The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1504] From: Dr Thomas Livingston / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Charlotte Gordon (Boyd) (of Wardhouse) (Patient) / 13 March 1778 / (Incoming)
Letter from Thomas Livingston concerning the case of Mrs Gordon of Wardhouse.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
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Metadata
Field | Data |
---|---|
DOC ID | 1504 |
RCPE Catalogue Number | CUL/1/2/598 |
Main Language | English |
Document Direction | Incoming |
Date | 13 March 1778 |
Annotation | None |
Type | Authorial original |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | No |
Regimen | No |
Letter of Introduction | No |
Case Note | No |
Summary | Letter from Thomas Livingston concerning the case of Mrs Gordon of Wardhouse. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:1034] |
Case of Mrs Gordon of Wardhouse a young mother of four who developed a serious cough during last and recent pregnancy which persists and has left her very weakened. |
2 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:852] | Author | Dr Thomas Livingston |
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:2258] | Patient | Mrs Charlotte Gordon (of Wardhouse) |
[PERS ID:852] | Patient's Physician / Surgeon / Apothecary | Dr Thomas Livingston |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:22] | Patient's Relative / Spouse / Friend | Earl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol) |
[PERS ID:2337] | Patient's Relative / Spouse / Friend | Mr Charles Edward Gordon (of Wardhouse; 11th Laird of Beldorney and 5th of Wardhouse and Kildrummy) |
[PERS ID:2338] | Patient's Relative / Spouse / Friend | Mr Charles Boyd |
Places linked to this document
Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
---|---|---|---|---|---|---|
Place of Writing | Gordonhall | Wardhouse | East Highlands | Scotland | Europe | certain |
Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | inferred | |
Mentioned / Other | Aberdeen | East Highlands | Scotland | Europe | certain |
Normalized Text
As Mrs Gordon of Wardhouse has
been for some time in a very weakly & Valetudinary
state, your advice & assistance will give great Satis¬
faction to all her Friends, & to me in particular.--
She has lately enter'd the 22d Year of her Age,
was marryed about five Years ago, & was deliver'd of
her fourth Child, the 4th day of last Month.- She
was naturally of a healthy Constitution & had a
very hale & blooming Appearance, but for some Winters
past She has been lyable to Coughs and a sore throat.--
In october last She was seiz'd with a severe Cold & Cough
which continued to distress her very much during the
remaining time of her Pregnancy, &for which She us'd
some Squill-medicines but without much benefit.- I did
not see her during that Period, but advis'd her to be bloo¬
ded, which She neglected to have done, being naturally
timerous at the Operation, & having no Practitioner near her
in whom She plac'd much confidence.- her Delivery was
[Page 2]
very favourable & easy, & I flatter'd myself that the Cough
would abate, as her recovery advanc'd, but hitherto my Expec¬
tations have been greatly disappointed.- for five or six
days after her Delivery, She appear'd to be better; the Lochia
were in sufficient quantity, & the Milk (for She never nurs'd
any of her Children) gave her very little trouble.- the Cough
still continued to distress her, especially in the night time, &
She complain'd of great weakness & universal uneasiness; her
Pulse generally about 100 strokes in the minute, has frequent
flushings & rigors, complains of pains in all her Joints, soon
wearies in any Position, & with difficulty can walk from her
bed to the Chair, when supported.- her Expectoration is very
Copious & extremely viscid & roapy.- as yet there are no certain
appearances of Purulent spitting, but upon a particular ex¬
amination this day, I begin to suspect some Suppurated
tubercles in the lungs, as the expectorated discharge has that
Colour & Consistence which commonly attends such cases.- She
has no deep seated pain in the thorax, & her breathing is free & easy
[Page 3]
in the intervalls of Coughing, but complains of flying
pains & stitches amongst her ribs, & can only sleep upon
the left side.- She sweats frequently in the night time, but
the sweatings, as yet, chiefly confin'd to her head & Neck.-
her pulse, tho' frequent, as already mentiond, is seldom
very hard, & She is naturally of a costive habit; her feelings
very sensible & acute, & uncommonly alarm'd & apprehensive
about her Situation.- these, I think, are the most material
out-lines of her Case.-- About ten days after her delivery,
I put her upon a Watery Decoction of the Bark & a Course
of Asses-Milk, which She has continued ever since.- She gets
some Paregorick-Elixir with Diacodion at bed time, &
frequently uses a soft Pectoral Linctus for her Cough.-
her Appetite is very poor, & her Stomach naturally averse
to much medicine.- After a severe fit of Coughing She is
sometimes seizd with violent retchings, which affect her
with a sort of strangulation about the fauces, which occasions
much terror & uneasiness. Her Regimen is extremely plain &
simple. She tastes no wine nor Animal food, excepting a little
[Page 4]
✍
Dr Livingstone
8. p. 42
Mrs Gordon of Wardhouse ✍
weak Beef-tea once a day, & her Diet consists ↑of↑ Jellys, Pa¬
nada, weak Chocolate, & such like. her common drink is
Barly, or Rice-water, with such changes & alterations as her
taste requires.- Her belly is keep'd easy with soft Injec¬
tions repeated every second or third day.- I have proposd
a Blister, & to have an Issue betwixt her shoulders, but She has
an insuperable terror & prejudice at whatever she thinks
can give her any additional pain or trouble.- the Decoc¬
tion of the Bark & the Asses-Milk have agreed with her
Stomach, but have produced no effects as restoratives, her
strength being daily more impair'd.- Change of Air or of
Climate, Exercise &ca cannot take place in her present reduc'd
& weakly state.- Mr. Gordon, her husband, desires me to enclose
two Guinea Notes for Your Opinion, which You may please to
direct for me at Aberdeen.- I am with great esteem
Dear Sir
Your most Obedient & humble
Servant
Mrs. Gordon is Neice to Lord Errol
& Daughter of Mr. Charles Boyd.
Diplomatic Text
As Mrs Gordon of Wardhouse has
been for some time in a very weakly & Valetudinary
state, your advice & assistance will give great Satis¬
faction to all her Friends, & to me in particular.--
She has lately enter'd the 22d Year of her Age,
was marryed about five Years ago, & was deliver'd of
her fourth Child, the 4th day of last Month.- She
was naturally of a healthy Constitution & had a
very hale & blooming Appearance, but for some Winters
past She has been lyable to Coughs and a sore throat.--
In october last She was seiz'd with a severe Cold & Cough
which continued to distress her very much during the
remaining time of her Pregnancy, &for which She us'd
some Squill-medicines but without much benefit.- I did
not see her during that Period, but advis'd her to be bloo¬
ded, which She neglected to have done, being naturally
timerous at the Operation, & having no Practitioner near her
in whom She plac'd much confidence.- her Delivery was
[Page 2]
very favourable & easy, & I flatter'd myself that the Cough
would abate, as her recovery advanc'd, but hitherto my Expec¬
tations have been greatly disappointed.- for five or six
days after her Delivery, She appear'd to be better; the Lochia
were in sufficient quantity, & the Milk (for She never nurs'd
any of her Children) gave her very little trouble.- the Cough
still continued to distress her, especially in the night time, &
She complain'd of great weakness & universal uneasiness; her
Pulse generally about 100 strokes in the minute, has frequent
flushings & rigors, complains of pains in all her Joints, soon
wearies in any Position, & with difficulty can walk from her
bed to the Chair, when supported.- her Expectoration is very
Copious & extremely viscid & roapy.- as yet there are no certain
appearances of Purulent spitting, but upon a particular ex¬
amination this day, I begin to suspect some Suppurated
tubercles in the lungs, as the expectorated discharge has that
Colour & Consistence which commonly attends such cases.- She
has no deep seated pain in the thorax, & her breathing is free & easy
[Page 3]
in the intervalls of Coughing, but complains of flying
pains & stitches amongst her ribs, & can only sleep upon
the left side.- She sweats frequently in the night time, but
the sweatings, as yet, chiefly confin'd to her head & Neck.-
her pulse, tho' frequent, as already mentiond, is seldom
very hard, & She is naturally of a costive habit; her feelings
very sensible & acute, & uncommonly alarm'd & apprehensive
about her Situation.- these, I think, are the most material
out-lines of her Case.-- About ten days after her delivery,
I put her upon a Watery Decoction of the Bark & a Course
of Asses-Milk, which She has continued ever since.- She gets
some Paregorick-Elixir with Diacodion at bed time, &
frequently uses a soft Pectoral Linctus for her Cough.-
her Appetite is very poor, & her Stomach naturally averse
to much medicine.- After a severe fit of Coughing She is
sometimes seizd with violent retchings, which affect her
with a sort of strangulation about the fauces, which occasions
much terror & uneasiness. Her Regimen is extremely plain &
simple. She tastes no wine nor Animal food, excepting a little
[Page 4]
✍
Dr Livingstone
8. p. 42
Mrs Gordon of Wardhouse ✍
weak Beef-tea once a day, & her Diet consists ↑of↑ Jellys, Pa¬
nada, weak Chocolate, & such like. her common drink is
Barly, or Rice-water, with such changes & alterations as her
taste requires.- Her belly is keep'd easy with soft Injec¬
tions repeated every second or third day.- I have proposd
a Blister, & to have an Issue betwixt her shoulders, but She has
an insuperable terror & prejudice at whatever she thinks
can give her any additional pain or trouble.- the Decoc¬
tion of the Bark & the Asses-Milk have agreed with her
Stomach, but have produced no effects as restoratives, her
strength being daily more impair'd.- Change of Air or of
Climate, Exercise &ca cannot take place in her present reduc'd
& weakly state.- Mr. Gordon, her husband, desires me to enclose
two Guinea Notes for Your Opinion, which You may please to
direct for me at Aberdeen.- I am with great esteem
Dear Sir
Your most Obedient & humble
Sertt.
Mrs. Gordon is Neice to Ld. Errol
& Daughter of Mr. Charles Boyd.
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