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Budapest, February 18, 19161
Grand Hôtel Royal
Nagyszálloda
Dear Professor,
To continue yesterday's letter:
The patient is somewhat calmer today, as if he had taken care of the most important things (with that he means the matter of little Vera).
I examined him physically. Knee reflexes difficult to elicit, pupil reaction normal, otherwise no organic symptoms.
Responding to my questions, he related how today's condition came about. He was tormented by doubts about the nature of the testicular tumor, until he got hold of Kocher's2 Surgical Handbook (?). From that he learned that his malady would certainly return (metastasize) in five months at the latest. A blissful calmness, a feeling of security then came over him; he went to bed and saw that he should no longer concern himself with trifles like the brewery but had to settle the affairs of Vera, etc.
He has “metastases”1) in the brain, 2) on the backs of both feet.