35S 



metric effects, I have not been able to form any definite idea, though I 

 have lived for ten months of the past year in southern Mississippi, where 

 my office was just seven feet above the level of the Gulf of Mexico. I be- 

 lieve, however, that if the humidity of the atmosphere and the general 

 condition of my system were exactly the same in both localities, I would 

 find a difference between the sea level and a point three or four thousand 

 feet above it. I have not had an opportunity to make observations in 

 higher altitudes, but know that I am capable of more physical exertion 

 in the mountains of western North Carolina than in the low country. I 

 was on Lookout Mountain a few weeks ago, making the trip up the incline 

 railway, but was not able to notice any change in feeling due to the rapid 

 rise, of something like one thousand feet, from the city of Chattanooga to 

 the top of the mountain. Just prior to a sudden change from dry to wet 

 weather, I am apt to suffer from pains in the right leg, which I suppose 

 are akin to rheumatism. As soon as precipitation begins the pains cease. 

 This pain is most marked in the right hip joint." 



In regard to stature, as has already been stated, he stands one inch 

 higher on the left foot than on the right. The right leg also measures one 

 inch less in circumference than the left, both in the thigh and the calf 

 region. The muscles of the right leg, especially in the region of the calf, 

 are less firm than those of the left. These conditions did not prevail be- 

 fore the accident. There is also a difference in the development of the 

 two sides of the chest, which condition existed to a certain extent before 

 the accident. 



Concerning the resulting disturbances, Mr. Laxton says : 



"There is a certain deficiency of sensation in the right leg and ab- 

 normal reflex action occurs. There is also an apparent deficiency of syno- 

 vial fluid. There is almost an entire lack of control of the toes of the 

 right foot, particularly the big toe (see Figs. 4 and 5). There is conse- 

 cpiently a lack of balance in walking somewhat related to that observed in 

 people who have lost one leg and use an artificial one. There are times 

 when I feel for a few minutes as if the paralysis were entirely gone, but 

 I have to be extremely careful not to feel too sure of myself and to follow 

 the plan of not attempting a full length step with the right foot. The 

 sensory paralysis extends very slightly to the bottom of the left foot." 

 (Fig. 4.) 



"I am just now experiencing considerable local irritation, the scalp 

 even becoming, at times, sore on the outside. There are times when the 



