“My dear Sir,—Mr. Cook was taken ill at Shrewsbury, and obliged to call in a medical man. Since then he has been confined to his bed here with a very severe bilious attack, combined with diarrhœa. I think it desirable for you to come and see him as soon as possible.
“Nov. 18, 1855.
William Palmer.”
Examination resumed: On that day (Monday) I was very unwell. On the next day I went to Rugeley. I arrived at the Talbot Arms about half-past three o’clock in the afternoon, and immediately went up to Cook’s room. He said that he was very comfortable, but he had been very ill at Shrewsbury. He did not detail the symptoms, but said that he was obliged to call in a medical man. Palmer came in. I examined Cook in Palmer’s presence. He had a natural pulse. I looked at his tongue, which was clean. I said it was hardly the tongue of a bilious diarrhœa attack. Palmer replied—“You should have seen it before.” I did not then prescribe for Cook. In the course of the afternoon I visited him several times. He changed for the better. His spirits and pulse both improved. I gave him, at his request, some toast-and-water, and he vomited. There was no diarrhœa. The toast-and-water was in the room. Mr. Bamford came in the evening about seven o’clock. Palmer had told me that Mr. Bamford had been called in. Mr. Bamford expressed his opinion that Cook was going on very satisfactorily. We were talking about what he was to have, and Cook objected to the pills of the previous night. Palmer was there all the time. Cook said the pills made him ill. I do not remember to whom he addressed this observation. We three (Palmer, Bamford, and myself) went out upon the landing. Palmer proposed that Mr. Bamford should make up some morphine pills as before, at the same time requesting me not to mention to Cook what they contained, as he objected to the morphine so much. Mr. Bamford agreed to this, and he went away. I went back to Cook’s room, and Palmer went with me. During the evening I was several times in Cook’s room. He seemed very comfortable all the evening. There was no more vomiting nor any diarrhœa, but there was a natural motion of the bowels. I observed no bilious symptoms about Cook.
By Lord Campbell: Did he appear to have recently suffered from a bilious attack?—No.
Examination resumed: Palmer and I went to his house about eight o’clock. I remained there about half-an-hour, and then returned to Cook. I next saw Palmer in Cook’s room at nearly eleven o’clock. He had brought with him a box of pills. He opened the paper, on which the direction was written in my presence. That paper was round the box. He called my attention to the paper, saying, “What an excellent handwriting for an old man!” I did not read the direction, but looked at the writing, which was very good. Palmer proposed to Cook that he should take the pills. Cook protested very much against it, because they had made him so ill the previous night. Palmer repeated the request several times, and at last Cook complied with it, and took the pills. The moment he took them he vomited into the utensil. Palmer and myself (at Palmer’s request) searched in it for the pills, to see whether they were returned. We found nothing but toast-and-water. I do not know when Cook had drank the toast-and-water, but it was standing by the bedside all the evening. The vomiting could not have been caused by the contents of the pills, nor by the act of swallowing. After vomiting, Cook laid down and appeared quiet. Before Palmer came, Cook had got up and sat in a chair. His spirits were very good; he was laughing and joking, talking of what he should do with himself during the winter. After he had taken the pills I went downstairs to my supper, and returned to his room at nearly twelve o’clock. His room was double-bedded, and it had been arranged that I should sleep in it that night. I talked to Cook for a few minutes, and then went to bed. When I last talked to him he was rather sleepy, but quite as well as he had been during the evening. There was nothing about him to excite any apprehensions. I had been in bed about ten minutes, and had not gone to sleep, when he suddenly started up in bed, and called out, “Doctor, get up, I am going to be ill! Ring the bell, and send for Palmer.” I rang the bell. The chambermaid came, and Cook called out to her, “Fetch Mr. Palmer.” He asked me to give him something; I declined, and said, “Palmer will be here directly.” Cook was then sitting up in bed. The room was rather dark, and I did not observe anything particular in his countenance. He asked me to rub the back of his neck. I did so. I supported him with my arm. There was a stiffness about the muscles of his neck.
Palmer came very soon (two or three minutes at the utmost) after the chambermaid went for him. He said, “I never dressed so quickly in my life.” I did not observe how he was dressed. He gave Cook two pills, which he told me were ammonia pills. Cook swallowed them. Directly he did so he uttered loud screams, threw himself back in the bed, and was dreadfully convulsed. That could not have been the result of the action of the pills last taken. Cook said, “Raise me up! I shall be suffocated.” That was at the commencement of the convulsions, which lasted five or ten minutes. The convulsions affected every muscle of the body, and were accompanied by stiffening of the limbs. I endeavoured to raise Cook, with the assistance of Palmer, but found it quite impossible, owing to the rigidity of the limbs. When Cook found we could not raise him up, he asked me to turn him over. He was then quite sensible. I turned him on to his side. I listened to the action of his heart. I found that it gradually weakened, and asked Palmer to fetch some spirits of ammonia, to be used as a stimulant. Palmer went to his house and fetched the bottle. He was away a very short time. When he returned the pulsations of the heart were gradually ceasing, and life was almost extinct. Cook died very quietly a very short time afterwards. From the time he called to me to that of his death there elapsed about ten minutes or a quarter of an hour. He died of tetanus, which is a spasmodic affection of the muscles of the whole body. It causes death by stopping the action of the heart. The sense of suffocation is caused by the contraction of the respiratory muscles. The room was so dark that I could not observe what was the outward appearance of Cook’s body after death. When he threw himself back in bed he clinched his hands, and they remained clinched after death. When I was rubbing his neck, his head and neck were unnaturally bent back by the spasmodic action of the muscles. After death his body was so twisted or bowed that if I had placed it upon the back it would have rested upon the head and the feet.
By Lord Campbell: When did you first observe that twisting or bowing?—When Cook threw himself back in bed.
Examination resumed: The jaw was effected by the spasmodic action. Palmer remained half-an-hour or an hour after Cook’s death. I suggested that we should have some women to lay Cook out. I left the room to speak to the housekeeper about this. Seeing two maids on the landing, I sent them into the room where Palmer was with Cook’s body. I went downstairs and spoke to the housekeeper, and then returned to the bedroom. When I went back, Palmer had Cook’s coat in his hand. He said to me, “You, as his nearest friend, had better take possession of his effects.” I took Cook’s watch and his purse, containing five sovereigns and five shillings, which was all I could find. I saw no betting-book, nor any papers or letters belonging to Cook. I found no bank notes.
Before Palmer left, did he say anything to you on the subject of affairs between himself and Cook?—He did. Soon after Cook’s death, he said, “It is a bad thing for me that Mr. Cook is dead, as I am responsible for £3,000 or £4,000, and I hope Mr. Cook’s friends will not let me lose it. If they do not assist me, all my horses will be seized.” He said nothing about securities or papers. I was present when Mr. Stevens, Cook’s stepfather, came. Palmer said that if Mr. Stevens did not bury Cook he should. I do not recollect that there was any question about burying him. Mr. Stevens, Palmer, Mr. Bamford, and myself, dined together. After dinner, Mr. Stevens, in Palmer’s presence, asked me to go and look for Cook’s betting-book. I went to look for it, and Palmer followed me. The night that Cook died the betting-book was mentioned.