1 62 FIRST FAILURE OF HEALTH. 



pretence. I argued the point with my brother. I told him 

 I did not intend to have an inquest held in my house if 

 the worst happened, and a medical man should attend. 

 I recommended Dr. Daniel Elias. At last, I obtained his 

 permission to send for Dr. Elias, but I took care to have a 

 long conversation with him before he saw my brother. I 

 told him I was about to introduce him to a very difficult 

 patient. I informed him of all that had passed, and 

 told him that I was certain he would be obliged to 

 undergo a severe cross-examination, and then took him 

 upstairs. The interview was what I expected. Many 

 questions relating to the case were asked, then came the 

 crucial inquiry, after Dr. Elias had said it might be 

 necessary to introduce a plug, ' but how long would you 

 keep it in ? ' ' That depends upon circumstances.' ' But 

 would you keep it in for several days ? ' ' Certainly not, 

 we should change it of course.' The doctor came off with 

 flying colours. It was most providential that this second 

 attack occurred when James was with us, where he was 

 kept quiet and properly attended to." 21st Feb. : — "Dr. 

 Elias called to see James. Arthur (Joule's son) called the 

 same evening." 22nd, 23rd, and 24th: — "Dr. Elias called 

 each day." 25th: — "Called Dr. Elias up at 5 a.m. He called 

 twice this day, and so on up to the 19th of March." Then 

 March 20: — "Dr. Elias called. I accompanied James and 

 Arthur to Manchester. (This was, by far, the worst attack 

 he ever had)." 1874, May 4th : — "James had a return of 

 the bleeding. He was hesitating which of his medical 

 friends, members of the Literary and Philosophical Society, 

 he should call in, but I spoke strongly in favour of Dr. 

 Dixon Mann, and I received permission to call Dr. Mann, 

 of which I at once availed myself by calling upon him." 



