Cullen

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

 

[ID:1855] From: Mr John Walker / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Thomson (of Kirkcudbright) (Patient) / 22 May 1780 / (Incoming)

Letter from John Walker concerning the case of Mr Thomson.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1855
RCPE Catalogue Number CUL/1/2/934
Main Language English
Document Direction Incoming
Date22 May 1780
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 John Walker concerning the case of Mr Thomson.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1232]
Case of Mr Thomson (under care of John Walker) who suffers a severe hectic fever with diarrhoea.
8


People linked to this document

Person IDRole in documentPerson
[PERS ID:838]AuthorMr John Walker
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:837]PatientMr Thomson (of Kirkcudbright)
[PERS ID:838]Patient's Physician / Surgeon / ApothecaryMr John Walker
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Kirkcudbright Borders Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Place of Handstamp Carlingwork (Carlingwark / Carlinwark) Borders Scotland Europe certain
Place of Handstamp Carlingwork (Carlingwark / Carlinwark) Borders Scotland Europe certain
Place of Handstamp Carlingwork (Carlinwark) Borders Scotland Europe certain
Place of Handstamp Carlingwork (Carlinwark) Borders Scotland Europe certain

Normalized Text

[Page 1]
Sir


I received yours in the course of Post concer¬
ning Mr Thomson, and your directions have been
punctually complied with, but still our patient
complains grievously of the pain of his side and
the fever is little or nothing abated.


The continuance of these complaints have induced
me to repeat the bleedings several times, as well
as the application of leeches & fomentations, and
when these failed to bring relief I have been [then?]
under the necessity of having recourse to Opiates
which have never failed to give immediate & com¬
plate relief, but they melt him down in morn¬
ing sweats. His fever in the morning before he
gets out of bed is about 100. Thro' the day some



[Page 2]

what more frequent, but at bedtimes it has not
been less than 120 for some weeks, till last night
when it was down to 108. This morning it
was 104 in bed; he had taken salts before I saw
him which no doubt increased the frequency.


He has strickly observed the diet he was enjoined
till of late I have been obliged to relax a little
and allow him a little young meat to dinner
as the other produced indigestion & flatulency
that were extremely distressing.


I have given up the small bleedings for these
eight days past, having observed little effect in their
diminishing either the pain or fever; and the blood
as sizy as ever, to appearance. In place of blood¬
letting
I have ordered him as much of the Purging
neutral Salts, Sal. Cathart Amor as to move him



[Page 3]

three or four times every other day, This plan
I think not so reducing as the frequent loss of
blood
and I believe I have seen good effects from Purg¬
ing
in similar cases, but in the continuance of
this I shall be happy to have your approbation
with the utmost respect,

Sir your most Obedient Servant
John Walker
Kirkudbright 22nd May 1780



[Page 4]


Dr Cullen
Edinr


Mr Walker
Concerning Mr. Thomson
V.XI, p. 14 –
May 1780
No 2

Diplomatic Text

[Page 1]
Sir


I received yours in the course of Post concer¬
ning Mr Thomson, and your directions have been
punctually complied with, but still our patient
complains grievously of the pain of his side and
the fever is little or nothing abated.


The continuance of these complaints have induced
me to repeat the bleedings several times, as well
as the application of leeches & fomentations, and
when these failed to bring relief I have been [then?]
under the necessity of having recourse to Opiates
which have never failed to give immediate & com¬
plate relief, but they melt him down in morn¬
ing sweats. His fever in the morning before he
gets out of bed is about 100. Thro' the day some



[Page 2]

what more frequent, but at bedtimes it has not
been less than 120 for some weeks, till last night
when it was down to 108. This morning it
was 104 in bed; he had taken salts before I saw
him wc. no doubt increased the frequency.


He has strickly observed the diet he was enjoined
till of late I have been obliged to relax a little
and allow him a little young meat to dinner
as the other produced indigestion & flatulency
that were extremely distressing.


I have given up the small bleedings for these
eight days past, having observed little effect in their
diminishing either the pain or fever; and the blood
as sizy as ever, to appearance. In place of blood¬
letting
I have ordered him as much of the Purging
neutral Salts, Sal. Cathart Amor as to move him



[Page 3]

three or four times every other day, This plan
I think not so reducing as the frequent loss of
blood
and I believe I have seen good effects from Purg¬
ing
in similar cases, but in the continuance of
this I shall be happy to have your approbation
with the utmost respect,

Sir your most Obet Se[rt.?]
John Walker
Kirkudbright 22nd May 1780



[Page 4]


Dr Cullen
Edinr


Mr Walker
C Mr. Thomson
V.XI, p. 14 –
May 1780
No 2

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