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111
Seven days before admission to Hospital there was a good deal
of dizziness with a temperature. Looked as though he was in for a
cold.
Next day much about the same, possibly a little worse.
Next day about the same.
Up till now had taken food fairly well, almost normally.
Next day no improvement, so was kept in bed. Some loss of
appetite.
Next day total loss of appetite. Went without food all the
day. In course of the afternoon was given a dose of liquid cascara
and one hour later a cup of tea. These were vomited half an hour
later. Another cup of tea was given in the evening and this could
not be taken. No sleep that night.
The next day Doctor was called in and as he was unable to
make a definite diagnosis, and there was no improvement, a
second opinion was called in, but no conclusion could be arrived at.
No food was taken during the day. About 6 o'clock in the evening
an attempt was made to get him to drink some tea, and after a
little persuasion, one mouthful was taken which was promptly returned
through his nose. He was rather vacant in his manner and
upset the rest of his tea.
Half an hour later, his father tempted him to take some more
tea and was alarmed to find the boy more or less paralysed. He
was unable to swallow, food returning through his nose when he
attempted to drink, although his breathing was normal. He was
unable to sit up in bed. His father sat him up and on turning
round for the tea, found that the boy had simply rolled back—he
stammered out "Daddy I can't." Stammering was a condition
quite foreign to him normally.
No sleep that night at all. He laid with his eyes open and no
movement of the body or limbs. Next day Doctor called and was
unable to make a definite diagnosis the general picture being mainly
bulbar " • he was admitted to Hospital. He remained in the same