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We have got so far, I wish I cou'd
say well, perhaps I ought to think so, as
things are not worse – your young patient
is much in {illeg} in the same way as
when she left Town. We have come about
16 or 18 Miles in the day, not without fatigue,
but her appitite is somewhat better and she
has sup'd better – One symptom has appeard,
which obliges me to give you the trouble
of this – a swelling in her Feet, and ancles,
to no great Degree, and possibly owing to
her weakness, which prevents her taking
any sort of exercise by walking, yet it
alarms me, and makes me anxious to
know your opinion, and whither any thing
particular is necessary to be done in
order to remove it – Be so good as direct
for me at Balmaghie by Carlingwork
and believe me with sincere regard

Doctor Cullen
Physician
Edinburgh