That the general surgeon and the neurologist should work together in the advancement of cerebral and spinal surgery is accepted by the best men of the profession. That the professional relations of the railway surgeon and of the neurologist should be more comprehensive and extend to nearly all cases of railway injury has not, to my knowledge, been generally recognized by the chief surgeons of the great railway systems.
A brief abstract from the reports of two cases of alleged railway injury will aid in bringing this subject before the Association for discussion:
—J. R., in 1889, while climbing down from his upper berth in a Pullman sleeping car, was thrown to the opposite side of the car by some accident which caused the engine and one or two cars to jump the track. He was not rendered unconscious nor did he appear to be greatly injured. He