Cross-examined by Mr. Grove—I did not see Palmer on the Monday evening until a little before twelve. The last train, which stops at Rugeley at eight o’clock, is not an express train. The express does not stop at Rugeley, and passengers coming by the express have to take some conveyance from Stafford. I cannot say when they would arrive in the ordinary course. On the Monday night when I went up to Cook’s room he seemed disappointed that it was not Mr. Palmer. He seemed to be worse than he was. At that time Barnes had gone to fetch the doctor. Mr. Palmer came directly I left the room. I was led to ask what relatives the man had as he seemed so very ill, and I heard him telling Mr. Palmer he thought he should die.
W. H. Jones
Mr. William Henry Jones, examined by the Attorney-General—I am a surgeon and medical practitioner at Lutterworth, and have been in practice for fifteen years. I have known the deceased, Cook, intimately for nearly five years. I have known of his acquaintance with William Palmer for over a year. He looked upon my house at Lutterworth as his home, and I attended him if there was anything the matter with him. His health was generally good, but he was not very robust. I think he hunted and played cricket. On the Tuesday of the Shrewsbury Races, the day on which his horse “Polestar” won, I spent the day with him at his invitation. We dined together in the evening at the Raven Hotel. He accompanied me when I left for the station. On our way there we called at the house of Mr. Fraill, the clerk of the course. I was present during a conversation they had along with Whitehouse, the jockey. Cook produced his betting book and calculated his winnings. He had seven to one. Cook was with me till I left the hotel at ten o’clock. He was not in the least the worse of liquor, and seemed to be in his usual health. On the Monday I received the following letter from Mr. Palmer:—
November 18, 1855.
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, and I think it advisable for you to come and see him as soon as possible.
W. H. Jones
I was ill on the Monday when I received the letter, and did not arrive at the Talbot Arms, Rugeley, till half-past three on Tuesday afternoon. I saw Cook there, and he expressed himself as very comfortable, but said he had been very ill at Shrewsbury. I examined Cook in Palmer’s presence. His pulse was natural and his tongue was clean. When I remarked upon this to Palmer he said, “You should have seen it before.” I prescribed nothing for Cook at that time. I visited him several times in the course of that afternoon, and he seemed improved in every way. I gave him a little toast and water, which was in the room, and which he vomited. There was no diarrhœa as far as I was aware. Mr. Bamford, who I learned from Palmer had been attending, came about seven o’clock. He expressed his satisfaction with Cook’s improved state of health. Whilst Bamford, Palmer, and I were consulting what we should prescribe for him, Cook objected to the pills he had had the previous night. He said they made him ill. The three of us then withdrew, and Palmer proposed that Mr. Bamford should make up the morphine pills as before, but not to mention what they contained, as Cook objected so much to morphine. Mr. Bamford agreed to it, and went away. Palmer and I went into Cook’s room. I was in and out of the room during the whole evening, and he seemed very comfortable. I observed no more vomiting nor any diarrhœa. There were no bilious symptoms whatever, nor were there any signs of his having recently suffered from a bilious attack. About eight o’clock I went with Palmer over to his house. I returned to Cook’s room in about a quarter of an hour. Palmer came back about eleven o’clock with a box of pills. He opened them in my presence and showed me the directions on a slip of paper round the box. He remarked, “What an excellent hand for an old man upwards of eighty to write.” It was very good writing indeed. Palmer proposed to Cook to take the pills, but he protested, as they had made him so ill the previous night. Ultimately he did take them, and he immediately vomited into the utensil. Both Palmer and I, at his request, searched the utensil for the pills, but we found nothing but the toast and water, so that the pills were retained. After he vomited he lay down very comfortably, and we left him. Before he had taken the pills he had expressed himself stronger, and had got up and sat in a chair. During the evening he had been very jocose, speaking of what he should do during the winter, and of his future plans and prospects. After he had taken those two pills, at eleven o’clock, I went downstairs and had some supper. I returned about twelve to his room, had some conversation with him, and then went to bed, it being arranged that I should sleep in his room, which was a double-bedded one, that night. At the time I last talked to him he seemed rather sleepy, but quite as well as usual, and there was nothing to excite any apprehension in my mind. I had been in bed 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 for Mr. Palmer.” I rang the bell, and the chambermaid came to the door. He himself called out to her, “Fetch Mr. Palmer.” He asked me to rub his neck. I rubbed the back part of his neck and supported him with my arm while doing so. There was a stiffening of the muscles; a sort of hardness about the neck. Palmer came very soon indeed; two or three minutes at the most. He made the remark, “I was never so quickly dressed in my life.” I did not observe how he was dressed, as I was so engaged. He gave Cook two pills, which he said were ammonia pills. Directly he swallowed the pills he uttered loud screams, threw himself back in the bed, and was dreadfully convulsed. As the pills had immediately before been taken, it certainly could not have been from their action. He said to me, “Raise me up or I shall be suffocated.” The convulsions lasted five or ten minutes. It was at the commencement of the convulsions that he called out to raise him up or he should be suffocated. All the muscular fibres were convulsed; there was a violent contraction of every muscle of the body, and a stiffening of the limbs. When he called out to me to raise him, I endeavoured to do so with the assistance of Mr. Palmer, but found it was quite impossible owing to the rigidity of the limbs. When he found I could not raise him up he asked me to turn him over, which I did. He was quite sensible. After I had turned him over I listened to the action of his heart. I found it gradually to weaken. I requested Palmer to fetch some spirits of ammonia in the hopes of reviving him. Palmer fetched a bottle from his house. He was not away above a minute. When he returned, Cook’s heart was gradually sinking, and life was almost extinct. He died very quietly. He was not able to take the ammonia, and it was very soon after Palmer returned that he died. From the time when he raised himself in bed and called upon me to go for Palmer to the time when he died would be from ten minutes to a quarter of an hour. In my judgment, as a medical man, he died from tetanus, or, in ordinary English parlance, lockjaw.
Does it involve, ordinarily speaking, a mere locked jaw?—Yes, that is the common term. Locked jaw is one of the symptoms of tetanus. Every muscle in the body was affected in the same manner.
How would you express in ordinary English the general symptoms of what you call tetanus in one word?—Violent spasmodic affection of all the muscles of the body. That effects the immediate cause of death by stopping the action of the heart, and also the breath, from its effect on the diaphragm. It affects the respiratory muscles and stops respiration. It is that spasm of the respiratory muscles which causes the sense of suffocation. When death took place he was still upon his side. He remained in that position after death. I did not turn the body upon its back. The outward appearance of the body after death was very dark. As there was only one candle in the room, I could not make the observation I otherwise should have made. Both his hands, the left hand particularly, which I had in my hand, were clenched. I observed the clenching of the hands immediately the attack took place, when he threw himself back immediately after taking the pills Palmer brought over. When I was rubbing his neck I did not see the hands clenched.
Did you observe either before or at the time of death, or immediately afterwards, anything in the position of the head and neck?—Yes; the head was quite bent back.