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[Copy.] Auckland Hospital. Schedule IV. I, the undersigned, a patient in the Auckland Hospital, hereby declare that I am leaving the Hospital at my own desire, and contrary to the advice of the Honorary and Resident Medical Officers, under whose care I have been treated in that institution, and that I absolve the Board and its officials from all responsibility for any injurious effects I may suffer therefrom. T. H. Johnston.

History. —Patient was sent in with a history of " epileptic convulsions." Patient says he was working this morning and suddenly got pain across chest and his breath went away from him. He lay down on a board. He says his strength left him, and his friends obtained a stretcher and carried him to a house near at hand. While being carried he had another severe attack of pain across the chest. He went to sleep after arrival at the house. Was brought to Hospital about three hours later, and on arrival was rather dull. Appetite has always been good, and bowels have been regular, once or twice a day. Says he also often gets a sudden severe pain in the rectum. Is frequently troubled with " bilious " headaches, and sometimes has " a swimming feeling in the eyes," also vomits if he eats fat, bread-and-butter, &c. Sleeps very well at night, but always dreams a lot. Never had convulsions as a child, but used to walk in his sleep sometimes. Past Illnesses. —About seven years ago was " deaf-and-dumb " for seven months. Says he was living in Australia then and was attended by about fifteen different doctors without result. He then wrote to Dr. Carter-Watson, who sent him a lot of different medicines. At that time, says he used to have a frequent slimy urethral discharge (? spermatorrhoea). Family History. —Has been married ten years. Six children, all living and healthy. The eldest boy had a few convulsions, but prior to this had a fall on his head. Says children are all " weak-nerved" and stutter frequently. Present Condition. —T.° 96-8. P. 64. R. 16. Feels rather weak and has slight headache. Patient seems rather dull. Alimentary System. —Appetite good. Tongue dirty. Bowels regular. No abdominal pain. Circulatory System. —Pulse slow and regular. Heart sounds clear. Urinary System. —At present is unable to micturate although feels desire to do so. Has never before had any such trouble. Sometimes when micturating the first of the stream contains " slimy material." 15/4/11. Discharged. P. A. A.

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