The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1178] From: Mr Thomas Duncanson / To: Dr William Cullen (Professor Cullen) / Regarding: Mr George Cumming (of Altyre) (Patient), Mr Robert Grant (Patient) / 24 November 1775 / (Incoming)
Letter from Thomas Duncanson at Forres, reporting further on the case of Robert Grant, a young servant to Captain Urquhart and mentioning the progress of Mr Cumming of Altyre in a postscript. The annotation giving Grant's first-name as 'John' must, presumably be an error.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
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[Page 4]
Metadata
Field | Data |
---|---|
DOC ID | 1178 |
RCPE Catalogue Number | CUL/1/2/279 |
Main Language | English |
Document Direction | Incoming |
Date | 24 November 1775 |
Annotation | None |
Type | Authorial original |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | No |
Regimen | No |
Letter of Introduction | No |
Case Note | No |
Summary | Letter from Thomas Duncanson at Forres, reporting further on the case of Robert Grant, a young servant to Captain Urquhart and mentioning the progress of Mr Cumming of Altyre in a postscript. The annotation giving Grant's first-name as 'John' must, presumably be an error. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | Yes |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:25] |
Case of Robert Grant, a servant suffering from a cough, feverishness and other symptoms. |
3 |
[Case ID:318] |
Case of Mr Cumming who has a long and complex history of chest complaints, fever and stomach problems. |
5 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:1564] | Author | Mr Thomas Duncanson |
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:1304] | Patient | Mr George Cumming (of Altyre) |
[PERS ID:1566] | Patient | Mr Robert Grant |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:1564] | Patient's Physician / Surgeon / Apothecary | Mr Thomas Duncanson |
[PERS ID:1565] | Patient's Physician / Surgeon / Apothecary | Captain Urquhart |
Places linked to this document
Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
---|---|---|---|---|---|---|
Place of Writing | Forres | East Highlands | Scotland | Europe | certain | |
Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | certain | |
Mentioned / Other | Ireland | Europe | certain | |||
Mentioned / Other | London | London and South-East | England | Europe | certain |
Normalized Text
All your directions [as?] to Robert
Grant have been pointedlie observ'd, &
indeed for some time after he had begun
with them, I thought appearances were
making for him, tho Tincture Thebaic with
Emetic Tartar gave great relief, at first he
imagin'd the sweating a little Encreass'd by
the Draughts, tho not much, & therefore I
continu'd them Occasionalie for some time,
the Elixir did not encreass his Cough, there¬
fore Continu'd. Flannel shirts night
& day he has constantlie wore, & every day
on horse back well Cloath'd that he possib¬
lie could get out, after the Anodyne was
laid aside he try'd the Balsam, which he
found neither good nor {illeg} [from?].
The perpetual Issue between his shoulders
has all along discharg'd well, & upon the
whole he was rather better at first till the
sudden Change of Weather happen'd, but
since then he has lost Ground considerablie,
I should have mention'd that the sweatings
had entirelie stoppt when the Frost set in
they were diminuishing a little before, but
that fever (which has ever been measurablie
keen) has Encreass'd Considerablie for weeks
back, seldom or ever under [120?] in the
day time, & more frequent in the nights,
& with rovings for a Week the first
part of the night, this last fortnight his
legs have been a good deal
swell'd, strength
greatie reduc'd, & otherwise much Emaci¬
ate, his Cough in the night very severe, &
without Expectoration till morning, when
he throws up great quantity, but now
finds the Phlegm a great deal more tuff,
Gluie & Viscid than formerlie, & much
harder to get up. He has been much dis¬
tress'd with Costiveness, tho Vegetables having
lost their laxative quality they kept his [belly?]
open even when dealing in the Draughts.
[Page 2]
About a Week ago he took a fancie for thin
pottage & small Beer which left his Bel¬
ly open, & finds no bad effects otherwise
he takes them for Breakfast. I have
now given you all that occurs as to his pre¬
sent situation, but by a Conversation I
had yesterday with his master, there may
be Grounds to his feet, the lade might not
have been altogether, so well for a Course of
years, or perhaps he had Imagin'd himself
his master Cap.tCaptain Urquhart assures me,
that Nine weeks ago years ago when over
in Ireland, he observ'd him frequentlie
hacking, & sometimes spitting, as if there
had been something in his throat &
breast, & sometimes Inclinable to cough a
little, as if proceeding from defluxion,
at least this is the Account his master
makes of it, & that he had frequentlie
observed it from that Period, the Capt.Captain
likewise told [me?], that he thought him
far from well last Spring in his Way
to London, & was frequentlie oblig'd to
take him into the Carriage, tho there
was another gentleman in it besides,
& during the time he was at London
seldom had a Stool without physic,
& tho going about in his Usual way,
yet his master did not think him quite
in sorts, some time not sensible of it
himself, & even when at home I'm
inform'd he Used to be taking vomits
& physic without Peoples knowing,
he was indeed a smart Valuable servant,
& I Observe his master has been very
more Attentive to him, than he often
[Page 3]
been to himself, h[e is?] exceedinglie anxious ab¬
out him, & begs your opinion fully in Cour
Course. Two Guinea notes are Enclos'd,
I am
always with perfect regard,
Your most Obedient humble servant
Forres
24th. Nor.November1775
I doubt not but you'll be pleas'd to hear
somehing of my good Friend M.r Cumming
of Altyre, he [appears measurable?] better, til
the Change of whenWeather, when the
swelling return'd, & soon made a rapid prog¬
ress, not much in the Abdomen, but greatlie
in the Extremity, & [anniveles?] up & down along
his back & sides, one of his legs is now broke
& discharges a great deal, since the swelling
advanc'd above the Loyns, his thirst has been
uncommon, but little or no fever in the
day, & much less than usual in the night
as also in the Cough. His appetite is still
good & drinks a little wine at dinner
& in good spirits. Will not the [draining?]
prolong his days, pray let me know on
a [slip of paper?].
[Page 4]
To
Doctor William Cullen
Physician
at Edinburgh
Doctor Duncanson about
John 1 Grant &c.
November 24th 1775.
Vol. IV. p. 88.
Notes:
1: This was presumably done in error, as the patient is evidently a Robert Grant.
Diplomatic Text
All your directions [as?] to Rob.t
Grant have been pointedlie observ'd, &
indeed for some time after he had begun
with them, I thought appearances were
making for him, tho Tinct. Theb. with
Emet Tart. gave great relief, at first he
imagin'd the sweating a little Encreass'd by
the Draughts, tho not much, & therefore I
continu'd them Occasionalie for some time,
the Elixir did not encreass his Cough, there¬
fore Continu'd. Flannel shirts night
& day he has constantlie wore, & every day
on horse back well Cloath'd that he possib¬
lie could get out, after the Anodyne was
laid aside he try'd the Balsam, which he
found neither good nor {illeg} [from?].
The perpetual Issue between his shoulders
has all along discharg'd well, & upon the
whole he was rather better at first till the
sudden Change of Weather happen'd, but
since then he has lost Ground considerablie,
I should have mention'd that the sweatings
had entirelie stoppt when the Frost set in
they were diminuishing a little before, but
that fever (which has ever been measurablie
keen) has Encreass'd Considerablie for weeks
back, seldom or ever under [120?] in the
day time, & more frequent in the nights,
& with rovings for a Week the first
part of the night, this last fortnight his
legs have been a good deal
swell'd, strength
greatie reduc'd, & otherwise much Emaci¬
ate, his Cough in the night very severe, &
without Expectoration till morning, when
he throws up great quantity, but now
finds the Phlegm a great deal more tuff,
Gluie & Viscid than formerlie, & much
harder to get up. He has been much dis¬
tress'd with Costiveness, tho Vegetables having
lost their laxative quality they kept his [be?]
open even when dealing in the Draughts.
[Page 2]
About a Week ago he took a fancie for thin
pottage & small Beer which left his Bel¬
ly open, & finds no bad effects otherwise
he takes them for Breakfast. I have
now given you all that occurs as to his pre¬
sent situation, but by a Conversation I
had yesterday with his master, there may
be Grounds to his feet, the lade might not
have been altogether, so well for a Course of
years, or perhaps he had Imagin'd himself
his master Cap.tCaptain Urquhart assures me,
that Nine weeks ago years ago when over
in Ireland, he observ'd him frequentlie
hacking, & sometimes spitting, as if there
had been something in his throat &
breast, & sometimes Inclinable to cough a
little, as if proceeding from defluxion,
at least this is the Account his master
makes of it, & that he had frequentlie
observed it from that Period, the Capt.Captain
likewise told [me?], that he thought him
far from well last Spring in his Way
to London, & was frequentlie oblig'd to
take him into the Carriage, tho there
was another gentleman in it besides,
& during the time he was at London
seldom had a Stool without physic,
& tho going about in his Usual way,
yet his master did not think him quite
in sorts, some time not sensible of it
himself, & even when at home I'm
inform'd he Us'd to be taking vomits
& physic without Peoples knowing,
he was indeed a smart Valuable servant,
& I Observe his master has been very
more Attentive to him, than he often
[Page 3]
been to himself, h[e is?] exceedinglie anxious ab¬
out him, & begs your opinion fully in Cour
Course. Two Guinea notes are Enclos'd,
I am
always with perfect regard,
Your most Obed.t h. s.
Forres
24th. Nor.November1775
I doubt not but you'll be pleas'd to hear
somehing of my good Friend M.r Cumming
of Altyre, he [appears measurable?] better, til
the Change of whenWeather, when the
swelling return'd, & soon made a rapid prog¬
ress, not much in the Abdomen, but greatlie
in the Extremity, & [anniveles?] up & down along
his back & sides, one of his legs is now broke
& discharges a great deal, since the swelling
advanc'd above the Loyns, his thirst has been
uncommon, but little or no fever in the
day, & much less than usual in the night
as also in the Cough. His appetite is still
good & drinks a little wine at dinner
& in good spirits. Will not the [draining?]
prolong his days, pray let me know on
a [slip of paper?].
[Page 4]
To
Doctor Will.m Cullen
Physician
at Edinrbr.
D.r Duncanson ab.t
John 1 Grant &c.
Nov.r 24th 1775.
Vol. IV. p. 88.
Notes:
1: This was presumably done in error, as the patient is evidently a Robert Grant.
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