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As the late Governor Johnstone was
once your patient and as he always
mentioned your name with the greatest
veneration, permit me to inform you
that according to his direction, his body
was opened after his death, that the
seat and nature of his complaints
might be ascertained. The following is
a state of the morbid appearances which
presented on dissection.

Immediately under the coronal process of the
lower jaw, on the right side of the neck, was
situate a hard and conspicuous tumor, which
on examination proved to be a diseased en¬
largement of the inferior maxillary gland.
It had been tender to the touch, and in
general troublesomely painful, owing to its
lying under a partial portion of the mastoid
muscle, which necessarily compressed its surface
whenever put into action by the motion of

Besides this, on dissecting away the integu¬
ments, two smaller diseased glands were
found lying under the same muscle, the
largest of which was about the size
of an oblong nutmeg. The lymphatic glands
in general of the neck, (but particularly
the Thyroid) were diseased. The tongue
& pharynx appeared to be the chief (and
probably {illeg} the primary) seat of the
disease. Every natural vestige was obli¬
terated, except a small remnant of the Tonsils
which were in an extremely schirrous state
Every muscle belonging to the tongue was

There were no ulcers to be found in
any of the diseased parts. ––––

If you can put your hand on Dr
Irvine's letter to you concerning the
Governor just before he put himself
under my care last Autumn, might I
beg the favor of you to send it here?
There were some circumstances we wished

It always gives me the greatest pleasure
to hear that you are well.

I beg you will present my best
Compliments to your son, and
believe me with best wishes
for you my dear sir