Several persons on the sick list
Called to attend on a girl with a swelling of the knee joint and a strong fever in consequence. Her tongue was perfectly white & her skin was painful to touch from the insensity of the febrile heat and it seems she had been so for two days previous, but her father had declined sending for me and I should have known nothing of the matter if Mr. Buffett had not requested me to visit the poor child; of course I went immediately & prescribed for her and visited her twice during the afternoon. At six o clock when I left her for the night she was somewhat easier, but the violence of the fever had not much abated.
The above mentioned girl is much the same as yesterday. Her knee is less painful but the thigh is more swollen. The fever is still burning hot nor can I induce perspiration though I have exerted powerful means. I feel somewhat doubtful as to the results of this poor childs afflictions