t get out of bed and remained in
bed until she was sent to the Observation Pavilion, getting
up only to go to the closet. She said very little and would
not eat much. About a month before admission she began to
say that she did not want to live, begged her daughter to
throw her out of the window. About two weeks before
admission she began to insist that she heard the voice of
her brother (living in Ireland) calling her. She got out of
bed to look for him.

At the _Observation Pavilion_ she was described as slow,
looking about in an apprehensive manner, bewildered, dazed,
saying "I am dead--there is poison in it (not clear in
what)--I am dead, you are dead."

_Under Observation:_ 1. On admission the patient had a
coated tongue, foul breath, constipation, lively knee-jerks
and a pulse of 110. She appeared dull, inactive, lay in bed
with her eyes closed. She would open them when urged but
appeared drowsy and her face was strikingly immobile. At
times she moaned a little. She could be made to respond in
various ways such as shaking her head, or making some
motions as though to indicate that she could not give any
explanations. All movements were slow. She also responded
to a few questions by "I don't know."

Two days after admission the condition was not essentially
different except that she was a little uneasy when urged to
speak, corrugated her forehead, said "Everything is dark,"
again "I am very sick," or she turned away her head.

On the fourth day, i.e., January 26, the picture altered,
inasmuch as she was much more responsive. She was found
sitting up in bed and, at times, a little uneasy. She was
slow in her movements and answers, speaking in a whisper
and sometimes a little fretfully. The answers, though slow,
were, however, by no means given in the shortest possible
manner, but with variations, e.g., from "I don't know," to
"I could not tell you," or "I can't tell that either." She
said herself that everything had "been so dark--it is light
now, but it gets so dark sometimes." She denied knowing
where she was, even in what city, also denied knowing the
month, adding to the latter answer "the nurse can tell
you." She could not tell where she had been before coming
to the h