T Go ff 
was requefted next morning to vifit him; and feeing his fitua- 
tion, I was juft proceeding to the operation, when a furgeon of 
the city appeared, who faid he was employed by Cafey’s matter 
to attend to him. The depreffion was fo confiderable that the 
lower edge of the fraéture was beaten under the uninjured part: 
here I intended my operation, in order the more fpeedily and 
effetually to difengage the fracture. But this was oppofed : it 
was obferved that trepanning fo low down would leavé a great 
deformity, and that the end propofed would be as well anfwered 
by perforating the bone at top. I oppofed at in vain. ~I faw 
that the friends of the boy, who were prefent, as well as himfelf, 
wifhed to have it done fo. I.trepanned, introduced the eleva- 
tor, but could make no impreflion,.as the dreprefled parts were 
beyond the reach of the inftrument. I now propofed a fecond 
opening on the lower edge of the fraGture, the firft being im- 
poflible to anfwer the end propofed. .This was not, agreed ‘to. 
It was obferved that an opening being made no _depofite:could 
be formed, and that the deprefled part would become gradually 
detached, and probably come away, which has fometimes hap- 
pened. The fore was carefully drefled, but the dura mater never 
affumed a right afpe&; however his fpirits were good, and he 
had no complaint but what arofe from the fore itfelf. The 
difcolouration of the dura mater made me try, on the rsth day, 
and again on the 17th, the effes of the elevator, but in vain. 
He was up every day. The 24th, looking out of a window 
for fome time, he perceived a flight chillinefs ; at bed-time he 
grew hot and feverifh, was very reftlefs, and had a ftrong fhak- 
ing fit. ‘This alteration was afcribed to his making too free 
with 
