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John Levec a boy about 14 years
old was affected almost ten months ago
with the epidemic Scarlet Fever & sore
Throat. I attended him & indeed for several
days despaired of his life, he however
recovered, but has entirely lost his hearing.
There was a considerable discharge from
both ears during the fever & a suppuration
of one of the parotid glands. The gland
soon healed up & the left ear dried up.
The other continues to discharge a small
quantity of fetid matter. Upon examining
his ears yesterday I could observe
nothing particular but I am affeard the
membranes are corroded & have ent¬
irely lost their sensibility. His ears
have been syringed, and a seton
has been advised but it has not yet
been tried. Tho his friends are apprehen¬
sive that little can be done yet they
will try every thing that may be recom¬
mended. I therefore have taken the
liberty to desire your opinion & advice

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I received your letter in due time & have
steadily pursued your advice, but am
sorry to observe not with that sucess
which you or I could wish. In order that
you may judge of Miss Brown's pre¬
sent situation I shall transmit you
the reports which have been taken since
I wrote last. May 6th. the complaint at her stomach
is removed. Thirst somewhat diminished,
tongue natural; sleeps better & did not sweat
much last night. cough hoarseness, & pulse
continue the same as before. Yesterday
evening after a severe fit of coughing she felt
a pain in her side, & to day it is removed to
the other side. continued medicine

11

The pain in her left side continues.

13

The pain in her left side is removed to her left
right, has slept little these two nights & has
[sweat?] a good deal. The blister was applied be¬
tween her shoulders, & she began to take the
juice of Tussilago Leaves

23

The pain of her side much abated, is quite free
from it during the day, & only feels a little
of it in the night, keeps pretty well, but
is hot & sweats a good deal. The Blister rose
well & continues open. juice of Tussilago Leaves agrees
very well with her. drinks a pound of asses's milk [daily?], anodyne dose ommitted this night 24 Has rested
very little or none last night, was very hot
& sweat a great deal, cough very troublesome.
Has expectorated little & that mucus, which
swims in water, some part of it is turgid with

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a very little blood.. Pulse 8 oclock a.m. 112.5
p.m. 134 soft & weak. [Repetatur [repeated] ?] single dose of the Anodyne at bedtime.

28

Has slept very well since the dose was repeated
& has neither been so hot, or sweat so much in
the night. Pain of her side quite gone, cough &
Pulse nearly as before. The expectoration has
not been tinged with blood. The Blister keeps
open.

30

Had a restless night & this evening her
legs are a little swelled.

June 2nd

No alteration in her symptoms.

4th

Her legs continue to swell at night & [she?]
complains of great soreness in her mouth, & [her?]
cough is increased.

5

Her tongue & inside of her mouth covered [with?]
apthæ. Let her mouth be frequently [washed?]
with a gargle of Tinct. (Decoction) Bark & Infusion of [Rosemary?].

7

Her mouth is a good deal better. She begins [to?]
dislike the juice of Tussilago Leaves & it is with [diffi¬?]
culty I can prevail on her to take it.

Miss Brown has been out in the chaise whe[hen?]
the weather would permit & is less affected w[with the?]
cough then than at any other time. Her diet is
[c?]hiefly milk. I shall make no alterations, until
I have the pleasure of hearing from you
till then believe me yours sincerely

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Dr. Cullen
Edinburgh

✍
Dr. Heysham
Miss Brown and
Mr Levee
June 1800
V.XI. p. 26.