William Bull to Ellen Axson Wilson

Two lines immediately to answer on your kind note received this morning. You must be in no anxiety about your little girl's pulse; it happens often after diphteria that the pulsation gets down to 50 à 60 & it can remain on that point long time & the patient feeling & being in good state of health. The poison of diphteria being still in the blood explains that fact. The important thing is that the pulse is regular. It may be that your daughter has allways had a slower pulse than children of her age. She has to take a little cognac or whiskey in hot milk several times daily & during the night & no strychnin injection if not quite quite necessary. Glad to see that the urine in perfect condition. The Patient must drive out 2 or 3 times before she undertake the travelling to Fiosole.

I am sure that you must be happy knowing that you have saved saved your childs life in acting immediately in right time & on the right way.

With my love to the little patient