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I had a full conversation yesterday with your
Patient Mr. Orr and his friends and I called yesternight
at their Inn but found they were gone but my missing
them was of no consequence as my calling was rather
to show my attention than for any thing I had further
to say.

I was a little surprised to find Mr. Orrs Eyes
in the motion of the pupils to shew little sensibility:
and I found something new in a little affection in the
Tarsus or edges of the eye lids and which I was told had
been more considerable some days ago so much as to shew
some swelling of the Under Eyelid down to the cheek. I
found also that any pressure on the ball of the eye conti¬
nued to give some pain tho' not so much as formerly.
All these circumstances considered lead me to think that
his ailment is not so much as I thought in the Retina
and is more in the muscles of the ball and ↑of↑ the Eye lids
and this I mention as a Speculation to you and to engage
your Attention and particularly with this view that

I hope
this course may be of service to his Eyes but of this and
of every thing else relating to him I shall expect your
report in proper time.

Mr. Orr spoke to me of his Wife's having been formerly
troubled with some degree of a Prolapsus Uteri but
in the present state of her pregnancy I think no remedy
can be employed and the only advice I offered was that
she should as much as possible avoid being upon her
feet that she should be delivered by you rather than
by a midwife and when that is over you will let me

I found two other patients in Mr. Orrs Company
but whom I found to be patients of your neighbour Mr.
Stuart and I hope to save writing more letters you
will allow me to trouble you with communicating my
advice to Mr. Stuart.

For Mrs. Mrs. Orrs mother complaining
of deafness let her ears be washed out with Soap & water
thrown in with moderate force and let her stop her
ears ↑with black wool↑ and keep the house for two three days after and
every night at bed time let two three drops of the
following Oil be dropt into each ear.

At the same time let an issue be made in the Crown
of her head and which will be best done by a piece
of plaister kept on constantly till the hair pushes
it off and then lay it aside till the skin will bear
Shaving again & then a fresh plaister to be put on
Tho I say the plaister is to be kept on constantly
it may be lifted once or twice a day for the sake of

For her Son or Grandson who has got a Speck
on each Cornea let some double refined Sugar be powdered
till it is exceeding fine and let a little of this be laid in
to the left Eye with a hair pencil ¹ I would try but one
eye at once for if it gives much irritation and brings on
the smallest degree of inflammation the attempt must
be given up, if it does not the practice is to be repeated
for a great many days especially if it manifestly
diminishes the speck and in that case also the pow¬
der may be employed in both eyes. If the powder
gives no irritation and at the same time it has no
effect on the speck let another powder be tried made
of 3 parts double refined Sugar & one part Cream of
Tartar rubbed together to an impalpable powder
and let it be used with the same precautients as above
With Compliments to Mr. Orr and family and to Mr.
Stuart believe ↑me↑ to be always most sincerely Dear Sir