Once more the dawn of day awakens the cares of the world that had, during a few hours of sleep, ceased to distract. Called away to meet the difficulties of a medical life. Yet with all its perplexities, I have chosen it, and my duty requires me to attend to it. Indeed I admire the practice of medicine as much as any can. Yet there are times when I feel a disposition to abandon it. These times are when I see those who are good, benevolent, loved, and respected by all, capable of being beneficial to society, fall a sacrifice to disease. And all the skill I possess cannot arrest the downward course of the grave. Such were my feelings on the 24th of July.