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Induced by what I have heard of your skilful
Practice of Physick and particularly your judicious and
successfull treatment of phthisical Complaints. I beg leave
to trouble you with the Case of my Dearest Friend for
your Consideration and Advice. I have not waited for the
Formality of first presenting you a fee, as the Nature
of the Case will not admit of any delay. but have given
directions to my Mercht. here to convey it to you as speedily
as possible by means of his Correspondence in your City
I shall expect your Answer with impatience & request you
will favour me with it as soon as may suit your conveni¬
ence

Mrs. Synnot is about 32 years of Age; of a de¬
licate Frame, but her Health has been in general,
good. She has been married about one year and
has been delivered of a Child, now two Months
old & apparently in very good Health. During
her Pregnancy She enjoyed as good Health as at
any other Time of her Life, but in the last Months
of it She was troubled with a Cough at Morning
& Night which however was of no apparent In¬
jury to her, as She looked well, slept well & had a
good appetite. After her Delivery She appeared to
be recovering her Strength - till the third week, at the
End of which her Cough encreased, her Pulse quickened
till at length it came to a settled feverish Motion. She
lost her rest & fell into sweats in the Morning - which
were partial, affecting her Breast & the upper parts of
her Body. She complains of sudden Heats or flushings