336 
Psyche 
[December 
and down my arm. After this pain had lasted for about a 
minute, bleeding began. From the way in which the blood 
bubbled from the lesion it appeared as though it came 
from a small artery. This continued for several minutes 
until by applying cold compresses to the lesion it was in- 
duced to stop. 
November 12. The exudate from No. 3 today consists 
largely of pus with a very fetid odor. Serum mixed with 
dark-colored digested blood and pus is oozing from No. 4. 
Several spasms of pain occurred during last night and 
today in No. 5. This pain was severe enough to awaken 
me several times during the night. No. 1 again bled pro- 
fusely on two occasions today. The bleeding started both 
times soon after the bandage had been removed. The blood 
welled out in a small stream, and it was necessary to hold 
my arm beneath running tap water for some time before 
it ceased. These hemorrhages were sufficiently severe to 
cause me to consider the advisability of having No. 1 re- 
moved in order to prevent the possibility of losing a con- 
siderable amount of blood during the night while asleep. 
I have decided, however, to delay any action and await 
developments for another day or so. Both times that the 
bleeding occurred from this lesion it was preceded by a 
sharp, deep-seated pain which was sufficiently acute to 
cause a slight nausea. 
November 13. The sharp pain and bleeding from No. 1 
again occurred this afternoon just after a fresh bandage 
had been applied. Blood-stained serum is exuding from 
Nos. 2 and 5. Serum mixed with blood and pus is issuing 
from No. 5, while pus only is being discharged from No. 3. 
A cast larval skin was expelled from No. 5 today. All the 
larvse have now molted with nine days’ difference between 
the time the molted skin was ejected from No. 6 and No. 5. 
Both arms are now very sore and a lymphangitis extending 
almost from the elbow to the axilla of my left arm is evi- 
dent. The epitrochlear and axillary lymph nodes of the 
left arm are enlarged to about the size of marbles and are 
tender to the touch. The nodes of the right arm are also 
swollen and tender, but not to the same extent as on the 
left side. A general feeling of lassitude which is quite 
marked has been experienced during the past few days. 
