About the doctor´s report concerning Alexandra, i don´t think that it exists, the book don´t gives more information about it.
The report was wrote during Ali´x staying in a spa, about 1984, shortly after her engagement to Nicholas.
After the death of her father Alix was sent to Bad Schwalbach in the Taunus Mountains, the same spa wich later treated her niece Feodora, after this ,Queen Victoria, whose favourite granddaughter she was, took her on a tour of the mining towns of Wales and up to Balmoral, but with indifferent results. In the following winter she fell ill with an inflammation of the ears, and was sent with her brother to rest in Italy.
In April 1894, she wrote to the latter from Windsor Castle: "I shall do all in my power to get my legs in order till nest year, but it is not so easy".
In May of that year she was again packed off by her grandmother, this time to Harrogate, to take the sulphur water cure, the German spas she had tried haiving failed to bring relief. After Harrogate , the Queen sent the doctor´s report to Nicholas, i supose that it doesn´t exist, because it was not a so severe illness.
In Her Majesty´s opinion, "this ought to have been done a long time ago, but the family doctor (at Darmstadt)...is a stupid man, who never will do anything and says yes to all they (the family)ast. Last autumn and winter she ought to have done what she is doing now".
Alicky was visited in Yorkshire by her eldest sister Victoria of Battenberg, and together the two princesses had races in tricycle bath chairs "worked by a man sitting behind us". But even this diversion, the baths and the strict regime al Harrogate did little good, and after more than two weeks she was forced to admint that "as yet the pains are no better". After the cure the two sisters received a visit, from Nicky, though their romantic meeting on the banks of the Thames was a never to be forgotten delight, the Tsarevich recorded that his fiancee´s "sciatica" had not been banished at Harrogate. "What a pity that dear Alix cannot ride yet with us as she has just finished her cure and the pain in the legs endures", he noted.
On the voyage home he assured her"I suffered so for you, poor sweetie, when you had those awful pains in the legs". In mid-August her legs were still extremely painful. "So your poor leggies have again hurt you, very naughty of them, I wish I were there to have rubbed them".-Nicholas wrote.
Though she destroyed her correspondence with Queen Victoria after her abdication in 1917, the hundreds of rambling letters which Alesandra wrote to Nicholas, have survived and they are full or references to her failing health, as are the memoirs and letters left behind by diplomats and courtiers of pre-revolutionary St. Petersburg.
