Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:1178] From: Mr Thomas Duncanson / To: Dr William Cullen (Professor Cullen) / Regarding: Mr George Cumming (of Altyre) (Patient), Mr Robert Grant (Patient) / 24 November 1775 / (Incoming)

Letter from Thomas Duncanson at Forres, reporting further on the case of Robert Grant, a young servant to Captain Urquhart and mentioning the progress of Mr Cumming of Altyre in a postscript. The annotation giving Grant's first-name as 'John' must, presumably be an error.

Facsimile

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Metadata

FieldData
DOC ID 1178
RCPE Catalogue Number CUL/1/2/279
Main Language English
Document Direction Incoming
Date24 November 1775
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Thomas Duncanson at Forres, reporting further on the case of Robert Grant, a young servant to Captain Urquhart and mentioning the progress of Mr Cumming of Altyre in a postscript. The annotation giving Grant's first-name as 'John' must, presumably be an error.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:25]
Case of Robert Grant, a servant suffering from a cough, feverishness and other symptoms.
3
[Case ID:318]
Case of Mr Cumming who has a long and complex history of chest complaints, fever and stomach problems.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1564]AuthorMr Thomas Duncanson
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:1566]PatientMr Robert Grant
[PERS ID:1304]PatientMr George Cumming (of Altyre)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1564]Patient's Physician / Surgeon / ApothecaryMr Thomas Duncanson
[PERS ID:1565]Patient's Physician / Surgeon / ApothecaryCaptain Urquhart

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Forres East Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Ireland Europe certain
Mentioned / Other London London and South-East England Europe certain

Normalized Text

[Page 1]
Dear Sir


All your directions [as?] to Robert
Grant have been pointedlie observ'd, &
indeed for some time after he had begun
with them, I thought appearances were
making for him, tho Tincture Thebaic with
Emetic Tartar gave great relief, at first he
imagin'd the sweating a little Encreass'd by
the Draughts, tho not much, & therefore I
continu'd them Occasionalie for some time,
the Elixir did not encreass his Cough, there¬
fore Continu'd. Flannel shirts night
& day he has constantlie wore, & every day
on horse back well Cloath'd that he possib¬
lie could get out, after the Anodyne was
laid aside he try'd the Balsam, which he
found neither good nor {illeg} [from?].
The perpetual Issue between his shoulders
has all along discharg'd well, & upon the
whole he was rather better at first till the
sudden Change of Weather happen'd, but
since then he has lost Ground considerablie,
I should have mention'd that the sweatings
had entirelie stoppt when the Frost set in
they were diminuishing a little before, but
that fever (which has ever been measurablie
keen) has Encreass'd Considerablie for weeks
back, seldom or ever under [120?] in the
day time, & more frequent in the nights,
& with rovings for a Week the first
part of the night,
this last fortnight his
legs have been a good deal swell'd, strength
greatie reduc'd, & otherwise much Emaci¬
ate
, his Cough in the night very severe, &
without Expectoration till morning, when
he throws up great quantity, but now
finds the Phlegm a great deal more tuff,
Gluie & Viscid than formerlie, & much
harder to get up. He has been much dis¬
tress'd with Costiveness, tho Vegetables having
lost their laxative quality they kept his [belly?]
open even when dealing in the Draughts.




[Page 2]


About a Week ago he took a fancie for thin
pottage & small Beer which left his Bel¬
ly
open, & finds no bad effects otherwise
he takes them for Breakfast. I have
now given you all that occurs as to his pre¬
sent situation, but by a Conversation I
had yesterday with his master, there may
be Grounds to his feet, the lade might not
have been altogether, so well for a Course of
years, or perhaps he had Imagin'd himself
his master Cap.tCaptain Urquhart assures me,
that Nine weeks ago years ago when over
in Ireland, he observ'd him frequentlie
hacking, & sometimes spitting, as if there
had been something in his throat &
breast, & sometimes Inclinable to cough a
little, as if proceeding from defluxion,
at least this is the Account his master
makes of it, & that he had frequentlie
observed it from that Period, the Capt.Captain
likewise told [me?], that he thought him
far from well last Spring in his Way
to London, & was frequentlie oblig'd to
take him into the Carriage, tho there
was another gentleman in it besides,
& during the time he was at London
seldom had a Stool without physic,
& tho going about in his Usual way,
yet his master did not think him quite
in sorts, some time not sensible of it
himself, & even when at home I'm
inform'd he Used to be taking vomits
& physic without Peoples knowing,
he was indeed a smart Valuable servant,
& I Observe his master has been very
more Attentive to him, than he often



[Page 3]

been to himself, h[e is?] exceedinglie anxious ab¬
out him, & begs your opinion fully in Cour
Course. Two Guinea notes are Enclos'd,
I am
always with perfect regard,


Your most Obedient humble servant
Thomas Duncanson

Forres
24th. Nor.November1775


I doubt not but you'll be pleas'd to hear
somehing of my good Friend M.r Cumming
of Altyre, he [appears measurable?] better, til
the Change of whenWeather, when the
swelling return'd, & soon made a rapid prog¬
ress, not much in the Abdomen, but greatlie
in the Extremity, & [anniveles?] up & down along
his back & sides, one of his legs is now broke
& discharges a great deal, since the swelling
advanc'd above the Loyns, his thirst has been
uncommon, but little or no fever in the
day, & much less than usual in the night
as also in the Cough. His appetite is still
good & drinks a little wine at dinner
& in good spirits. Will not the [draining?]
prolong his days, pray let me know on
a [slip of paper?].




[Page 4]


To
Doctor William Cullen
Physician
at Edinburgh


Doctor Duncanson about
John 1 Grant &c.
November 24th 1775.
Vol. IV. p. 88.

Notes:

1: This was presumably done in error, as the patient is evidently a Robert Grant.

Diplomatic Text

[Page 1]
Dear Sir


All your directions [as?] to Rob.t
Grant have been pointedlie observ'd, &
indeed for some time after he had begun
with them, I thought appearances were
making for him, tho Tinct. Theb. with
Emet Tart. gave great relief, at first he
imagin'd the sweating a little Encreass'd by
the Draughts, tho not much, & therefore I
continu'd them Occasionalie for some time,
the Elixir did not encreass his Cough, there¬
fore Continu'd. Flannel shirts night
& day he has constantlie wore, & every day
on horse back well Cloath'd that he possib¬
lie could get out, after the Anodyne was
laid aside he try'd the Balsam, which he
found neither good nor {illeg} [from?].
The perpetual Issue between his shoulders
has all along discharg'd well, & upon the
whole he was rather better at first till the
sudden Change of Weather happen'd, but
since then he has lost Ground considerablie,
I should have mention'd that the sweatings
had entirelie stoppt when the Frost set in
they were diminuishing a little before, but
that fever (which has ever been measurablie
keen) has Encreass'd Considerablie for weeks
back, seldom or ever under [120?] in the
day time, & more frequent in the nights,
& with rovings for a Week the first
part of the night,
this last fortnight his
legs have been a good deal swell'd, strength
greatie reduc'd, & otherwise much Emaci¬
ate
, his Cough in the night very severe, &
without Expectoration till morning, when
he throws up great quantity, but now
finds the Phlegm a great deal more tuff,
Gluie & Viscid than formerlie, & much
harder to get up. He has been much dis¬
tress'd with Costiveness, tho Vegetables having
lost their laxative quality they kept his [be?]
open even when dealing in the Draughts.




[Page 2]


About a Week ago he took a fancie for thin
pottage & small Beer which left his Bel¬
ly
open, & finds no bad effects otherwise
he takes them for Breakfast. I have
now given you all that occurs as to his pre¬
sent situation, but by a Conversation I
had yesterday with his master, there may
be Grounds to his feet, the lade might not
have been altogether, so well for a Course of
years, or perhaps he had Imagin'd himself
his master Cap.tCaptain Urquhart assures me,
that Nine weeks ago years ago when over
in Ireland, he observ'd him frequentlie
hacking, & sometimes spitting, as if there
had been something in his throat &
breast, & sometimes Inclinable to cough a
little, as if proceeding from defluxion,
at least this is the Account his master
makes of it, & that he had frequentlie
observed it from that Period, the Capt.Captain
likewise told [me?], that he thought him
far from well last Spring in his Way
to London, & was frequentlie oblig'd to
take him into the Carriage, tho there
was another gentleman in it besides,
& during the time he was at London
seldom had a Stool without physic,
& tho going about in his Usual way,
yet his master did not think him quite
in sorts, some time not sensible of it
himself, & even when at home I'm
inform'd he Us'd to be taking vomits
& physic without Peoples knowing,
he was indeed a smart Valuable servant,
& I Observe his master has been very
more Attentive to him, than he often



[Page 3]

been to himself, h[e is?] exceedinglie anxious ab¬
out him, & begs your opinion fully in Cour
Course. Two Guinea notes are Enclos'd,
I am
always with perfect regard,


Your most Obed.t h. s.
Thos.s Duncanson

Forres
24th. Nor.November1775


I doubt not but you'll be pleas'd to hear
somehing of my good Friend M.r Cumming
of Altyre, he [appears measurable?] better, til
the Change of whenWeather, when the
swelling return'd, & soon made a rapid prog¬
ress, not much in the Abdomen, but greatlie
in the Extremity, & [anniveles?] up & down along
his back & sides, one of his legs is now broke
& discharges a great deal, since the swelling
advanc'd above the Loyns, his thirst has been
uncommon, but little or no fever in the
day, & much less than usual in the night
as also in the Cough. His appetite is still
good & drinks a little wine at dinner
& in good spirits. Will not the [draining?]
prolong his days, pray let me know on
a [slip of paper?].




[Page 4]


To
Doctor Will.m Cullen
Physician
at Edinrbr.


D.r Duncanson ab.t
John 1 Grant &c.
Nov.r 24th 1775.
Vol. IV. p. 88.

Notes:

1: This was presumably done in error, as the patient is evidently a Robert Grant.

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