Cullen

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

 

[ID:1918] From: Dr John Clark (Clerke, Clarke) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr George Waldie (of Hinderside [Hendersyde]) (Patient), Mrs Clark (Clerke, Clarke) (Patient) / 24 September 1780 / (Incoming)

Letter from John Clark, concerning the case of Mr Waldie who has just died and of his own wife, Mrs Clark.

Facsimile

There are 4 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 

[Page 4]


 
 

Metadata

FieldData
DOC ID 1918
RCPE Catalogue Number CUL/1/2/998
Main Language English
Document Direction Incoming
Date24 September 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 Clark, concerning the case of Mr Waldie who has just died and of his own wife, Mrs Clark.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:472]
Case of Mr Waldie of Hinderside which proves fatal.
3
[Case ID:1278]
Case of Mrs Clark(e) [Clerke], wife of Dr Clark(e) at Newcastle, who has a pectoral complaint.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:816]AuthorDr John Clark (Clerke, Clarke)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:815]PatientMr George Waldie (of Hinderside [Hendersyde])
[PERS ID:840]PatientMrs Clark (Clerke, Clarke)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:816]Patient's Physician / Surgeon / ApothecaryDr John Clark (Clerke, Clarke)
[PERS ID:1496]Patient's Relative / Spouse / FriendMr George Waldie (Mr Waldie jr, of Hendersyde, Kingswood, or of Forth House)
[PERS ID:2615]Patient's Relative / Spouse / Friend
[PERS ID:2616]Patient's Relative / Spouse / Friend
[PERS ID:2617]Patient's Relative / Spouse / Friend
[PERS ID:2618]Patient's Relative / Spouse / Friend
[PERS ID:816]Patient's Relative / Spouse / FriendDr John Clark (Clerke, Clarke)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Newcastle upon Tyne North-East England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other London London and South-East England Europe certain
Place of Handstamp Newcastle upon Tyne North-East England Europe certain

Normalized Text

[Page 1]
Newcastle September 24th. 1780
Dear Sir


I was honoured with your Letter of Con¬
sultation; and although the case proved fatal
before it arrived, and much sooner than there
was any reason to to expect, yet it was a
very considerable consolation to me, & to his re¬
lations, that your sentiments so nearly con¬
curred with mine. The very day I wrote you
(September 7 5) Mr. Waldie. came from this place, in
a carriage, & thought himself better for the
ride. Upon the road, he drank some butter
milk, and afterwards a good deal of small
beer. Soon after he was siezed with vomiting,
without pain in the stomach. This symptom,
together with the cough, continued without a¬
batement for 24 hours. He could be prevailed
upon to take no medicine, & would scarcely
drink any thing stronger than cold water. On
the morning of the 7th. of September the vomiting abated.
He began to rattle in his throat, & to breathe la¬
boriously
. His pulse was little altered; but both this
morning & the Day before, I observed a strong Pulsa¬
tion in the carotid & temporal Arteries. At 11 o Clock
he got up in bed, had an effort to cough; his
countenance in a moment became pale & livid;
& he died without a struggle. Might not this sud¬
den death be owing to some desease in the heart.
itself {illeg} large blood Vessels...M.r George Waldie
his Heir, will either write you himself, or
make a friend of his wait upon you soon.




[Page 2]


I am now my, Dear Sir, about to consult you con¬
cerning a case, which more nearly concerns me. My
wife has long been in an unfavourable way. Although
I am affraid, it may be out of the power of medicine
to remove her desease, yet it will be a great comfort
to me to have the opinion of one whom I esteem the
first Physician in the Kingdom. At one period
of the Desease, I have looked upon the case to be
a spasmodic cough; at another a Chronic Catarrh;
but now I am affraid, it will terminate in Phthisis.


Mrs. Clark is fortyfive years of age, and the
catamenia still continue regular. She is of a large
make, her neck rather short, her chest well
formed; she was naturally of a florid complexion,
plethoric, and became corpulent after the age of
20; but not to such a degree as to render her
unactive. She has been the mother of Six Children
& in the has suffered much by miscarriages, &
uterine haemorrhages after delivery. After her
second child her legs became adematous; & ever
since that period she has been obliged to wear
flannel rollers. She lived formerly in London,
but since I became connected to her in 1774
she has lived in the country; & since that period
has enjoyed a good state of health, except that
her recovery after delivery has stil been slow;
& that about four years ago she had a very
severe catarrh in Autumn, which however yielded
to V. S. & a total abstinence from Animal food.
For three years past she has never became
pregnant.


In march last she was seized with the
usual symptoms of catarrh; & the [desease] not
withstanding every precaution increased with
the warm weather. In the middle of June the
cough became exceedingly severe, in the fits her
face almost became livid, her urine was forced
off
, & her whole frame violently agitated; & accom¬
panied with a sense of fulness, & exqusite transitory
pain in her legs & arms, to the very end of her toes



[Page 3]

& fingers. The violence of the cough frequently excited
vomiting; but nothing has been expectorated but
transparent viscid mucus. Since the beginning
of June, at the distance of 3 weeks, or there abouts,
she has been always seized with rigors, & after this
has continued in a febrile state for two or three
Days. About the first week of August she began
to complain of a Difficulty of breathing, & an aggra¬
vation of cough when she lay upon the right
side
, & soon after of a slight pain in that side
upon coughing - Bifore that period, notwithstanding
the violence of the cough, she never had the
least pain or uneasiness about the Thorax. For
about 14 day past she has complained of pain
under the sternum; but now she has more pain
upon coughing, under the scrobiculum Cordis.
She becomes chilly now every afternoon; her
pulse, which was formerly natural, in the
evening, beats about 94, & she begins to sweat
profusely
at nights. The fits of coughing [in¬]
crease to ↑a↑ very great degree, & are more frequen[t],
& opiats which always suspended the desease
now begin to lose their effects. After a severe
new fit of coughing, she frequently complains of
palpitations of her heart; & the cough now seldom
fails to excite vomiting - There is still not
the least purulent appearance in what she
expectorates ↑the matter expectorated very viscid↑. She has now little appetite, has
lost her flesh, but is still able to ride, above
3 miles on Horseback, at a time, without
bei[ng] fatigued - The urine is still forced of
by the fits of coughing; what she passes at
other times has been generally pale. Since
the beginning she has wheezed in her breathing
at bedtime; & at times her face has appeared
puffy in the morning. - Much soreness in the Trachea.


A variety of medicines have been tryed;
the chief of which have been V.S. Pil. Scillit. Lact
Ammon. Mist.
[Oleas?] cum [Elix. Parg?]; the [steams?]



[Page 4]

of warm water inspired; Blisters &c; but nothing
has given her the least relief except opium. She
has passed the whole summer in the Country, has
lived upon ↑a↑ milk Diet; has been allowed animal
food, & a Glass of wine after Dinner, as a total Vegetable
diet did not agree with her stomach. Vomits
have not been so often repeated as I could have
wished, as they have always produced severe
pains in the stomach. As she returns home
this evening, I mean to apply another Blister;
-- My wifes Father and Mother were severely
afflicted with the Gout; & she had a Brother
& Sister who died of the Phthisis betwixt 20 & 30
years of age. Her family have not the least ap¬
pearance of Scrophulous taint. She certainly
has now tubercles or some fixed obstruction in
the Lungs - She has never had any appearance
of the Gout; & therefore I do not think her cough
gouty -- Excuse my prolixity; & believe me
to me with utmost esteem & respect yours &c

John Clark.


To
Doctor Cullen
Professor of Medicine
in the University of
Edinburgh.


Dr Clarke Concerning
Mrs Clark --
September 1780.
v. xi. p. 78

Diplomatic Text

[Page 1]
Newcastle Septr. 24th. 1780
Dear Sir


I was honoured with your Letter of Con¬
sultation; and although the case proved fatal
before it arrived, and much sooner than there
was any reason to to expect, yet it was a
very considerable consolation to me, & to his re¬
lations, that your sentiments so nearly con¬
curred with mine. The very day I wrote you
(Septr. 7 5) Mr. Waldie. came from this place, in
a carriage, & thought himself better for the
ride. Upon the road, he drank some butter
milk, and afterwards a good deal of small
beer. Soon after he was siezed with vomiting,
without pain in the stomach. This symptom,
together with the cough, continued without a¬
batement for 24 hours. He could be prevailed
upon to take no medicine, & would scarcely
drink any thing stronger than cold water. On
the morning of the 7th. of Septr. the vomiting abated.
He began to rattle in his throat, & to breathe la¬
boriously
. His pulse was little altered; but both this
morning & the Day before, I observed a strong Pulsa¬
tion in the carotid & temporal Arteries. At 11 o Clock
he got up in bed, had an effort to cough; his
countenance in a moment became pale & livid;
& he died without a struggle. Might not this sud¬
den death be owing to some desease in the heart.
itself {illeg} large blood Vessels...M.r George Waldie
his Heir, will either write you himself, or
make a friend of his wait upon you soon.




[Page 2]


I am now my, Dear Sir, about to consult you con¬
cerning a case, which more nearly concerns me. My
wife has long been in an unfavourable way. Although
I am affraid, it may be out of the power of medicine
to remove her desease, yet it will be a great comfort
to me to have the opinion of one whom I esteem the
first Physician in the Kingdom. At one period
of the Desease, I have looked upon the case to be
a spasmodic cough; at another a Chronic Catarrh;
but now I am affraid, it will terminate in Phthisis.


Mrs. Clark is fortyfive years of age, and the
catamenia still continue regular. She is of a large
make, her neck rather short, her chest well
formed; she was naturally of a florid complexion,
plethoric, and became corpulent after the age of
20; but not to such a degree as to render her
unactive. She has been the mother of Six Childn.
& in the has suffered much by miscarriages, &
uterine haemorrhages after delivery. After her
second child her legs became adematous; & ever
since that period she has been obliged to wear
flannel rollers. She lived formerly in London,
but since I became connected to her in 1774
she has lived in the country; & since that period
has enjoyed a good state of health, except that
her recovery after delivery has stil been slow;
& that about four years ago she had a very
severe catarrh in Autumn, which however yielded
to V. S. & a total abstinence from Animal food.
For three years past she has never became
pregnant.


In march last she was seized with the
usual symptoms of catarrh; & the [desease] not
withstanding every precaution increased with
the warm weather. In the middle of June the
cough became exceedingly severe, in the fits her
face almost became livid, her urine was forced
off
, & her whole frame violently agitated; & accom¬
panied with a sense of fulness, & exqusite transitory
pain in her legs & arms, to the very end of her toes



[Page 3]

& fingers. The violence of the cough frequently excited
vomiting; but nothing has been expectorated but
transparent viscid mucus. Since the beginning
of June, at the distance of 3 weeks, or there abouts,
she has been always seized with rigors, & after this
has continued in a febrile state for two or three
Days. About the first week of August she began
to complain of a Difficulty of breathing, & an aggra¬
vation of cough when she lay upon the right
side
, & soon after of a slight pain in that side
upon coughing - Bifore that period, notwithstanding
the violence of the cough, she never had the
least pain or uneasiness about the Thorax. For
about 14 day past she has complained of pain
under the sternum; but now she has more pain
upon coughing, under the scrobiculum Cordis.
She becomes chilly now every afternoon; her
pulse, which was formerly natural, in the
evening, beats about 94, & she begins to sweat
profusely
at nights. The fits of coughing [in¬]
crease to ↑a↑ very great degree, & are more frequen[t],
& opiats which always suspended the desease
now begin to lose their effects. After a severe
new fit of coughing, she frequently complains of
palpitations of her heart; & the cough now seldom
fails to excite vomiting - There is still not
the least purulent appearance in what she
expectorates ↑the matter expectorated very viscid↑. She has now little appetite, has
lost her flesh, but is still able to ride, above
3 miles on Horseback, at a time, without
bei[ng] fatigued - The urine is still forced of
by the fits of coughing; what she passes at
other times has been generally pale. Since
the beginning she has wheezed in her breathing
at bedtime; & at times her face has appeared
puffy in the morning. - Much soreness in y.e Trachea.


A variety of medicines have been tryed;
the chief of which have been V.S. Pil. Scillit. Lact
Ammon. Mist.
[Oleas?] cum [Elix. Parg?]; the [steams?]



[Page 4]

of warm water inspired; Blisters &c; but nothing
has given her the least relief except opium. She
has passed the whole summer in the Country, has
lived upon ↑a↑ milk Diet; has been allowed animal
food, & a Glass of wine after Dinner, as a total Vegetable
diet did not agree with her stomach. Vomits
have not been so often repeated as I could have
wished, as they have always produced severe
pains in the stomach. As she returns home
this evening, I mean to apply another Blister;
-- My wifes Father and Mother were severely
afflicted with the Gout; & she had a Brother
& Sister who died of the Phthisis betwixt 20 & 30
years of age. Her family have not the least ap¬
pearance of Scrophulous taint. She certainly
has now tubercles or some fixed obstruction in
the Lungs - She has never had any appearance
of the Gout; & therefore I do not think her cough
gouty -- Excuse my prolixity; & believe me
to me with utmost esteem & respect yours &c

John Clark.


To
Doctor Cullen
Professor of Medicine
in the University of
Edinburgh.


Dr Clarke C
Mrs Clark --
Septr. 1780.
v. xi. p. 78

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:1918]

Type
Comments
 

Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...