tly ru%$ ?r\gh x--a helpless anxiety--a k9d ( cont9u\s nightm>e seem$ to press heavily on e s5se1 & to prev5t ! =mation ( any "o di/9ct ?\ght1 & x 0 ) difficulty t ,i became conv9c$ t ,i 0 really alive4 ,aga91 in/ead ( be+ absolutely free f all bodily pa91 z 9 my dr[n+ /ate1 ,i 0 n[ tortur$ by pa9 all ov] me40 ,i h giv5 ?is case at "s l5g?1 because x seems to ?r[ a new light on ! act ( dy+1 & because analog\s in/ances are probably n uncommon4 ,admiral ,beau=t tells u t he _h he>d f two or ?ree p]sons1 :o _h recov]$ f a simil> /ate1 a detail ( _! feel+s1 :i* resembl$ 8 own z ne>ly z 0 consi/5t ) _! diff]5t con/itutions & dispositions4 ,sir ,b5jam9 ,brodie m5tions an in/ance 9 a sailor2#ad ,de ,qu9cey records a l in/ance 9 a female1 a ne> relative ( 8 own2#ae & ,i h myself he>d ( two simil> cases1 b ! details are n suffici5tly precise to ju/ify _! n>ration "h4 ,9 fact1 all ! be/ & all ! mo/ direct evid5ce t ! subject admits (1 goes to %[1 t z a rule1 ! imm$iate act ( dy+ is 9 no s5se a process ( sev]e bodily suff]+--or1 inde$1 = ! mo/ "p ev5 ( pa94 ,! common belief t ! act ( dy+ is "o ( sev]e bodily suff]+ is due probably 9 "p to !oretical views ( ! nature ( ! ev5t itself2#af b1 pr9cipally1 to ! occurr5ce ( conditions1 physiological or pa?ological1 :i* prec$e or accompany t act1 & ! nature & import ( :i* are mis9t]pret$4 ,d\btless also1 x is due 9 no small degree to conf\nd+ ! actual /age ( dy+1 ) ^? urg5t symptoms ( disease t prec$e & lead up to x1 & :i* are (t5 z sev]e or m s 9 ^? :o are to recov]1 z 9 ^? :o are to die4 ,z a rule1 to :i* !re are d\btless exceptions1 ! urg5t symptoms ( disease subside1 :5 ! act ( dy+ really beg9s4 8,a pause 9 nature1 z x 71 seems to take place1 ! disease has done its wor/1 all /rong action has ceas$1 ! frame is fatigu$ by its ef=ts to su/a9 itself1 & a g5]al tranquillity p]vades ! :ole sy/em40#ag ,aga91 convulsions1 :i* s (t5 att5d ! process ( dy+1 are accept$ 9 evid5ce ( suff]+1 :5 9 fact !y are ! rev]se1 = !y imply a loss ( consci\sness & s5sibility1 & !re=e1 ( ! capacity to feel pa94 ,!y are automatic1 & 9 all ess5tial respects l ! convulsions ( epilepsy1 ( :i* ! subject is :olly unconsci\s4 ,! convulsive movem5ts t sometimes att5d ! la/ mom5ts1 & ) :i* ! p]son expires1 con/itut+ ! s-call$ 8dea? /ruggle10 are d\btless ( ! same pa9less "*4 ,"s few1 h[ev]1 d really suff] griev\sly 9 dy+1 & expire 9 great bodily torture4 ,?is occurs 9 "s diseases ( ! he>t & great vessels ( ! *e/1 9 ang9a pectoris1 & 9 ileus4 ,b especially 9 t mo/ fe>ful ( diseases1 hydrophobia1 9 tetanus1 & 9 spasmodic *ol]a--9 maladies *>act]iz$ by spasm ( ! ext]nal muscles1 z di/+ui%$ f _! convulsion1 = spasm implies no su* unconsci\sness z does convulsion1 b ! rev]se4 ,su* cases are r>e1 b !y are s t]rible t !y fix !mselves 9 ! memory1 ex]t an undue influ5ce on ! judgm5t1 &1 al?\gh really exceptional 9 occurr5ce1 & 9 ! suff]+s !y entail1 come to be reg>d$ z b extreme in/ances ( :at is assum$ to be ! univ]sal & inevitable lot ( ! dy+4 ,happily = mank9d x is n s4 ,s long z consci\sness & intellig5ce cont9ue1 & !y (t5 d s to ! la/1 ! influ5ce ( m9d & ( ! emotions on ! bodily process ( dy+ mu/ be kept /eadily 9 view4 ,!y are well-nigh z pot5tial 9 ! dy+ man z !y are 9 ! heal?y4 ,hope is z soo?+ & fe> z depress+ 9 ! "o condition z 9 ! o!r4 ,to ! dy+ !re is no great] solace & cordial ?an hope--x is ! mo/ soo?+ & *e]+ ( our feel+s1 & if1 :5 all hope ( life & 9 ! pres5t has fl$1 ! dy+ man c dwell ) hope & confid5ce ^u 8 future1 x w be well = him4 ,! retrospect ( a well-sp5t life1 8memoria b5e act vit1 multorumque b5efactorum recordatio0 is a cordial ( inf9itely m efficacy ?an all ! res\rces ( ! m$ical art2#ah b a firm belief 9 ! m]cy ( ,god1 & 9 ! promises ( salvation w d m ?an any?+ 9 aid ( an easy1 calm1 & collect$ dea?4 ,to ^? :o are sceptical on ?is po9t1 & su* !re are1 ,i w\ld rem>k1 t unless a man has himself felt ! influ5ce ( religion on 8 own m9d1 he is unable fully & accurately to und]/& its influ5ce on o!rs4 ,if ,i may tru/ my own exp]i5ce ,i %\ld say1 t 9 ! aggressive disbeliev]1 z 9 ! m]e passive agno/ic1 d\bt & anxiety z to 8 future is all b sure to obtrude itself on 8 la/ consci\s mom5ts1 di/urb !m1 & r5d] su* an eu?anasia z we contemplate1 impossible4 8,! less fe> a reasonable man ent]ta9s ( dea?10 says ,zimm]man1 8! m placid is he 9 8 la/ mom5ts40 ,happily su* dread or t]ror ( dea? z di/urbs ! dy+ is r>e4 ,= ! mo/ "p an urg5t fe> ( dea?1 :5 x does exi/1 is obs]v$ n s mu* at ! mom5t :5 dea? is actually imp5d+1 z x is at t e>li] p]iod :5 ! individual realizes = ! fir/ "t t he is ab\t to die4 ,! %ock at t mom5t may be great1 b x is = ! mo/ "p transi5t1 & 8! subsequ5t contemplation ( approa*+ dea? seems to be f> less t]rible40#ai ,a torpor seems inde$ to /eal s(tly ov] ! :ole be+ z dea? approa*es1 & ! e>ne/ness to live abates1 z ! possession ( life1 f :atev] cause1 is gradually )drawn4 ,sir ,h5ry ,hal=d tells u t ( ! great numb] to :om he _h adm9i/]$ 9 ! la/ h\rs ( _! lives1 he _h felt surpris$ t s few h appe>$ reluctant to g to 8! undiscov]$ c\ntry f ^: b\rn no travell] returns40#bj ,no "o1 writes ,mr4 ,savory1 :o has (t5 /ood at ! b$side ( ! dy+1 8c h fail$ to be /ruck by ! fact ( ! comp>ative or complete abs5ce ( dismay z dea? draws ne>4 ,(t51 no d\bt1 ! m9d is o!rwise too fully occupi$1 444 b ev5 9 ! abs5ce ( ?is & all di/ract+ influ5ces1 & ) a cle> conviction t ! approa*+ *ange is ne> at h&1--! m9d is calm & collect$1 ! ?\ghts s]5e1 !re is no quail+1 no giv+ way40#ba ,! nature ( ! disease "u :i* a p]son succumbs1 w\ld seem to ex]t "s influ5ce 9 ?is respect4 ,sir ,b5jam9 ,brodie says1 8,i h myself nev] kn[n b two in/ances1 9 :i*1 9 ! act ( dy+ !re 7 manife/ indications ( ! fe> ( dea?4 ,! individuals to :om ,i allude 7 unexpect$ly de/roy$ by hemorrhage1 :i* f peculi> circum/ances1 x 0 impossible to suppress4 ,! depress+ effects :i* ! gradual loss ( blood produc$ on _! corporeal sy/em seem$ to influ5ce _! m9ds1 & !y di$ e>ne/ly implor+ ! relief :i* art 0 unable to af=d40#bb ,:5 ! intimation t dea? is at h& has be5 po/pon$ to ! late/ possible mom5t1 x comes ^u ! suff]] s late1 t !re may n be "t = him to get ov] ! %ock ( ! fir/ impression1 & rega9 8 s]5ity4 ,al>m associates itself ) ! act ( dissolution1 :i* is imm95t1 or has already comm5c$1 di/urbs its ev51 easy1 t5or1 & expla9s "s at lea/ ( ! h>r[+ sc5es t occasionally m>k ! dea?-b$4 ,an e>li] intimation#bc to ! dy+ p]son ( ! great *ange he is ab\t to und]go is 9 all respects desirable1 & if ! communication be made t5d]ly & ) prud5ce1 no?+ b good is likely to result f x4 ,an important "q "h pres5ts itself4 ,by :om %\ld t communication be made8 8,y w =give me10 said ,sir ,h5ry ,hal=d at "o ( ! ev5+ meet+s at ! ,college ( ,physicians1 8if ,i presume to /ate :at appe>s to me to be ! conduct prop] to be obs]v$ by a physician 9 )hold+1 or mak+ 8 pati5t acqua9t$ )1 8 op9ion ( ! probable issue ( a malady manife/+ mortal symptoms4 ,i own ,i ?9k x my fir/ duty to protract 8 life by all practicable means1 & to int]pose myself betwe5 him & ev]y?+ :i* may possibly aggravate 8 dang]4 ,& unless ,i %all h f\nd him av]se f do+ :at 0 necess>y 9 aid ( my rem$ies1 f a want ( a prop] s5se ( 8 p]il\s situation1 ,i =be> to /ep out ( ! b\nds ( my prov9ce 9 ord] to (f] any advice :i* is n necess>y to promote 8 cure4 ,at ! same "t1 ,i ?9k x indisp5sable to let 8 fri5ds "k ! dang] ( 8 case ! in/ant ,i discov] x4 ,an arrangem5t ( 8 worldly affairs1 9 :i* ! com=t or unhapp9ess ( ^? :o are to come aft] him is involv$1 may be necess>y2 & a sugge/ion ( 8 dang] by :i* ! accompli%m5t ( ?is object is to be obta9$1 naturally induces a contemplation ( 8 m important spiritual conc]ns1 a c>eful review ( 8 pa/ life1 & su* s9c]e sorr[ & contrition = :at he has done amiss1 z ju/ifies our humble hope ( 8 p>don & acceptance h]eaft]4 ,if fri5ds c d _! good (fices at a prop] "t1 & "u ! sugge/ions ( ! physician1 x is f> bett] t !y %\ld und]take !m ?an ! m$ical advis]4 ,!y d s )\t de/roy+ 8 hopes1 = ! pati5t w /ill believe t he has an appeal to 8 physician1 beyond _! fe>s2 :]eas1 if ! physician lay op5 8 dang] to him1 h[ev] delicately he may d ?is1 he runs a risk ( appe>+ to pron\nce a s5t5ce ( condemnation to dea?1 aga9/ :i* !re is no appeal1 no hope4444 ,b fri5ds may be abs5t1 & nobody ne> ! pati5t 9 8 extremity1 ( suffici5t influ5ce or pret5sion to in=m him ( 8 dang]\s condition4 ,& surely x is lam5table to ?9k t any human be+ %\ld leave ! _w unprep>$ to meet 8 ,creator & ,judge1 #8) all 8 crimes broad bl[n4' ,r ?an s1 ,i h dep>t$ f my /rict pr(essional duty1 & h done t :i* ,i w\ld h done by myself1 & h appriz$ my pati5t ( ! great *ange he 0 ab\t to und]go40 8,9 %ort1 no rule1 n to be infr+$ sometimes1 c be laid d[n on ?is subject4 ,e case requires its own consid]ations2 b y may be assur$1 t if good s5se & good feel+ be n want+1 no difficulty c occur :i* y w n be able to surm\nt ) satisfaction to y\r pati5t1 8 fri5ds1 & y\rselves40#bd ,9 "s in/ances ! pati5t himself is ! fir/ to discov]1 & ?is f 8 own int]nal feel+s1 t he is ab\t to die1 & he ann\nces ! fact calmly1 & = ! mo/ "p )\t al>m1 to ^? ab\t him4 ,al?\gh a fe> ( dea? 9 itself1 or = "o's own sake1 is r>e & exceptional1 ! la/ mom5ts ( too _m are made mis]able by solicitude = ^? !y w leave beh9d1 & _! end is (t5 "o ( great m5tal angui%4 8,su* h clung to life anxi\sly1 pa9fully1 b !y 7 n influ5c$ s mu* by a love ( life = its own sake1 z by ! di/ress+ prospect ( leav+ *ildr51 dep5d5t ^u !m1 to ! m]cy ( ! _w1 depriv$ ( _! p>5tal c>e40#be 99 99 99 99 99 ,9 "s dy+ p]sons consci\sness & ! intellect rema9 p]fect to ! la/4 ,! cases 9 :i* ?is is obs]v$ w be f\nd to agree 9 ! fact t ! bra9 is correspond5tly unimpair$2 !y are = ! mo/ "p *ronic diseases ( ! *e/ & abdom54 ,if ! "* ( ! dy+ p]son is naturally /rong1 ! /ate ( 8 m9d at ! approa* ( dea? w g5]ally be influ5c$ by x4 ,( ^? :o reta9 consci\sness & intellect1 ! majority die ?9k+ & act+ 9 accordance ) ! influ5ces t h be5 ex]t$ ^u !m 9 previ\s life1 by education & example3 & ) ^? :i* may be !n br\ght to be> ^u !m1 t[>ds & at its close4 ,m (t5 "s delirium is pres5t4 ,! delirium ( ! dy+ is (t5 ( a mo/ int]e/+ "*1 & accord+ to ,dr4 ,symonds resembles dream+ m ?an any =m ( d]angem5t4 ,! ideas are d]iv$ less f pres5t p]ceptions ?an 9 insanity1 & yet are m sugge/$ by ext]nal circum/ances ?an 9 ! delirium ( fev] & phr5itis4#bf ,su* delirium is g5]ally %[n 9 quiet talkativ5ess1 :i* becomes lat] on a l[ mutt]+4 ,9 "s ! m9d is occupi$ on ! ev5ts ( *ildhood & e>ly life1 b :5 ! delirium is some:at m active1 ! conceptions ( ! dy+ man are g5]ally d]iv$ f subjects1 :i*1 ei!r 9 8 speculative pursuits or 9 ! bus9ess ( life1 h pr9cipally occupi$ 8 ?\ghts4#bg ,"l ,t5t]d51 z he approa*$ 8 end1 became deliri\s & talk$ v incoh]5tly4 ,aft]w>ds he seem$ to recov] 8 composure1 & rais+ 8 head f 8 pill[1 he 0 he>d to say 9 a sl[ & solemn tone1 z :5 he us$ to conclude 8 summ+ up1 9 cases ( great importance1 8,&1 n[1 ,g5tlem5 ( ! ,jury1 y w consid] ( y\r v]dict40 ,^! 7 8 la/ words2 :5 he _h utt]$ !m1 8 head sunk d[n1 & 9 a few m9utes he expir$ )\t a groan4#bh ,& ! la/ words ( ,dr4 ,arm/rong 7 address$ to an imag9>y pati5t1 ^u :om he 0 impress+ ! necessity ( att5tion to ! /ate ( ! dige/ive organs4 ,in/ances occur1 & n v r>ely1 :]e ! delirium ceases1 & ! m9d aga9 = a "t becomes cle> & ! s5sations ke51 to be foll[$1 h[ev]1 ere long by a return ( delirium1 or x may be ( coma1 or a rapid s9k+ ( all ! bodily p[]s & spe$y dea?4 ,b along ) ?is tempor>y cle>+ ( ! m5tal p[]s1 & 9 pro( ( its illusiv5ess1 !re are ! usual signs ( bodily failure--a p9*+ ( ! features1 coldness ( ! surface1 cold sweats1 & a feeble rapid pulse4 ,active delirium & viol5ce are b r>ely associat$ ) ! act ( dy+1--!y are inde$ sc>cely compatible ) x4 ,!y may pave ! way to x1 b :5 ! act ( dy+ really beg9s1 !y cease & give way to t l[1 rambl+1 mutt]+ delirium1 ) :i* all wat*]s by ! dea?-b$ are s famili>4 ,x is especially at ! /age ( transition f ! "o to ! o!r ( ^! /ates1 t we meet ) t return ( intellig5ce--t #8light5+ up be=e dea?' :i* has impress$ & surpris$ mank9d f ! e>lie/ ages4 8,we h all obs]v$10 writes ,sir ,h5ry ,hal=d1 8! m9d cle> up 9 an extraord9>y mann] 9 ! la/ h\rs ( life1 :5 t]m9at$ ev5 9 ! ord9>y c\rse ( nature2 b c]ta9ly /ill m rem>kably :5 x has be5 cut %ort by disease1 :i* _h affect$1 = a "t ! intellectual faculties4 ,we h se5 x become capable ( ex]cis+ a subtle judgm5t1 :5 ! passions :i* _h be5 accu/om$ to bias & emb>rass its decisions :il/ !y exi/$1 are ext+ui%$ at ! approa* ( dea?2 & :5 ! inf]5ces :i* wisdom _h drawn f exp]i5ce ( ! =m] behavi\r ( m51 7 n[ made available to a correct e/imate ( _! future conduct1 9 ! s5se ( ,milton's l9es--0 #8,:5 old exp]i5ce does atta9 ,to some?+ l prophetic /ra94'#bi 8,?is is mo/ frequ5tly ! case :5 ! resi/ance ( ! con/itution aga9/ ! influ5ce ( ! disease has be5 long protract$1 or :5 ! /ruggle1 ?\gh %ort1 has be5 v viol5t40#cj 8,a "y g5tleman ( family1 ab\t tw5ty-five ye>s ( age1 took cold :il/ "u ! influ5ce ( m]cury4 ,! disease increas$ daily until x 0 accompani$ at la/1 by s mu* fev] & delirium1 z made x necess>y to use1 n only ! mo/ p[]ful m$ic9es1 b also p]sonal re/ra9t4 ,at l5g?1 aft] ?ree days ( incessant ex]tion1 dur+ :i* he nev] slept = an in/ant1 he ceas$ to rave1 & 0 calm & collect$4 ,8 p]ception ( ext]nal objects became correct1 & !y no long] di/ress$ him1 & he ask$ press+ly if x 7 possible t he c\ld live8 ,on be+ answ]$ t5d]ly1 b n 9 a way calculat$ to deceive1 t x 0 probable he might n1 he dictat$ "s affectionate communications to 8 fri5ds abroad1 recollect$ "s claims ^u 8 purse1 #8set 8 h\se 9 ord]1' & di$ ! foll[+ night4 ,! reason :y s unfav\rable an op9ion 0 ent]ta9$ ( 8 /ate1 01 t ! app>5t am5dm5t 0 n prec$$ by sleep1 & 0 n accompani$ by a sl[] pulse2 two indisp5sable conditions--on :i* only a notion ( real improvem5t c\ld be ju/ifi$4 ,b "h 0 m]ely a cessation ( excitem5t occasion$ by a dim9ution ( p[]1 & by a mitigat$ influ5ce ( ! action ( ! he>t ^u ! bra940 ,?is case occurr$ 9 ! practice ( ,sir ,h5ry ,hal=d4#ca ,ano!r in/ance1 ! c\nt]p>t to t j describ$1 :i* happ5$ to ! same em95t physician1 may n be out ( place4 ,a "y g5tlem51 :o _h also be5 us+ m]cury v l>gely1 caught cold1 & became s]i\sly ill ) fev]4 8,8 head appe>$ to be affect$ on ! fif? day1 & on ! sev5?1 :5 ,i 0 fir/ call$ into consultation ) ano!r physician1 :o _h att5d$ him ) great c>e & judgm5t f ! comm5cem5t ( 8 illness1 we f\nd him 9 ! highe/ possible /ate ( excitem5t4 ,he 0 />k nak$1 /&+ upright 9 b$1 8 eyes fla%+ fire1 exquisitely alive to e movem5t ab\t him1 & s irascible z n to be approa*$ )\t increas+ 8 irritation to a degree ( fury4444 ,on ! elev5? day ( 8 disease1 ,i 0 in=m$ by my colleague1 :5 we met1 & by ! att5dants1 t he 0 become q calm1 & seem$ mu* bett]4 ,x 0 rem>k$1 inde$1 t he _h said repeat$ly1 t he %\ld die2 t "u ?is conviction he _h talk$ ) great composure ( 8 affairs2 t he _h m5tion$ sev]al debts :i* he _h contract$1 & made provision = _! paym5t1--t he _h dictat$ messages to 8 "m1 expressive ( 8 affection1 & _h talk$ mu* ( a si/] :o _h di$ ! ye> be=e1 & :om1 he said1 he knew he 0 ab\t to foll[ imm$iately4 ,to my que/ions1 :e!r he _h slept previ\sly to ?is /ate ( quietude1 & :e!r 8 pulse _h come d[n1 x 0 answ]$1 ,no2 he _h n slept1 & 8 pulse 0 quick] ?an ev]4 ,!n x 0 evid5t t ?is speci\s improvem5t 0 unreal1 t ! cle>+ up ( 8 m9d 0 a mortal sign1 #8a light5+ be=e dea?1' & t he w\ld die =?)4 ,on ent]+ 8 room he did n notice u2 8 eyes 7 fix$ on vacancy1 he 0 occupi$ entirely )9 himself1 & all t we c\ld ga!r f 8 words 0 "s indi/9ct m5tion ( 8 si/]4 ,8 h&s 7 cold1 & 8 pulse immeasurably quick--he di$ t night40#cb ,"s pass away 9 sleep4 ,9 natural heal?y sleep respiration becomes sl[]1 ! pulse weak] & less frequ5t1 ! circulation g5]ally feebl]4 ,! diff]5ce 9 ^! respects betwe5 ! wak+ & ! sleep+ /ates1 is to ! dy+ p]son (t5 ! diff]5ce betwe5 life1 & dea?4 ,! circulation already r$uc$ to ! l[e/ ebb compatible ) life1 is yet fur!r r$uc$ by sleep1 & ) ?is r$uction ! pati5t dies4 ,^! are ^? :o #8sleep away4' ,simil> to1 if n id5tical ) !m1 are ^? to :om dea? comes s easily t n a ruffle di/urbs any portion ( ! frame1 & ! mo/ intellig5t obs]v] is unable to fix ! mom5t :5 life has fl$1 s easy is ! p>t+ ( ! la/ l9k1 #8:5 ! body drops to e>? & ! s\l rises to et]nity4' ,x is probable t "h1 a m]e act ( doz+ becomes ! act ( dy+4 ,9 ^! in/ances z 9 old age1 dea? is lit]ally ! la/ sleep1 un*>act]iz$ by any peculi>ity4 ,! g5]al languor ( ! functions 9 ! la/ wak+ int]val1 is att5d$ ) no peculi> suff]+1 & ! la/ sleep comm5ces ) ! usual grateful feel+s ( repose4#cc ,! l5g? ( ! int]val betwe5 ins5sibility & ! absolute cessation ( exi/5ce1 v>ies greatly f a few seconds to sev]al h\rs or days4 ,b consci\sness is (t5 reta9$ mu* long] ?an is g5]ally suppos$1 & x is difficult to det]m9e :5 ! ext]nal s5ses1 & p>ticul>ly t ( he>+1 are completely & absolutely clos$4 ,! s5ses ( smell1 ta/e1 & t\* are g5]ally ! fir/ to fail u & disappe>1 :ile ^? ( sight & he>+ cont9ue mu* long]4 ,abnormal visual impressions are common :5 dea? is ne> at h&4 ,9 _m ! sight fails1--!re is compla9t ( comm5c+ or ( actual d>kness1 & a desire is express$ = m light2 :ile m r>ely1 ! dy+ "o p]ceives a blaze ( light1 9 ! contemplation ( :i*1 or imm$iately aft]w>ds1 he calmly expires4 8,x happ5s n unfrequ5tly10 writes ,dr4 ,symonds 9 8 admirable essay on ,dea?1#cd 8t ! spectra ( ! dy+ owe _! orig9 to contemplations ( future exi/5ce1 & consequ5tly t ! good man's la/ h\rs are *e]$ ) beatific visions & communion ) heav5ly visitors4 ,dreadfully contra/$ ) su* visions are ^? :i* haunt ! dy+ fancies ( o!rs40#ce ,! te/imony ( _m ( ^? :o h ! l>ge/ exp]i5ce1 & h wat*$ cont9u\sly & att5tively at ! dy+ b$1 is 9 support ( ,dr4 ,symonds' /atem5t4 ,if "s physicians are incr$ul\s1 & place little reliance on te/imony & inf]5ces ( ?is k9d1 ,i am incl9$ ) ,dr4 ,conolly#cf to attribute x1 to _! be+ seldom engag$ long en\gh 9 wat*+ by ! b$side1 :]e ! s5ses & ?\ghts naturally become conc5trat$ on ! ev5ts ( ! sick *amb] alone4 ,my own obs]vation 9 cases1 :]e circum/ances h made my att5dance on ! dy+ close & protract$1 goes to corroborate ! evid5ce !re is on ^! po9ts--po9ts :i* are c]ta9ly n ( a nature to be made famili> to ^?1 ^: *ief k ( ! dy+ is acquir$ 9 =mal consultations1 or 9 %ort daily visits to ! w>ds ( hospitals4 ,he>+ is1 probably 9 mo/ cases1 ! la/ ( our s5ses to leave u4 8,an eld]ly lady _h a /roke ( apoplexy2 %e lay motionless1 & 9 :at is call$ a /ate ( /upor1 & no "o d\bt$ t %e 0 dy+4 ,b aft] ! lapse ( ?ree or f\r days1 !re 7 signs ( am5dm5t1 & %e ultimately recov]$4 ,aft] h] recov]y %e expla9$ t %e did n believe t %e _h be5 unconsci\s1 or ev5 ins5sible1 dur+ any "p ( ! attack4 ,%e knew h] situation1 & he>d mu* ( :at 0 said by ^? ar\nd h]4 ,especially %e recollect$ obs]vations intimat+ t %e w\ld v soon be no m1 b t at ! same "t %e _h felt satisfi$ t %e w\ld recov]2 t %e _h no p[] ( express+ :at %e felt1 b t nev]!less h] feel+s1 in/ead ( be+ pa9ful or 9 any way di/ress+1 _h be5 agreeable r ?an o!rwise4 ,%e describ$ !m z v peculi>--z if %e 7 con/antly m\nt+ upw>ds1 & z some?+ v diff]5t f :at %e _h ev] be=e exp]i5c$40#cg ,! case ( ,dr4 ,wolla/on ! physician & *emical philosoph] is to ! same effect4 8,"s "t be=e 8 life 0 f9ally ext+ui%$ he 0 se5 to be pale1 z if !re 0 sc>cely any circulation ( blood go+ on--motionless1 & to all appe>ance 9 a /ate ( complete ins5sibility4 ,be+ 9 ?is condition1 8 fri5ds :o 7 wat*+ r\nd him1 obs]v$ "s motions ( ! h& :i* 0 n affect$ by ! p>alysis4 ,aft] "s "t x occurr$ to !m1 t he wi%$ to h a p5cil & pap]1 & ^! hav+ be5 suppli$1 he contriv$ to write "s figures 9 ari?metical progression1 :i* h[ev] imp]fectly scrawl$1 7 yet suffici5tly legible4 ,x 0 suppos$ t he _h ov]he>d "s rem>ks respect+ ! /ate 9 :i* he 01 & t 8 object 0 to %[1 t he pres]v$ 8 s5sibility & consci\sness4 ,some?+ l ?is occurr$ "s h\rs aft]w>ds1 & imm$iately be=e he di$1 b ! scrawl ( ^! la/ mom5ts c\ld n be deciph]$40#ch 8,i h be5 curi\s10 writes ,sir ,b5jam9 ,brodie 9 comm5t+ on ^! cases1 8to wat* ! /ate ( dy+ p]sons 9 ?is respect1 & ,i am satisfi$10 7& ,i may add1 my own exp]i5ce confirms ,sir ,b5jam9 ,brodie's /atem5t7 8t1 :]e an ord9>y obs]v] w\ld n = an in/ant d\bt t ! individual is 9 a /ate ( complete /upor1 ! m9d is (t5 active ev5 at ! v mom5t ( dea?4 ,a fri5d ( m9e1 :o _h be5 = _m ye>s ! excell5t *apla9 ( a l>ge hospital1 in=m$ me1 t 8 /ill l>g] exp]i5ce _h l$ him to ! same conclusion40#ci ,in/ances su* z ^! %\ld tea* ! physician & all :o are ab\t ! dy+1 to be c>eful nei!r to say1 nor d any?+ 9 ! pres5ce ( ! pati5t1 :i* !y w\ld wi% him n to he>4 ,_! be>+ on religi\s (fices to ! dy+ is obvi\s4 99 99 99 99 99 ,sometimes1 imm$iately prec$+ ! v act ( dea?1 ! eyelids are rais$1 & a look ( recognition ( ^? ar\nd seems to be p]mitt$ to ! dy+ man4 ,less (t5 !re is an expression ( agony 9 ! eye4 8,x is consolatory to "k10 says ,sir ,*>les ,bell1 8t ?is does n indicate suff]+1 b increas+ ins5sibility4 ,! pupils are turn$ upw>ds & inw>ds4 ,?is is especially obs]v$ 9 ^? :o are expir+ f loss ( blood4 ,x is ! /rabismus pa!ticus orantium ( ,bo]haave40#dj ,! nature ( ! disease & ! mode ( dea? ex]t a m>k$ influ5ce on ! expression ( face ( ! dy+1 & ?is is (t5 reta9$ by ! features aft] dea?4 ,9 "s we obs]ve ! impress ( ! previ\s suff]+1 z 9 p]itonitis & 9 cases ( poison+ by irritants2 9 o!rs ! "* is d]iv$ f a peculi> affection ( "s "p ( ! respiratory app>atus2 or f an affection ( ! facial muscles !mselves1 z 9 tetanus & p>alysis4 ,b ! condition ( ! m9d is p]haps m (t5 conc]n$ 9 ! expression ?an ev5 ! physical circum/ances ( ! body4 ,=1 z "s k9d ( intellig5ce is frequ5tly reta9$1 & /rong emotions are exp]i5c$ till )9 a few mom5ts ( dissolution1 ! features may be seal$ by ! h& ( dea? 9 ! la/ look ( rapture or ( mis]y1 ( b5ignity or ( ang]4 ,e poetical read] kn[s ! picture ( ! traits ( dea? 7no less true ?an beautiful7 drawn by ! au?or ( 8,! ,gia\r40 ,b su* obs]vations are n conf9$ to poets4 ,hall] c\ld trace 9 ! dy+ c\nt5ance ! smile :i* _h be5 light$ by ! hope ( a happi] exi/5ce4 8,adfulg5tis fugi5ti anim spei non r>o 9 moribundis signa vidi1 qui s]5issimo vultu non s9e bl&o subrisu1 de vita excess]unt40#da ,,footnotes3 #a 8,at no/ris temporibus1 ,m$ici quasi religio e/1 grotis1 po/quam deplorati s9t1 assid]e2 ubi meo judicio1 si (ficio suo1 atque adeo humanitati ipsi deesse nol9t1 et artem edisc]e et dilig5tiam pr/>e deb]5t1 qua animam ag5tes facilius et mitius e vita demigr5t--,hanc autem p>tem1 inquisitionem de ,eu?anasia ext]iori 7ad diff]5tiam ejus eu?anasi qu anim prp>ationem respicit7 appellamus2 eamque int] desid]ata reponimus40 7,v]ulamus1 ,de ,augm5tis ,sci5ti>um1 lib4 iv4 cap4 ij47 #b 8 naturalis nobis dicitur facilis et quam m9imo cum cruciatu e vita exitus1 qua t5us mori5di facilitas e causis naturalibus proxime p5det4444 ,ad m$ic9am hujus contemplatio p]t9et3 e/ enim naturalis1 non moralis1 nisi qua t5us hc ad illam mom5ti habet plurimum4 ,ext]iorem idcirco ,v]ulamius appellavit40 7,nicolai ,p>adysii1 ,opuscula ,academica1 #hvo1 ,lugd4 ,batav1 #ahac4 ,oratio de naturali et quid ad eam concili&am ,m$ic9a valeat1 pp4 #fc et #fe47 #c 8,a m$icis vix in*oatum1 n$um p]tractatum huc usque esset40 7,p>adysius1 p4 #fc47 #d 8,etiam plane c5seo ad (ficium m$ici p]t9]e1 non tantum ut sanitatem re/ituat3 v]um etiam ut dolores et cruciatus morborum mitiget3 neque id ipsum solummodo1 cum illa mitigatio doloris1 veluti symptomatis p]iculosi1 ad convalesc5tiam faciat et conducat3 imo v]o cum abjecta prorsus omni sanitatis spe1 excessum tantum prbeat e vita magis l5em et placidum4 ,siquidem non p>va e/ felicitatis p>s1 illa ,eu?anasia40 7,de ,augm5tis ,sci5ti>um47 #e ,sir ,h5ry ,hal=d1 ,essays & ,orations read & deliv]$ at ! ,royal ,college ( ,physicians4 ,?ird edition1 #abmo1 ,london1 #ahdb4 p4 #hd4 #f 8,magnus ille v] philosophi in/aurator ,v]ulamus1 qu]itur /udium ,eu?anasi m$icis haud satis cultum fuisse4 ,m$ici pr(ecto munus e/ grotis sanitatem r$d]e2 cum tam5 ex lege natur erit t&em unicuique mortalium grotatio nulla arte m$icabilis1 b5evol hujus artis pr(essoribus conv5iret1 mortem inevitabilem1 quantum fi]i pote/1 t]rore omni spoli>e2 et ubi non datum e/ prdam morti extorqu]e1 s$ vita necess>io amitt5da e/1 op]am saltem d>e1 ut cum m9ima crudelitatis specie amittatur40 7,heb]d5i ,gulielmi1 ,comm5t>ia de ,morborum ,hi/oria et ,curatione4 ,cap ,de ,ileo47 #g ,essays & ,orations1 ut supra passim4 #h ,john ,f]ri>1 ,m4,d41 ,m$ical ,hi/ories & ,reflections4 #hvo1 ,london1 #agih4 ,vol4 iii4 p4 #aif4 #i ,john ,f]ri>1 ,m4,d41 ,on ! ,treatm5t ( ! ,dy+1 ut supra1 p4 #aia4 #aj ,! ,works ( ,sir ,b5jam9 ,coll9s ,brodie4 ,arrang$ by ,*>les ,hawk9s4 #c ,vols41 #hvo1 ,london1 #ahfe4 ,vol4 i4 p4 #ahd4 #aa ,on ,life & ,dea?4 #hvo4 ,london1 #ahfc1 p4 #age4 #ab 8,ips anim discessus a corpore fit1 s9e dolore1 et fit pl]umque s9e s5su1 nonnunquam etiam cum voluptate40 7,vopisci ,=tunati ,plempii4 de ,togatorum ,valetud9e tu5da ,comm5tatio4 #dto4 ,bruxellis1 #afgj4 p4 #bf47 #ac ,autobiographical ,memoir ( ,sir ,john ,b>r[1 ,b>t4 #hvo1 ,london1 #ahdg1 p4 #cih4 #ad 8,a sailor :o _h be5 snat*$ f ! waves1 aft] ly+ = "s "t ins5sible on ! deck ( ! vessel1 proclaim$ on 8 recov]y t he _h be5 9 ,heav51 & compla9$ bitt]ly ( 8 be+ re/or$ to life z a great h>d%ip4 ,! man _h be5 reg>d$ z a wor?less fell[2 b f ! "t ( ! accid5t hav+ occurr$1 8 moral "* 0 alt]$1 & he became "o ( ! be/ conduct$ sailors 9 ! %ip40 7,! ,works ( ,sir ,b5jam9 ,brodie1 vol4 i4 p4 #ahd47 #ae ,i 0 once told by a ne> relative ( m9e--says ,de ,qu9cey--t hav+ 9 h] *ildhood fall5 into a riv]1 & be+ on ! v v]ge ( dea? b = ! assi/ance :i* rea*$ h] at ! la/ critical mom5t1 %e saw 9 a mom5t h] :ole life1 clo!d 9 its =gott5 incid5ts1 array$ be=e h] z 9 a mirror1 n successively1 b simultane\sly2 & %e _h a faculty develop$ z sudd5ly = compreh5d+ ! :ole & e "p4 ,! h]o9e ( ?is rem>kable case1 cont9ues ,de ,qu9cey1 0 a girl ab\t n9e ye>s old2 & !re c be little d\bt t %e look$ d[n z f> )9 ! crat] ( dea?--t awful volcano--z any human be+ ev] c h done t has liv$ to draw back & to report h] exp]i5ce4 ,n less ?an n9ety ye>s did %e survive ?is memorable escape1 & ,i may describe h] z 9 all respects a woman ( rem>kable & int]e/+ qualities4 ,%e enjoy$ ?r\gh\t h] long life s]5e & cl\dless heal?2 _h a mascul9e und]/&+2 rev]5c$ tru? n less ?an did ! ,evangeli/s2 & l$ a life ( sa9tly devotion1 su* z might h glorifi$ ,hil>ion or ,paul6 ,i m5tion ^! traits z *>act]is+ h] 9 a memorable ext5t1 t ! read] may n suppose himself rely+ ^u a deal] 9 exagg]ations1 ^u a cr$ul\s en?usia/1 or ^u a c>eless wield] ( language4 ,=ty-five ye>s _h int]v5$ betwe5 ! fir/ "t & ! la/ "t ( h] tell+ me ?is anecdote1 & n "o iota _h %ift$ its gr\nd among/ ! incid5ts1 nor _h any ( ! mo/ trivial ( ! circum/ances suff]$ *ange4 ,h[ long ! *ild lay 9 ! wat] 0 probably nev] inquir$ e>ne/ly until ! answ] _h become irrecov]able3 = a s]vant to ^: c>e ! *ild 0 !n confid$1 _h a natural int]e/ 9 suppress+ ! :ole case4 ,f ! *ild's own acc\nt x w\ld seem t asphyxia mu/ h ann\nc$ its comm5cem5t4 ,a process ( /ruggle & deadly suffocation 0 pass$ ?r\gh half-consci\sly4 ,?is process t]m9at$ 9 a sudd5 bl[ app>5tly on or 9 ! bra91 aft] :i* !re 0 no pa9 or conflict3 b 9 an in/ant succe$$ a dazzl+ ru% ( light2 imm$iately aft] :i* came ! solemn apocalypse ( ! entire pa/ life4 7,de ,qu9cey's ,works1 ,ed9b41 #ahfb1 ,vol4 ,i41 ,confessions ( an ,engli% ,opium-,eat]1 p4 #bei47 ,sir ,dyce ,duckwor? rem9ds u t ! m5tal condition ( "s :o h be5 put to sleep ) an/hetics may ?r[ "s light on ?is matt]4 8,pati5ts10 says he1 8h told u !y dream$ !y 7 transport$ f e>? & c>ri$ (f into space1 7 supremely happy & at re/3 b t on gradually recov]+ consci\sness1 !y seem$ to light back aga9 ^u ?is _w1 7 mo/ reluctant to leave ! ,elysium !y _h rea*$1 & to recomm5ce _! e>?ly toils & /ruggles40 7,! ,agony ( ,dy+1 9 ,mon?ly ,pap] ( ! ,guild ( ,/4 ,b>nabas = ,nurses4 ,vol4 iii4 p4 #ha74 #af ,j4 ,a4 ,symonds1 ,m4,d41 ,art4 ,dea?1 9 ! ,cyclopdia ( ,anatomy & ,physiology1 #d vols41 royal #hvo1 ,lond4 ,vol4 i4 p4 #hjj4 #ag ,hal=d1 p4 #ah4 #ah ,hal=d1 p4 #ad4 #ai ,savory1 ut supra1 p4 #agh4 #bj p4 #gd4 #ba ,on ,life & ,dea?1 #hvo1 ,london1 #ahfc1 p4 #agg4 #bb ,brodie ut supra1 p4 #ahe4 #bc 8,i ?9k !re is reason = affirm+ t ! risk ( evil f ?is cause is rat$ g5]ally above ! tru?4 ,9 cases ( imm95t dang]1 ! m9d is n always1 or ev5 commonly1 to be int]pret$ by ! rule ( heal?4 ,m5tal emotions are (t5 alt]$ 9 k9d1 or greatly abat$ 9 degree4 ,dea? itself is beheld "u diff]5t views--a fact famili> to all :o h wat*$ ov] ^! sc5es1 & reg>d$ ! pati5t ap>t f ^? :o are griev+ ar\nd 8 dea?-b$4 ,suspicion ( a pa9ful tru? (t5 di/urbs mu* m ?an ! tru? pla9ly /at$40 7,sir ,h5ry ,holl&'s ,m$ical ,notes & ,reflections4 ,?ird edition1 #hvo4 ,lond4 #ahec1 p4 #cfb74 #bd ,hal=d1 p4 #gf4 #be ,hal=d1 p4 #ge4 #bf ,cyclopdia ( ,anatomy & ,physiology1 art4 ,dea?1 vol4 i4 p4 #gii4 #bg ,symonds ut supra1 p4 #gii4 #bh ,"l ,campbell1 ,lives ( ! ,*ief ,ju/ices ( ,engl&1 vol4 i4 #bi ,on ! ( ,aretu1 p4 #if4 #cj ,hal=d1 ,on ! ,cauti\s ,e/imation ( ,symptoms1 p4 #ag4 #ca ,hal=d ut supra1 p4 #ai4 #cb ,on ! ( ,aretu1 p4 #ia4 #cc ,a4 ,p4 ,wilson ,philip1 ,on ,sleep & ,dea?1 #hvo1 ,london1 #ahcd1 p4 #afe4 #cd ,cyclopdia ( ,anatomy & ,physiology1 vol4 i4 p4 #gii4 #ce ,dr4 ,symonds cont9ues1 8,! previ\s habits & conduct ( ! individual h sometimes be5 su* z to incl9e spectators to inquire1 :e!r 9 ! mode ( 8 dep>ture f exi/5ce1 he might n already be receiv+ retribution1 j z1 9 o!r cases1 cele/ial dreams & colloquies h seem$ fitt+ rew>ds = blameless lives & religi\s m$itation40 #cf ,cyclopdia ( ,practical ,m$ic9e1 art4 ,disease1 vol4 i4 p4 #fbi4 #cg ,brodie1 ut supra1 vol4 i4 p4 #bha4 #ch ,brodie ut supra1 p4 #ahb4 #ci ,brodie1 p4 #ahb4 #dj ,! ,anatomy & ,philosophy ( ,expression4 ,f\r? ,edition1 #ahdg1 p4 #ahe4 #da ,symonds1 ut supra1 p4 #hjc4 ,,ii4 ,,! ,,symptoms ,,& ,,modes ,,( ,,dy+4 ,x is (t5 difficult to det]m9e :5 ! act ( dy+ really beg9s4 ,practically1 x %\ld be dat$ f ! mom5t :5 ! physician concludes f reliable signs1 n only t ! disease "u :i* ! pati5t lab\rs is incurable by nature or art1 b t ! vital p[]s are already s utt]ly r$uc$ t !y are beyond ! possibility ( re/oration4#db ,& on ^! po9ts ! ,fa!r ( ,physic is p]haps /ill our be/ guide4 ,a %>p & p9*$ nose1 ! eyes sunk 9 ! orbits & holl[1 ! e>s pale1 cold1 %runk1 ) _! lobes inv]t$1 & ! face pallid1 livid1 or black2 ^! toge!r make up ! celebrat$ facies ,hippocratica1#dc & %[ t ! "w ( dy+ has comm5c$1 & has already made "s progress4 ,!y are signs ( utt] exhau/ion 9 ! circulation & 9 ! muscul> sy/em1 & !y po9t to a loos5+ ( all ! bonds#dd by :i* be+ is held toge!r 9 ! human frame4 ,to ^! may be add$ ! glaz$ half-clos$ eye2 ! dropp$ jaw & op5 m\?2 ! blan*$1 cold1 & flaccid lip2 cold clammy sweats on ! head & neck2 a hurri$1 %all[ respiration on ! "o h&1 or sl[1 /]tor\s brea?+ ) rattle 9 ! ?roat ^u ! o!r2 a pulse irregul>1 unequal1 weak1 & immeasurably frequ5t2 ! pati5t pro/rate ^u 8 back2 & slid+ d[n t[>ds ! foot ( ! b$2 8 arms & legs ext5d$1 nak$1 & toss$ ab\t 9 disord]2 ! h&s wav$ languidly be=e ! face1 grop+ ?r\gh empty air1 fumbl+ ) ! %eets1 or pick+ at ! b$clo!s4 ,^! latt] symptoms come on = ! mo/ "p lat] 9 ! s]ies2 !y are ! imm$iate precursors ( dea?1 & %[ t t ev5t is ne> at h&4 ,m or few] ( ^! ph5om5a are to be se5 9 mo/ dy+ p]sons2 b !y v>y 9 numb] & "*1 9 ! ord] ( _! appe>ance1 & 9 _! comb9ation1 accord+ to ! nature ( ! disease 9 ! c\rse ( :i* !y occur1 & ( ! mode ( dy+ to :i* !y sev]ally t5d4 8,al?\gh10 says ,sir ,?omas ,watson1 8all m5 mu/ die1 all d n die 9 ! same mann]4 ,9 "o in/ance ! ?read ( exi/5ce is sudd5ly snapp$1 ! passage f life & app>5t heal? p]haps to ! condition ( a corpse is made 9 a mom5t3 9 ano!r ! process ( dissolution is sl[ & t$i\s1 & we sc>cely "k ! precise in/ant 9 :i* ! solemn *ange is complete4 ,"o man reta9s possession ( 8 intellect up to 8 late/ brea?2 ano!r lies unconsci\s & ins5sible to all outw>d impressions = h\rs or days be=e ! /ruggle is ov]40#de ,:atev] may be ! remote causes ( dissolution1 ! modes 9 :i* dea? is actually br\ght ab\t v>y rem>kably1 accord+ z x beg9s 9 ! he>t1 9 ! lungs1 or 9 ! bra94 ,dea? beg9n+ at ! he>t is sometimes in/antane\s4 ,sudd5ly & )\t w>n+ ( any k9d1 ! he>t ceases to beat1 ! individual turns pale1 falls back or drops d[n & expires ) "o gasp4 ,b (t5]1 dea? takes place sl[ly1 !re is a m or less l5g!n$ p]iod ( exhau/ion1 & dea? occurs 9 ! way ei!r ( syncope1 or ( a/h5ia4 ,! ph5om5a :i* att5d dy+ by syncope are describ$ by ,sir ,?omas ,watson z 8pal5ess ( ! face & lips1 cold sweats1 dimness ( vision1 dilat$ pupils1 v]tigo1 a sl[1 weak1 irregul> pulse1 & spe$y ins5sibility4 ,) ^! symptoms are frequ5tly conjo9$ nausea & ev5 vomit+1 re/lessness & toss+ ( ! limbs1 transi5t delirium2 ! brea?+ is irregul>1 sigh+1 &1 at la/1 gasp+2 & convulsions g5]ally occur1 & are once or twice repeat$ be=e ! sc5e closes40#df ,:5 dea? occurs f a/h5ia or failure ( contractile p[] 9 ! he>t1 8! pulse becomes v feeble & frequ5t1 & ! muscul> debility extreme1 b ! s5ses are p]fect1 ! he>+ is sometimes ev5 pa9fully acute1 & ! intellect rema9s cle> to ! la/40#dg ,dea? beg9n+ at ! lungs1 f asphyxia or suffocation1 is m>k$ by labori\s heav+ ( ! *e/1 /rong b ineffectual contractions ( ! respiratory muscles1 di/ress ab\t ! brea/2 8! face at fir/ becomes flu%$ & turgid1 !n livid & purpli%1 ! ve9s ( ! head & neck swell1 & ! eyes seem to protrude f _! sockets4 ,!re is v]tigo1 !n loss ( consci\sness1 & !n convulsions40#dh ,! livid face & lab\r$ brea?+ are accept$ z evid5ce ( sev]e bodily suff]+1 b !y are only p>tially s1 = ! circulation ( undec>boniz$ blood on :i* !y sev]ally dep5d1 ?r\gh ! bra91 9 common ) o!r p>ts ( ! frame1 fir/ b5umbs s5sibility1 & !n aboli%es x altoge!r4 8,di/urbance ( respiration10 says ,dr4 ,f]ri>1#di 8is (t5 ! only app>5t s\rce ( uneas9ess to ! dy+1 b s5sibility seems to be impair$ 9 exact proportion to ! decrease ( t function40 ,dea? beg9n+ at ! bra9 de/roys life indirectly--by its influ5ce on ! lungs or on ! he>t1 & s by ! way ( coma or ( a/h5ia4 ,9 dea? by coma !re is 8/upor m or less pr(\nd2 ! s5sibility to outw>d impressions is de/roy$1 sometimes :olly & at once1 mu* (t5] gradually2 ! respiration becomes sl[1 irregul>1 /]tor\s2 all volunt>y att5tion to ! act ( brea?+ is lo/1 b ! in/9ctive motions cont9ue4 ,at l5g? ! *e/ ceases to exp&1 ! blood is no long] arat$10#ej & !nce=w>d precisely ! same int]nal *anges occur z 9 dea?1 beg9n+ at ! lung4 ,x is 9 ?is way t mo/ fatal disord]s ( ! bra9 produce dea?4 ,:5 dea? />t+ f ! bra9 acts ?r\gh ! he>t1 x occurs some:at sudd5ly1 & 9 ! way ( %ock1 z 9 "s ( ! wor/ cases ( apoplexy--! 8apoplexie f\droyante10 = example--or m sl[ly1 9 ! way ( exhau/ion or a/h5ia1 z 9 "s cases ( delirium trem5s1 or ( phr5sy--& z happ5$ 9 ! two cases describ$ at pages #cf & #ch4 ,! sev]al modes ( dy+ describ$ above1 are (t5 comb9$ 9 ! same p]son1 complicat+ ! process & confus+ our views ( x2 ) ! effect too1 9 "s cases1 ( increas+ ! suff]+s ( ! dy+1 b 9 o!rs ( less5+ !m4 ,?us coma1 f implication ( ! bra9 sup]v5+ on diseases ( ! lung1 fir/ less5s ! p]ception ( ! di/ress & angui% :i* att5d !m1 & !n ext+ui%es x4 ,^! mix$ =ms ( dea? are se5 especially 9 fev]s4 ,,footnotes3 #db 8,at ,m$icus mori5di initium altius repetet1 et jam ab eo inde tempore ducet1 quo signis m9ime dubiis cognov]it1 morbum natur artique non tantum insup]abilem esse1 s$ et sub eo vires sic p]ire ut rep>>i nequeant40 7,p>adys1 ,oratio de naturali1 p4 #fg74 #dc ,9 ! words ( ,lucretius1 vi4 #a1 #aij-- 8,item1 ad supremum d5ique tempus1 ,compress n>es1 nasi primoris acum5 ,t5ue1 cavatei oculei1 cava tempora2 frigida pellis1 ,duraque1 inhorrebat tactum2 frons t5ta meabat3 ,nec nimio rigida po/ artus morte jacebant40 ,or1 z r5d]$ by an accompli%$ physician1 ,dr4 ,mason ,good-- 8,!n1 t['rds ! la/1 ! no/rils close collaps'd2 ,! nose acute2 eyes holl[2 temples scoop'd2 ,frigid ! sk91 retract$2 o'er ! m\? ,a gha/ly gr92 ! %rivell'd =ehead t5se2 ,! limbs out/ret*'d = in/ant dea? prep>'d40 #dd 8,omnia tum v]o vitai clau/ra lababant40 7,lucretius1 vi4 #a1aea74 8,!n all ! p[]s ( life 7 loos5'd40 7,mason ,good74 #de ,lectures on ! ,pr9ciples & ,practice ( ,physic4 ,fif? edition1 #b vols4 #hvo1 ,london1 #ahga1 vol4 i4 p4 #fb4 ,sir ,?omas ,watson 9 8 admirable lecture on ! ,diff]5t ,modes ( ,dy+1 has treat$ ! :ole subject s graphically1 t ,i %all foll[ him z closely z possible 9 :at ,i h to adduce on ?is "p ( my subject4 #df ,watson1 p4 #ff4 #dg ,watson1 p4 #fh4 #dh ,ibid41 p4 #gj4 #di ,on ! ,treatm5t ( ! ,dy+4 ,m$ical ,hi/ories & ,reflections4 ,vol4 iii4 p4 #aie4 #ej ,watson1 p4 #gf4 ,,iii4 ,,! ,,g5]al ,,& ,,m$ical ,,treatm5t ,,( ,,! ,,dy+4 ,_m ( ! suff]+s ( ! dea?-b$ are n naturally or necess>ily incid5t to ! act ( ! dy+2 b are due to surr\nd+ circum/ances t admit ( alt]ation or removal4 ,?us1 re/lessness & jactitation are (t5 due to ! weight ( ! b$ cov]+s1 & are at once remov$ by light5+ !m2--difficulty ( brea?+ & gasp+1 increas$ by ! heat & clos5ess ( ! *amb]1 are remov$ by ! admission ( fre% & cool] air1 by *ange ( po/ure & by pill[s c>efully adapt$ to ! effici5t support ( ! trunk ( ! body4 ,!re is no?+ ( great] importance 9 ! treatm5t ( ! dy+ ?an ! "r adm9i/ration ( nutrim5t4 ,errors 9 fe$+ are ! cause ( mu* ( ! disquietude & ( _m ( ! suff]+s t att5d ! dy+4 ,! s9k+ & exhau/ion t are 9 progress ?r\gh\t ! sy/em1 are assum$ by ! att5dants to dem& a free adm9i/ration ( food & /imulants1 =gett+ t ! /oma* %>es 9 ! exhau/ion1 & has lo/ its tone1 & 9 great "p1 if n :olly1 its p[] ( dige/+4 ,food is giv5 too frequ5tly1 & 9 quantities too l>ge4 ,! dy+ p]son is induc$ by ! we>isome importunity ( 8 att5dants to take food or /imulants1 aga9/ :i* nature & 8 /oma* revolt4 ,! evid5t dislike & loa?+ ) :i* he submits1 ! difficulty he has 9 swall[+ x1 & ! urg+ & ret*+ :i* t act sometimes induces1 ought to save him f :at is really "u ! circum/ances an act ( cruelty4 8,"h10 to use ! words ( ,sir ,h5ry ,holl&1 8we are call$ ^u to ma9ta9 ! cause ( ! pati5t1 = su* x truly is1 aga9/ ! mi/ak5 importunities :i* (t5 surr\nd him1 & :i* x requires mu* firmness 9 ! physician to put aside40#ea ,! wi%es ( ! pati5t himself1 :5 he has rea*$ ! /age ( exi/5ce "h contemplat$1 may g5]ally be tak5 z a correct indication 9 all t relates to ! adm9i/ration ( food & /imulants4 ,food :5 unwisely giv51 accumulates 9 ! /oma*1 di/5ds & di/resses x1 & imp$es ! respiration4 ,"u su* circum/ances ! pit ( ! /oma* w be f\nd tumid & t5se1 dull ^u p]cussion1 & intol]ant ( pressure4 ,at l5g? "s ( ! cont5ts ( ! di/5d$ /oma* regurgitate into ! ?roat or m\?2 or !re may be actual vomit+1 & ?is to ! evid5t relief ( ! suff]]4 ,hiccup is (t5 due solely to an ov]load$ & di/5d$ /oma*4 ,mu* discretion is ne$$ 9 fix+ on ! k9d & quantity ( food to be giv54 ,some?+ w dep5d on ! "* ( ! disease "u :i* ! pati5t is s9k+2 & some?+ on ! l5g? ( "t he is likely to survive4 ,if ! act ( dy+ is likely to be protract$1 z x (t5 is 9 canc] & "s cases ( consumption1 :]e dea? is br\ght ab\t by sl[ly progressive exhau/ion1 ! food %\ld be support+ & 9 some:at l>g] quantity4 ,i h long d\bt$ :e!r /rong beef tea & meat extracts are z a rule ( mu* use1 or are appropriate :5 ! act ( dy+ has really comm5c$4 ,milk1 cream1 beat5 eggs1 & ! f>9acea are f> bett]4 ,!y are1 too1 ! be/ vehicles = w9e & spirits2 & !y h less t5d5cy ?an s\ps to become (f5sive 9 ! /oma*4 ,alcohol 9 its f]m5t$ or di/ill$ =ms is ( special use 9 ! treatm5t ( ! dy+4 ,ow+ to its high diffusive p[] x passes readily into ! blood4 ,x /imulates ! fail+ he>t1 & ?us promotes ! circulation ?r\gh ! lungs1 :i* is "o ( its mo/ valuable prop]ties 9 ! dy+4 ,x may p]haps increase ! secretion ( ! ga/ric juice2 x m probably /imulates ! p]i/altic movem5ts ( ! /oma*1 & by s mu*1 aids ! dige/ive process1 & supports ! pati5t 9 ! be/ & mo/ natural mann]4 ,/imulants & nutrim5t %\ld z a rule be giv5 toge!r = !y mutually influ5ce ea* o!r4 ,! quantity ( w9e or _s :i* is ne$$ v>ies exce$+ly1 & no def9ite rule c be laid d[n on ?is po9t4 ,!y %\ld be giv5 9 small quantities at a "t & repeat$ at %ort int]vals be=e ! effects ^u ! he>t & pulse ( ! previ\s dose h subsid$4 ,( w9es1 %]ry is p]haps ! mo/ useful4 ,port1 if pref]r$ by ! pati5t1 may be sub/itut$1 b ,i h n f\nd x1 z a rule1 to agree z well z %]ry4 ,madeira f its slight acidity is specially agreeable to ! palate1 & is besides ! mo/ su/a9+ & cordial ( w9es4 ,b tokay is (t5 m acceptable ?an any o!r w9e1 especially to ^? s9k+ f exhau/+ diseases1 z hemorrhage1 pr(use suppuration1 & ! l4 ,x is be/ giv5 ) cream4 ,! /imulus ( ^! w9es is long] ma9ta9$ ?an is t ( o!r =ms ( alcohol4 ,*ampagne is mo/ refre%+ & is (t5 eag]ly tak52 b its effects are evanesc5t & x ne$s repeat+ at %ort] int]vals ?an o!r w9es4 ,a teaspoonful ( br&y1 or ( "s liqueur may sometimes be advantage\sly add$ to x4 ,sometimes br&y answ]s bett] ?an any w9e1 especially if ! /oma* is irritable & !re is nausea or vomit+4 ,z a m]e /imulant x is be/ adm9i/]$ ) yolk ( egg & sug>1 z is ,sir ,h5ry ,hal=d's celebrat$ mixture--! ,mi/ura ,spiritus ,v9i ,gallici ( ! ,ph>macopia4 ,if br&y is us$ = its special tranquilliz+ influ5ce on an irritable /oma*1 x may be giv5 neat1 9 dra*m doses1 or 9 d\ble t quantity 9 a little simple1 or 9 "o ( ! arat$1 wat]s4 ,! wi% ( ! pati5t = any p>ticul> =m ( /imulant is almo/ always a correct indication = its use4 ,! dry & p>*$ condition ( ! tongue & m\? s common 9 ! dy+1 & ! inext+ui%able ?ir/ t att5ds "s =ms ( x1 ne$ con/ant att5tion4 ,a spoonful ( ic$-wat] repeat$ frequ5tly w be a great com=t4 ,s1 too1 is a small bit ( ice all[$ to dissolve 9 ! m\?--or lemonade--or weak black tea )\t milk1 & slightly acidulat$ ) a slice ( lemon4 ,9 ! case ( nutrim5t & /imulants z ( m]e dilu5ts1 x is to be und]/ood--suppos+ !re is no?+ to =bid--t s long z ! lips close ^u !m1 & an act ( swall[+ foll[s promptly1 !y may be cont9u$3 b :5 liquids seem m]ely to trickle d[n ! ?roat1 & aft] a "t1 only to excite a fa9t ef=t ( swall[+1 !y %\ld no long] be p]si/$ 94 ,! s5sibility ( ! p>ts is s dim9i%$ t ! pati5t is ins5sible to ! /imulus ( ! liquid1 & we inf] a =tiori to ! dry & p>*$ /ate ( ! m\? & fauces4 ,if1 aft] rubb+ ! lips g5tly ) ! spoon1 or ) ! sp\t ( ! fe$+ vessel1 no evid5t & di/9ct act ( swall[+ foll[s1 x is useless1 & x may be cruel to p]si/2 ! liquid w b clog ! m\? & fauces1 add to ! imp$im5t to brea?+1 & by s mu*1 if any consci\sness rema9s1 to ! suff]+s ( ! dy+4 99 99 99 99 99 ,next 9 value to /imulants 9 ! treatm5t ( ! dy+ is opium4 ,x is a tradition t ,john ,hunt] us$ (t5 to exclaim1 8,?ank ,god = opium10#eb & "u no circum/ances are we b\nd to be m ?ankful = x !n :5 m9i/]+ at ! b$side ( ! dy+4 ,opium is "h wor? all ! re/ ( ! mat]ia m$ica4 ,its object & action mu/ h[ev] be cle>ly und]/ood4 ,opium is adm9i/]$ to ! dy+1 z an anodyne to relieve pa92 or z a c>diac & cordial to allay t s9k+ & angui% ab\t ! /oma* & he>t1 :i* is s frequ5t 9 ! dy+1 & is (t5 worse to be> ?an pa91 h[ev] sev]e4 ,opium %\ld r>ely be adm9i/]$ to ! dy+ z a m]e hypnotic1 or ) a view to en=ce sleep4 ,to d s w\ld be to risk ?r[+ ! pati5t into a sleep f :i* he may n awake4 ,b opium (t5 induces sleep indirectly1 & 9 ! k9de/ way1 by ! relief ( pa91#ec or s9k+ t _h hi!rto r5d]$ sleep impossible4 ,= ! relief ( pa9 9 ! dy+ :]ev] x may be situat$1 we h our "o tru/wor?y rem$y 9 opium4 ,heb]d5 writes1 8,9 impetu autem doloris1 ubi ubi is fu]it1 opium e/ unicum rem$ium40 ,if judici\sly & freely adm9i/]$ x is equal to mo/ ( ! em]g5cies 9 ! way ( pa91 t we are likely to meet ) 9 ! dy+1#ed :]eas if timidly & inadequately us$1 ! suff]] is depriv$ ( ! relief :i* x alone is capable ( af=d+4 ,! value ( opium 9 allay+ pa91 great z t is1 is h[ev] second to its value 9 reliev+ ! feel+ ( exhau/ion & s9k+--( indescribable di/ress & anxiety--ref]r$ to ! /oma* & he>t1 :i* s (t5 att5ds "s "p ( ! act ( dy+4 ,to ! practis$ eye1 ?is condition is evid5c$1 z mu* by ! p9*$ features1 pallid complexion1 & anxi\s expression ( face1 z by any v]bal compla9t ( ! suff]]4 ,"h ! action ( opium is t ( a cordial 9 ! fulle/ s5se ( ! ^w4 8,( all cordials10 says ,syd5ham1 8opium is ! be/ t has hi!rto be5 discov]$4 ,i _h ne>ly said10 adds he1 8t x is ! only "o40#ee 8,"u ! protection ( an opiate10 writes ,dr4 ,heb]d51#ef 8! pati5t's /r5g? has be5 kept up1 & ev5 9 hopeless cases 9 :i* ! dy+ p]son is h>ass$ by unspeakable inquietude1 he may be lull$ into "s composure1 & )\t dy+ at all soon] may be enabl$ to die m easily40 ,i "k ( no?+ 9 our att5dance on ! dy+ m gratify+1 ?an to witness ! improvem5t 9 face1 feature1 & expression1 t m>ks ! k9dly action ( opium "u ^! circum/ances4 ,9 an h\r or !reab\ts1 aft] x has be5 tak51 "s col\r returns to ! face1 ! features lose some:at ( _! %>pness1 a placid expression replaces ! look ( anxiety1 & ! suff]] passes into an easy1 g5tle sleep1 f :i* he awakes refre%$ & com=t$1 & help$ z x w\ld seem1 to die m easily1 :5 8 "t arrives4 ,hufel&1 writ+ at ! end ( a long pr(essional life1 did n hesitate to decl>e t opium 8is n only capable ( tak+ away ! pangs ( dea?1 b x imp>ts ev5 c\rage & en]gy = dy+40#eg ,opium mu/ be adm9i/]$ 9 su* doses z w appease suff]+ & disord]1 & 9 ?is respect we are to be gov]n$ solely by ! effect & relief af=d$4 ,! dose = an adult %\ld be r>ely less ?an a gra91 b (t5] m4 8,!re exi/s10 writes ,sir ,h5ry ,holl&1 8di/ru/1 bo? z to ! frequ5cy & ext5t ( its use n w>rant$ by facts1 & injuri\s 9 _m ways to our success20#eh 8its use is n to be measur$ timidly by tables ( doses1 b by fulfilm5t ( ! purpose = :i* x is giv54 ,a repetition ( small quantities w (t5 fail1 :i* conc5trat$ into a s+le dose w\ld safely effect all we require40#ei ,! effects ( opium cont9ue = ab\t eight h\rs1 & if its action is to be ma9ta9$ x %\ld be repeat$ at int]vals ( t duration or some:at less4 ,! dose is to be gov]n$ solely by ! relief af=d$4 ,its effects are usually limit$ to relief ( ! pa91 or ( ! s5se ( s9k+ = :i* x has be5 giv51 produc+ no o!r direct effect on ! sy/em 9 g5]al4 8,x w\ld seem10 says ,sir ,h5ry ,holl&1 8t ! m$ic9e1 exp5d+ all its specific p[] 9 quiet+ ^! disord]s1 loses at ! "t e o!r influ5ce on ! body4 ,ev5 ! sleep peculi> to opium appe>s 9 su* in/ances to be want+1 or produc$ *iefly 9 effect ( ! release f suff]+40#fj ,opium %\ld always be giv5 to ! dy+ 9 its liquid =ms--z ! t9cture1 or ! liquid extract--or z morphia1 ( :i* ,i "k ( no prep>ation ( equal value to ! solution ( ! bimeconate4 ,s long z ! air passages are n ob/ruct$ by secretion1 s long z !re is nei!r lividity nor ev5 dusk9ess ( face1 opium1 if indicat$1 may be giv5 9 aid ( ! ,eu?anasia2 b if !y are pres5t1 x is haz>d\s & might ha/5 dea?4 ,mu* c>e1 too1 is ne$$ 9 ! employm5t ( opium1 9 cases :]e ! he>t is greatly enfeebl$1 & :]e ! conditions1 directly or indirectly induc$ by opiates1 especially t ( sleep1 may be j en\gh to turn ! balance aga9/ x4 ,a contract$ pupil is also a contra-indication to opium2 x implies a /ate ( ! bra91 :i* opium is likely to increase r ?an relieve4 ,& if food has be5 injudici\sly press$ ^u ! pati5t1 s t ! /oma* is di/5d$ ) x1 & ! epiga/rium is full & t5se1 opium giv5 by ! m\? is r>ely f\nd to act k9dly1 if at all4 ,if1 "u su* circum/ances1 ! influ5ce ( opium is ne$$1 we %\ld resort to ! hypod]mic injection ( morphia4 ,pr(essor ,p>adys w>ns u ( ! confusion ( ! s5ses & ( ! m9d t sometimes foll[s ! adm9i/ration ( opium to ! dy+1 & :i* to "s p]sons is worse to be> ?an ! suff]+s = :i* x has be5 prescrib$4#fa ,b ?is1 9 my exp]i5ce1 has be5 r>e1 & w be seldom obs]v$ if opium is re/rict$ to ! cases :]e1 z ,i h /at$ above1 x is specially call$ =1--namely1 9 relief ( pa9 or ( sev]e s9k+4 ,:51 h[ev]1 x does occur 9 ^! circum/ances1 x is probably due1 ei!r to an idiosyncrasy on ! "p ( ! pati5t1 or to ! inadequacy ( ! dose giv51 :i* has be5 en\gh to confuse & /upify ! s5ses1 b n to control ! symptoms = :i* x 0 adm9i/]$4 8,si timide et nimis p>ce datum fu]it10 writes ,dr4 ,gregory1#fb 8longe alium effectum habebit1 et iisdem grotis haud p>um nocebit1 quibus l>gius datum multum pr(uisset40 99 99 99 99 99 ,ammonia is inf]ior z a /imulant to w9e & br&y1 :i* are m palatable & pref]able1 :ile z an antispasmodic x is v inf]ior to e!r4 ,b x is useful :]e ! respiration flags & ! brea?+ is ob/ruct$ by secretion accumulat+ 9 ! bron*ial tubes1 & ! complexion is becom+ dusky & livid4 ,five gra9s ( ! c>bonate dissolv$ 9 camphor wat] is a good mode ( adm9i/]+ x4 ,small doses ( oil ( turp5t9e are sometimes m effectual ?an ammonia4 ,a dra*m ( ! confection ( turp5t9e rubb$ up 9 pepp]m9t wat]1 is p]haps ! be/ =m ( giv+ x4 99 99 99 99 99 ,next 9 value to opium 9 its p[] ( alleviat+ ! suff]+s ( ! dy+ is e!r4 ,x is specially indicat$ 9 gasp+ or spasmodic difficulty ( brea?+1 :e!r dep5d5t on ! lungs or he>t2 & 9 flatul5t di/5tion ( ! /oma*1 att5d$ ) unavail+ ef=ts at eructation4 ,^! two conditions are (t5 conjo9$ 9 ! dy+1 & !n ! indication = e!r is ! /ronge/4 ,accord+ to my exp]i5ce e!r is mo/ effici5t :5 giv5 9 comb9ation ) a few drops ( sulphuric acid1 z 9 ! acid infusion ( roses1 or bett] ) m9t wat] & sug>1 z 9 ! s-call$ 8e!r pun*40#fc ,opium or laudanum 9 some:at small] doses ?an ^? recomm5d$ above1 is (t5 add$1 ) great advantage to e!r1 :5 !re is ne$ ( a pot5t antispasmodic4 ,9 ! p>oxysms ( sev]e prcordial angui% & dyspna t *>act]ize _m dea?s f organic disease ( ! he>t & great vessels ( ! *e/1 relief mu/ be s\ght 9 e!r & opium1 or f ! inhalation ( ! nitrite ( amyl4 99 99 99 99 99 ,! few] ! drugs & ! less ( m$ic9e we c d ) 9 ! treatm5t ( ! dy+1 ! bett]4 ,^? above m5tion$ comprise all ,i h _h occasion =1 & if judici\sly us$1 !y are equal to ! em]g5cies we are call$ ^u to meet4 ,i h no wi% unduly to limit ! means at our comm& 9 aid ( ! ,eu?anasia2 b :5 ! /age ( exi/5ce contemplat$ 9 ^! pages has once be5 rea*$1 we dismiss all ?\ght ( cure1 or ( ! prolongation ( life1 & our ef=ts are limit$ to ! relief ( c]ta9 urg5t conditions1 su* z pa91 exhau/ion1 dyspna1 spasm1 & ! l2 = :i* ! rem$ies m5tion$ above are to ! full z effici5t1 if n really m s1 ?an any o!rs z yet kn[n4 ,b no m$ic9e %\ld be giv5 )\t a di/9ct--,i _h almo/ writt5 urg5t--ne$ = x2 & ! physician %\ld =m a cle> idea ( ! special requirem5ts ( ! case be=e him1 & h[1 & by :at means !y may be be/ accompli%$4 ,9 v _m cases !re is no ne$ ( m$ic9es ( any k9d1 & /imulants & light n\ri%m5t cauti\sly adm9i/]$1 meet e requirem5t4 ,b (t51 & 9 almo/ all cases1 at a c]ta9 p]iod ( _! c\rse1 ! less ev5 ( ^! t is giv5 ! bett]4 8,m$ici plus int]dum quiete1 quam mov5do et ag5do pr(iciunt10 writes ,livy1 & !re are few dy+ b$s1 :]e1 j be=e ! la/1 ?is precept does n f9d its fitt+ application4 8,all t ! dy+ p]son1 !n1 requires is to be left alone1 & all[$ to die 9 peace40#fd 8,di/urb him n--let him pass peaceably40 8,! physician10 writes ,dr4 ,f]ri>1#fe 8w n torm5t 8 pati5t ) unavail+ attempts to /imulate ! dissolv+ sy/em1 f ! idle vanity ( prolong+ ! flutt] ( ! pulse = a few m vibrations3 if he _c alleviate 8 situation1 he w protect 8 pati5t aga9/ e suff]+ :i* has n be5 atta*$ to x by nature40 ,z ! pati5t himself is :olly unable to expla9 :at is ne$ful 9 8 situation1 ! physician is b\nd to act = him 9 regulat+ ! economy ( ! b$-*amb]4 ,! temp]ature & v5tilation ( ! room--! am\nt ( light to be admitt$--! degree ( quiet to be ma9ta9$ 9 x--mu/ be det]m9$ accord+ to ! circum/ances ( ea* p>ticul> case4 ,:5 ! mode ( dy+ is by ! lung1 & 9 ! way ( asphyxia1 ! admission ( fre%1 cool air into ! room seems to conduce to ! relief ( dyspna1 & greatly to ! com=t ( ! suff]]4 ,! cu/om ( exclud+ daylight z f> z may be f ! dy+ *amb]1 & keep+ x gloomy & d>k1 is 9 e respect a mi/ake1 & is to be oppos$4 ,if !re is "o ?+ ab\t 8 surr\nd+s :i* m (t5 ?an any o!r is compla9$ ( by ! dy+1 x is ( fail+ sight--( a d>kness ga!r+ ov] him2 & a desire is express$ = m light4 ,talk+ 9 an und]tone & :isp]+ 9 ! pres5ce ( ! dy+ is to be p]emptorily *eck$4 ,:at has to be said1 & ! less t is ! bett]1 %\ld be 9 a cle>1 di/9ct1 ord9>y tone1 some:at1 p]haps1 bel[ ! ord9>y4#ff ,! dy+ *amb] is no place = (fici\s int]f]5ce or obtrusive curiosity4 ,! few] t are admitt$ to x ! bett]--! nurse1 ! m9i/] ( religion1 ! m$ical att5dant1 & ! imm$iate memb]s ( ! family1 comprise ^? ^: duty & feel+s entitle !m to be pres5t4 8,:ile ! s5ses rema9 p]fect1 ! pati5t ought to direct 8 own conduct1 bo? 9 8 devotional ex]cises1 & 9 ! la/ int]*ange ( affection ) 8 fri5ds40#fg ,he w be wise if he does s "u ! exp]i5c$ guidance ( 8 religi\s advis]4 8,! p[]s ( ! m9d1 aft] be+ =cibly ex]t$ on ^! objects1 commonly s9k into complete debility1 & respiration becom+ weak] e mom5t1 ! pati5t is r5d]$ app>5tly ins5sible to ev]y?+ ar\nd him4 ,b ! circum/ances ( ! disease occasion mu* v>iety 9 ?is progress40#fh ,ev5 :5 p]sons appe> ins5sible1 x is c]ta91 z ,i h be=e rem>k$1 t frequ5tly !y are cognisant ( :at is pass+ ab\t !m4 8,i h kn[n !m reque/$10 says ,dr4 ,elliotson1 8to give a sign t !y 7 /ill alive by mov+ a f+]1 or by int]rupt+ _! brea? :5 to move a f+] 0 impossible3 & !y h done s1 al?\gh believ$ by _m to h be5 long s5seless40#fi ,9 _m cases !re is a sort ( lucid int]val imm$iately be=e dissolution4 ,?is may be p]ceiv$ by ! looks & ge/ures :]e ! pati5t is incapable ( speak+4 ,:5 ?+s come to ! la/ & ! act ( dissolution is imm95t1 all noise & bu/le ab\t ! dy+ p]son %\ld be prohibit$1 & unless ! pati5t %\ld place himself 9 a po/ure evid5tly uneasy he %\ld be left undi/urb$4#gj ,! dy+ are (t5 impati5t ( any k9d ( cov]+4#ga ,!y ?r[ (f ! b$clo!s & lie ) ! *e/ b>e1 ! arms abroad1 & ! neck1 arms1 & legs z mu* expos$ z possible3--,ubi sup9us g] jacet1 porrectis manibus et cruribus1 writes ,celsus--ubi bra*ia et crura nudat et 9qualit] disp]git4 8,^! actions10 writes ,dr4 ,symonds1#gb 8we believe to be prompt$ by in/9ct1 9 ord] t nei!r cov]+ nor ev5 contact ) ! re/ ( ! body may prev5t ! op]ation ( ! air on ! sk94 ,!re are actions & re-actions betwe5 ! air & ! blood 9 ! sk9 simil> to ^? :i* occur 9 ! lungs1 & ^! are 9 aid ( !m40 ,su* automatic actions ought n to be int]f]$ )1 unless ! pati5t has got into a position evid5tly di/ress+ to himself1 or except s f> z dec5cy requires :5 !re is any approa* to unseemly exposure4 ,exclamations ( grief1 & ! cr[d+ ( ! family r\nd ! b$1 only s]ve to h>ass ! dy+ man1 writes ,f]ri>1 :o adds1 8,! common practice ( ply+ him ) liquors ( diff]5t k9ds1 & ( =c+ !m into 8 m\? :5 he _c swall[1 %\ld be totally ab/a9$ f40 ,b to ?is error ,i h already ref]r$4 ,x 0 a cu/om 9 ! ,middle ,ages to /rip ! dy+1 drag !m f _! b$s1 & lay !m on a%es or on mattresses ( /raw or hair ^u ! floor4 ,x 0 !n :olly or 9 "p a p5it5tial act1 & ! influ5ce ( ?is cu/om has1 p]haps1 n yet :olly ceas$4 8,x is10 says ,dr4 ,f]ri>1#gc 8a preval5t op9ion among nurses & s]vants t a p]son ^: dea? is l+]+ _c quit life :ile he rema9s on a common b$1 & t x is necess>y to drag ! b$ away & place him on ! mattress4 ,?is piece ( cruelty is (t5 practis$ :5 ! att5dants are left to !mselves4 ,a /ill m haz>d\s practice has be5 v preval5t 9 ,france & ,g]many1 & ,i am afraid is n unkn[n 9 ?is c\ntry4 ,:5 ! pati5t is suppos$ by ! nurses to be ne>ly 9 a dy+ /ate1 !y )draw ! pill[s & bol/] f b5ea? ! head1 sometimes ) su* viol5ce z to ?r[ ! head back & to add greatly to ! difficulty ( respiration4 ,z ! av[$ motive = ?is b>b>ity is a desire to put ! pati5t out ( pa9--t is1 to put him to dea?--x is incumb5t on 8 fri5ds to pres]ve him f ! h&s ( ^? execution]s4 ,p]haps a m deplorable condition c sc>cely be conceiv$ ?an t ( be+ transf]r$ f ! soo?+ c>e ( relations & fri5ds1 to ! (fici\s folly or rugg$ indiff]5ce ( s]vants40 ,"o w\ld hope t su* cruelty is a ?+ ( ! pa/4 ,my own exp]i5ce =ty ye>s s9ce z a disp5s>y physician 9 ! ea/]n p>ts ( ! metropolis1 l$ me to conclude t x 0 n !n & !re :olly unkn[n or unpractis$4 ,:at x may be 9 remote rural di/ricts1 :]e ! class ( old1 ignorant & prejudic$ nurses /ill exi/1 ,i h no means ( kn[+4 8,?is is a /ate ( suff]+10 adds ,dr4 ,f]ri>1 8to :i* we are all expos$1 & if x 7 unavoidable1 ,i %\ld be f> f desir+ to unveil s afflict+ a prospect4 ,b ! means ( prev5tion are s easy1 t ,i _c =be> to solicit ! public att5tion to !m40#gd ,9 ! intellig5t tra9$ nurses ( ! pres5t day1 we h ! be/ security aga9/ su* b>b>ity2 & :5 !y are abs5t1 9 ! pres5ce 9 ! dy+ *amb]1 ( ! relations or ne>e/ fri5ds until all is ov]4 ,9 cases ( sudd5 dea? f disease ( ! he>t1 !re is nei!r occasion nor "t = m$ical treatm5t ( any sort4 ,dea? is in/antane\s & )\t w>n+4 ,:]e dea? beg9n+ at ! he>t takes place by way ( syncope1 fre% air & /imulants cauti\sly giv5 are ! be/ res\rces4 ,w9e or br&y1 ) egg or o!r light nutrim5t1 are appropriate4 ,:5 dea? is tak+ place 9 ! sl[] way ( exhau/ion1 a l treatm5t is to be pursu$4 ,9 ! e>li] /age1 small quantities ( s\p1 or beef tea may be giv51 b :5 dea? is ne> !y are be/ omitt$4 ,x is 9 ^! cases t madeira & tokay answ] s well4 ,9 all cases ( dy+ by failure ( ! he>t's action1 ! po/ure ( ! pati5t %\ld be c>efully adju/$--! head %\ld be l[ r ?an rais$1 & x & ! %\ld]s support$ on firm pill[s4 ,any approa* to ! erect or sitt+ po/ure is z a rule to be avoid$4 ,its t5d5cy is to occasion fa9t+ & dea?4 ,9 dea? f ! lungs or by asphyxia ! /ruggle is (t5 protract$1 & accompani$ by all ^? m>ks ( suff]+ :i* ! imag9ation associates ) ! clos+ sc5e ( life4 ,d\btless 9 ! e>li] /ages ( x1 !re is real suff]+1 b happily ?is is r>ely ( long duration1 = ! circulation ( v5\s blood ensues1 & dead5s s5sibility & pa94 ,! respirations 9 ?is mode ( dea? become labori\s & heav+1 ! expression ( c\nt5ance di/ress$ & anxi\s4 ,b soon ! face becomes tumid & dusky1 ! lips livid1 & ) ! circulation ( undec>boniz$ blood1 :i* ^! symptoms imply1 ! anxi\s expression ( face subsides1 & !re ensues a sl[ly increas+ b5umb+ ( s5sation1 & a correspond+ dim9ution ( suff]+4 ,! brea?+ !n becomes irregul> & labori\s1 & ! heav+s ( ! *e/ convulsive2 b ^! movem5ts are automatic1 & indep5d5t alike ( s5sation & ( ! w4 ,!y soon pass into coma1 /]tor1 rattle 9 ! w9dpipe1 & dea?4 ,/]tor\s brea?+ is 9 great measure due to affection ( ! bra9 or m$ulla1 ei!r prim>y or second>y4 ,! latt] is ! condition we are "h contemplat+4 ,/]tor seems to be due to a fall+ back ( ! base ( ! tongue into ! ph>ynx1 & to ! ob/ruction to respiration !nce induc$2 & is increas$ by ! prone position on ! back1 into :i* su* pati5ts naturally fall4 ,x may be reliev$ by plac+ ! p]son on "o side1 & support+ him 9 t position by well-arrang$ pill[s4 ,! tongue !n drops to ! side ( ! ph>ynx & m\?1 & leaves room = ! +o+ air4 ,dr4 ,b[les1 ( ,folke/one1 to :om we owe ! k ( ^! facts1 w>ns u1 t c>e %\ld be tak5 to keep ! neck r /raight1 z1 if ! *9 be br\ght too ne> ! /]num1 ! ?yroid c>tilage presses upw>ds & backw>ds1 & aga9 pu%es ! base ( ! tongue1 t[>d ! back ( ! ph>ynx4 ,no?+ c be done1 inde$ no?+ is ne$$1 b regulation ( ! po/ure1 :5 coma is e/abli%$4 ,! head is to be support$ on a firm pill[1 or bol/]1 & slightly rais$1 b n s mu* z to increase ! t5d5cy to slide d[nw>ds 9 ! b$4 ,:atev] position ( ! body is f\nd to less5 ! /]tor1 & ease ! brea?+ %\ld be ma9ta9$4 ,9 ! e>li] /ages ( ! process above describ$--9 ! condition :i* prec$es & passes into coma--a c>efully adju/$ po/ure ( ! pati5t1 9 :i* he is propp$ up at an angle ( n less ?an =ty-five degrees1 & (t5 at "o ( mu* m1 & due support is giv5 to ! trunk ( ! body by pill[s--w d m ?an any?+ else 9 relief ( emb>rass$ & lab\r$ brea?+4 8,! object is to support ) ! pill[s1 ! back bel[ ! brea?+ app>atus1 to all[ ! %\ld]s room to fall back1 & to support ! head1 )\t ?r[+ x =w>d40#ge ,! suff]+ ( dy+ pati5ts1 says ,miss ,night+ale1 is imm5sely increas$ by neglect ( ^! po9ts4 ,if secretions h accumulat$ 9 ! air passages1 ammonia or turp5t9e may be adm9i/]$4 ,%\ld ! brea?+ be gasp+ & spasmodic1 e!r1 ) or )\t opium1 %\ld be tri$4 ,:5 dusk9ess & lividity ( ! face h come on1 we c d b little--:5 deep coma & /]tor\s brea?+1 no?+--b adju/ ! po/ure ( ! pati5t to ! m press+ requirem5ts ( ! case4 ,:5 ! he>t or great vessels ( ! *e/ are ! seat ( ! disease1 & ! circulation ?r\gh ! lungs is becom+ s]i\sly emb>rass$ by x1 !re are (t5 p>oxysms ( great suff]+4 ,! pati5t is agoniz$ by a s5se ( in/ant suffocation1 & sits 9 or out ( b$1 ) ! head b5t =w>d1 re/+ on a table or o!r support1 & expect+ dissolution e mom5t4 ,"h e!r & opium is our be/ res\rce2 or ! nitrite ( amyl1 ! cauti\s inhalation ( :i* has 9 "s in/ances giv5 m>k$ relief4 ,:5 dea?1 comm5c+ at ! bra91 de/roys life ?r\gh ! lung1 & 9 ! way ( coma1 z x usually does1 ! treatm5t is ! same z 9 ! coma t occurs late 9 ! s]ies ( ev5ts :i* m>k dea? by asphyxia4 ,:51 on ! o!r h&1 dea?1 beg9n+ at ! bra91 de/roys life ?r\gh ! he>t & by way ( exhau/ion1 ! treatm5t is ! same z above describ$ = ^? dy+ prim>ily f ! he>t & 9 ! way ( a/h5ia4 99 99 99 99 99 ,:5 ! face ( ! dy+ p]son is flu%$1 ! head hot1 & ! c>otid art]ies beat+ =cibly1 ! head is to be rais$ & support$ on firm pill[s1 & ice or a cold _s lotion appli$ to x4 99 99 99 99 99 ,9 "s delicate & highly s5sitive p]sons1 a k9d ( /ruggle is sometimes excit$ :5 ! respiration becomes v difficult4#gf ,dr4 ,f]ri> says he has kn[n ?is ef=t proce$ s f>1 t ! pati5t a v few m9utes be=e dea?1 has />t$ out ( b$1 & /ood erect = a mom5t4 ,he ascrib$ x to appreh5sion & al>m1 & adds3 8,^? :o resign !mselves quietly to _! feel+s seem to f>e be/40 ,?is is probably true1 b ! suff]] ne$s :atev] relief art c supply2 & e!r & opium is ! mo/ likely to give x4 99 99 99 99 99 ,hiccup is some:at alleviat$ by a s9apism to ! epiga/rium1 & a spoonful ( anise$ wat] swall[$ sl[ly4 ,b if x is sev]e1 %ak+ ! pati5t1 & s add+ greatly to 8 di/ress1 we mu/ rely on opium giv5 int]nally1 & its application ext]nally to ! pit ( ! /oma*4 ,if hiccup seems to be due1 z x (t5 is1 to an ov]load$ & di/5d$ /oma*1 & ! influ5ce ( opium is ne$$1 ! hypod]mic injection ( morphia is to be pref]r$4 99 99 99 99 99 ,inquietude & re/lessness1 especially 9 ! half-consci\s dy+ p]son1 is (t5 due to a di/5d$ bladd]1 & is at once quiet$ by ! ca!t]4 ,9 o!rs1 x is due to ! weight ( ! b$clo!s1 & is reliev$ by light5+ !m4 99 99 99 99 99 ,coldness ( ! feet is be/ met by a foot w>m]2 & n by ?ick1 heavy b$ clo?+1 :i* di/resses ! suff]] & gives rise to inquietude & re/lessness4 8,weak pati5ts10 says ,miss ,night+ale1 & ! dy+ z mu* or m s ?an o!rs1 8are inv>iably di/ress$ by a great weight ( b$clo!s40 ,light ,:itney blankets %\ld alone be us$ = cov]+s "u su* circum/ances4 ,b ,i am n sure t coldness ( ! extremities does always add to ! suff]+s ( ! dy+1 or ne$s ! consid]ation usually giv5 to x4 ,! dim9i%$ circulation on :i* x dep5ds is att5d$1 = ! mo/ "p1 9 ! dy+ by proportionate loss ( s5sibility2 & besides x is especially :5 ! feet & legs are cold1 sodd51 & dank1 t we obs]ve t impati5ce ( any cov]+ ^u !m--t toss+ ab\t & exposure ( !m to ! air--:i* ,i h be=e describ$4 99 99 99 99 99 ,dea? f old age--! natural t]m9ation ( life1 & ! simple/ =m ( dea? t c occur1 creeps on by sl[ & almo/ imp]ceptible degrees4 ,x is *>act]is$ by a gradual & proportionate decay ( all ! functions & organs ( ! body1 & z a rule pres5ts no symptoms t call = special treatm5t4 ,x is only :]e ! normal c\rse ( decay is di/urb$ by sup]v5+ disord]1 or disease ( an important organ1 or by surr\nd+ circum/ances1 t suff]+ ( any k9d att5ds x4 ,good nurs+1 & ! due adm9i/ration ( light food & /imulants1 comprise all t is ne$$4 ,! approa*es to dea? are s g5tle1 & ! act ( dy+ s easy1 t nature h]self provides a p]fect eu?anasia4 ,,! ,,end4 ,,unw9 ,,bro!rs1 ,,pr9t]s1 ,,*ilwor? ,,& ,,london4 ,,footnotes3 #ea ,m$ical ,notes & ,reflections4 ,?ird edition1 #hvo1 ,london1 #ahee1 p4 #cgi4 #eb ,rob]t ,willis1 ,m4,d41 ,on ,ur9>y ,diseases1 #hvo1 ,london1 #ahch1 p4 #ajj4 #ec 8,:5 !re is a sudd5 cessation1 or int]mission1 ( acute pa91 sleep frequ5tly comes on in/antane\sly at e su* int]val ( ease4 ,! records ( judicial torture furni% mu* /rik+ evid5ce z to ^! effects40 7,sir ,h5ry ,holl&'s ,m$ical ,notes & ,reflections1 p4 #cfi47 #ed ,i except hydrophobia1 tetanus1 c41 aga9/ :i* x is almo/ p[]less4 #ee 8,pr/antissimum rem$ium c>diacum 7unicum p5e dix]im7 quod 9 r]um natura hact5us e/ rep]tum40 ,syd5ham ,?om ,op]a ,omnia1 edidit ,g4 ,a4 ,gre5hill1 ,m4,d41 #hvo1 ,london1 #ahdd1 p4 #age4 #ef 8,vires gri somno recreat sunt1 atque etiam ubi salus ejus prorsus desp]ata fu]it1 et angor summus cruciav]it1 opium utique sollicitud9em aliquantum levavit4 ,mors quidem neque s]ius1 neque citius v5it1 s$ tam5 m9ore cum cruciatu40 7,heb]d5 ,de ,ileo47 #eg ,hufel&'s rem>ks on opium are s valuable t ,i give !m at l5g?4 8,:o w\ld be a physician )\t opium 9 att5dance on canc] or dropsy ( ! *e/8 ,h[ _m sick has x n sav$ f despair8 ,= "o ( ! great prop]ties ( opium is1 t x soo!s n only corporal pa9s & compla9ts1 b af=ds also to ! m9d a peculi> en]gy1 elevation1 & tranquility4 ,! soo?+ virtue manife/s itself 9 ! mo/ spl5did mann] 9 reliev+ dea? 9 sev]e cases1 9 effect+ ! eu?anasia1 :i* is a sacr$ duty & ! highe/ triumph ( ! physician1 :5 x is n 9 8 p[] to reta9 ! ties ( life4 ,"h1 x is n only capable ( tak+ away ! pangs ( dea?1 b x imp>ts ev5 c\rage & en]gy = dy+2 x promotes 9 a physical way ev5 t disposition ( m9d :i* elevates x to heav5ly regions4 ,a man :o _h lab\r$ = a long "t "u compla9ts ( ! *e/ & vomicas f9ally approa*$ dea?4 ,! mo/ dreadful angui% ( dea? ) a con/ant dang] ( suffocation seiz$ him1 he got into real despair & 8 /ate 0 an insurm\ntable torm5t ev5 = ! p]sons ar\nd him4 ,he n[ took half a gra9 ( opium e h\r4 ,aft] ?ree h\rs he became quiet1 & aft] he _h tak5 two gra9s he fell asleep1 slept quietly = sev]al h\rs1 awoke q *e]ful1 free f pa9 & anxiety1 & at ! same "t s mu* /r5g!n$ & appeas$ 9 8 m9d1 t he bade f>ewell ) ! greate/ composure & satisfaction to 8 relatives1 & aft] he _h giv5 !m 8 bless+ & _m a good admonition fell aga9 asleep & pass$ away :ile sleep+40 7,! ,?ree ,c>d9al ,means ( ! ,art ( ,heal+1 p4 #df47 ,some:at to ! same purport writes ,de ,qu9cey4 8,simultane\sly ) ! conflict ! pa9 ( conflict has dep>t$1 & !nce=w>d ! g5tle process ( collaps+ life1 no long] frett$ by c\nt]-movem5ts slips away ) holy peace into ! noiseless deeps ( ! ,inf9ite40 7,confessions ( an ,engli% ,opium-,eat]1 p4 #adi47 #eh ,ut supra1 p4 #eaf4 #ei ,holl&1 ut supra1 p4 #eah4 ,to ! same effect writes ,dr4 ,james ,gregory ( ?is rem$y1 8,neque dubium e/1 utcunque p]iculosus videatur usus talis m$icam5ti vix non v55ati2 gros plus f]e incommodi et damni p]cepisse a nimis p>va1 quam a nimia ejus quantitate4 ,m$ici igitur e/1 m$icam5tum adeo validum et spe p]niciosum caute et prud5t] adhib]e1 et 9 illis tantum morbis ad id confug]e1 qui aliquid i/iusmodi plane requirunt2 ubi v]o talis necessitas urget1 oportet rem$ium lib]e et cum fiducia prscrib]e2 tunc enim non sp]>e modo pote/1 s$ f]e pollic]i1 se effectum illum salut>em1 quem cupit1 p] suum m$icam5tum esse pr/iturum4 ,quod si timide et nimis p>ce datum fu]it1 longe alium effectum habebit1 et iisdem grotis haud p>um nocebit1 quibus l>gius datum multum pr(uisset40 7,conspectus ,m$ic9 ,!oretic1 ,,mccxxii47 #fj ,ut supra1 p4 #eah4 #fa 8,audivi plus semel gros tempor>ium a n>coticis levam5 enixe deprecantes1 quod s5suum obscuratione nimis c>e qu]ebantur emi40 7p4 #ga47 #fb 8,conspectus ,m$ic9 ,!oretic10 ,,mccxxii4 #fc ,aq4 ,m5? ,viridis1 f4 v ss4 ,sac*>i1 ss4 ,acid4 ,sulphurici diluti ,,xl4 ,sp4 !ris comp4 f4 ij4 ,misce ft ,mi/ura4 ,p>s qu>ta pro dose4 #fd ,elliotson1 ,human ,physiology1 p4 #ajdc4 #fe ,ut supra1 p4 #aic4 #ff ,miss ,night+ale's obs]vations on :isp]$ conv]sation 9 ! room1 or j outside ! door1 at p4 #bf ( h] 8,notes on ,nurs+10 h great value & a wide application4 ,on ^! po9ts 9 ! managem5t ( ! dy+ *amb] ,pr(essor ,p>adys has ! foll[+3 8,s$ prt]ea adhib]i hoc loco mod]at s5suum ext]norum impulsiones utilit] possunt1 qu vividiores phantasmatum impressiones obscur5t3 vit>i itaque nimi t5ebr et sil5tia nimis alta deb5t1 conc$i contra modica lux1 p]mitti n amicorum voces1 immo excit>i deb5t l5es1 placidi1 animum bl&e demulc5tes affectus40 7p4 #gd47 #fg ,f]ri>1 p4 #aic4 #fh ,ibid41 p4 #aid4 #fi ,human ,physiology1 p4 #ajdc4 #gj ,f]ri>1 p4 #bjc4 #ga 8,nihil adeo posses quoiquam leve t5ueque membris ,vort]e 9 utilitatem40 7,lucretius vi4 #aafi47 8,nor w\ld once endure ,! lighte/ ve/ ?r[n loosely o'er ! limbs40 7,mason ,good1 p4 #eie47 #gb 8,cyclopdia ( ,anatomy & ,physiology10 vol4 i4 p4 #hjb4 #gc ,p4 #bjj4 #gd ,p4 #bjc4 #ge ,miss ,night+ale's ,notes on ,nurs+1 p4 #dg4 #gf ,f]ri>1 ut supra1 p4 #aif4