Excerpt from The Dublin Journal of Medical Science, Vol. 115: January to June, 1903
In 1898 he left his work on board ship and became a commercial traveller, travelling mostly in the North of England. His health kept very good till the end of October, 1900. At this time he began to feel poorly; he became disinclined for work, lost his appetite, and developed a cough. He consulted a doctor in Hull, who found his temperature was 101 or and believed he heard some rales in his right apex. The doctor concluded Mr. H. Was developing phthisis, and advised him to come home.
I saw him at his father's house in Ranelagh., Dublin, on Nov. 11, 1900. His temperature was raised, and he obviously felt very unwell, but I could not detect any physical signs of disease in either lung. In fact there was no sign of illness except the pyrexia. There were no spots his spleen was not enlarged his urine was healthy his pulse quiet, from 66 to 80 his heart sound; his bowels were rather confined, so that an occasional dose of cascara or other purgative was needed. He could take light food fairly well. He had some cough, rather paroxysmal in character, and tending to end in retching, and occasionally in vomiting. From the absence of every other obvious cause of fever I began to suspect an anomalous case of typhoid, and Dr. Scott kindly examined his blood for me. He found Widal's reaction present, though not in a very marked degree; so we con cluded the disease was typhoid.
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