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I am sorry to inform You that Your Patient
Mr. George Ogilvie has been in such a Situation since he left
Edinr. that his Father & his Friends are in great grief & distress
upon his Account. -- Miss Ogilvie informs me, that he continued
very much in the way You parted with him, till they came to
Cowpar. - that night he was unluckily disturb'd with some
Drunk Riotus people in the Inn, which prevented him from
rest, & his Delirium encreas'd very considerably. - unfortunately
the next night at Brechin, he was distress'd from the same
Cause, & the same Consequences follow'd. -- During the remai¬
ning part of the Journey, he was very confus'd & incoherent,
& his temper ruffl'd, & disconcerted, he has continued in
that state ever since his arrival at this place, being a Country
house of his Fathers, 6 Miles from Aberdeen. - I first saw
him upon Thursday last, when I found him extremely incoherent
& indistinct, his pulse frequent, but weak & tremulous, his tongue
clean & moist, no thirst, nor any Symptoms of Inflammation.

that evening (after I left him) his Delirium encreas'd very consi¬
derably, & he had two severe Convulsive Paroxysms, with strong
Spasmodick Involuntary motions, grinding of his teeth, & (as his
own Servant expresses it) such a Noise in his throat as if he
had been choak'd. -- for 24 hours afterwards, he could not
articulate one Sentence, so as to be understood, but when he
recover'd the power of Speech, he talk'd incessantly for many
hours, in the most incoherent & unconnected manner.
his head was shav'd & a Blister was applied, & two of the laxa¬
tive pills, you prescribed were given him. -- the Blister has
discharged plentifully, & the pills have operated properly, but
the Delirium still continues, & he cannot give a suitable Answer
to the plainest & most simple Query. -- this day his Pulse about
80 in the minute, & rather more full & firm than upon Thursday,
but his Skin perfectly cool, no thirst, no inflammation in his face
or Eyes, his Appetite good, & he walk'd in the fields with his Servant
this forenoon. -- what is to be done in the deplorable Case?
if the Delirium continue, will you recommend a Seton? the

is the Sensorium Commune primarily affected? or is there a chance
that Worms may have any share in producing these Symptoms?
Collector & Miss Ogilvie present You their best
Compliments & anxiously expect Your Answer
in Course, & I am respectfully

Doctor Cullen
Physician in
Edinr.

Dr. Livingstone
C. Mr. G. Ogilvie
Octr. 1780
XI. p.103 --