Though he went to his room he was unable even to take his clothes off. For a long time he paced up and down, and then leaning out of the window gazed at the earth which lay so dark against the paler blue of the sky. With a mixture of fear and loathing he looked at the slim black cypress trees which were still visible in the garden, and heard the unfamiliar creaking and grating sounds which show that the earth is still hot. All these sights and sounds appeared sinister and full of hostility and foreboding; together with the natives and the nurse and the doctor and the terrible force of the illness itself they seemed to be in conspiracy against him. They seemed to join together in their effort to extract the greatest possible amount of suffering from him.