To Emma Darwin   [18 April 1851]

D^r. Gully not come.

She appears dreadfully exhausted, & I thought for some time she was sinking, but she has now rallied a little. The two symptoms D^r. G, dreads most have not come on restlessness & coldness.— If her three awful fits of vomiting were not of the nature of a crisis, I look at the case as hopeless.— I cannot realise our position, God Help us.—

7^o. 30’. D^r. Gully has been & thank God he says though the appearances are so bad, positively no one important symptom is worse, & that he yet has hopes—positively he has Hopes.— Oh my dear be thankful..—

Four deluges of vomiting she has had today—poor thing—