And her emotional moods are analogously intense and rapidly shifting. In the spring of 1510 “she cried aloud because of the great pain: this attack lasted a day and a night”; in the night of August 10 “she tossed about with many exclamations”; and at the beginning of September “she cried out with a loud voice.” At other times, she laughs for joy. So at the end of April “she would laugh without speaking”; on August 11 “she fixed her eyes steadily on the ceiling; and for about an hour she abode all but immovable, and spoke not, but kept laughing in a very joyous fashion”; on August 17 great interior jubilation “expressed itself in merry laughter”; and on the evening of September 7 “her joy appeared exteriorly in laughter which lasted, with but small interruptions, for some two hours.”--And her entire apparent condition would shift from one such extreme to the other with extraordinary swiftness. In the autumn of 1509 “she many times remained as though dead; and at other times she would appear as healthy,--as though she had never had anything the matter with her.” Already in December 1509 she herself, after much vomiting and loss of blood, had sent for her Confessor and had declared that “she felt as though she must die in consequence of these many accidents.” Yet even on September 10, 1510, “when she was not being oppressed and tormented by her accidents (attacks), she seemed to be in good health; but when she was being suffocated by them, she seemed as one dead.”[17] II. CONCLUSIONS CONCERNING CATHERINE’S PSYCHO-PHYSICAL CONDITION DURING THIS LAST PERIOD. 1. _Her illness not primarily physical. Her self-diagnosis._ Now we saw, at the beginning of this chapter, how readily her attendants concluded, from all these extreme, multiple, swift-changing and self-contradictory states, to their directly and separately supernatural origin.--And indeed the diagnosis and treatment of her case showed clearly that it was not primarily physical. So in the case, probably in November 1509, of the cupping-glasses, when “she got medically treated for a bodily infirmity, whilst her real trouble was fire of the spirit”; so with a medicine given to her by the resident Hospital physician, some time in April 1510, “from taking which she nearly died”; so with Giovanni Boerio’s three-weeks’ treatment of her, in May 1510, a treatment which led to no other results than momentary additional distress; and so with the declaration of the ten Physicians who, even on September 10, four days before her death, “could find no trace of disease in her pulse, secretions, or any other symptom,” and who consequently abstained from prescribing anything. And hence, more or less throughout her last nine years, “there was confusion in the management of her, not on her own part, but on that of those who served her.”[18]