perfectly quiet, with his hands over his head.
At the end of twenty-eight minutes, Davis
came into the room, and Barnett, thinking
that he had come to say the time was up,
opened the bath-door. Davis said that the
time was not up, to which Barnett replied,
"Never mind that, the door is open." The
old man came out, and walked with some
assistance a distance of eight or nine yards to
a chair by the fire in his own day-room. He
shivered very much while he was being
dressed, took quietly his dose of emetic,
which contained two grains of tartarised
antimony; speaking to a patient who, sitting
by, offered him some bread, thanking him
and declining it because he was too cold.
Suddenly, in about seven minutes after
he had left the bath, his head fell back,
his mouth opened wide, his face was
drawn up. He was carried away and laid
upon a bed. One of the attendants sent
Barnett, who then entered the room, for
the doctor, who arrived immediately and
gave out some brandy for the patient, but it
was too late. Dolley had only lived a quarter
of an hour or twenty minutes after coming
out of the bath.

The Commissioners in Lunacy considered
it their duty to inquire whether this death
was natural, or the result of one of those
accidents in the course of practice for which
medical men ought not to be held accountable
to the community. With evidence of the
facts detailed, there was also laid before the
Commissioners and eventually before the
grand jury, the evidence of Mr. Snape's
colleague, Dr. H. W. Diamond, who is the
medical attendant for the female wards
of the Asylum. On the day in question,
Mr. Snape had intended visiting the Crystal
Palace, and had arranged for Dr. Diamond
to take his duty; but, after a time, he came
back and said, "I have not gone, for I
have had a very unpleasant occurrence."
He told what had happened, and the fatal
result was then attributed by both surgeons
to disease of the heart. Dr. Diamond offered
to assist at the usual post-mortem, but he
adds when going round the male wards in the
evening, "I asked Barnett to see Dolley's
body. I was very much astonished to see it,
for it was as white as the marble; it was
like a piece of alabaster." As to what
followed, we give, in Dr. Diamond's words, the
essential portions of his evidence: "I asked
Barnett, in a way not to excite his suspicion,
for I thought it an unpleasant occurrence, if
he would tell me the particulars .....The
next morning I wrote a letter to Mr. Snape,
and I told him I thought the case had
assumed a very severe aspect to what I
expected, and he had better communicate with
the chairman, and state the plain facts, and
meet them at once; and then, after this,
occurred the post-mortem examination ....
My son, who had just passed the College of
Surgeons, .... was gathering flowers in the
garden, which was in sight of the dead-house;
I beckoned him in and I said to him, ' I
should like you to be present at the
examination; ' and then Mr. Snape said, ' Will you
operate,' and he did so. ... Mr. Snape
thought there was more disease than I did
myself . . ..I do not think there was any disease
of the heart to cause death, but I am sorry to
say, I think the bath did cause death in
conjunction with the tartar emetic afterwards
..... I had a conversation with Mr. Snape
previous to the inquest, and I told him that
he must manage so that I should not be
examined, because I felt so strongly upon the
subject. I took a walk at the time of the
inquest .... I may say further, I have seen
the man upon the subject of the bath, and I
find it will take four hundred gallons of water,
and that it is supplied by a two-and-a-half-inch
pipe, so that the shock would be tremendous
.... About three minutes is a long time for
a shower-bath. The other day, one of my
nurses came to me, and I told her to imagine
a patient was in the shower bath, and to give
an extra good one, and I watched with my
watch in my hand, and I found it was ninety
seconds."

That the question as to the state of the
heart in the deceased patient might be
submitted to a closer trial, Mr. Diamond the
younger secretly removed the heart from
Dolley's body in the dead-house; Dolley
having then been dead five days. Three days
afterwards the heart was shown to Mr. Henry
Hancock, the surgeon of the Charing Cross
Hospital, and to Mr. Paget of St.
Bartholomew's, an eminent physiologist. Neither
gentlemen could find in the heart cause of
death. Mr. Hancock recognised just enough
disease to make the treatment by the shower-
bath likely to be fatal. Mr. Paget found
no changes that were not usual in the hearts
of persons more than fifty years of age;
nothing that would explain a person's death.
On the Saturday following, the heart was so
much decomposed that it was burnt by Dr.
Diamond in his surgery.

The shower-bath in question was itself
described by evidence of engineers and
physicians laid before the grand jury, to be a long,
wooden box, one foot seven inches square,
and eight feet three inches high, containing
twenty-one cubic feet of air, and with
an entrance door fastened on the patient by
an iron bar outside, fitting also so tightly
that very little access or escape of air is
possible. The evidence of engineers stated that
six hundred and eighteen gallons of cold
water must have fallen over the old man
during the twenty-eight minutes of his
confinement in this bath.

The case for the prosecution laid before the
grand jury included heads of the following
evidence of medical men upon the treatment
to which Dolley had been subjected. The
resident medical superintendent of Bethlehem
hospital for lunatics (who had previously held