text_original: Until taught by experience, the physician is apt to give a favourable prognosis. It is true the patient has a big spleen and a big liver and some fever ; but, strange to say, and this I regard as a mark of considerable diagnos  tic value, his tongue is clean, his appetite in spite of the fever — so different from what obtains in malarial cases — is good, he may digest his food well, there are no bilious and no threatening symptoms discoverable.
text_transcription: UNTIL TAUGHT BY EXPERIENCE THE PHYSICIAN IS APT TO GIVE A FAVORABLE PROGNOSIS IT IS TRUE THE PATIENT HAS A BIG SPLEEN AND A BIG LIVER AND SOME FEVER BUT STRANGE TO SAY AND THIS I REGARD AS A MARK OF CONSIDERABLE DIAGNOSTIC VALUE HIS TONGUE IS CLEAN HIS APPETITE IN SPITE OF THE FEVER SO DIFFERENT FROM WHAT OBTAINS IN MALARIAL CASES IS GOOD HE MAY DIGEST HIS FOOD WELL THERE ARE NO BILIOUS AND NO THREATENING SYMPTOMS DISCOVERABLE
phonemes: ʌntˈɪl tˈɔːt baɪ ɛkspˈiəɹɪəns, ðə fɪzˈɪʃən ɪz ˈæpt tə ɡˈɪv ɐ fˈeɪvɚɹəbəl pɹɑːɡnˈoʊsɪs. ɪɾ ɪz tɹˈuː ðə pˈeɪʃənt hɐz ɐ bˈɪɡ splˈiːn ænd ɐ bˈɪɡ lˈɪvɚ ænd sˌʌm fˈiːvɚ ; bˌʌt, stɹˈeɪndʒ tə sˈeɪ, ænd ðɪs aɪ ɹᵻɡˈɑːɹd æz ɐ mˈɑːɹk ʌv kənsˈɪdɚɹəbəl dˈaɪəɡnˌoʊz tˈɪk vˈæljuː, hɪz tˈʌŋ ɪz klˈiːn, hɪz ˈæpɪtˌaɪt ɪn spˈaɪt ʌvðə fˈiːvɚ — sˌoʊ dˈɪfɹənt fɹʌm wʌt əbtˈeɪnz ɪn mælˈɛɹɪəl kˈeɪsᵻz — ɪz ɡˈʊd, hiː mˈeɪ daɪdʒˈɛst hɪz fˈuːd wˈɛl, ðɛɹˌɑːɹ nˈoʊ bˈɪliəs ænd nˈoʊ θɹˈɛʔn̩ɪŋ sˈɪmptəmz dɪskˈʌvɚɹəbəl.