Cullen

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

 

[ID:2094] From: Dr William Hamilton (in Glasgow) / To: Dr William Cullen (Professor Cullen) / Regarding: Professor Thomas Hamilton (Patient), Mr Edward Brisbane (Patient) / 18 November 1781 / (Incoming)

Letter from William Hamilton, concerning the death of Mr Edward Brisbane about a week previously: he had undergone tapping successfully, but succumbed to a cough and asthma. The post-mortem examination found he had an enlarged spleen. His own father, Thomas Hamilton, is now so weak that he is confined to bed and dependent on opiates for rest.

Facsimile

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Metadata

FieldData
DOC ID 2094
RCPE Catalogue Number CUL/1/2/1170
Main Language English
Document Direction Incoming
Date18 November 1781
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy Yes
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from William Hamilton, concerning the death of Mr Edward Brisbane about a week previously: he had undergone tapping successfully, but succumbed to a cough and asthma. The post-mortem examination found he had an enlarged spleen. His own father, Thomas Hamilton, is now so weak that he is confined to bed and dependent on opiates for rest.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1329]
Case of Edward Brisbane, a merchant returned to Glasgow from America, who has ascites and anasarca (fluid retention) which prove fatal.
9
[Case ID:1914]
Case of Thomas Hamilton who has pains and spasms in the side and trouble walking.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:175]AuthorDr William Hamilton (in Glasgow)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2873]PatientMr Edward Brisbane
[PERS ID:1057]PatientProfessor Thomas Hamilton
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:175]Patient's Physician / Surgeon / ApothecaryDr William Hamilton (in Glasgow)
[PERS ID:2878]Patient's Relative / Spouse / FriendMrs Isabella Hamilton
[PERS ID:175]Patient's Relative / Spouse / FriendDr William Hamilton (in Glasgow)
[PERS ID:743]OtherMrs Anna Cullen

Places linked to this document

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

Normalized Text

[Page 1]
Dear Sir


Your Patient Mr Brisbane
died about a week ago. The water had
continued encreasing
from the time he
was in Edinburgh. Tho slower than for¬
merly which he attributed to the effects of
the Colchicum. As his bulk was very
inconvenient to him
& to give the medicines
a better opportunity of acting he was tapped
& tho he had been three weeks longer
between this & the former operation than
between any of the preceeding ones the
quantity of water was rather less.
He bore the tapping very well & recovered
from it as usual, about ten days after
it he was exposed to cold, which brought
on a cough
& Asthma which very soon
proved fatal. I had an opportunity
of opening of the Body. The Spleen was



[Page 2]

very much enlarged, to five or six times
its natural size, its substance did not
differ much in its appearance from that
of a healthy spleen, it was no where hard
or schirrous. The liver was Diseased tho
not enlarged, the kidneys were apparently
free from disease, tho rather small
the other viscera were all in a tolerably
healthy state. There was no water in
the chest, the lungs were loaded with
blood, but without any tubercles.
From the dissection the impossibility of
reducing the Spleen & removing the Dropsy
seemed evident, as it was rather overgrown
than in a really diseased state. As Mr Bris¬
bane has left a considerable fortune, if
you have any claim upon him, you
will be so kind as write ↑me↑ & I shall lay
it before the trustees who are to manage
his affairs for his heir. My Father has
not gained any ground since I wrote
you, he is very weak & almost entirely
confined to bed
. For some time past
he has been free of the restlesness that
so much distressed him.
The opiate he
now finds absolutely necessary & is indeed


[Page 3]

the only medicine he takes, He & my
Mother join me in respectful compliments
to you & Mrs Cullen,


I ever am Dear Sir
with the highest esteem
your obliged humble Servant
William Hamilton

Glasgow
November 18
1781



[Page 4]


Dr Cullen
Professor of Medicine
Edinburgh


Mr Hamilton
Concerning Mr. Brisbane
November 1781

Diplomatic Text

[Page 1]
Dear Sir


Your Patient Mr Brisbane
died about a week ago. The water had
continued encreasing
from the time he
was in Edinburgh. Tho slower than for¬
merly which he attributed to the effects of
the Colchicum. As his bulk was very
inconvenient to him
& to give the medicines
a better opportunity of acting he was tapped
& tho he had been three weeks longer
between this & the former operation than
between any of the preceeding ones the
quantity of water was rather less.
He bore the tapping very well & recovered
from it as usual, about ten days after
it he was exposed to cold, which brought
on a cough
& Asthma which very soon
proved fatal. I had an opportunity
of opening of the Body. The Spleen was



[Page 2]

very much enlarged, to five or six times
its natural size, its substance did not
differ much in its appearance from that
of a healthy spleen, it was no where hard
or schirrous. The liver was Diseased tho
not enlarged, the kidneys were apparently
free from disease, tho rather small
the other viscera were all in a tolerably
healthy state. There was no water in
the chest, the lungs were loaded with
blood, but without any tubercles.
From the dissection the impossibility of
reducing the Spleen & removing the Dropsy
seemed evident, as it was rather overgrown
than in a really diseased state. As Mr Bris¬
bane has left a considerable fortune, if
you have any claim upon him, you
will be so kind as write ↑me↑ & I shall lay
it before the trustees who are to manage
his affairs for his heir. My Father has
not gained any ground since I wrote
you, he is very weak & almost entirely
confined to bed
. For some time past
he has been free of the restlesness that
so much distressed him.
The opiate he
now finds absolutely necessary & is indeed


[Page 3]

the only medicine he takes, He & my
Mother join me in respectful complts
to you & Mrs Cullen,


I ever am Dear Sir
with the highest esteem
your obliged humble Servt
William Hamilton

Glasgow
Novr 18
1781



[Page 4]


Dr Cullen
Professor of Medicine
Edinburgh


Mr Hamilton
C. Mr. Brisbane
Novr 1781

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