I am now confronted with a perplexing situation. I cannot take him back to Germany; I cannot even leave my station and proceed south to any of the Norwegian ports. If I could find a neutral steamer with a doctor on board, I would tranship him to her; but the chances of this God-send materializing are a thousand to one in these latitudes. If I sighted a hospital ship I would close her, but as far as I know at present there are no hospital ships running up here. The chances of outside assistance may therefore be reckoned as nil. Wiener's hope of life depends on me, and I cannot make up my mind to take the step which sooner or later must be taken--that is to say, amputation. It is a curious fact, but true, nevertheless, that although, as a result of the war, men's lives, considered in quantity, seem of little importance, when it comes to the individual case, a personal contact, a man's life assumes all its pre-war importance. I feel acutely my responsibility in this matter. I see from his papers that he is a married man with a family; this seems to make it worse. I feel that a whole chain of people depend on me. * * * * * Since I wrote the above words this morning, Wiener has taken a decided turn for the worse. I have been reading the "Medical Handbook," with reference to the remarks on amputation, gangrene, etc., and I have also been examining his leg. The poor devil is in great pain, and there is no doubt that mortification has set in, as was indeed inevitable. I have decided that he must have his last chance, and that at 8 p.m. to-night I will endeavour to amputate. _Midnight_. I have done it--only partially successful. * * * * * Last night, in accordance with my decision, I operated on Wiener. Voigtman assisted me. It was a terrible business, but I think it desirable to record the details whilst they are fresh in my memory, as a Court of Inquiry may be held later on. Voigtman and I spent the whole afternoon in the study of such meagre details on the subject as are available in the "Medical Handbook." We selected our knives and a saw and sterilized them; we also disinfected our hands. At 7.45 I dived the boat to sixty metres, at which depth the boat was steady. We had done our best with the wardroom-table, and upon this the patient was placed. I decided to amputate about four inches above the knee, where the flesh still seemed sound. I considered it impracticable to administer an anaesthetic, owing to my absolute inexperience in this matter.