Cullen

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

 

[ID:1640] From: Dr John Heysham / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Thomas Irwin (Irwine, at Moss Side) (Patient), Mr Miller (Patient) / 16 March 1779 / (Incoming)

Letter from John Heysham, concerning the case of Mr Irwin.

Facsimile

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Metadata

FieldData
DOC ID 1640
RCPE Catalogue Number CUL/1/2/728
Main Language English
Document Direction Incoming
Date16 March 1779
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 John Heysham, concerning the case of Mr Irwin.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:794]
Case of Mr Thomas Irwin [Irwine] who suffers from swollen legs, itchiness and biliousness and which eventually proves fatal.
18
[Case ID:2160]
Case of Mr Miller who requests to be bled.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:477]AuthorDr John Heysham
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2559]PatientMr Miller
[PERS ID:889]PatientMr Thomas Irwin (Irwine, at Moss Side)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:477]Patient's Physician / Surgeon / ApothecaryDr John Heysham

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Carlisle North-West England Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Therapeutic Recommendation Bath South-West England Europe certain
Place of Handstamp Carlisle North-West England Europe certain

Normalized Text

[Page 1]
Carlisle March 16th 1779
Dear Sir


I received yours of the 14 February and should have given
you an account of the operation of the Solution
& Tinct. Martis in my last, had there been any
alteration. But as Mr Irwin had continued to
take them with similar effects, I thought it
less necessary. He immediately discontinued the
use if the Calomel & has been since taking your
presciptions regularly. The Tincture sits easy
on his stomach, & the solution continues to
procure a free discharge of urine & a gentle stool
every day. The swelling of his legs is inconsi¬
derable & the itching some what abated. As the
weather has been some time past very mild
he has left town; and has been able to ride
on horseback; in consequence of which I think
he has caught cold. For on friday last in the
after noon he was seized with a pain in his
knee, which during the night swelled & inflamed



[Page 2]

a little; and soon after the other knee, both elbows
& the wrist of one arm were affected in a similar man¬
ner. I visited him today & found the pain much
abated, but there still remains a little inflam¬
mation
in one knee & some pain in the other
joints. His pulse is full & about 80 which is 15
above the usual standard. His tongue is moist
but whitish, his therst is not increased, or his
appetite much impaired. During these three
nights he has perspired freely. His joints are
covered with flannel, and as I was not willing
to make any change in his medicines till we
heard from you he continued the Solution & Drops.
In my opinion every symptom indicates a very
mild acute rheumatism which is a circumstance
by no means unfavourable as it shows the tone of the
vessels are (↑is↑) much augmented. But you will consider
the case & inform me what is proper to be done;
& he likewise desires to know your opinion con¬
cerning Bath or any other watering Place du¬
ring the Summer.


I am with hearty wishes for your health
&c, yours
John Heysham


P.S. inclosed are two notes
Mr. Irwins compliments & if you see Mr Miller he begs his compliments to
that family. A little time before he left town he took a fancy
to be bled. I ordered a few ounces to be taken merely to please him
see its situation, which was sizy. I would advise you to make a little



[Page 3]

alteration in his medicenes.




[Page 4]


D.r Cullen
Edinburgh


Mr Irwin
March. 1779
9. p. 140

Diplomatic Text

[Page 1]
Carlisle March 16th 1779
Dear Sir


I rec.d yours of the 14 Feb.y and should have given
you an account of the operation of the Solution
& Tinct. Martis in my last, had there been any
alteration. But as Mr Irwin had continued to
take them with similar effects, I thought it
less necessary. He immediately discontinued the
use if the Calomel & has been since taking your
presciptions regularly. The Tincture sits easy
on his stomach, & the solution continues to
procure a free discharge of urine & a gentle stool
every day. The swelling of his legs is inconsi¬
derable & the itching some what abated. As the
weather has been some time past very mild
he has left town; and has been able to ride
on horseback; in consequence of which I think
he has caught cold. For on friday last in the
after noon he was seized with a pain in his
knee, which during the night swelled & inflamed



[Page 2]

a little; and soon after the other knee, both elbows
& the wrist of one arm were affected in a similar man¬
ner. I visited him today & found the pain much
abated, but there still remains a little inflam¬
mation
in one knee & some pain in the other
joints. His pulse is full & about 80 which is 15
above the usual standard. His tongue is moist
but whitish, his therst is not increased, or his
appetite much impaired. During these three
nights he has perspired freely. His joints are
covered with flannel, and as I was not willing
to make any change in his medicines till we
heard from you he continued the Solution & Drops.
In my opinion every symptom indicates a very
mild acute rheumatism which is a circumstance
by no means unfavourable as it shows the tone of the
vessels are (↑is↑) much augmented. But you will consider
the case & inform me what is proper to be done;
& he likewise desires to know your opinion con¬
cerning Bath or any other watering Place du¬
ring the Summer.


I am with hearty wishes for your health
&c, yours
John Heysham


P.S. inclosed are two notes
Mr. Irwins comps. & if you see Mr Miller he begs his comps. to
that family. A little time before he left town he took a fancy
to be bled. I ordered a few ounces to be taken merely to please him
see its situation, which was sizy. I would advise you to make a little



[Page 3]

alteration in his medicenes.




[Page 4]


D.r Cullen
Edinburgh


Mr Irwin
March. 1779
9. p. 140

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