Cullen

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

 

[ID:2820] From: Dr John Aird / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Aird (Patient) / 23 May 1786 / (Incoming)

Letter from John Aird, concerning the case of Mrs Aird. She has 'recovered exceedingly of late', though the swelling in her extremities still troubles her.

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Metadata

FieldData
DOC ID 2820
RCPE Catalogue Number CUL/1/2/1858
Main Language English
Document Direction Incoming
Date23 May 1786
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 John Aird, concerning the case of Mrs Aird. She has 'recovered exceedingly of late', though the swelling in her extremities still troubles her.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:698]
Case of Mrs Aird, who saw Cullen, last September but now has new symptoms of fever following a severe haemorrhage which may have been a miscarriage. She also suffers from swollen parts.
6


People linked to this document

Person IDRole in documentPerson
[PERS ID:3079]AuthorDr John Aird
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3076]PatientMrs Aird
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:3079]Patient's Relative / Spouse / FriendDr John Aird

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Stirling Mid Scotland Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Edinburgh Edinburgh and East Scotland Europe certain
Place of Handstamp Stirling Mid Scotland Scotland Europe certain

Normalized Text

[Page 1]
Stirling 23d: May 1786
My Dear Sir


I intended doing myself the honour of calling
on you the Evening before I left Edinburgh, but happening that day
to dine with some of my friends, who by their great kindness and
attention detained me much later than I wished, and by that means
I was, to my loss and regrete, prevented from waiting on you. -


I know not what apology to make for troubling you so often
with my affairs; But the great value and consequence, that the
life and health of a good wife & mother is of, to me, and her
Children; And the high opinion I entertain of your Abilities, Skill,
and experience, with a more perfect confidence in your Judgment,
and friendship than I have in any other's will, I hope, plead my
Excuse for stating a few particulars to you concerning her,
which state alarms me. -


Mrs Aird has recovered exceedingly of late; Indeed, was it not
that she is still weaker than formerly, and that her Extremities con¬
tinue to swell, her general State of health seems much better, than
it has been for some years past. About two weeks ago, She had
the Catamenia at the regular time, tho' in smaller quantity, than
usual; her appetite is exceedingly good, her Colour is much
mended; and on the whole She is considerably Stronger. But
the Swelling of her Legs, which I told you of, still continues &
is both very troublesome & painfull. Her hands are likewise a
little swelled, but this extends only to her wrists or a little above, as
that of her Legs, does to her Knees. Indeed, I cannot help thinking



[Page 2]

that there is a fullness, or thickning of the celular Texture over the whole
habit. The Swelling always encreases towards night, and is diminished
in the morning, or when she is kept in a recumbent posture. The Limbs
are always painfull, but most so in the Evenings when the swelling
is most considerable. Friction soon occasions soreness of the Skin,
tho' there is no discolouration, and when the friction is continued for
some time the parts seem to become somewhat softer. Pressure likewise
causes considerable pain, And if this is made with the finger it leaves no
impression, except the pressure is made against the Bone, and then a
deep Indentation is left, which continues for some time, even longer, I
think, than is Œdematous, Indolent swellings. ↑From↑ This last circumstances
it might be conjectured, that if it is a liquid, which distends or fills
the celular Texture, that it is not so fluid, or does not pass so readily
thro' the different Cells, as water. The Parts are always remarkably
dry, with a kind of shining appearance; there never is the smallest dis¬
position to sweat; But indeed in perfect health I never knew any
one so little disposed to sensible Perspiration.


The above are the principal Symptoms Attending this (to me) in¬
tricate Case. In my little experience, I have not met with any thing
like it; and am therefore totaly at a loss what to do first, or with
a prospect of success, and I am particularly anxious at this time, that
something should be done while we have the benefit of the Summer, when
several plans might be adopted, which at a more unfavourable season would
be impracticable. If, therefore from my Imperfect description of the
Case, you can comprehend, or from An Idea of it; and will be so
good, when you are at leasure, as give me your opinion and advice,
it will be gratefully received and punctually attended to. -


I have been thinking ↑of↑ getting her to try the tight laced Stockings, &
she is about getting a Pair made - When you can spare as much



[Page 3]

time from your many necessary & usefull labours, I shall be most
happy to hear from you & am


with the greatest Respect & Esteem
Dear Sir
your most oblidged, most faithfull & obedient Servant
John Aird



[Page 4]


Doctor William Cullen
Professor of the Practice of Physic
in the
University
Edinburgh


Mr. Aird
Concerning Mrs. Aird
May 1786
V. XVIII. p. 143.

Diplomatic Text

[Page 1]
Stirling 23d: May 1786
My Dear Sir


I intended doing myself the honour of calling
on you the Evening before I left Edinburgh, but happening that day
to dine with some of my friends, who by their great kindness and
attention detained me much later than I wished, and by that means
I was, to my loss and regrete, prevented from waiting on you. -


I know not what apology to make for troubling you so often
with my affairs; But the great value and consequence, that the
life and health of a good wife & mother is of, to me, and her
Children; And the high opinion I entertain of your Abilities, Skill,
and experience, with a more perfect confidence in your Judgment,
and friendship than I have in any other's will, I hope, plead my
Excuse for stating a few particulars to you concerning her,
which state alarms me. -


Mrs Aird has recovered exceedingly of late; Indeed, was it not
that she is still weaker than formerly, and that her Extremities con¬
tinue to swell, her general State of health seems much better, than
it has been for some years past. About two weeks ago, She had
the Catamenia at the regular time, tho' in smaller quantity, than
usual; her appetite is exceedingly good, her Colour is much
mended; and on the whole She is considerably Stronger. But
the Swelling of her Legs, which I told you of, still continues &
is both very troublesome & painfull. Her hands are likewise a
little swelled, but this extends only to her wrists or a little above, as
that of her Legs, does to her Knees. Indeed, I cannot help thinking



[Page 2]

that there is a fullness, or thickning of the celular Texture over the whole
habit. The Swelling always encreases towards night, and is diminished
in the morning, or when she is kept in a recumbent posture. The Limbs
are always painfull, but most so in the Evenings when the swelling
is most considerable. Friction soon occasions soreness of the Skin,
tho' there is no discolouration, and when the friction is continued for
some time the parts seem to become somewhat softer. Pressure likewise
causes considerable pain, And if this is made with the finger it leaves no
impression, except the pressure is made against the Bone, and then a
deep Indentation is left, which continues for some time, even longer, I
think, than is Œdematous, Indolent swellings. ↑From↑ This last circumstances
it might be conjectured, that if it is a liquid, which distends or fills
the celular Texture, that it is not so fluid, or does not pass so readily
thro' the different Cells, as water. The Parts are always remarkably
dry, with a kind of shining appearance; there never is the smallest dis¬
position to sweat; But indeed in perfect health I never knew any
one so little disposed to sensible Perspiration.


The above are the principal Symptoms Attending this (to me) in¬
tricate Case. In my little experience, I have not met with any thing
like it; and am therefore totaly at a loss what to do first, or with
a prospect of success, and I am particularly anxious at this time, that
something should be done while we have the benefit of the Summer, when
several plans might be adopted, which at a more unfavourable season would
be impracticable. If, therefore from my Imperfect description of the
Case, you can comprehend, or from An Idea of it; and will be so
good, when you are at leasure, as give me your opinion and advice,
it will be gratefully received and punctually attended to. -


I have been thinking ↑of↑ getting her to try the tight laced Stockings, &
she is about getting a Pair made - When you can spare as much



[Page 3]

time from your many necessary & usefull labours, I shall be most
happy to hear from you & am


with the greatest Respect & Esteem
Dear Sir
your most oblidged, most faithfull & obt. Servt.
John Aird



[Page 4]


Doctor William Cullen
Professor of the Practice of Physic
in the
University
Edinburgh


Mr. Aird
C. Mrs. Aird
May 1786
V. XVIII. p. 143.

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