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Dear sir
I must get you to come down
this morning as my wife still continues
very porly I will give you her complain [t]
As near as I can which is Nearly the
Same as when I saw you the medison
you gave me did not stop her sweets
But Reduc.d her appetite she gets weaker
altho. at this time her appetite is tollarble
good. She has a puking Every morn.g which
causes a Stiffness in her legs when Ever
she pukes that stiffness sometimes
is in her stomack, Sometimes a heada [ke]
I Wish you to come down as soon as
you can when you Receive this as
you will know what to do when you
get hereyours Res,ly &c
Willis Landrum
March 7th 1823