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Mr Dirom has just received the Doctors note of the 14th. – Neither the
book, not the Apparatus for making the Alkaline Mephitic Water is to be had
in this part of the Country, so that it will be necessary to send them from
Edinburgh, if the gentleman at Aberdeen to whom {illeg} (↑Mr Fothringham↑) wrote, does not
acquaint him that they are sent from thence.

During the Discharge of the blood and since that has been chiefly gone,
there has always been a considerable Discharge in the urine of a [strong?]
substance which falls to the bottom & becomes thick & ropey ↑& tough↑. –– At present
this is sometimes tinged with blood, and frequently pieces of bloody skin
or something of that appearance comes off with the urine.

The first Practitioner Mr Dirom employed said this was of no conse¬
quence, and not worth troubling Dr. Cullen about.

Lately, Mr Dirom has called in another Practitioner, and he says, this
slimy Substance is the disease, that it is occasioned by relaxation
probably brought on by hard exercise and he has prescribed for him
the following Medicine.

Mr Dirom has taken this medicine for about a week, without any
apparent good consequence and it has increased the Irritation or
desire to make water, which still breaks in more upon his rest, and on
that account he must give it up.

The want of rest is hard upon Mr Dirom, occasioned by the frequent
desire to make water, and the pain immediately after making it, and he
loses flesh. --

His present Country Doctor advises him, to eat as usual at breakfast &
dinner of light fresh food, or milk, or a little steak or roasted meat, and
to take 3 or 4 glasses of claret after dinner to keep up his Strength; but to
take no food, or any thing after that, to bed time unless it be a little meat
or Jelly. ––

writer
Edinburgh