My Great-Grandfather, Samuel Oliver Jones, was very ill,  but in spite of that fact, he went out to cut blocks of  ice from the river to re-stock the ice house.   It was extremely cold, and in his weakened condition, he developed pneumonia.  His temperature rose very high,  and as a result he suffered brain damage.   In those days there was a stigma attached to this condition  and a person was thought to be "Crazy."    His family did not understand the true nature of what  had happened to him.  Sadly, he was left alone  in an institution for the rest of his life.

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