"When he came into the glare of the lamp, I saw at once that he had fallen upon very evil days. He had walked from Liverpool, and he was tired and ill. I was quite shocked by the expression upon his face. My medical knowledge told me that there was some serious internal malady. He had been drinking also, and his face was bruised as the result of a scuffle which he had had with some sailors. It was to cover his injured eye that he wore this patch, which he removed when he entered the room. He was himself dressed in a pea-jacket and flannel shirt, and his feet were bursting through his boots. But his poverty had only made him more savagely vindictive towards me. His hatred rose to the height of a mania. I had been rolling in money in England, according to his account, while he had been starving in South America. I cannot describe to you the threats which he uttered or the insults which he poured upon me. My impression is, that hardships and debauchery had unhinged his reason. He paced about the room like a wild beast, demanding drink, demanding money, and all in the foulest language. I am a hot-tempered man, but I thank God that I am able to say that I remained master of myself, and that I never raised a hand against him. My coolness only irritated him the more. He raved, he cursed, he shook his fists in my face, and then suddenly a horrible spasm passed over his features, he clapped his hand to his side, and with a loud cry he fell in a heap at my feet. I raised him up and stretched him upon the sofa, but no answer came to my exclamations, and the hand which I held in mine was cold and clammy. His diseased heart had broken down. His own violence had killed him. "For a long time I sat as if I were in some dreadful dream, staring at the body of my brother. I was aroused by the knocking of Mrs. Woods, who had been disturbed by that dying cry. I sent her away to bed. Shortly afterwards a patient tapped at the surgery door, but as I took no notice, he or she went off again. Slowly and gradually as I sat there a plan was forming itself in my head in the curious automatic way in which plans do form. When I rose from my chair my future movements were finally decided upon without my having been conscious of any process of thought. It was an instinct which irresistibly inclined me towards one course.