Cullen

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

 

[ID:2162] From: Mr Robert Wallace / To: Dr William Cullen (Professor Cullen) / Regarding: Mr James Fleming (Patient) / 26 February 1782 / (Incoming)

Letter from Robert Wallace, concerning the case of Mr Fleming.

Facsimile

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Metadata

FieldData
DOC ID 2162
RCPE Catalogue Number CUL/1/2/1236
Main Language English
Document Direction Incoming
Date26 February 1782
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 Robert Wallace, concerning the case of Mr Fleming.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:863]
Case of Cullen's 'old aquaintance' Mr James Fleming who has an obstructed oesophagus which proves fatal. May be same person as Case 276.
10


People linked to this document

Person IDRole in documentPerson
[PERS ID:216]AuthorMr Robert Wallace
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2820]PatientMr James Fleming
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:216]Patient's Physician / Surgeon / ApothecaryMr Robert Wallace
[PERS ID:2830]Patient's Physician / Surgeon / ApothecaryDr Peter Wright

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
Place of Handstamp Glasgow Glasgow and West Scotland Europe certain

Normalized Text

[Page 1]

Dear Sir,


Upon receiving your Letter from Mr. Jas.
Fleming I gave him a tea Spoonfull of Æther, which
he got over pretty easily, it was repeated next day
but did not seem to have any effect in removing the
straitning of the Œsophagus. He even complained
of more uneasiness in taking the second dose than he did
upon taking the first -- on than account it has not been
repeated. As you seemed to expect more benefit from
Mercury than from any thing else, upon quitting the
Æther he begun to take two of the Mercurial Pill
of the last Edinburghensis Pharmacopæia, night & morn¬
ing I think he used them for ten or twelve days, they
jsut swelled the Gums a little --- Dr. Wright who oc¬
casionally attends Mr. Flemings family, was now
called in, He advised the rubbing the Sternum



[Page 2]

& Stomach with a strong solution of Opium and
Camphor in Spt. of Wine, & the Mercurial pill was
changed to that of the former dispensatory. These
were used for a fortnight, without producing
any other effect, than the gums being a little full.
About this time a Blistering plaister was applied
to the
Sternum. And Tho' the Mercury was not,
agreeable to your direction, meant to be pushed
any farther than to touch the mouth very slightly
yet as all he had taken seemed hardly to have
produced that effect, We gave him night & morn¬
ning two grains of Calomel made into a pill with
crumb of bread -- He has taken twelve of these pills
His gums have been rather more swelled, but no ten¬
dency to Spitting
-- He has kept his room ever
since he returned from Edinburgh. There was
for a week or two, he could swallow more freely


[Page 3]

than formerly & his own feelings were that he
was easier & better. Since that time matters
have been neither gaining nor losing -- I did
not think of troubling you, till I could inform
you of the trial of the Mercury. Mr. Fleming
knows of my writing to you, & he & his family
will be anxious till they have your further
advise. With the most sincere regard & est[eem]


I am
Dr Sir
Your most obedient Servant
Robert Wallace

Glasgow February 26
1782.



[Page 4]


Doctor William Cullen
Professor of Medicine
in the University
Edinburgh


Mr wallace
Concerning Mr Fleming
February
V XIII. p.262 &c

Diplomatic Text

[Page 1]

Dear Sir,


Upon receiving your Letter from Mr. Jas.
Fleming I gave him a tea Spoonfull of Æther, which
he got over pretty easily, it was repeated next day
but did not seem to have any effect in removing the
straitning of the Œsophagus. He even complained
of more uneasiness in taking the second dose than he did
upon taking the first -- on than account it has not been
repeated. As you seemed to expect more benefit from
Mercury than from any thing else, upon quitting the
Æther he begun to take two of the Mercurial Pill
of the last Edins. Pharmacopæia, night & morn¬
ing I think he used them for ten or twelve days, they
jsut swelled the Gums a little --- Dr. Wright who oc¬
casionally attends Mr. Flemings family, was now
called in, He advised the rubbing the Sternum



[Page 2]

& Stomach with a strong solution of Opium and
Camphor in Spt. of Wine, & the Mercurial pill was
changed to that of the former dispensatory. These
were used for a fortnight, without producing
any other effect, than the gums being a little full.
About this time a Blistering plaister was applied
to the
Sternum. And Tho' the Mercury was not,
agreeable to your direction, meant to be pushed
any farther than to touch the mouth very slightly
yet as all he had taken seemed hardly to have
produced that effect, We gave him night & morn¬
ning two grains of Calomel made into a pill with
crumb of bread -- He has taken twelve of these pills
His gums have been rather more swelled, but no ten¬
dency to Spitting
-- He has kept his room ever
since he returned from Edinburgh. There was
for a week or two, he could swallow more freely


[Page 3]

than formerly & his own feelings were that he
was easier & better. Since that time matters
have been neither gaining nor losing -- I did
not think of troubling you, till I could inform
you of the trial of the Mercury. Mr. Fleming
knows of my writing to you, & he & his family
will be anxious till they have your further
advise. With the most sincere regard & est[eem]


I am
Dr Sir
Your most obedt. Servt.
Robert Wallace

Glasgow Feby 26
1782.



[Page 4]


Doctor William Cullen
Professor of Medicine
in the University
Edinburgh


Mr wallace
C Mr Fleming
Febry
V XIII. p.262 &c

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