Cullen

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

 

[ID:1769] From: Dr Alexander Taylor (Sanders) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Robert Neilson (Nielson, of Paisley) (Patient) / 10 December 1779 / (Incoming)

Letter from Alexander Taylor concerning the case of Mr Nielson.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1769
RCPE Catalogue Number CUL/1/2/856
Main Language English
Document Direction Incoming
Date10 December 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 Alexander Taylor concerning the case of Mr Nielson.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:316]
Case of Mr Robert Neilson with a chronic, progressive illness, probably pulmonary (consumption) but possible cardiac. After a gap, in early January 1782, Cullen confirms that Neilson's condition is terminal. An autopsy soon follows.
22


People linked to this document

Person IDRole in documentPerson
[PERS ID:207]AuthorDr Alexander Taylor (Sanders)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:206]PatientMr Robert Neilson (Nielson, of Paisley)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:207]Patient's Physician / Surgeon / ApothecaryDr Alexander Taylor (Sanders)
[PERS ID:832]Patient's Relative / Spouse / FriendMrs Macclaw (MacLaw, Mclaws)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Paisley Glasgow and West Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other England Europe certain
Place of Handstamp Glasgow Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]
Paisley 10 December 1779
Sir


After his return from
England Mr. Nielson had been daily
recovering strength and from being
very weak had become considerably
stronger; when about two months ago
he observed the Mucus that came from
his nose tinged with blood and the
succeeding day his usual pains, which
had all along been constant and un¬
easy, became very Severe and Affected
his breathing
so much that no attempts
could be made for a full inspiration with¬
out the greatest uneasiness - a dozen
leeches were then applied and procured
him relief and his pains have ever
since been more moderate; but from



[Page 2]

threat'nings of their encreasing We
have twice found occasion to apply the
same Number and always with the
sameadvantage -


Upon Saturday last in the night
time he was seized with a pain in his
belly, which ended in an easy and gentle
looseness which continued for 24 hours -
during the time this lasted he had little
or no appetite
and his pulse was quicker
but not so hard as usual, and at the
same time his pains were almost entirely
removed nor did they return till tuesday
night ↑in the night time↑ when his back became uneasy
he got it rubbed but found that ↑this↑ instead
of giving him relief as usual made him sick
- he therefore lay down; but the sickness
nevertheless encreased and was presently
followed by accompanied with an uncom¬
mon uneasiness and oppression thro' his



[Page 3]

breast followed by a short cough which
brought up a mouthful or two of thin
mucus, which the waiting woman Mrs.
Mc.Laws says was tinged with a slight
reddish Colour
; but this circumstance he
himself took no notice of and is concealed
from him for fear of alarming him - About
half an hour after he was again attacked
with the former pain of the belly which
[en]ded exactly in the same manner [as]
[b]efore; and he has been ever since
almost entirely free of pain the pains
and otherwise seemingly well -- he wishes
to have your opinion of his present state
and whether upon a return of the pains
the leeching ought to be repeated or if his
pulse become hard and strong he ought to lose
any blood - his pulse just now is softer than
usual and beats 84 in the minute
- he has
been long in use to make a very large quantity
of water but since the ↑first↑ looseness this evacuation is
diminished - I am Sir your most humble Servant

Alexr. Taylor



[Page 4]


To
Dr. Wm. Cullen
Professor of Medicine
Edinburgh


Taylor
concerning
Mr Neilson.
December 1779.

Diplomatic Text

[Page 1]
Paisley 10 Decr. 1779
Sir


After his return from
England Mr. Nielson had been daily
recovering strength and from being
very weak had become considerably
stronger; when about two months ago
he observed the Mucus that came from
his nose tinged with blood and the
succeeding day his usual pains, which
had all along been constant and un¬
easy, became very Severe and Affected
his breathing
so much that no attempts
could be made for a full inspiration with¬
out the greatest uneasiness - a dozen
leeches were then applied and procured
him relief and his pains have ever
since been more moderate; but from



[Page 2]

threat'nings of their encreasing We
have twice found occasion to apply the
same Number and always with the
sameadvantage -


Upon Saturday last in the night
time he was seized with a pain in his
belly, which ended in an easy and gentle
looseness which continued for 24 hours -
during the time this lasted he had little
or no appetite
and his pulse was quicker
but not so hard as usual, and at the
same time his pains were almost entirely
removed nor did they return till tuesday
night ↑in the night time↑ when his back became uneasy
he got it rubbed but found that ↑this↑ instead
of giving him relief as usual made him sick
- he therefore lay down; but the sickness
nevertheless encreased and was presently
followed by accompanied with an uncom¬
mon uneasiness and oppression thro' his



[Page 3]

breast followed by a short cough which
brought up a mouthful or two of thin
mucus, which the waiting woman Mrs.
Mc.Laws says was tinged with a slight
reddish Colour
; but this circumstance he
himself took no notice of and is concealed
from him for fear of alarming him - About
half an hour after he was again attacked
with the former pain of the belly which
[en]ded exactly in the same manner [as]
[b]efore; and he has been ever since
almost entirely free of pain the pains
and otherwise seemingly well -- he wishes
to have your opinion of his present state
and whether upon a return of the pains
the leeching ought to be repeated or if his
pulse become hard and strong he ought to lose
any blood - his pulse just now is softer than
usual and beats 84 in the minute
- he has
been long in use to make a very large quantity
of water but since the ↑first↑ looseness this evacuation is
diminished - I am Sir your most humble Servt.

Alexr. Taylor



[Page 4]


To
Dr. Wm. Cullen
Professor of Medicine
Edinr.


Taylor
c
Mr Neilson.
Decr. 1779.

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