 This included handling all his affairs, paying his bills, writing his letters, even lending him money and standing as surety for a loan to him.Although Keats appeared to recover from the initial attack and the medical advice was that his lungs were sound, Keats's health fluctuated from that time on, gradually deteriorating.On medical advice that he could not survive the cold of another English winter, Keats travelled to Rome, Italy on 17 September 1820.