7 A.M., January 10, 1893. Thank God I began this day with more comfort and more control of myself; my limbs are easier to manage; a little giddiness and staggering, and stiff, bruised sensation in my back and lower limbs. My cervical vertebra is less sore and have little pain; and altogether feel very much better. My pulse rate is 80 this A.M.; full and round; no jerks perceptible. Temperature 98 under the tongue, by the root. Mercury very slow in rising; had to keep the thermometer in a long time. I have a flushed, hot feeling in my face and head; no trembling, less staggering, and can manage my limbs fairly well. I feel as I dared not trifle with myself any further, for I am very weak. A very little exertion would make me feel very ill. I am feeling like a man who had just come from under a deadly risk; am very weak and prostrated, with every nerve on the jump. Oh, so very weak! A sinking feeling. A parched thirstiness in my throat and mouth. My tongue is clean; bowels regular; a good deal of flatus, very fetid; pale yellow, greenish urine (specific gravity 1008), smelling very fetid; same smell as the flatus; more like the smell of rotting sweet fruit or vegetables. * * * January 14, 1893. Could not get out of bed at my usual time; very severe pain in head and back of neck, going down my back and right leg; twitches, with cold, stinging, ice-needle pricks. My right hand is feeling as if it were frozen. Pulse rate 64; full, round, but appears to have a pendulum motion or twitch. Temperature 96 3-5. Mind clear, but very weak in my body, and I can not get warm over a hot register or with hot fluids. This constant arctic cold is very hard to bear and makes me this morning feel as if I had a cake of ice on my back. My hands are blue with cold and my feet feel like lumps of ice. Headache and giddiness; could not keep from trembling while some patients were in my consulting room, and had a good deal of difficulty in steadying and controlling my voice; when excited could not get hold of the right words I wanted and dropped some when speaking, from a want of flexibility or a catch in my tongue. Pains in various parts of my body; the same locations and character. Quite a rush of business to-day and very ill-fitted to attend to it. My hands and feet blue and aching with cold, even while I was sitting over a hot register that scorched my boot leather, yet no feeling of warmth in hands or feet. A good deal of throbbing and aching in the upper part of my kidneys, the right one the sorest. Sharp pains in my bowels, near the cæcum; some trembling (when asleep it awoke me) in my right arm and left leg, with a sharp pain near the ankle joint. * * *