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His decades-long service as personal physician and confidante to the Queen of Sweden is mentioned only in the most oblique terms; at one point, while naming her only as "she who must be mother to a whole nation", he mentions that she regularly brings flowers for the grave of one of her dogs buried at Villa San Michele, at another point, one of his servants is out walking his dogs, and encounters the Queen, who mentions having given the dog to Munthe.
She took control over the affairs of state and had Georg Heinrich von Görtz and his followers removed from power.