Bear,
I found a couple of other passages in Gillard's book I thought you might like to read.
Autumn, 1913
"One morning I found the mother at her son's bedside. He had had a very bad night. Dr. Derevenko was anxious, as the haemorrhage had not been stopped and his temperature was rising. The inflammation had spread further and the pain was even worse than the day before. The Czarevitch lay in bed groaning piteously. His head rested on his mother's arm and his small, deathly white face was unrecogfnisable. At times, the groans ceased and he murmured one word "Mummy!" in which he expressed all his suffering and distress. His mother kissed him on the hair, forehead and eyes as if the touch of her lips could have relieved his pain and restored some of the life which was leaving him. Think of the tortures of that mother, an importent witness of her son's martydom in those hours of mortal anguish - a mother who knoew that she herself was the cause of his sufferings, that she had transmitted to him the terrible disease against which human science was powerless!A Now I understand the secret tragedy of her life! How easy it was to reconstruct the stages of that long Calvary." p. 43
April 12, 1917 "Alexis Nicolaevitch confined to bed, as since yesterday he has had a violent pain in the groin caused by a strain. He has been so well this winter. It is to be hoped it is nothing serious." P.258
April 15, 1917 "Alexis Nicolaevitch in great pain yesterday and today. It is one of his severe attacks of haemophilia."