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evacuations from the bowels with complete relaxation of the sphincter ani, which excluded any help from nutrient enemata. During this time it became impossible, such was the resistance of the patient, to administer hypodermic doses of strychnia. All avenues of feeding and stimulation were cut off, oxygen alone could be kept up, and even this had lost its effect. Every effort to save her seemed in vain. Death was impending, and the case more than ever hopeless. April 25. After 9 a.m. the patientdoi:10.1056/nejm190112121452403 fatcat:t54s4wc5mzdbldqfg7focsexhy