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On each of the three last evenings His Majesty has had some degree of tremor. The state of the weather made it uncertain whether this might be the effect of cold. It was very slight on Sunday; but yesterday it came on earlier, about five oclock, and was more considerable. It was therefore thought prudent to invite His Majesty to go to bed, which He seem'd glad to do, and has pass'd a good night with seven hours of sleep. His Majesty appears very feeble this morning; but has taken his breakfast well, & seems free from any particular illness or uneasiness. At the same time we think it right to add that we apprehend His Majesty to be rapidly declining.

(sign'd) W Heberden J Willis

Windsor Castle 23 Nov. 1819

To His Royal Highness The Duke of York