Cullen

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

 

[ID:1862] From: Dr Alexander Taylor (Sanders) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Robert Neilson (Nielson, of Paisley) (Patient) / 1 June 1780 / (Incoming)

Letter from Alexander Taylor concerning the case of Mr Nielson.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1862
RCPE Catalogue Number CUL/1/2/941
Main Language English
Document Direction Incoming
Date1 June 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 Alexander Taylor concerning the case of Mr Nielson.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:316]
Case of Mr Robert Neilson with a chronic, progressive illness, probably pulmonary (consumption) but possible cardiac. After a gap, in early January 1782, Cullen confirms that Neilson's condition is terminal. An autopsy soon follows.
22


People linked to this document

Person IDRole in documentPerson
[PERS ID:207]AuthorDr Alexander Taylor (Sanders)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:206]PatientMr Robert Neilson (Nielson, of Paisley)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:207]Patient's Physician / Surgeon / ApothecaryDr Alexander Taylor (Sanders)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Paisley Glasgow and West Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Paisley 1 June 1780
Sir


Tho Mr. Nielson be to
see you himself he has enjoined
me to write you; but I have
little to add to what I have for ↑was↑
formerly said ---------- at 2 oClock
on Monday morning last I was
called to see him - he had awakened
a little before much pained
and sat up to get rubbed as usu¬
al but in rubbing the pains
after shifting and affecting the
left side of his breast went off
and were followed by a faintness
which obliged him to lye down,



[Page 2]

and a sweat under which he lay
when I saw him - Upon examining
I found him all over in a Cold
sweat
- his pulse beat 88 in the
minute and was strong and not
irregular
- but notwithstanding
this state of the Pulse, which I
considered as an exertion of Nature
after the faint and suspected would
not continue, I ventured to give
him a glass of wine for he was
very Cold - he soon after became
warm and the Sweat went off and
his pulse came down to 76 becoming
more soft - he has since had no
return of the faintness but been
much as usual -


Before he was put on his pre¬



[Page 3]

sent diet his pulse was always
uncommonly hard and strong and
frequently irregular
- but after,
it became soft and but seldom
hard and never irregular
but when
hard, at which times alone he was
distrest with Pains; and in this way
he continued a Considerable while -
but for some time by - past his pulse
has been irregular even when weak
and soft
; and his Pains at such times
very severe and more Constant
than formerly; and I believe thi[s]
change began much about the time
the Cold Sweats first made their appear¬
ance - I make this recapitulation
that you may ditermine whether
a glass of Wine or Toddie should now
be allowed or if he ought to persist
strictly in his present Regimen.

I am Sir your most humble Servant
Alexr. Taylor



[Page 4]


To
Dr. William Cullen
Professor of Medicine
Edinburgh


Dr Taylor
concerning
Mr Nielson
June. 1780.
V. XI. p. 22.

Diplomatic Text

[Page 1]
Paisley 1 June 1780
Sir


Tho Mr. Nielson be to
see you himself he has enjoined
me to write you; but I have
little to add to what I have for ↑was↑
formerly said ---------- at 2 oClock
on Monday morning last I was
called to see him - he had awakened
a little before much pained
and sat up to get rubbed as usu¬
al but in rubbing the pains
after shifting and affecting the
left side of his breast went off
and were followed by a faintness
which obliged him to lye down,



[Page 2]

and a sweat under which he lay
when I saw him - Upon examining
I found him all over in a Cold
sweat
- his pulse beat 88 in the
minute and was strong and not
irregular
- but notwithstanding
this state of the Pulse, which I
considered as an exertion of Nature
after the faint and suspected would
not continue, I ventured to give
him a glass of wine for he was
very Cold - he soon after became
warm and the Sweat went off and
his pulse came down to 76 becoming
more soft - he has since had no
return of the faintness but been
much as usual -


Before he was put on his pre¬



[Page 3]

sent diet his pulse was always
uncommonly hard and strong and
frequently irregular
- but after,
it became soft and but seldom
hard and never irregular
but when
hard, at which times alone he was
distrest with Pains; and in this way
he continued a Considerable while -
but for some time by - past his pulse
has been irregular even when weak
and soft
; and his Pains at such times
very severe and more Constant
than formerly; and I believe thi[s]
change began much about the time
the Cold Sweats first made their appear¬
ance - I make this recapitulation
that you may ditermine whether
a glass of Wine or Toddie should now
be allowed or if he ought to persist
strictly in his present Regimen.

I am Sir your most humble Servt.
Alexr. Taylor



[Page 4]


To
Dr. William Cullen
Professor of Medicine
Edinr.


Dr Taylor
c
Mr Nielson
June. 1780.
V. XI. p. 22.

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