Merely to poise the head on the atlas may seem to you as easy a matter as balancing the beam of a pair of scales on an upright support. I am now going to show that a great number of difficulties had to be overcome before our heads could be safely poised on our necks. The head had to be balanced in such a way that through the pivot or joint on which it rests a safe passageway could be secured for one of the most delicate and most important of all the parts or structures of the human machine. We have never found a good English name for this structure, so we use its clumsy Latin one--_Medulla oblongata_--or medulla for short. In the medulla are placed offices or centres which regulate the vital operations carried on by the heart and by the lungs. It has also to serve as a passageway for thousands of delicate gossamer-like nerve fibres passing from the brain, which fills the whole chamber of the skull, to the spinal cord, situated in the canal of the backbone. By means of these delicate fibres the brain dispatches messages which control the muscular engines of the limbs and trunk. Through it, too, ascend countless fibres along which messages pass from the limbs and trunk to the brain. In creating a movable joint for the head, then, a safe passage had to be obtained for the medulla--that part of the great nerve stem which joins the brain to the spinal cord. The medulla is part of the brain stem. This was only one of the difficulties which had to be overcome. The eyes are set on the pre-fulcral lever of the head. For our safety we must be able to look in all directions--over this shoulder or that. We must also be able to turn our heads so that our ears may discover in which direction a sound is reaching us. In fashioning a fulcral joint for the head, then, two different objects had to be secured: free mobility for the head, and a safe transit for the medullary part of the brain stem. How well these objects have been attained is known to all of us, for we can move our heads in the freest manner and suffer no damage whatsoever. Indeed, so strong and perfect is the joint that damage to it is one of the most uncommon accidents of life.