Cullen

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

 

[ID:4184] From: Dr William Cullen (Professor Cullen) / To: Dr William Wemyss (in Kirkcaldy) / Regarding: Mrs Donaldson (Patient) / 3 November 1777 / (Outgoing)

Reply 'To Dr Wemys Kircaldy'. Concerning Mrs Donaldson's case. Cullen believes her case of dropsy to be a desperate one: 'However I think no patient is to be deserted'. He suggests alkalines as diuretic treatment, a blister and possibly puncturing the legs if necessary.

Facsimile

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[Page 2]


 
 

Metadata

FieldData
DOC ID 4184
RCPE Catalogue Number CUL/1/1/10/41
Main Language English
Document Direction Outgoing
Date3 November 1777
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'To Dr Wemys Kircaldy'. Concerning Mrs Donaldson's case. Cullen believes her case of dropsy to be a desperate one: 'However I think no patient is to be deserted'. He suggests alkalines as diuretic treatment, a blister and possibly puncturing the legs if necessary.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:861]
Case of Mrs Donaldson whose whole body is swollen and who suffers stomach pains and various other distressing symptoms.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2161]AddresseeDr William Wemyss (in Kirkcaldy)
[PERS ID:2162]PatientMrs Donaldson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2161]Patient's Physician / Surgeon / ApothecaryDr William Wemyss (in Kirkcaldy)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Kirkcaldy Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
To Dr Wemys Kircaldy
Dear Sir


I have yours concerning Mrs Donaldson
& agree with you that it is a very bad case and if
your opinion of the remote cause is founded
I shall think it a desperate one. ––



[Page 2]

I have no doubt of there being water in the thorax &
therefore more desperate still. However I think no
patient is to be deserted and therefore that you should
continue your endeavours & I find no more probable
means of relief than those suggested in my former
letter, but I must leave it to your discretion to
judge how far the purgatives are to be pushed.
I can't think there can be any danger from the
alkaline infusion
and as it proves diuretic it should
be continued. I dare say a fresh blister between
the shoulders
may be of use – & if the legs should
become much distended puncture may be tried.
Wishing you success I am always Dear Dr.

Your most obedient Servant
W.C.
Edinburgh 3d. November
1777.

Diplomatic Text

[Page 1]
To Dr Wemys Kircaldy
Dr Sir


I have yours concerning Mrs Donaldson
& agree with you that it is a very bad case and if
your opinion of the remote cause is founded
I shall think it a desperate one. ––



[Page 2]

I have no doubt of there being water in the thorax &
therefore more desperate still. However I think no
patient is to be deserted and therefore that you should
continue your endeavours & I find no more probable
means of relief than those suggested in my former
letter, but I must leave it to your discretion to
judge how far the purgatives are to be pushed.
I can't think there can be any danger from the
alkaline infusion
and as it proves diuretic it should
be continued. I dare say a fresh blister between
the shoulders
may be of use – & if the legs should
become much distended puncture may be tried.
Wishing you success I am always Dr. Dr.

Your most obed.t Servt:
W.C.
Edin:r 3d. Nov:r
1777.

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