Cullen

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

 

[ID:2459] From: Dr John Alves / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Jane Fraser (of Relick) (Patient) / 20 May 1784 / (Incoming)

Letter from John Alves, concerning the case of Mrs Fraser. Her symptoms include a pain in her left side, a cough, spitting blood and a hardness in her breast.

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Metadata

FieldData
DOC ID 2459
RCPE Catalogue Number CUL/1/2/1514
Main Language English
Document Direction Incoming
Date20 May 1784
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from John Alves, concerning the case of Mrs Fraser. Her symptoms include a pain in her left side, a cough, spitting blood and a hardness in her breast.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:788]
Case of Mrs [Jane] Fraser of Relict [Relig/Reelig], who suffers from breathlessness and pain in her side; she subsequently falls down stairs, becomes pregnant and is then dissuaded from suckling her child for fear of her catching milk fever and a cold.
21


People linked to this document

Person IDRole in documentPerson
[PERS ID:148]AuthorDr John Alves
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:857]PatientMrs Jane Fraser (of Relick)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:148]Patient's Physician / Surgeon / ApothecaryDr John Alves
[PERS ID:858]Patient's Relative / Spouse / FriendMr Fraser (of Relick)
[PERS ID:858]OtherMr Fraser (of Relick)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Inverness North Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Moniack Castle Inverness North Highlands Scotland Europe certain

Normalized Text

[Page 1]
Inverness 20th. May 1784
Dear Sir


About the same time on Saturday evening
last that I receivd your favour of the 12th. current I got a line
from Relig informing me that Mrs Fraser had been for some
days ill of a cold, that she complained of ↑a Cough &↑ a pain in her
left side, had an Oppressed breathing, & ↑had↑ spit some blood
every morning. Alarmed at these Symptoms, I hasten'd
to Moniack next morning, & took some blood from her
Arm; I recommended also an Infusion of Tussilago flowers
which were got fresh in a neighbouring field, to be sweetned
with honey and a small cupfull with the addition of
a little Nitre to be taken several times in the day. As
I understand that the Blood appear'd in her Spittle, only in
the Morning, & came without any Cough; and now came
at any other time tho' she had many severe fitts of
Coughing
thro' the Day, I was in hopes it proceeded
from her throat or Gums, & not from the breast and
therefore desir'd Mrs Fraser be very Attentive to that
Circumstance in order to Ascertain the fact. The



[Page 2]

Blood from her Arm was Sizy: there were only about six
Ounces taken as her pulse would not bear the loss of any
more
.


I gave Mr Fraser your Letter to read: he desird me
Continue the Correspondence & give you his best Compliments
& thanks, untill he should take an Opportunity of
thanking you himself for your friendly concern
about Mrs Fraser. Her breast had been more uneasie
than usual on the day before I saw her, & she thought
the hardness more perceptible. The inclos'd was written
last night at my desire that you might have the
latest information respecting our amicable Patients
present situation. When I saw her, her pulse was about
80
, her belly regular, and the Cough did not disturb
her nights rest. thro' the day it was a dry hard Cough
without the least expectoration. About four years
ago, she says she had a severe Cough which lasted
several months & brought her very much down in her
flesh
- no doubt you saw her then. I shall ↑be↑ happy
to have your sentiments upon her present situation
& especially, as she is so delicate a Subject, how far



[Page 3]

it will require, or we may prudently proceed with
evacuations. I always am with particular regard.

Dear Sir Your most obedient Servant
John Alves



[Page 4]


Dr Cullen
Physician
at
Edinburgh


under cover


Mrs Fraser
May 1784
V. XVI. p. 40.

Diplomatic Text

[Page 1]
Inverness 20th. May 1784
Dear Sir


About the same time on Saturday evening
last that I receivd your favour of the 12th. curt. I got a line
from Relig informing me that Mrs Fraser had been for some
days ill of a cold, that she complained of ↑a Cough &↑ a pain in her
left side, had an Oppressed breathing, & ↑had↑ spit some blood
every morning. Alarmed at these Symptoms, I hasten'd
to Moniack next morning, & took some blood from her
Arm; I recommended also an Infusion of Tussilago flowers
which were got fresh in a neighbouring field, to be sweetned
with honey and a small cupfull with the addition of
a little Nitre to be taken several times in the day. As
I understand that the Blood appear'd in her Spittle, only in
the Morning, & came without any Cough; and now came
at any other time tho' she had many severe fitts of
Coughing
thro' the Day, I was in hopes it proceeded
from her throat or Gums, & not from the breast and
therefore desir'd Mrs Fraser be very Attentive to that
Circumstance in order to Ascertain the fact. The



[Page 2]

Blood from her Arm was Sizy: there were only about six
Ounces taken as her pulse would not bear the loss of any
more
.


I gave Mr Fraser your Letter to read: he desird me
Continue the Correspondence & give you his best Compts.
& thanks, untill he should take an Opportunity of
thanking you himself for your friendly concern
about Mrs Fraser. Her breast had been more uneasie
than usual on the day before I saw her, & she thought
the hardness more perceptible. The inclos'd was written
last night at my desire that you might have the
latest information respecting our amicable Patients
present situation. When I saw her, her pulse was about
80
, her belly regular, and the Cough did not disturb
her nights rest. thro' the day it was a dry hard Cough
without the least expectoration. About four years
ago, she says she had a severe Cough which lasted
several months & brought her very much down in her
flesh
- no doubt you saw her then. I shall ↑be↑ happy
to have your sentiments upon her present situation
& especially, as she is so delicate a Subject, how far



[Page 3]

it will require, or we may prudently proceed with
evacuations. I always am with particular regard.

Dr Sir Your most obed Servt
John Alves



[Page 4]


Dr Cullen
Physician
at
Edinburgh


under cover


Mrs Fraser
May 1784
V. XVI. p. 40.

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