Cullen

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

 

[ID:1686] From: Dr Alexander Taylor (Sanders) / To: Dr William Cullen (Professor Cullen) / Regarding: Miss Margaret Neilson (Peggy) (Patient) / 9 June 1779 / (Incoming)

Letter from Alexander Taylor concerning Miss Peggie Nielson and how she has faired since her journey. Taylor reports on her pulse-rate, but he has lost his 'pulse measurer'.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1686
RCPE Catalogue Number CUL/1/2/773
Main Language English
Document Direction Incoming
Date9 June 1779
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 Alexander Taylor concerning Miss Peggie Nielson and how she has faired since her journey. Taylor reports on her pulse-rate, but he has lost his 'pulse measurer'.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1110]
Case of Peggie Nielson who has a chest complaint and has now developed an inflamed and swollen face.
2


People linked to this document

Person IDRole in documentPerson
[PERS ID:207]AuthorDr Alexander Taylor (Sanders)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2092]PatientMiss Margaret Neilson (Peggy)
[PERS ID:207]Patient's Physician / Surgeon / ApothecaryDr Alexander Taylor (Sanders)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:206]Patient's Relative / Spouse / FriendMr Robert Neilson (Nielson, of Paisley)
[PERS ID:2668]Patient's Relative / Spouse / FriendMrs Jean Neilson (Nielson)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Paisley Glasgow and West Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain
Place of Handstamp Paisley Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]
Paisley 9 June 1779
Sir


Mr. Nielson wrote
on Sunday last informing you how
Miss Peggie had stood her journey &
how she had past the first night after
it - That day her pulse instead of
quickening towards evening became
slower and beat as near as I could
guess (for I have lost my pulse measurer)
betwixt 80 and 90 in a minute
; 1 and con¬
tinued in this moderate state till yester¬
day morning - in the mean time she her¬
self was tolerably east and her Cough
less frequent - but yesterday morning a
reddish spot on the side of her nose next the
Cheek which was (↑had been↑) launced and which had been



[Page 2]

first observed on Monday night, extending
itself, the Cheek and eye-lid and all that
side of the face became swelled, inflamed
and painful - her pulse increased pro¬
portionally in quickness and she became
thirsty and hot and in the evening very
drowsy - last night proved to be more
easy than I expected; and this morning
tho' her Cheek and eye-lid were greatly
swelled in so much as to close up her eye,
yet the redness was considerably less and
the quickness of pulse and heat of her
skin greatly abated - the swelling of the
eye-lid appears this afternoon likewise
to be going off and the pain has almost
entirely left her and her pulse is at pre¬
sent nearly as slow
as before this last first (↑last↑) at¬
tack - the inflamed parts were at first
kept dusted with flower; but this has been
Changed to-day for a Pultice made of bread


[Page 3]

and a solution of sugar of lead (half a drachm of the
sugar to one pint of Water) - the discharge
from the sores has been thinner and more
in quantity than usual - her looseness
has been on the decrease ever since she
left Edinburgh and she has had ↑since sunday↑ seldom more
than one passage in the 24 hours -
her Cough still continues moderate but
she is much distressed with a tough
ropy mucus in her throat which occasions
hawking and sometimes brings on a
retching to Vomit -


Mrs. Nielson is very anxious {illeg}
the directions she expects from you -
she is afraid your letter may have mis¬
carried by some accident and she begs
you will be so good as let us have an
answer by return of Post.


I am Sir
your most humble Servant
Alexr. Taylor



[Page 4]


To
Dr. Cullen
Edinburgh


Mr Taylor Concerning Miss Neilson
June 9. 1779.

Notes:

1: It is unclear precisely what instrument is being indicated by the term "pulse measurer". At this date physicians and surgeons used hour-glasses or specially designed stop-watches to measure the pulse-rate, but a device called a pulse-glass was also starting to be employed. This consisted of a glass-tube containing water or alcohol with a bulb at one end which, when held by the patient, causes the liquid to jump slightly.

Diplomatic Text

[Page 1]
Paisley 9 June 1779
Sir


Mr. Nielson wrote
on Sunday last informing you how
Miss Peggie had stood her journey &
how she had past the first night after
it - That day her pulse instead of
quickening towards evening became
slower and beat as near as I could
guess (for I have lost my pulse measurer)
betwixt 80 and 90 in a minute
; 1 and con¬
tinued in this moderate state till yester¬
day morning - in the mean time she her¬
self was tolerably east and her Cough
less frequent - but yesterday morning a
reddish spot on the side of her nose next the
Cheek which was (↑had been↑) launced and which had been



[Page 2]

first observed on Monday night, extending
itself, the Cheek and eye-lid and all that
side of the face became swelled, inflamed
and painful - her pulse increased pro¬
portionally in quickness and she became
thirsty and hot and in the evening very
drowsy - last night proved to be more
easy than I expected; and this morning
tho' her Cheek and eye-lid were greatly
swelled in so much as to close up her eye,
yet the redness was considerably less and
the quickness of pulse and heat of her
skin greatly abated - the swelling of the
eye-lid appears this afternoon likewise
to be going off and the pain has almost
entirely left her and her pulse is at pre¬
sent nearly as slow
as before this last first (↑last↑) at¬
tack - the inflamed parts were at first
kept dusted with flower; but this has been
Changed to-day for a Pultice made of bread


[Page 3]

and a solution of sugar of lead (Ʒſs of the
sugar to ℔j of Water) - the discharge
from the sores has been thinner and more
in quantity than usual - her looseness
has been on the decrease ever since she
left Edinr. and she has had ↑since sunday↑ seldom more
than one passage in the 24 hours -
her Cough still continues moderate but
she is much distressed with a tough
ropy mucus in her throat which occasions
hawking and sometimes brings on a
retching to Vomit -


Mrs. Nielson is very anxious {illeg}
the directions she expects from you -
she is afraid your letter may have mis¬
carried by some accident and she begs
you will be so good as let us have an
answer by return of Post.


I am Sir
your most humble Servt.
Alexr. Taylor



[Page 4]


To
Dr. Cullen
Edinr.


Mr Taylor C Miss Neilson
June 9. 1779.

Notes:

1: It is unclear precisely what instrument is being indicated by the term "pulse measurer". At this date physicians and surgeons used hour-glasses or specially designed stop-watches to measure the pulse-rate, but a device called a pulse-glass was also starting to be employed. This consisted of a glass-tube containing water or alcohol with a bulb at one end which, when held by the patient, causes the liquid to jump slightly.

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