She signs her name slowly, but clearly.

The greater number of cases of acquired rickets develop in the first half year (often in the first three months), with softness of the occiput which Elsässer has well defined as craniotabes.

[…] Lady Slattern Lounger, who had just sent it home, had so soiled and dog's-eared it, it wa'n't fit for a Christian to read.

The news is bleak.