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1 Florida Cruise [[/marginal note]]
Unusually well equipped amphitheatre all white enamel and white marble 
Case brought in: an [[underlined in red]] Irishman [[/underlined in red]] suffers from [[strikethrough]] Boigt [[/strikethrough]] [[underlined in red]] chronic Bright's disease. [[/underlined in red]] What impressed me most of all was the clear concise and direct [[strikethrough]] stat [[/strikethrough]] methods by which [[underlined in red]] Daland [[/underlined in red]] described the case and criticized diagnoses of younger physicians. Very tactfully without trying to display any wit or ridicule at their expense. Avoided unnecessary complicated language, in fact anybody without any medical knowledge could have followed the discussion of the case. 
I noticed the tense attention of the students, not a moment was lost by them during the 1½ hours, careful and painstaking. The men
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who read their observations stood behind the patient- car, one pace behind - just like a gunner behind his gun. everything very business like and [[underlined in red]] well disciplined [[/underlined in red]] The remarks and criticisms which [[underlined in red]] Daland [[/underlined in red]] used, correcting observations and deductions were practically along the same lines which I encounter when directing research work in chemical matters.
Afterward joined Captain [[underlined in red]] Mitchell MacDonald [[/underlined in red]] at Union League Club where we all had a simple but very [[underlined in red]] enjoyable supper [[/underlined in red]] together talking till past midnight. A very enjoyable and interesting day
Oct 11. Up early. Bright sunny crisp day. Took breakfast with [[underlined in red]] MacDonald [[/underlined in red]] then joined [[/underlined in red]] Cygnet [[/underlined in red]] 

Transcription Notes:
Instructions say to use the word 'underlined' in brackets when words are underlined in text. Seems appropriate because indicates past tense.