20 July. ⁠—Visited Renfield very early, before the attendant went his rounds. Found him up and humming a tune. He was spreading out his sugar, which he had saved, in the window, and was manifestly beginning his fly-catching again; and beginning it cheerfully and with a good grace. I looked around for his birds, and not seeing them, asked him where they were. He replied, without turning round, that they had all flown away. There were a few feathers about the room and on his pillow a drop of blood. I said nothing, but went and told the keeper to report to me if there were anything odd about him during the day.

11 a.m. ⁠—The attendant has just been to me to say that Renfield has been very sick and has disgorged a whole lot of feathers. “My belief is, doctor,” he said, “that he has eaten his birds, and that he just took and ate them raw!”

11 p.m.