As an illustration of the mode adopted by some Boards to annoy their medical officers I subjoin the following: In June, 1867, a person was sent into the Strand Workhouse by the district medical officer, insane. In conjunction with a Justice of the Peace, I examined him, and we certified as to his mental condition, whereupon he was sent to Hanwell. Three weeks after, he was discharged from the asylum, not because he had recovered, but through an informality in the certificate given by the justice. As this latter gentleman was out of town, I took the lunatic before Mr. Vaughan, at Bow Street, who, after examining him for a minute or so, threw up the certificate, and said he would not sign it, the man was not mad. I again implored him to fill up the certificate, as the man had been only sent back to the House through an informality in the certificate. As he again refused, I said, "Then I have to request that Sir Thomas Henry be apprised of the case." This was done, and Sir Thomas advised that he should go back to the House for another week. That afternoon the lunatic was interviewed by three of the Board, who pronounced the opinion that he was of sound mind. Hearing of this irregularity, I wrote to the Commissioners in Lunacy, and asked them to see the man. They attended at the House and examined him, and directed his removal to Hanwell without delay. That night he escaped by scaling a high wall, and was not captured for three days, when the police caught him. In the following September he was discharged cured, when I received a letter from the clerk, informing me thereof, and stating that the Board was of opinion that I had been too hasty in sending the man away, and that too by an unusual course. I immediately wrote to the Commissioners in Lunacy, enclosing the clerk's letter, and asked their opinion, when the secretary, Mr. C. P. Phillips, wrote to me stating that at the time the Commissioners saw him he was clearly insane, and that the Commissioners approved of my action under the exceptional circumstances of the case. I sent their reply to the Board. The evening the clerk read my letter to the Board, the man's wife made an application for his re-admission to the House, as he had a relapse of his insanity. This man went into and out of the asylum on several occasions subsequently. Whenever he was at liberty he made me aware of it by coming to my house between 1 and 2 a.m., and ringing my night-bell violently. Of course I had to put up with the infliction, as the man was not in his right mind. This annoyance went on for years, and only ceased when I left Soho.