The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:2128] From: Dr Alexander Stevenson (Professor; of Dalgairn ) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Robert Neilson (Nielson, of Paisley) (Patient) / 10 January 1782 / (Incoming)
Letter from A. Stevenson concerning the case of Mr Nielson. A note on the reverse states that the answer was not copied.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
[Page 3]
[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 2128 |
| RCPE Catalogue Number | CUL/1/2/1203 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 10 January 1782 |
| 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 A. Stevenson concerning the case of Mr Nielson. A note on the reverse states that the answer was not copied. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | Yes |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:316] |
Case of Mr Robert Neilson with a chronic, progressive illness, probably pulmonary (consumption) but possible cardiac. After a gap, in early January 1782, Cullen confirms that Neilson's condition is terminal. An autopsy soon follows. |
22 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:563] | Author | Dr Alexander Stevenson (Professor; of Dalgairn ) |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:206] | Patient | Mr Robert Neilson (Nielson, of Paisley) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:207] | Patient's Physician / Surgeon / Apothecary | Dr Alexander Taylor (Sanders) |
| [PERS ID:563] | Patient's Physician / Surgeon / Apothecary | Dr Alexander Stevenson (Professor; of Dalgairn ) |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Glasgow | Glasgow and West | Scotland | Europe | certain | |
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | certain | |
| Mentioned / Other | Paisley | Glasgow and West | Scotland | Europe | certain | |
| Place of Handstamp | Glasgow | Glasgow and West | Scotland | Europe | certain |
Normalized Text
I have visited a patient of
yours Mr Neilson. I am afraid his fate
is fixed, but am not sure how near.
You have his late history, as well as the
former part, from Mr Taylor.
I found him in that bent posture so usual
to those who have an Effusion in the Thorax:
at times having sudden & distressful pant¬
ings - & now & then ritchings to Vomit.
I observed a reddish tinge in that which He
Coughed up. His Pulse not so quick as
might be expected, but the stroke hard. Mr Taylor
said it had been much more so & that you
had suspected Aneurism. I found the stroke of
the temporal Arteries soft & small, those of
the Wrist & foot hard & [corded?].
[Page 2]
It seemed to me that there has been
long some Obstruction in the Breast, that
affected the Arterial System.
I thought it proper at this time to obviate
the present Symptoms, by keeping the belly
easy which has generally been done
with flour of Brimstone - & in the
occasione of retching or panting a
draught with Liquid Laudanum & Spiritus Vitrioli dulcis
& to use Aether externally.
I mentioned the introducing a Seton
near the lower part of the Ribs ↑on the right side↑; if the
Case shall admit of such an Operation
for ir is yet a doubt with me if it may
not spin out to some length.
On my return thro Paisley, Mr Taylor
read me a Letter from you, proposing
[Page 3]
a Blister, which I readily approved of
as its effects are more immediate & it
might continue to discharge till the
Seton came to Suppurate.
I shall hope to hear from you & am
Dear Doctor
your most humble Servant
[Page 4]
To Dr W. Cullen
Edinburgh
Dr Stevenson
Concerning Mr Neilson
January 1782
answer not copied
Diplomatic Text
I have visited a patient of
yours Mr Neilson. I am afraid his fate
is fixed, but am not sure how near.
You have his late history, as well as the
former part, from Mr Taylor.
I found him in that bent posture so usual
to those who have an Effusion in the Thorax:
at times having sudden & distressful pant¬
ings - & now & then ritchings to Vomit.
I observed a reddish tinge in that which He
Coughed up. His Pulse not so quick as
might be expected, but the stroke hard. Mr Taylor
said it had been much more so & that you
had suspected Aneurism. I found the stroke of
the temporal Arteries soft & small, those of
the Wrist & foot hard & [corded?].
[Page 2]
It seemed to me that there has been
long some Obstruction in the Breast, that
affected the Arterial System.
I thought it proper at this time to obviate
the present Symptoms, by keeping the belly
easy which has generally been done
with flour of Brimstone - & in the
occasione of retching or panting a
draught with L. L. & Sp. Vitr. dul.
& to use Aether externally.
I mentioned the introducing a Seton
near the lower part of the Ribs ↑on the right side↑; if the
Case shall admit of such an Operation
for ir is yet a doubt with me if it may
not spin out to some length.
On my return thro Paisley, Mr Taylor
read me a Letter from you, proposing
[Page 3]
a Blister, which I readily approved of
as its effects are more immediate & it
might continue to discharge till the
Seton came to Suppurate.
I shall hope to hear from you & am
Dear Doctor
your most humble Servt
[Page 4]
To Dr W. Cullen
Edinburgh
Dr Stevenson
C Mr Neilson
Janry. 1782
answer not copied
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