Cullen

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

 

[ID:1733] From: [AUTHOR UNKNOWN] / To: Dr William Cullen (Professor Cullen) / Regarding: William Kerr (Patient) / 17? September 1779 / (Incoming)

Document headed 'Memorandum for William Kerr'. Unsigned and undated, but likely from September 1779 based on its content - describes the patient as being aged 55 and born in 1724; describes 11th Sept as 'Saturday night last'; gives description of several days following the 11th so date guessed at the 17th. Writer is probably the practitioner Walker, basing the account upon information supplied by the patient, rather then Kerr himself.

Facsimile

There are 4 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 1733
RCPE Catalogue Number CUL/1/2/820
Main Language English
Document Direction Incoming
Date17? September 1779
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Document headed 'Memorandum for William Kerr'. Unsigned and undated, but likely from September 1779 based on its content - describes the patient as being aged 55 and born in 1724; describes 11th Sept as 'Saturday night last'; gives description of several days following the 11th so date guessed at the 17th. Writer is probably the practitioner Walker, basing the account upon information supplied by the patient, rather then Kerr himself.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1176]
Case of Mr William Kerr who spits blood from an advanced cosumptive condition and who is advised to not spend the winter in Scotland but move to a warmer climate.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3764]Patient William Kerr
[PERS ID:3779]Patient's Physician / Surgeon / ApothecaryMr Walker
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Wright's House(s) Edinburgh Edinburgh and East Scotland Europe inferred
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Madeira Spain Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Harrogate North-East England Europe certain
Mentioned / Other Lisbon Portugal Portugal Europe certain
Mentioned / Other Wright's House(s) Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Memorandum for William Kerr


The memorialest 55 years ↑of age↑ being born in 1724, is
of a slender make, long neck, and narrow shoulders,
with a habit of stouping when he walks or sitts.


From his Infancy to February 1755, he never had
any ailment, except Winter colds in common with others.


At this Period, there happened an Erruption of a
Blood Vessell of the Lungs, Right Side, on which
account in the course of 8 days there were, as he
was told, above 70 ounces of Blood taken from him
by the Lancet
, which reduced him exceedingly, and
he did not recover his usual strength for 6 or
7 months after. -- Since that time (September 1755)
he enjoyed a very good state of health in general for
14 years till 1769.


For 6 years from 1769 to 1775 he was
every Winter much subject to colds, and coughs,
but went about his Daily Business in the Post office
without much confinement.


But finding that duty heavy on him in Winter,
he applied to get free of it, and suceeded in that
application in October 1776, since which time,
he has not attended the Post office, but every winter
since he has been confined a good deal, with a
cough and Defluction on the Lungs, which
began by catching cold and could not be altogether
removed till the return of the warm season.


[Last winter 1778?] {illeg}


The effects of winter 1777 and the cold spring
of 1778 kept him in but a weak Relaxed state
most of the summer -- Beginning of September
1778 he went to Harrogate, and in the 3 weeks
he remained there and drank the waters, he
filled up remarkably -- He returned to
Edinburgh beginning of October, and went
about his ordinary way, but



[Page 2]

frequently felt in walking in and out betwixt
Edinburgh and Wrights houses, a difficulty of breathing
especially in walking up hill, which he attributed to wind
or Disorder of the
stomach, which from being
extraordinarily strong in former, was of Late years
become weak and very windy.


Upon the 2d of Septemb November, without
any aparent cause, as he was riseing out of
bed in the morning, without any but an easie
cough
, he spitt up a little Blood -- a second
spitt up was the same
, upon which he
stept into Bed again and sent for Mr Walker
who ↑that or↑ next day Bled him -- For 5 or 6 days
after, the a single spitt up of Blood continued
now and the only, 2,3, or 4 spit up's of
a day, and gradually wore away, But as
he lay a good deal in Bed, and had a very
slight touch of it again in January, by
his confinement & the cough and defluction
which succeeded he was reduced to a weak
relaxed state
↑for↑ a good way in, in the summer
1779, even till well in, in June late, that
he got on horse Back, and has since time
contined to be daily for a few hours on horse
Back, & Lately returned from a journey of 300
miles partly on horse Back partly in chaise


On Saturday night last the 11th September
being a broad a little later than usual he
caught a little cold -- coughed a good deal
on Sunday, Bathed his feet that night -
was free of cough and kept the house all
monday. - But on Tuesday morning
with a very gentle cough 3 different
times, his spitt up to his great sup (↑surprize↑)
his spitt up was mixed with streaks of
Blood
, but no more that day, nor since
and the effects of the cold is gone and no
coughing remains.




[Page 3]


This is the General History of the
memorialists health -- If the Doctor wishes
answers to any particular question Mr
Walker or the memorialist will give them


From the above indication of a
weak state of the memorials lungs
particularly the right side, as he
has found from experience, he dreads
much, that the Return of the winter, in
this cold and changeable climate, will
bring on a return of the cough and drain
or Defluction
on the Lungs, which may
be followed, or attended with a Discoloured
spittle
, or perhaps an actual spitting
of Blood
, which may tend to bring on an
Immediate consumption.


He would therefore wish to be advised.
1st. Whether there is not a particular
Danger in passing this Winter in Scotland,
even with every attention to Regimen
and cloathing, care &c. merely from the
climate. --


2dly ↑whether↑ it would not be necessary to
remove for the winter season, vizt from
October, till end of April, to Lisbon or
Madeira, and whether in that case,
the sea voyage, suppose by the Packet to
Madeira, as the farthest off, woud not be
of particular service, to one in his
situation. --


3dly. If it is thought, not Dangerous
to remain in Scotland, during the Winter,
as he has his whole time and place
to go at particular times out of Doors,



[Page 4]

or to confine himself allways within doors
Intirely at his command. - He wishes
to know, which of the modes of passing
the winter wou'd be the most Eligible,
or have the best chance of avoiding
the catching a cold, to which he is now
become very susceptible, and which
if it once get hold of him, is Exceedingly
Difficult to Remove till the return
of the warm season.

Diplomatic Text

[Page 1]
Memorandum for William Kerr


The memorialest 55 years ↑of age↑ being born in 1724, is
of a slender make, long neck, and narrow shoulders,
with a habit of stouping when he walks or sitts.


From his Infancy to February 1755, he never had
any ailment, except Winter colds in common with others.


At this Period, there happened an Erruption of a
Blood Vessell of the Lungs, Right Side, on which
account in the course of 8 days there were, as he
was told, above 70 ounces of Blood taken from him
by the Lancet
, which reduced him exceedingly, and
he did not recover his usual strength for 6 or
7 months after. -- Since that time (Septemr 1755)
he enjoyed a very good state of health in general for
14 years till 1769.


For 6 years from 1769 to 1775 he was
every Winter much subject to colds, and coughs,
but went about his Daily Business in the Post office
without much confinement.


But finding that duty heavy on him in Winter,
he applied to get free of it, and suceeded in that
application in October 1776, since which time,
he has not attended the Post office, but every winter
since he has been confined a good deal, with a
cough and Defluction on the Lungs, which
began by catching cold and could not be altogether
removed till the return of the warm season.


[Last winter 1778?] {illeg}


The effects of winter 1777 and the cold spring
of 1778 kept him in but a weak Relaxed state
most of the summer -- Beginning of September
1778 he went to Harrogate, and in the 3 weeks
he remained there and drank the waters, he
filled up remarkably -- He returned to
Edinburgh beginning of October, and went
about his ordinary way, but



[Page 2]

frequently felt in walking in and out betwixt
Edinburgh and Wrights houses, a difficulty of breathing
especially in walking up hill, which he attributed to wind
or Disorder of the
stomach, which from being
extraordinarily strong in former, was of Late years
become weak and very windy.


Upon the 2d of Septemb November, without
any aparent cause, as he was riseing out of
bed in the morning, without any but an easie
cough
, he spitt up a little Blood -- a second
spitt up was the same
, upon which he
stept into Bed again and sent for Mr Walker
who ↑that or↑ next day Bled him -- For 5 or 6 days
after, the a single spitt up of Blood continued
now and the only, 2,3, or 4 spit up's of
a day, and gradually wore away, But as
he lay a good deal in Bed, and had a very
slight touch of it again in January, by
his confinement & the cough and defluction
which succeeded he was reduced to a weak
relaxed state
↑for↑ a good way in, in the summer
1779, even till well in, in June late, that
he got on horse Back, and has since time
contined to be daily for a few hours on horse
Back, & Lately returned from a journey of 300
miles partly on horse Back partly in chaise


On Saturday night last the 11th Septr
being a broad a little later than usual he
caught a little cold -- coughed a good deal
on Sunday, Bathed his feet that night -
was free of cough and kept the house all
monday. - But on Tuesday morning
with a very gentle cough 3 different
times, his spitt up to his great sup (↑surprize↑)
his spitt up was mixed with streaks of
Blood
, but no more that day, nor since
and the effects of the cold is gone and no
coughing remains.




[Page 3]


This is the General History of the
memorialists health -- If the Doctor wishes
answers to any particular question Mr
Walker or the memorialist will give them


From the above indication of a
weak state of the memorials lungs
particularly the right side, as he
has found from experience, he dreads
much, that the Return of the winter, in
this cold and changeable climate, will
bring on a return of the cough and drain
or Defluction
on the Lungs, which may
be followed, or attended with a Discoloured
spittle
, or perhaps an actual spitting
of Blood
, which may tend to bring on an
Immediate consumption.


He would therefore wish to be advised.
1st. Whether there is not a particular
Danger in passing this Winter in Scotland,
even with every attention to Regimen
and cloathing, care &c. merely from the
climate. --


2dly ↑whether↑ it would not be necessary to
remove for the winter season, vizt from
October, till end of April, to Lisbon or
Madeira, and whether in that case,
the sea voyage, suppose by the Packet to
Madeira, as the farthest off, woud not be
of particular service, to one in his
situation. --


3dly. If it is thought, not Dangerous
to remain in Scotland, during the Winter,
as he has his whole time and place
to go at particular times out of Doors,



[Page 4]

or to confine himself allways within doors
Intirely at his command. - He wishes
to know, which of the modes of passing
the winter wou'd be the most Eligible,
or have the best chance of avoiding
the catching a cold, to which he is now
become very susceptible, and which
if it once get hold of him, is Exceedingly
Difficult to Remove till the return
of the warm season.

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