Bleeding begins under the skin, producing dark discoloration.

Gums soften and teeth loosen.

Old wounds reopen.

Eventually the heart fails.

Knight had been showing signs of scurvy since late 1922.

By the spring of 1923 he was bedridden, essentially unable to care for himself.

Ada’s daily tasks included heating sand to apply to his feet to combat the pain, reading to him, bringing him food, emptying his bedpan, and tending to his sores.

He was not, by the diary record, a grateful patient.