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Updated: May 26, 2025


When the ptosis got very bad he would hold his eyelid up with one hand while he wrote. Then, when he could not co-ordinate his muscles to write, he dictated to his nurse. So died, in the odour of science, James Walker, aet. 45. "Poor old Walker was very fond of experimental surgery, and he broke ground in several directions.

He exhibited a linear cicatrix one inch long near the angle of the ramus of the left lower jaw. His left eyelid was involuntarily closed and he had no power to overcome his ptosis. Upon the head, well covered by the hair, was a large unequal depression and elevation.

While ptosis of organs in the abdomen and a flaccid condition of the musculature of the abdomen are frequent causes of this splanchlnic stasis, and therefore hypotension, especially in women, it is quite possible that suprarenal insufficiency will allow this condition of the splanchnic vessels to occur frequently.

I am never so frightened as when every thing is still. My physical state is deplorable perpetual hiccough and ptosis of the left eyelid. I have heard from the Mardens that they will be back the day after to-morrow. I do not know whether I am glad or sorry. They were safe in London. Once here they may be drawn into the miserable network in which I am myself struggling. And I must tell them of it.

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