house, nobody could catch up with me--somebody blackened
her eyes." When asked whether she was sick, she said "No,
insane."

Although, as was stated, she said at one time, "This is the
same Ward's Island," usually questions regarding
orientation were not answered, as she gave few relevant
replies, but she repeatedly said spontaneously that she was
in "Hoboken or Bellevue," and called the nurse by the name
of a former teacher. A few days after this state had
developed she had a fever. Once this rose to 104 deg. The
fever lasted two weeks, coming down gradually. It was
associated with a leucocytosis of 15,000 on June 29 (no
differential count) and with coated tongue. No Widal (two
examinations). No diazo (July 1).

3. Then while the temperature still lasted she developed a
stupor which persisted for about a year. During this time
her temperature rose to 100 deg. without ascertainable
cause. She lay for the most part motionless, changing her
position but rarely; her expression was stolid; she
retained and drooled saliva, wet and soiled herself. She
never answered any questions; showed no interest whatever.
At times she was quite stiff and very resistive but never
cataleptic. Her extremities were cold and cyanotic. She had
to be tube-fed throughout. During this time she lost much
hair.

After some months she occasionally gazed about furtively,
or later watched everything when unaware of being observed;
at this time she also smiled occasionally at amusing
things, or perhaps said "yes" or "no" to questions, but
usually was stolid when interrogated.

Then about nine months after admission, while in the
condition just described, she developed a lobar pneumonia.
During it she remained the same. But during convalescence
she began to speak and eat.

4. A period followed lasting six months during which she
was up and about, but sat or stood around a good deal. On
the other hand, she helped the nurses a little when urged.
Her face was often stolid, again she looked about. At times
(even nearly to the end) she drooled and soiled. She said
little. At no time was she resistive. On other occasions
she smiled or laughed, not always on provocation, or she
showed little playful tendenci