Cullen

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

 

[ID:443] From: Dr William Cullen (Professor Cullen) / To: Mr Michael Gardiner / Regarding: [A matter not directly regarding a patient] / 20 August 1771 / (Outgoing)

Reply, 'To Mr Michael Garner'

Facsimile

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[Page 1]


 

[Page 2]


 
 

Metadata

FieldData
DOC ID 443
RCPE Catalogue Number CUL/1/1/3/26
Main Language English
Document Direction Outgoing
Date20 August 1771
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 Mr Michael Garner'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:340]
Case of Lord Stonefield's son who is to be inoculated against smallpox.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1137]AddresseeMr Michael Gardiner
[PERS ID:1137]Patient's Physician / Surgeon / ApothecaryMr Michael Gardiner
[PERS ID:227]OtherLord (Judge) John Campbell (of Stonefield, Lord Stonefield)
[PERS ID:861]OtherLady Grace Campbell (of Stonefield)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Stonefield West Highlands Scotland Europe inferred

Normalized Text

[Page 1]
To Mr. Michael Garner

Dear Sir


I am very much pleased to have difficulties when they are
sensibly proposed, and particularly on this occasion when I am so anxious
to serve Lord Stonefield's family, and to make Lady Grace's mind as
easy as possible.


To your first question, a note added by Lady Grace supersedes
any answer. He is very properly put in a bed by himself before any
thing else is done, and his bed cloaths seem to be very properly ordered.
As to the carrying him abroad in the eruptive fever, if she is in any
condition to walk and sit up he may have on his ordinary cloaths
but without any blankets about him, and tho' he should be sick
and unable to sit up he must still have no blankets but be
carried in a man or woman's arm, lying along or sitting upright
as he bears it with his Cloaths on, but thinner and looser as the
degree of feveris greater. If he is very sick the going abroad may
be very troublesome, but the windows are to be set open and he is
to be carried or laid near them with as few cloaths as may be.
He may lye upon the bed with a sheet only over him, or he may be
kept before an open window with as slight wrapper upon him
only. If these measures are taken in time the sickness never goes
so far as to prevent their bearing in erect posture. But if things
should go so far as that, the only remedy is laying him horizonĀ¬
tal and nothing cordial is to be allowed but cold water and
a very little Spir. L.L.


The cooling of the fever may as you say come sooner
or later, but it is very unusual for it to be long a coming. You
know the fever is always worst in the Evening, grows worse
towards midnight, and remits of itself towards morning. Pains
therefor are to be taken chiefly in the fore part of the night &
the cooling measures most freely pursued, and whether they
succeed intirely inor not they may be slackened towards
morning. It is impossible to give positive rules in providing for
more possibilities, something must be left to discretion. I don't
think a proper feverish shivering can hardly come on, but they
have been brought to shake and shiver from the degree of cold



[Page 2]

applied, but this is also attended with an abatement of the feverish
fits, and at any rate does not require being put to bed at least not
to be covered up there.


If in spite of all your pains the fever should continue
I can hardly say any thing to such possibility but that I should
not know what to do. Without very singular circumstances I
should not advise bleeding, and certainly never any opiate.


As to the purging I have only to say it is favoured by experience and we must follow it.


In case of convulsion I know nothing to be done in the
fits nor at other times more than you would have done on any
other plan of practice, only the cold air seem as effectual as any
other remedy.


His drink is to be cold in every circumstance of the
disease. I would not give him quite cold drink nor take him
out of bed in the middle of a Sweat, but I would do both to prevent
his getting into that sweat. It is not possible for me to say
more at present. Don't be timorous on this occasion nor push
matters farther than circumstances and your own discretion
leads you. For extremely malignant cases there is perhaps no
remedy, and the most part of cases are so gentle as to require
none.

With Compliments I am
Dear Michael sincerely your,
W.C.
Edinburgh20.th August 1771

Diplomatic Text

[Page 1]
To Mr. Michael Garner

Dear Sir


I am very much pleased to have difficulties when they are
sensibly proposed, and particularly on this occasion when I am so anxious
to serve Lord Stonefield's family, and to make Lady Grace's mind as
easy as possible.


To your first question, a note added by Lady Grace supersedes
any answer. He is very properly put in a bed by himself before any
thing else is done, and his bed cloaths seem to be very properly ordered.
As to the carrying him abroad in the eruptive fever, if she is in any
condition to walk and sit up he may have on his ordinary cloaths
but without any blankets about him, and tho' he should be sick
and unable to sit up he must still have no blankets but be
carried in a man or woman's arm, lying along or sitting upright
as he bears it with his Cloaths on, but thinner and looser as the
degree of feveris greater. If he is very sick the going abroad may
be very troublesome, but the windows are to be set open and he is
to be carried or laid near them with as few cloaths as may be.
He may lye upon the bed with a sheet only over him, or he may be
kept before an open window with as slight wrapper upon him
only. If these measures are taken in time the sickness never goes
so far as to prevent their bearing in erect posture. But if things
should go so far as that, the only remedy is laying him horizonĀ¬
tal and nothing cordial is to be allowed but cold water and
a very little Spir. L.L.


The cooling of the fever may as you say come sooner
or later, but it is very unusual for it to be long a coming. You
know the fever is always worst in the Evening, grows worse
towards midnight, and remits of itself towards morning. Pains
therefor are to be taken chiefly in the fore part of the night &
the cooling measures most freely pursued, and whether they
succeed intirely inor not they may be slackened towards
morning. It is impossible to give positive rules in providing for
more possibilities, something must be left to discretion. I don't
think a proper feverish shivering can hardly come on, but they
have been brought to shake and shiver from the degree of cold



[Page 2]

applied, but this is also attended with an abatement of the feverish
fits, and at any rate does not require being put to bed at least not
to be covered up there.


If in spite of all your pains the fever should continue
I can hardly say any thing to such possibility but that I should
not know what to do. Without very singular circumstances I
should not advise bleeding, and certainly never any opiate.


As to the purging I have only to say it is favoured by experience and we must follow it.


In case of convulsion I know nothing to be done in the
fits nor at other times more than you would have done on any
other plan of practice, only the cold air seem as effectual as any
other remedy.


His drink is to be cold in every circumstance of the
disease. I would not give him quite cold drink nor take him
out of bed in the middle of a Sweat, but I would do both to prevent
his getting into that sweat. It is not possible for me to say
more at present. Don't be timorous on this occasion nor push
matters farther than circumstances and your own discretion
leads you. For extremely malignant cases there is perhaps no
remedy, and the most part of cases are so gentle as to require
none.

With Compliments I am
D.r Michael sincerely your,
W.C.
Edin.r20.th August 1771

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