times, manifested quite marked mental disturbances. Accord¬ ing to the statements of the committing physicians he was thought to have advanced pulmonary tuberculosis. When admitted to the hospital the patient was quiet and well behaved. He was placed in bed and given the usual routine treatment and the preliminary examination revealed the following mental state : Preliminary Examination.-"The patient is unable to tell where he is, the day, the month, or the year, and concludes his answers with have been doped up so much that my ears ring.' He confuses his present location with the placecounty infirmary-where he had been an inmate several weeks previously. He insists that he has had no trouble with his mind and that the immense amount of medicine he has taken is responsible in every way for any peculiar symptoms he may manifest. Although he complains of some roaring in his head he has no clear-cut hallucinations. His memory shows lack of accuracy for both recent and remote events and his general mood is much happier than his physical con¬ dition would warrant." Examination.-A month after his admission he still showed * Read before the Section on Pathology and Physiology at the Si xty\x=req-\ Fifth Annual Session of the American Medical Association, Atlantic City, N. J., June, 1914.