Cullen

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

 

[ID:700] From: Dr William Cullen (Professor Cullen) / To: Mr James Parlane / Regarding: Reverend William Thom (of Govan) (Patient), Mrs Hunter (Patient) / 23 January 1783 / (Outgoing)

Reply to the Glasgow surgeon James Parlane concerning Mr Thom, who is 'threatened with a Phthisis'. Cullen apologises for not writing sooner, but explains that when the letter arrived he was 'so much indisposed by the fits of Cholera that I could not answer it in course'.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 700
RCPE Catalogue Number CUL/1/1/15/187
Main Language English
Document Direction Outgoing
Date23 January 1783
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply to the Glasgow surgeon James Parlane concerning Mr Thom, who is 'threatened with a Phthisis'. Cullen apologises for not writing sooner, but explains that when the letter arrived he was 'so much indisposed by the fits of Cholera that I could not answer it in course'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1385]
Case of Rev. William Thom, a Cullen family friend, who is weakened by a very severe, persistent cough.
4
[Case ID:2472]
Case of Mrs Hunter, who is now very well.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2932]AddresseeMr James Parlane
[PERS ID:2933]PatientMrs Hunter
[PERS ID:2922]PatientReverend William Thom (of Govan)
[PERS ID:2932]Patient's Physician / Surgeon / ApothecaryMr James Parlane
[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 Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Glasgow Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]
Mr Parlane Concerning Mr Thom
Dear James


Your letter of the 20th. was put into my hand
yesterday but I was then so much indisposed by one of
the fits of Cholera that I could not answer it in course.


Your letter is very clear & distinct your patient
is threatened with a Phthisis but as there is no appearance
of purulency I think it is not confirmed and though there
were I think it is not desperate. In the mean time
I must say that your practice has been most judicious
and I think successful for had it not been for the mea¬
sures that you employed the case must have been despe¬
rate before now and for what is to come I shall give
you the best advice I can & shall be ready to mend it as
often as you shall be pleased to give me an opportunity


The Bleedings you have practiced were cer¬
tainly very necessary but they cannot now be made so
freely as before though still when Pleuritic pains &
difficult breathing with hardness of pulse occurr I would




[Page 2]


still think of small bleeding necessary & safe. Blistering
has certainly been of great service
to Mr. Thom and when
any obstinate stitch occurrs they are still the remedy to be
depended on though you may sometimes save it by a dry
Cupping
. If the pains are used to come always in one place
& especially on one side it will be proper to have an
issue
constantly open upon that part and if there is no
such part pointed out I think it will be useful to
have an issue opened behind the Shoulder or in one
Arm
. In a case of this kind it is of the utmost consequence
to avoid cold & unless that is done all our other labour
may be lost. Let him therefore wear a flannel shirt
be otherways always warmly Cloathed, go abroad as little
as possible & in frost not at all. Violent exercise
will be pernicious & even ordinary Riding unless
the weather is very mild there is more harm to be
apprehended from cold than benefit to be expected from
Exercise. I have only to add ↑that↑ Cough gives very
restless nights
an Anodyne should be employed and




[Page 3]


if there is any occasion to Laudan{illeg} {illeg}
gerioum will answer the purpose. {illeg}
the one or other take care to obviate a {illeg}
doubt or question any thing now {illeg}
freely command


Dear James your very {illeg}
Obedient Servant

Edinburgh 22d.
January 1783


P. S. I have not seen Mrs. Hunter for {illeg}
have been told she is very ill well.
I did not answer your letter {illeg}
because it was not in my power to {illeg}
prevented me writing to you as I int{illeg} 1

Notes:

1: Cullen is probably repeating here that he has been indisposed by illness (see opening of letter).

Diplomatic Text

[Page 1]
Mr Parlane C Mr Thom
Dear James


Your letter of the 20th. was put into my hand
yesterday but I was then so much indisposed by one of
the fits of Cholera that I could not answer it in course.


Your letter is very clear & distinct your patient
is threatened with a Phthisis but as there is no appearance
of purulency I think it is not confirmed and though there
were I think it is not desperate. In the mean time
I must say that your practice has been most judicious
and I think successful for had it not been for the mea¬
sures that you employed the case must have been despe¬
rate before now and for what is to come I shall give
you the best advice I can & shall be ready to mend it as
often as you shall be pleased to give me an opportunity


The Bleedings you have practiced were cer¬
tainly very necessary but they cannot now be made so
freely as before though still when Pleuritic pains &
difficult breathing with hardness of pulse occurr I would




[Page 2]


still think of small bleeding necessary & safe. Blistering
has certainly been of great service
to Mr. Thom and when
any obstinate stitch occurrs they are still the remedy to be
depended on though you may sometimes save it by a dry
Cupping
. If the pains are used to come always in one place
& especially on one side it will be proper to have an
issue
constantly open upon that part and if there is no
such part pointed out I think it will be useful to
have an issue opened behind the Shoulder or in one
Arm
. In a case of this kind it is of the utmost consequence
to avoid cold & unless that is done all our other labour
may be lost. Let him therefore wear a flannel shirt
be otherways always warmly Cloathed, go abroad as little
as possible & in frost not at all. Violent exercise
will be pernicious & even ordinary Riding unless
the weather is very mild there is more harm to be
apprehended from cold than benefit to be expected from
Exercise. I have only to add ↑that↑ Cough gives very
restless nights
an Anodyne should be employed and




[Page 3]


if there is any occasion to Laudan{illeg} {illeg}
gerioum will answer the purpose. {illeg}
the one or other take care to obviate a {illeg}
doubt or question any thing now {illeg}
freely command


Dear James your very {illeg}
Obedient Servant

Edinr. 22d.
January 1783


P. S. I have not seen Mrs. Hunter for {illeg}
have been told she is very ill well.
I did not answer your letter {illeg}
because it was not in my power to {illeg}
prevented me writing to you as I int{illeg} 1

Notes:

1: Cullen is probably repeating here that he has been indisposed by illness (see opening of letter).

XML

XML file not yet available.

Feedback

Send us specfic feeback about this document [DOC ID:700]

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...