Abstract
The series of tunnel operations that are now being carried on in the neighborhood of New York City have furnished abundant opportunities for the study of that curious affection of the nervous system called by the workmen the "bends," but known in medicine as caisson disease, and which we recently discussed from another viewpoint.<sup>1</sup>In addition to the necessity of gradual decompression, emphasized in our previous article, experience shows that a certain number of persons seem to have an idiosyncrasy for the disease and suffer from it under circumstances in which others have worked for long periods without any serious effects or even any signs of the pathologic conditions that prove so injurious and even fatal to their fellow-workmen. The underlying lesions of the disease consist of small lacerated areas in the central nervous system consequent on the expansion of gas at certain points. Owing to the high pressure
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