The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:2172] Cover Letter and Case Note / Regarding: Mr T Kinkead (Patient) / 10 March 1782 / (Incoming)
Letter from T. Kinkead, a former student of Cullen's, concerning his own case. Consists of a covering letter and a lengthier case note, written in the third person. Kinkead is a surgeon on a ship, docked in Portsmouth, from which the letter seems to have been sent - external evidence suggests this was probably HMS Harpy.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 6 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 2172 |
| RCPE Catalogue Number | CUL/1/2/1245 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 10 March 1782 |
| 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 T. Kinkead, a former student of Cullen's, concerning his own case. Consists of a covering letter and a lengthier case note, written in the third person. Kinkead is a surgeon on a ship, docked in Portsmouth, from which the letter seems to have been sent - external evidence suggests this was probably HMS Harpy. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | Yes |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1456] |
Case of T. Kinkead, ship's surgeon and Cullen's former student, who has often had nose-bleeds and whose health has declined since returning from the West Indies where he had a fever. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:4533] | Author | Mr T Kinkead |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:4533] | Patient | Mr T Kinkead |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Portsmouth | London and South-East | England | Europe | certain | |
| Destination of Letter | The University of Edinburgh | Edinburgh | Edinburgh and East | Scotland | Europe | certain |
| Mentioned / Other | West Indies | certain | ||||
| Place of Handstamp | Gosport | London and South-East | England | Europe | certain |
Normalized Text
Presuming on having formerly had
the honor and advantage of attending your
Lectures at Edinburgh I have taken the
liberty to enclose you my case of which I
Ernestly require your oppinion
The very great advantage I expect to derive
from [your?] advice conquered my delicac[y?]
troubling you with my case when
distance precluded A [pecuniory conversation?]
at least at present
If you should be generously disposed to give
your oppinion directed to me surgeon of
his Majesty's ship [Tharling?] Portsmouth it would
be a lasting obligation confer'd on
Sir
with Every sentiment of respect
your most obliged Humble servant
[Page 2]
✍ [PIN6?]
✍
Will. Cullen [Esq.r?] M.D.
Professor of Physick
{illeg} University
Edinburgh
Mr Kinkeads Case
March 1782
V. XIII p. 328
[Page 3]
Mr Kinkead, aged 22 years of A [P?]lethorick
habit, from earlyest age has been subject
to Hæmorrhage from the nose, observing
[stated?] periods with considerable regularity,
untill his going to the West Indies in his
19th year, where, he has A severe fever
which reduced him Extremely, & from
the debility induced by which, he did not
perfectly recover untill his return to
Europe some months after, since w↑h↑ich he
has had no return of the Hæmorrhage
from the nose -
He continued in perfect health untill
the month of June last, (2 years after his
return from the West Indies) when, in
consequence of his duty as surgeon of
one of his Majesty's ships, he was oblig'd
to spend great part of several days in
A part of the ship, in which the Air
was highly foul, & confin'd, the weather
at same time being Extremely hot, he
was seized with A violent cough, diff¬
iculty of Breathing, & A sense of oppress¬
ion in the Thorax, for which, he was
[Page 4]
blooded three times, & took refrigerant
medicines, with out any advantages on
the contrary, the small quantity of
matter which he Expectorated became
ting'd with blood, upon Intermitting all
medicines the violence of his complaints
were mitigated, & upon the use of A
decoction of the bark, & Elixir of vitriol
in September following they were in
A great measure removed ---
In the latter end of the month of December,
with out any previous agravation of the
other complaints, A slight [Hæmoptises?]
[supervered?], & has returned 3 times
almost at equal distant periods, altho there
is no agravation of the Pectoral complaints,
previous to the Hæmorrage, by wich it's attack
might be forenoon, & the quantity of blood
hitherto discharged Exceeding little (indeed no
more than to tinge A white frothy mucus
with which it is expectorated) Yet they
are all considerably increased immediately
in consequence of it, & it seems also, to
Induce A considerable debility in the functions
[Page 5]
of the stomach; These sym↑p↑toms gradually
remit untill after an other Paroxysm, when
they are again renew'd, He has intermitted
the decoction of the bark, & the Elixir of Vitriol
nor has he taken any other medicines for
this month past; without any seeming
alteration, in the symptoms of his disease
January 2[8?]th 1782
Since the date of the above the [Hæmoptises?]
has not recurred, but the other complaints,
Especially, the sense of weight & oppression
in the Thorax is very considerably increased,
Particularly at times, & is relieved by [cruc¬
lations?] from the stomach, - At present
Altho his Muscular strength is not impaired,
he feels himself much out of breath
upon using Exercise, such as, walking
up stairs, or dancing, & tho he retains
tolerably healthy looks, he is some what
Emaciated- His appetite is good, & his
Excretions natural - he has never had any [fix'd?]
pain in his heart, but at times, A general
soreness of his Lungs from coughing, or stooping
he has always [Lay?] with equal ease on both sides
[Page 6]
Diplomatic Text
Presuming on having formerly had
the honor and advantage of attending your
Lectures at Edinburgh I have taken the
liberty to enclose you my case of which I
Ernestly require your oppinion
The very great advantage I expect to derive
from [your?] advice conquered my delicac[y?]
troubling you with my case when
distance precluded A [pecuniory conversation?]
at least at present
If you should be generously disposed to give
your oppinion directed to me surgeon of
his M: ship [Tharling?] Portsmouth it would
be a lasting obligation confer'd on
Sir
with Every sentiment of respect
your most Oblig'd Hble. Servt.
[Page 2]
✍ [PIN6?]
✍
Will. Cullen [Esq.r?] M.D.
Professor of Physick
{illeg} University
Edinburgh
Mr Kinkeads Case
March 1782
V. XIII p. 328
[Page 3]
Mr Kinkead, aged 22 years of A [P?]lethorick
habit, from earlyest age has been subject
to Hæmorrhage from the nose, observing
[stated?] periods with considerable regularity,
untill his going to the West Indies in his
19th year, where, he has A severe fever
which reduced him Extremely, & from
the debility induced by which, he did not
perfectly recover untill his return to
Europe some months after, since w↑h↑ich he
has had no return of the Hæmorrhage
from the nose -
He continued in perfect health untill
the month of June last, (2 years after his
return from the West Indies) when, in
consequence of his duty as surgeon of
one of his Majesty's ships, he was oblig'd
to spend great part of several days in
A part of the ship, in which the Air
was highly foul, & confin'd, the weather
at same time being Extremely hot, he
was seized with A violent cough, diff¬
iculty of Breathing, & A sense of oppress¬
ion in the Thorax, for which, he was
[Page 4]
blooded three times, & took refrigerant
medicines, with out any advantages on
the contrary, the small quantity of
matter which he Expectorated became
ting'd with blood, upon Intermitting all
medicines the violence of his complaints
were mitigated, & upon the use of A
decoction of the bark, & Elixir of vitriol
in September following they were in
A great measure removed ---
In the latter end of the month of December,
with out any previous agravation of the
other complaints, A slight [Hæmoptises?]
[supervered?], & has returned 3 times
almost at equal distant periods, altho there
is no agravation of the Pectoral complaints,
previous to the Hæmorrage, by wich it's attack
might be forenoon, & the quantity of blood
hitherto discharged Exceeding little (indeed no
more than to tinge A white frothy mucus
with which it is expectorated) Yet they
are all considerably increased immediately
in consequence of it, & it seems also, to
Induce A considerable debility in the functions
[Page 5]
of the stomach; These sym↑p↑toms gradually
remit untill after an other Paroxysm, when
they are again renew'd, He has intermitted
the decoction of the bark, & the Elixir of Vitriol
nor has he taken any other medicines for
this month past; without any seeming
alteration, in the symptoms of his disease
Jany 2[8?]th 1782
Since the date of the above the [Hæmoptises?]
has not recurred, but the other complaints,
Especially, the sense of weight & oppression
in the Thorax is very considerably increased,
Particularly at times, & is relieved by [cruc¬
lations?] from the stomach, - At present
Altho his Muscular strength is not impaired,
he feels himself much out of breath
upon using Exercise, such as, walking
up stairs, or dancing, & tho he retains
tolerably healthy looks, he is some what
Emaciated- His appetite is good, & his
Excretions natural - he has never had any [fix'd?]
pain in his heart, but at times, A general
soreness of his Lungs from coughing, or stooping
he has always [Lay?] with equal ease on both sides
[Page 6]
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