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96
The condition when I saw her was as follows:—
Pain in both sides of the neck, pupils small, knee jerks exaggerated
slightly, ankle clonus on right side. Plantar reflexes
increased. No babinski. She had some alteration in sensation,
as an instance she " has to look to the ground to see if it is there ".
Her facial expression was dull, (normally an extremely bright
little woman). She complained of periodic pain across the eyes,
and the eyes looked tired. Nausea. Memory gone.
The Medical Attendant's careful notes are as follows:—
15th May, 1924—This morning, dizziness on leaning over
bed as if bed were coming up to her. Saw double last
night. She went to pick up a cushion and it was on the right of
where she thought. Things misty this morning. She feels sick.
The feeling comes from above the sternum, cross each side of the
neck to above the ears and then to the root of the nose; she feels
she must grunt and she feels relief by doing it. She doesn't bring
up any wind with it. She did this while I was there and then
said she felt hot. No trouble with urine, not so much as usual.
Usually passes quantities. She feels sick all the time. Eating
fairly well. Slept badly last night. No sleep during the day.
Pulse 84. She could not do her temperature charts to-day as she
can't see properly.
16th May.—Still feels sick but is not so bad. Eyes not so
heavy. Pains still come up to her head just the same but not so
bad. They come a little higher up the back of the head and in
front. She seems to hear a cracking in her nose. Things go
blurred if she looks at them for long. Her calves are painful and
sore just behind the fibula. Slept little because of baby. Feels
muddled. Can't remember. Every now and then trembles as if
frightened. The vibrations are not visible. She trembles as if in
fear—just as she used to when the Matron went for her. She
gets an effervescing in the lower abdomen—just as she does in
thunderstorm—as if the bowels are going to act. She holds herself
tight, presses her arms for a minute and it goes off. Feels