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Lyons, Fayette Co: Texas. Mar: 15/66.

Sir:
A very pitiable object came under my notice two days ago, and I regretted exceedingly not to be able to render her
any assistance. A negro woman about thirty years of age (having a child in her arms aged about 18 months) called on me to be treated for syphylis, preferring to pay for my services by washing, cutting wood, etc, etc,  when, in fact, she could scarcely walk, owing to swelling of the external organs of generation arising from untreated chancres. The disease was contracted about Christmas, and no treatment, looking to a cure, had been applied. Soon the disease became so apparent and so obnoxious to the feelings of the people living in her immediate neighborhood, that she was cast forth into the world, houseless, penniless, friendless, partly clad, and without food, and no hope of getting employment, and not really capable (physically) of engaging, if any had offered. When she called on me, she was living by migra[[ting]]