Having truly related what was done, in the Case of Dr _Keil_, I hope it may appear, that I have acted an honest, and not an unskilful Part in it: If what was prescribed by others of greater Fame, when it came to be tried, had not better Success, I presume I shall no longer be blamed for it. No Man would willingly lose any Reputation, who is to live by it. I question not, but the best _Surgeons_ in the World will allow, there are Cases for which there is no Remedy: And he who frankly owns thus much, no more loses any Reputation, than the Quack, that promises greater Matters than he afterwards performs, gets any: And I think they, who have censured me, would have done more ingenuously, if they would rather have looked upon the present Case as incurable by any _Surgeon_, than have thrown their Aspersions upon me, as not treating it properly. _N. B._ The foregoing remarkable _Case_ of Dr _Keil_, was published by Mr _Rushworth_ of _Northampton_, Surgeon at _Oxford_, in the Year 1719[3]. Under the _Imprimatur_ of _Robert Shippen_, Vice-Can. _Oxon._ [3] Mr _Rushworth_ died 1737, and it is here inserted in Justice to his Memory. _Some_ curious Observations _made_ (_by my Friend_ John Ranby, _Esq_; _Surgeon to his Majesty’s Household_, _and F. R. S._) _in the_ Dissection _of_ Three Subjects, 1728. The _first_, a Man aged 70 Years, who died of a Suppression of Urine, occasioned by a Stone stopping in the _Urethra_, just within the _Glans_, of the bigness of a Horse Bean. This Appearance, with the Symptoms that had attended this miserable Man, gave me reason to expect something remarkable in the urinary Passages. The _Ureters_ and _Pelvis_ were very much distended; which is common where great Numbers of Stones have descended down them, from the Kidneys to the Bladder. The Bladder contained about 60 Stones, the largest of which was about the Size of a Walnut, the others smaller; and just within the Neck, was a hard _Tumour_, as big as a Nutmeg, which almost closed the Orifice: and indeed the Situation of this Tumour was such, that it not only made the passing the _Catheter_ very difficult, and hindered our feeling the Stones, by directing the Instrument upwards: but likewise would alone produce the Symptoms of the Stone in the Bladder, by obstructing the free Discharge of Urine through the _Urethra_, the inner Membrane of which appeared as if lacerated in several Places, and the Tube filled with a glutinous Matter tinged with Blood. On the back Part of the _Vesiculæ Seminales_, near the _Prostata_, were several _Stones_, as large as Peas, which closely adhered to the adjacent Membranes. The _second_, a Boy aged 10 Years, killed by a Blow on the Skull; whose Spleen weighed two Pounds, and possessed almost all the left Side of the abdominal Cavity. The Bladder, when distended to its greatest Capacity, would not contain an _Ounce_.