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Mrs. Orr

I am very Sorry to find Mrs. Orrs complaints
continue and with some circumstances which I think
shows some increase of that compression which I
suspect to be at the bottom of the whole complaint
and I am afraid there is not so much of a Spas¬
modic affection as in them as I wished to find.
Upon this view of the Case I cannot insist upon
{illeg} medicines I advised before
and at least I think they should be intermitted
for some time and though evacuations, blistering
and Issues were formerly employed with little
benefit I should think it necessary to renew
some of them now and particularly I would
advise a blistering plaister of three inches diameter
to be applied on the Vertex or rather more back
{illeg} I would have the blistering plaister to
be without any loose flies upon it and as it

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often happens that a blister applied to the Scalp
in Adult persons does not raise any blister but [merely?]
an intumescence with a good deal of serum oozing. I
hope Mrs Orrs will operate in this manner and
instead of remaining the plaister in the ordinary
way I would after the plaister only lift it to dry
with a bit of rag the moisture that may be under
it and apply the same plaister again and then
only lifting it once a day I would allow it to lie
on till the hair shall grou up to push it off and
even then, I would only keep off the plaister till
the skin should be fit to bear a Razor, and after
Shaving lay it on again, for eight or ten days
more and in this manner when it can be admitted
I have found more benefit than by the ordinary
management of Issues. This is the Advice I
can offer at present but I must own to you that
I do not recollect Mrs. Orrs history with great

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clearness and therefore if you perceive in this
letter any mark of forgetfulness I beg you may
correct me and give me an opportunity of {illeg}
my advice.

In answer to your Query which you are
always welcome to put to me I must tell you that
I have met with instances and others have recorded
instances of Concussion whose effects did
not appear for many days after they had
been received. I am always with great
regard