. much of his disability is real; 4 P. M., temp, normal; feelsmuch better; left lower extremity able to perform all its func-tions but is not very strong; extensors and adductors of rightthigh unable to do their duty, except to a very limited degree;other muscles of right lower extremity appear to be all right,except that they are weak; boy still complains of pain in back onexertion and is still unable to stand without support. Nov. 12,temp. °; vomited several times during night; (had had friedeggs and ham for supper); appears practically the same as yester-day. Nov. 13, 9 A.
. much of his disability is real; 4 P. M., temp, normal; feelsmuch better; left lower extremity able to perform all its func-tions but is not very strong; extensors and adductors of rightthigh unable to do their duty, except to a very limited degree;other muscles of right lower extremity appear to be all right,except that they are weak; boy still complains of pain in back onexertion and is still unable to stand without support. Nov. 12,temp. °; vomited several times during night; (had had friedeggs and ham for supper); appears practically the same as yester-day. Nov. 13, 9 A. M., temp. °; cried during night on ac- EPIDEMIC OF POLIOMYELITIS 497 count of pain in back; says his heels hurt; as he lies flat in bedis unable to move right lower extremity at all, and left lowerextremity to a very slight degree only; right upper extremityappears to be entirely paralyzed; the left forearm can be moved fbut not the shoulder. 9:30 P. M., sent for by parents who J, > H ? T to- t4 flo. ml- z - sir tS5 tit* tP - 1 ?H ft [Ml. r11KV thought boy much worse; temp, normal, almost constantlydelirious. Nov. 14, 12 M., temp, normal; able to move lowerextremities somewhat; able to move left upper extremity andright forearm; still somewhat delirious. Nov. 15, temp, normal;muscular movements somewhat stronger; still somewhat deliri- 498 JOHN MILTON ARMSTRONG ous; feels pretty well and eats well; says whole length of spineis sensitive on movement but not otherwise. Nov. 16, feelsmuch better; movements stronger and better. Nov. 17, didnot sleep much on account of pain in bowels and legs; largelybehind knees; otherwise feels well and movements are 1, 1910, this boy continued to improve slowly, but fo along time complained of his spine and of the back of his legs be-hind the knees had a constant tendency to keep legs flexed;passive movements and massage used; on Christmas day hetook a few steps alone; has improved in his walking since then,but has a shufflin
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