occasionally a feeling of oppression about the chest. There were no
physical signs of anything abnormal, and the symptoms quite passed
away in the course of time, and with the use of simple antispasmodic
remedies, such as camphor and the like. This was my first interview
with Mr. Motley, and I was naturally glad to have the opportunity of
making his acquaintance. I remember that in our conversation I
jokingly said that my wife could hardly forgive him for not making
her hero, Henri IV., a perfect character, and the earnestness with
which he replied 'au serieux,' I assure you I have fairly recorded
the facts. After this date I did not see Mr. Motley for some time.
He had three slight attacks of haemoptysis in the autumn of 1872,
but no physical signs of change in the lung tissue resulted. So
early as this I noticed that there were signs of commencing
thickening in the heart, as shown by the degree and extent of its
impulse. The condition of his health, though at that time not very
obviously failing, a good deal arrested my attention, as I thought I
could perceive in the occurrence of the haemoptysis, and in the
cardiac hypertrophy, the early beginnings of vascular degeneration.

In August, 1873, occurred the remarkable seizure, from the effects
of which Mr. Motley never recovered. I did not see him in the
attack, but was informed, as far as I can remember, that he was on a
casual visit at a friend's house at luncheon (or it might have been
dinner), when he suddenly became strangely excited, but not quite
unconscious. . . . I believed at the time, and do so still, that
there was some capillary apoplexy of the convolutions. The attack
was attended with some hemiplegic weakness on the right side, and
altered sensation, and ever after there was a want of freedom and
ease both in the gait and in the use of the arm of that side. To my
inquiries from time to time how the arm was, the patient would