Phineas has been stabbed with his tamping iron and is being taken to the Cavendish hotel in a carriage
At the hotel with his bare hands Dr. Williams shaves Phineas's head to further examine the wound. He then reaches inside is skull pulling out loose pieces and putting together what he can, not knowing that he could possibly infect Phineas with bacteria.
After Dr. WIlliams fixed Phineas's skull he bandaged his hole head and for recovery purposes he had to stay in bed for most of his time. Also, assisted by other operations to help with his brain swelling and infections.