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Wednesday, 24 September, 1828

How soon from ease and pleasure can we be involved in pain and misery. Short and quick sometimes is the transition. Last evening I went to bed late in the night as well as usual, and this morning awoke with a feeling of extreme lassitude, almost unable to rise from bd and suffered severe pain. However, after some little time, I walked about, still disinclined to motion. I got my horse and started to visit those patients to whom I gave my word to see them today, but before I had rode one mile, I was obliged to dismount and lie down by the wayside, and I was glad when I had succeeded in regaining my room. I suffered extremely during the day and all night, never slept any and was by myself.