Early in the evening of December 28, 1885, I was called in haste to see Dr. R. J., American, temperate, aged 51 years, lympho-sanguineous temperament, five feet seven inches in height, and weighing 200 pounds. A few minutes before, the doctor had started out of his house to walk down town. He was eating an apple at the time, which perhaps tended to make him more careless. In his right hand he carried a heavy walking-stick. He was hardly off from his front steps before he slipped upon the sidewalk. He tried to regain his equilibrium. After stumbling along a few feet he fell, striking his left arm, just below the shoulder, heavily upon the edge of the raised sidewalk. His body was twisted, for in the fall he hit his head and right hip.
When I arrived at his residence I found him seated in a chair, holding his