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
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
Field | Data |
---|---|
DOC ID | 443 |
RCPE Catalogue Number | CUL/1/1/3/26 |
Main Language | English |
Document Direction | Outgoing |
Date | 20 August 1771 |
Annotation | None |
Type | Scribal 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 ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
[PERS ID:1137] | Addressee | Mr Michael Gardiner |
[PERS ID:1137] | Patient's Physician / Surgeon / Apothecary | Mr Michael Gardiner |
[PERS ID:227] | Other | Lord (Judge) John Campbell (of Stonefield, Lord Stonefield) |
[PERS ID:861] | Other | Lady 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
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.
Dear Michael sincerely your,
Diplomatic Text
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.
D.r Michael sincerely your,
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