Page:Transactions of the Provincial Medical and Surgical Association, volume 2.djvu/592

 it. When I visited my friend, two days after his attack, and again in two days more, there was little, to ordinary observation, calculated to alarm. He was more than usually restless, and very anxious speedily to be well: he slept ill; his pulse was frequent, and there was an evident febrile state, but far from intense: and his muscular strength was much less than his energy of will. He had severe pains, now and then, in his shoulders and back. The secretions from the kidneys exhibited the most marked departure from health, being scanty, and very dark. His mind was extremely active, and his disposition to talk required restraint. Once or twice, after being ill four days, he misplaced his words in speaking. He not infrequently spoke of medical subjects, and with his usual judgment and good sense; and he was cheerful, and entertained no apprehension of worse consequences than he had already incurred. When I saw him two days after that, it was disheartening to find that the restlessness, the agitation the quick pulse, still remained: his mind had become a little affected: he had convinced himself that his pains were rheumatic, and of the kind described by Fothergill, whose description he wished to have read to him. Other symptoms, not calculated to encourage those about him, had come on; but none which were of a nature to deprive them of hope. Engagements, which could not be postponed,