Cullen

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

 

[ID:1556] From: J Taylor (of Bolton) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Crompton (Patient) / 31 August 1778 / (Incoming)

Letter from J. Taylor in Bolton, regarding the case of Mr Crompton. A handstamp is present but illegible - possibly reads 'Manchester'.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 1556
RCPE Catalogue Number CUL/1/2/647
Main Language English
Document Direction Incoming
Date31 August 1778
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 J. Taylor in Bolton, regarding the case of Mr Crompton. A handstamp is present but illegible - possibly reads 'Manchester'.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:977]
Case of Mr Crompton who is passing bloody urine and becoming dropsical.
4


People linked to this document

Person IDRole in documentPerson
[PERS ID:2478]Author J Taylor (of Bolton)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2462]PatientMr Crompton
[PERS ID:2478]Patient's Physician / Surgeon / Apothecary J Taylor (of Bolton)
[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 Bolton North-West England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Manchester North-West England Europe certain

Normalized Text

[Page 1]
Dear Doctor


I have often for friendship's sake & a desire not
to appear ungratefully forgetful ardently wished since I tool my
last leave of Edinburgh to pay my epistolary respects to you -
but knowing how precious your time is & convinced of the impro¬
priety & sin if I may so say of wasting the smallest particle of
it in the personal of a trifling letter I have hitherto spared you the
disagreeable task tho at the expense of doing great violence to my
own inclination - I can now however with good grace & confidence write
to you & think myself perfecly justifiable in troubling ↑you↑ in a profes¬
sional way especially when it is to lay before you the case of a
gentleman of fortune in this neighbourhood a very valuable member
of society whose life we think in imminent danger - As well as I
am able I will put down the symptoms that have as yet appeared


In May 1777 Mr. Crompton after pretty severe
riding on horseback was alarmed with an appearance of blood in his urine
but the haemorrhage continued only a day & the quantity of blood discharged
according to the account he gives was not very considerable - Since then he
has had repeated attacks of the same kind but the bleeding has never
been very trifling - An interval of several months occurred be¬
twixt his first & second fits in which he walked about & exercised
as usual - but since the beginning of April last he has been under
an almost constant necessity of confining himself to the house
as the least bodily exertion has frequently brought on the bleeding-
For the last three weeks tho' he has rested mostly in a horizontal
posture he has never once made water without blood & it appears
to increase in quantity - The urine as far as I have examined
or can learn has no purulent appearance but there is constantly
a greasiness on its surface - No violent pain has ever been felt



[Page 2]

in the region of the Kidneys or Bladder but there is generally
a sensation of great uneasiness & debility in the small of the back
& of late a slight ardor urinae has been complained of - His stomach
at the time of the fits has in general been very greatly disordered &
able to retain but very small quantities of either food or medicine - in
the intervals too it is often affected in the same manner & he has very
commonly complained of great heats nausea & loss of appetite, restlessness
& disturbed sleep
, great depression of spirits, trembling & frequent copious
discharges of pale urine - His Stomach is in a better state now
the hamorrhage is so constant - his appetite is pretty good and his
other symptoms less troublesome - He is a married man about
56 years of age of a thin & delicate habit of body & has led a very
temperate life ----


These Sir are all the circumstances I have thought
it necessary to make you acquainted with - We flatter ourselves
your large experience will be able to point out to us some successful
mode of treatment - An answer with your opinion & particular
directions as speedily as may be will greatly oblige Sir


your obliged friend
& affectionate humble servant
J. Taylor
Bolton August 31. 1778


Mean to present my most respectful remonstrances to Mrs Cullen
& the rest of your good family - Nothing would give me more
pleasure than to pay you a visit - I shall shortly have an
opportunity of sending you three guineas as an acknowledgment
for this trouble - I write in haste but with great sense of affec¬
tion. Please to direct to me at Bolton near Manchester




[Page 3]


Doctor Cullen
46 Edinburgh


J. Taylor at Bolton
Mr Crompton
August 1778
9. 45.

Diplomatic Text

[Page 1]
Dear Doctor


I have often for friendship's sake & a desire not
to appear ungratefully forgetful ardently wished since I tool my
last leave of Edinburgh to pay my epistolary respects to you -
but knowing how precious your time is & convinced of the impro¬
priety & sin if I may so say of wasting the smallest particle of
it in the personal of a trifling letter I have hitherto spared you the
disagreeable task tho at the expense of doing great violence to my
own inclination - I can now however with good grace & confidence write
to you & think myself perfecly justifiable in troubling ↑you↑ in a profes¬
sional way especially when it is to lay before you the case of a
gentleman of fortune in this neighbourhood a very valuable member
of society whose life we think in imminent danger - As well as I
am able I will put down the symptoms that have as yet appeared


In May 1777 Mr. Crompton after pretty severe
riding on horseback was alarmed with an appearance of blood in his urine
but the haemorrhage continued only a day & the quantity of blood discharged
according to the account he gives was not very considerable - Since then he
has had repeated attacks of the same kind but the bleeding has never
been very trifling - An interval of several months occurred be¬
twixt his first & second fits in which he walked about & exercised
as usual - but since the beginning of April last he has been under
an almost constant necessity of confining himself to the house
as the least bodily exertion has frequently brought on the bleeding-
For the last three weeks tho' he has rested mostly in a horizontal
posture he has never once made water without blood & it appears
to increase in quantity - The urine as far as I have examined
or can learn has no purulent appearance but there is constantly
a greasiness on its surface - No violent pain has ever been felt



[Page 2]

in the region of the Kidneys or Bladder but there is generally
a sensation of great uneasiness & debility in ye small of the back
& of late a slight ardor urinae has been complained of - His stomach
at the time of the fits has in general been very greatly disordered &
able to retain but very small quantities of either food or medicine - in
the intervals too it is often affected in the same manner & he has very
commonly complained of great heats nausea & loss of appetite, restlessness
& disturbed sleep
, great depression of spirits, trembling & frequent copious
discharges of pale urine - His Stomach is in a better state now
the hamorrhage is so constant - his appetite is pretty good and his
other symptoms less troublesome - He is a married man about
56 years of age of a thin & delicate habit of body & has led a very
temperate life ----


These Sir are all the circumstances I have thought
it necessary to make you acquainted with - We flatter ourselves
your large experience will be able to point out to us some successful
mode of treatment - An answer with your opinion & particular
directions as speedily as may be will greatly oblige Sir


your obliged friend
& affectionate hble servt.
J. Taylor
Bolton Augt. 31. 1778


Mean to present my most respectful remonstrances to Mrs Cullen
& the rest of your good family - Nothing would give me more
pleasure than to pay you a visit - I shall shortly have an
opportunity of sending you three guineas as an acknowledgment
for this trouble - I write in haste but with great sense of affec¬
tion. Please to direct to me at Bolton near Manchester




[Page 3]


Doctor Cullen
46 Edinburgh


J. Taylor at Bolton
Mr Crompton
August 1778
9. 45.

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