About 4:00 p.m. a message was sent to Dr. J. H. Kellogg requesting him to call on James at his home. The doctor went over immediately and found him suffering with a high fever, his pulse being 112 and his temperature 103º∞ F (40∞ C). The doctor learned that about 10:00 a.m. of the same day James had suffered with a very severe congestive chill. At this time his head was greatly congested, and he complained of severe pain in the spine, extending into the lower limbs. He seemed to be greatly prostrated and was very restless.