Cullen

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

 

[ID:2614] Cover Letter and Case Note / Regarding: Miss Elizabeth? Cook (Patient) / 12 May 1785 / (Incoming)

Letter from Charles Keith, enclosing a case note, 'Miss Cook Aged 46 of the Sanguine Temperament', who has a respiratory ailment with sweats and swelling of the legs. She claims to have seen blood in the sputum after visiting Newcastle. Her brother (John Cook of Gallowhill), described as 'a rich Grazier', consulted Cullen the previous year for a gouty ailment. Another brother died of phthisis. Dr Keith notes that people outside her family claim that 'her only vice was Amo potum', i.e. a love of drink.

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Metadata

FieldData
DOC ID 2614
RCPE Catalogue Number CUL/1/2/1660
Main Language English
Document Direction Incoming
Date12 May 1785
Annotation None
TypeAuthorial original
Enclosure(s) Enclosure(s) present
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Charles Keith, enclosing a case note, 'Miss Cook Aged 46 of the Sanguine Temperament', who has a respiratory ailment with sweats and swelling of the legs. She claims to have seen blood in the sputum after visiting Newcastle. Her brother (John Cook of Gallowhill), described as 'a rich Grazier', consulted Cullen the previous year for a gouty ailment. Another brother died of phthisis. Dr Keith notes that people outside her family claim that 'her only vice was Amo potum', i.e. a love of drink.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1803]
Case of Miss Cook, of the Gallowhill family, who is feared to be phthisical.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:3387]AuthorDr Charles Keith
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3631]PatientMiss Elizabeth? Cook
[PERS ID:3387]Patient's Physician / Surgeon / ApothecaryDr Charles Keith
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3632]Patient's Relative / Spouse / FriendMr Cook
[PERS ID:3495]Patient's Relative / Spouse / FriendMr John Cook (Cooke; of Gallowhill; of Ogle. )
[PERS ID:544]OtherDr Henry Cullen (Harry, Dr Henry, "the young doctor" )
[PERS ID:743]OtherMrs Anna Cullen
[PERS ID:825]OtherMrs Robina Millar
[PERS ID:826]OtherMiss Anna Cullen (Annie)
[PERS ID:1974]OtherMiss Margaret Cullen (Peggie)

Places linked to this document

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

Normalized Text

[Page 1]
Dear Sir


On the Other Side you have a Case
on which I beg to have your opinion as early as possible


I was advising the Patient almost from the time
I first Saw her to allow me to write to you but it is
not till now that She has consented to it –– You may
believe that I will gladly embrace every opportunity
in my power to Serve you, & I am Sure my Patients
have great reason to thank me for advising them
which in danger to have the best advice –– From the
first time I Saw the Patient I looked on the Case
as highly dangerous –– Will you with your usual
goodness if you think my practice has not been
faulty, Signify this in your Letter that I may Show
it to Miss Cook & her Relations – As I am a Stranger
(tho from the Character you here been pleased to give
me not without Some little professional name)
an unfortunate Case may do me more hurt than
{illeg} successful Ones ↑would do me good↑ –– I hope your health hold
out tolerably –– I beg to be remembered in the
most respectful manner to Mrs. Cullen the young
Ladies & my good friend the Doctor

I am with Much Esteem
Dear sir
your Very Obedient
and Obliged Humble Servant
Charles Keith
Morpeth May 12th
1784


Concerning Brother of Miss Cook a rich Grazier consulted
your last year for a gouty complaint ––


I have wrote this in Such a hurry
that I fear you will not be able to read it, but
I was loth to lose a Post –– The Fee two Guineas
is but Small, but I only asked at the Minimum
at as it was with difficulty I could get her to
consent to my writing you




[Page 2]
Miss Cook Aged 46 of the Sanguine Temperament


Has a frequent Cough in the morning with an Expectoration
of
Phlegm according to her own Description, for I never
Seen what She Spits up
, tho' I have particularly recom¬
mended that it Should be kept & indeed for these ↑two↑ Days past
since I was so anxious to See ↑it↑ She has Spit little or none


She has cold cold clammy sweats on her Head & Breast
in the Morning; & for these two Days past, a well marked
febrile Exacerbation in the afternoon with flushed Countenance
& clammy Sweat –– Her breathing seems Short but this She
is scarcely Sensible of herself & at present She feels little
pain of her Breast –– She has always been in the practice
of lying on her Back but She does not feel any great
uneasiness when She turns to her Sides, She does not complain
of any difficulty of Respiration when in a recumbent
Posture –– Her Legs have been Slightly Œdematous for Some
Days past, but rather less so to day; for three or four
Days She has felt herself considerably weaker & in a
most uneasy languid State; for Some Nights She has scarcely
Shut her Eyes
; The night before last an Opiate with XXX
Drops had no effect; last Night She had XL with no
effect till She had XX more after which She had Some
sleep & appears rather refreshed this Morning; She has passed
no water for the 24 hours
, but for a Day or two before She
had many watery Stools
, from the ↑use↑ of a Small quantity of
Cream of Tartar with Syrup of Squills; her Belly is rather
habitually costive; her tongue not of a bright a red, as
might be expected, a little or no appetite, only thirsty at
times
within these two Days the Catamenia have always
been regular & Should appear in a few Days –– She has been
complaining for these two Days of a Pain over the right
Os Ilium
–– She has had frequent palpitation for these
two days past & for some time occasionally on using Exercise
or Exertion; has never started from her Sleep Pulse scarce percepible but frequent –– This you
will think an indistinct Statement but it is all I can make
as the (↑it↑) in regard to present Symptoms; for the Patient lives
eight Miles from Morpeth, & I have Seen her but twice or
thrice till within these few Days –– It is upwards of
two Weeks Since I was called, & She had been ailing for



[Page 3]

a month or Six weeks before –– For Some years She has at
times be Subject to Cough which was always obstinate


About two Months ↑ago↑ She was in Newcastle for Some time
there She was more exposed to cold & irregular hours than
at home; Since that time She had more or less of Cough
& She once observed Some little Blood in the Sputa –– When
I first saw her ↑she↑ complained of pains encreased by a full
suppuration
over the false ribs of the right Side, of Cough in
the morning, of frequent Dyspnœa, When the Cough was
Severe of retching, & She as ↑she↑ Said through (↑throw↑) up at times a
bilious matter from her Stomach –– Her Pulse then & ever
Since when it could be felt, was an irregular flutter
, which
it was impossible to number, & at times She had cold
clammy sweats
–– A Blister applied to her Side relieved
indeed totally removed the pain, the Elixir of Vitriol moderated
the Sweating; I gave a gentle Puke with a view both to
the complaints of her Stomach & those of her Breast, I ordered
the Pil. Stom. to be taken occasionally; I prescribed Some Æther
& Laudanum to be take when the difficulty of breathing
was distressing –– This with the application of a Blister
relieved I may Say almost removed the difficulty of Breathing
as also a sense of tightness in the Thorax –– She never almost
complained of any pain in her Breast unless when She coughed.


I ordered asses milk in the Morning & a Milk
Diet with exercise in Horseback every good Day –– I forbid
animal Food & Spirituous Fermented liquors –– For eight or
ten Days She was doing tolerably only the complained
that She had never any appetite –– A few Days after the
Swelling of
Legs came on which was not perceptible till
nine Days ago, I ordered an Electuary with Cream of Tartar
with a small quantity of Syrup of Squils & ever since tho'
She only took it for a Day & a half, She has been very
poorly & almost passed no urine, but indeed She had a good
many watery Stools
; She has been languid & restless & till
last night as before mentioned scarce Slept any
–– I cannot
prevail upon her to get on Horseback –– Some time ago I
proposed that She should go to Some watering place this She
declined; & a Sea Voyage I did not mention as I knew She would
be Still less inclinable to try that –– She had a Brother
who died of Phthisis –– I am told by others not by Miss
Cooks Relations that her only vice was Amo potum 1


There is no hardness to be felt in the Region of
the Liver
–– She will scarce take any Medicine except the
opiate




[Page 4]


Doctor William Cullen
First Physician to the
Majesty in Scotland
Edinburgh


Dr. Charles Keith
Concerning Miss Cook
May 1785
V. XVII. p.80.

Notes:

1: A love of drink.

Diplomatic Text

[Page 1]
Dear Sir


On the Other Side you have a Case
on which I beg to have your opinion as early as possible


I was advising the Patient almost from the time
I first Saw her to allow me to write to you but it is
not till now that She has consented to it –– You may
believe that I will gladly embrace every opportunity
in my power to Serve you, & I am Sure my Patients
have great reason to thank me for advising them
which in danger to have the best advice –– From the
first time I Saw the Patient I looked on the Case
as highly dangerous –– Will you with your usual
goodness if you think my practice has not been
faulty, Signify this in your Letter that I may Show
it to Miss Cook & her Relations – As I am a Stranger
(tho from the Character you here been pleased to give
me not without Some little professional name)
an unfortunate Case may do me more hurt than
{illeg} successful Ones ↑would do me good↑ –– I hope your health hold
out tolerably –– I beg to be remembered in the
most respectful manner to Mrs. Cullen the young
Ladies & my good friend the Doctor

I am with Much Esteem
Dear sir
your Very Obedt.
and Obliged Hum Servt.
Charles Keith
Morpeth May 12th
1784


C. Brother of Miss Cook a rich Grazier consulted
your last year for a gouty complaint ––


I have wrote this in Such a hurry
that I fear you will not be able to read it, but
I was loth to lose a Post –– The Fee two Guineas
is but Small, but I only asked at the Minimum
at as it was with difficulty I could get her to
consent to my writing you




[Page 2]
Miss Cook Aged 46 of the Sanguine Temperament


Has a frequent Cough in the morning with an Expectoration
of
Phlegm according to her own Description, for I never
Seen what She Spits up
, tho' I have particularly recom¬
mended that it Should be kept & indeed for these ↑two↑ Days past
since I was so anxious to See ↑it↑ She has Spit little or none


She has cold cold clammy sweats on her Head & Breast
in the Morning; & for these two Days past, a well marked
febrile Exacerbation in the afternoon with flushed Countenance
& clammy Sweat –– Her breathing seems Short but this She
is scarcely Sensible of herself & at present She feels little
pain of her Breast –– She has always been in the practice
of lying on her Back but She does not feel any great
uneasiness when She turns to her Sides, She does not complain
of any difficulty of Respiration when in a recumbent
Posture –– Her Legs have been Slightly Œdematous for Some
Days past, but rather less so to day; for three or four
Days She has felt herself considerably weaker & in a
most uneasy languid State; for Some Nights She has scarcely
Shut her Eyes
; The night before last an Opiate with XXX
Drops had no effect; last Night She had XL with no
effect till She had XX more after which She had Some
sleep & appears rather refreshed this Morning; She has passed
no water for the 24 hours
, but for a Day or two before She
had many watery Stools
, from the ↑use↑ of a Small quantity of
Cream of Tartar with Syrup of Squills; her Belly is rather
habitually costive; her tongue not of a bright a red, as
might be expected, a little or no appetite, only thirsty at
times
within these two Days the Catamenia have always
been regular & Should appear in a few Days –– She has been
complaining for these two Days of a Pain over the right
Os Ilium
–– She has had frequent palpitation for these
two days past & for some time occasionally on using Exercise
or Exertion; has never started from her Sleep Pulse scarce percepible but freq.t. –– This you
will think an indistinct Statement but it is all I can make
as the (↑it↑) in regard to present Symptoms; for the Patient lives
eight Miles from Morpeth, & I have Seen her but twice or
thrice till within these few Days –– It is upwards of
two Weeks Since I was called, & She had been ailing for



[Page 3]

a month or Six weeks before –– For Some years She has at
times be Subject to Cough which was always obstinate


About two Months ↑ago↑ She was in Newcastle for Some time
there She was more exposed to cold & irregular hours than
at home; Since that time She had more or less of Cough
& She once observed Some little Blood in the Sputa –– When
I first saw her ↑she↑ complained of pains encreased by a full
suppuration
over the false ribs of the right Side, of Cough in
the morning, of frequent Dyspnœa, When the Cough was
Severe of retching, & She as ↑she↑ Said through (↑throw↑) up at times a
bilious matter from her Stomach –– Her Pulse then & ever
Since when it could be felt, was an irregular flutter
, which
it was impossible to number, & at times She had cold
clammy sweats
–– A Blister applied to her Side relieved
indeed totally removed the pain, the Elixir of Vitriol moderated
the Sweating; I gave a gentle Puke with a view both to
the complaints of her Stomach & those of her Breast, I ordered
the Pil. Stom. to be taken occasionally; I prescribed Some Æther
& Laudanum to be take when the difficulty of breathing
was distressing –– This with the application of a Blister
relieved I may Say almost removed the difficulty of Breathing
as also a sense of tightness in the Thorax –– She never almost
complained of any pain in her Breast unless when She coughed.


I ordered asses milk in the Morning & a Milk
Diet with exercise in Horseback every good Day –– I forbid
animal Food & Spirituous Fermented liquors –– For eight or
ten Days She was doing tolerably only the complained
that She had never any appetite –– A few Days after the
Swelling of
Legs came on which was not perceptible till
nine Days ago, I ordered an Electuary with Cream of Tartar
with a small quantity of Syrup of Squils & ever since tho'
She only took it for a Day & a half, She has been very
poorly & almost passed no urine, but indeed She had a good
many watery Stools
; She has been languid & restless & till
last night as before mentioned scarce Slept any
–– I cannot
prevail upon her to get on Horseback –– Some time ago I
proposed that She should go to Some watering place this She
declined; & a Sea Voyage I did not mention as I knew She would
be Still less inclinable to try that –– She had a Brother
who died of Phthisis –– I am told by others not by Miss
Cooks Relations that her only vice was Amo potum 1


There is no hardness to be felt in the Region of
the Liver
–– She will scarce take any Medicine except the
opiate




[Page 4]


Doctor William Cullen
First Physician to the
Majesty in Scotland
Edinburgh


Dr. C. Keith
C. Miss Cook
May 1785
V. XVII. p.80.

Notes:

1: A love of drink.

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