It was some time before he could make himself of much use. The poor unfortunate lady fell out of one fit into another, and went on so till she was quite wearied out, and as helpless as a newborn babe. We then got her to bed. Mr. Goodricke went away to his house for medicine, and came back again in a quarter of an hour or less. Besides the medicine he brought a bit of hollow mahogany wood with him, shaped like a kind of trumpet, and after waiting a little while, he put one end over the lady’s heart and the other to his ear, and listened carefully.

When he had done he says to my mistress, who was in the room, “This is a very serious case,” he says, “I recommend you to write to Lady Glyde’s friends directly.” My mistress says to him, “Is it heart-disease?” And he says, “Yes, heart-disease of a most dangerous kind.” He told her exactly what he thought was the matter, which I was not clever enough to understand. But I know this, he ended by saying that he was afraid neither his help nor any other doctor’s help was likely to be of much service.