Washington’s teeth were even more troublesome. Mercer in 1760 alluded to his showing, when his mouth was open, “some defective teeth,” and as early as 1754 one of his teeth was extracted. From this time toothache, usually followed by the extraction of the guilty member, became almost of yearly recurrence, and his diary reiterates, with verbal variations, “indisposed with an aching tooth, and swelled and inflamed gum,” while his ledger contains many items typified by “To Dr. Watson drawing a tooth 5/.” By 1789 he was using false teeth, and he lost his last tooth in 1795. At first these substitutes were very badly fitted, and when Stuart painted his famous picture he tried to remedy the malformation they gave the mouth by padding under the lips with cotton. The result was to make bad worse, and to give, in that otherwise fine portrait, a feature at once poor and unlike Washington, and for this reason alone the Sharpless miniature, which in all else approximates so closely to Stuart’s masterpiece, is preferable. In 1796 Washington was furnished with two sets of “sea-horse” (_i.e._, hippopotamus) ivory teeth, and they were so much better fitted that the distortion of the mouth ceased to be noticeable. Washington’s final illness began December 12, 1799, in a severe cold taken by riding about his plantation while “rain, hail and snow” were “falling alternately, with a cold wind.” When he came in late in the afternoon, Lear “observed to him that I was afraid that he had got wet, he said no his great coat had kept him dry; but his neck appeared to be wet and the snow was hanging on his hair.” The next day he had a cold, “and complained of having a sore throat,” yet, though it was snowing, none the less he “went out in the afternoon … to mark some trees which were to be cut down.” “He had a hoarseness which increased in the evening; but he made light of it as he would never take anything to carry off a cold, always observing, ‘let it go as it came.’” At two o’clock the following morning he was seized with a severe ague, and as soon as the house was stirring he sent for an overseer and ordered the man to bleed him, and about half a pint of blood was taken from him. At this time he could “swallow nothing,” “appeared to be distressed, convulsed and almost suffocated.”