The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3233] From: Mr Alexander Dirom (of Muiresk) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Alexander Dirom (of Muiresk) (Patient) / September? 1787? / (Incoming)
Unsigned document written by patient, titled 'Case of a Gentleman of 62 years of age'. Almost certainly 'Mr Dirom', from the indexing annotation on the letter; 'Mr Fotheringham's friend' is scored out. The patient 'likes to play a good deal of golf in winter'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 3233 |
| RCPE Catalogue Number | CUL/1/2/3130b |
| Main Language | English |
| Document Direction | Incoming |
| Date | September? 1787? |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Unsigned document written by patient, titled 'Case of a Gentleman of 62 years of age'. Almost certainly 'Mr Dirom', from the indexing annotation on the letter; 'Mr Fotheringham's friend' is scored out. The patient 'likes to play a good deal of golf in winter'. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:787] |
Case of Alexander Dirom, who has a urinary tract ailment. |
16 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:5422] | Author | Mr Alexander Dirom (of Muiresk) |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:5422] | Patient | Mr Alexander Dirom (of Muiresk) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:5425] | Patient's Relative / Spouse / Friend | Mr Fotheringham (Fothringham) |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Muiresk House | Turriff | East Highlands | Scotland | Europe | inferred |
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | inferred |
Normalized Text
Case of a Gentleman of 62 years of age.
September
1787
From earliest infancy, this Gentleman after hard exercise
either on foot or on horseback, passed thick bloody urine, from
the first time of making water after such exercise.
As he grew up, and came to examine the Sediment of his
urine after hard exercise, he found the chief part of it a dark
brownish Sediment mixed with blood; and when such
evacuation happened, he was always in good health.
For many years past, this Gentleman has been accustomed
to live full, but without intemperance, and to take a great
deal of exercise upon his farm and Estate on foot; and to play
a good deal of golf in winter. -- His constitution is not
robust, but sound, and rather inclined to an overflow of Bile.
In the year 1779 he had a violent fever -- at the end of five
days, a quantity of Bile that had lodged in his bowels, equal
at least to an English pint, was discharged by stool, after which
he immediately recovered.
About three months ago, after travelling a few miles in a
four wheeled Chair, without any violent agitation, or his being
sensible in any course for it, his urine became very bloody, but
passed without stoppage or pain, and with some intervals of
clear urine, continued in that way for three weeks. -- About
the end of this period one afternoon, while his urine was bloody,
a stoppage of urine came on, and pressing to make water, he
thinks a vessel about the neck of the bladder was burst, and a
good deal of thick blackish blood came away for two days.
By taking rest, the discharge of blood stopt, but since that
time, once in 24 hours, some blood with a good deal of the
thick brownish sediment comes off. -- Some clotted blood of
the size of a sixpence or shilling, comes off first with the bloody
urine, and then the discharge of urine come to be less bloody --
with more sediment, till the nights rest makes the urine clear
in which way it continues till the afternoon or the evening.
In other respects the Gentleman is in perfect health, and has
his appetite Spirits and Strength as well as ever. -- He feels a
sharpish pain in the passage, in making water, and some pain
in the neck of the bladder, after the urine has passed, in drawing
back the parts.
The Regimen prescribed for him and which has followed
[Page 2]
near three months in -- The usual breakfast in the Country
of tea, bread & butter & an egg. -- He dines upon plain meat
or fish, avoiding Salted meat and all high sauces. -- At dinner
he drinks spruce beer & (↑or↑) water -- after dinner about 3 wine glasses
of Port wine mixed with double that quantity of water --
For supper, he takes about 3 wine glasses of Caret, & a small
bit of brandy.
For medicine -- He takes at 8 in the morning and at 8 at
night, about a gill & a half of Seltzer water mixed with
half a gill of milk -- about noon, a tea Spoonful and a
half of the leaves of Uva Ursi powdered and about a gill
of gum water before going to bed. For a fortnight he
took Lime water in place of Seltzer water, but left it off, as
he found it rather increased the discharge of blood. He is
not sensible of any effects from the Medicine.
As this Case is drawn up by the Gentleman himself
without the assistance of a Practitioner, if any further
information shall be necessary, the Doctor will please to
point it out.
Mr. Fotheringhams (↑Dirom↑)
friend
October 1787
V. XIX. P. 291
Diplomatic Text
Case of a Gentleman of 62 years of age.
September
1787
From earliest infancy, this Gentleman after hard exercise
either on foot or on horseback, passed thick bloody urine, from
the first time of making water after such exercise.
As he grew up, and came to examine the Sediment of his
urine after hard exercise, he found the chief part of it a dark
brownish Sediment mixed with blood; and when such
evacuation happened, he was always in good health.
For many years past, this Gentleman has been accustomed
to live full, but without intemperance, and to take a great
deal of exercise upon his farm and Estate on foot; and to play
a good deal of golf in winter. -- His constitution is not
robust, but sound, and rather inclined to an overflow of Bile.
In the year 1779 he had a violent fever -- at the end of five
days, a quantity of Bile that had lodged in his bowels, equal
at least to an English pint, was discharged by stool, after which
he immediately recovered.
About three months ago, after travelling a few miles in a
four wheeled Chair, without any violent agitation, or his being
sensible in any course for it, his urine became very bloody, but
passed without stoppage or pain, and with some intervals of
clear urine, continued in that way for three weeks. -- About
the end of this period one afternoon, while his urine was bloody,
a stoppage of urine came on, and pressing to make water, he
thinks a vessel about the neck of the bladder was burst, and a
good deal of thick blackish blood came away for two days.
By taking rest, the discharge of blood stopt, but since that
time, once in 24 hours, some blood with a good deal of the
thick brownish sediment comes off. -- Some clotted blood of
the size of a sixpence or shilling, comes off first with the bloody
urine, and then the discharge of urine come to be less bloody --
with more sediment, till the nights rest makes the urine clear
in which way it continues till the afternoon or the evening.
In other respects the Gentleman is in perfect health, and has
his appetite Spirits and Strength as well as ever. -- He feels a
sharpish pain in the passage, in making water, and some pain
in the neck of the bladder, after the urine has passed, in drawing
back the parts.
The Regimen prescribed for him and which has followed
[Page 2]
near three months in -- The usual breakfast in the Country
of tea, bread & butter & an egg. -- He dines upon plain meat
or fish, avoiding Salted meat and all high sauces. -- At dinner
he drinks spruce beer & (↑or↑) water -- after dinner about 3 wine glasses
of Port wine mixed with double that quantity of water --
For supper, he takes about 3 wine glasses of Caret, & a small
bit of brandy.
For medicine -- He takes at 8 in the morning and at 8 at
night, about a gill & a half of Seltzer water mixed with
half a gill of milk -- about noon, a tea Spoonful and a
half of the leaves of Uva Ursi powdered and about a gill
of gum water before going to bed. For a fortnight he
took Lime water in place of Seltzer water, but left it off, as
he found it rather increased the discharge of blood. He is
not sensible of any effects from the Medicine.
As this Case is drawn up by the Gentleman himself
without the assistance of a Practitioner, if any further
information shall be necessary, the Doctor will please to
point it out.
Mr. Fotheringhams (↑Dirom↑)
friend
Octr. 1787
V. XIX. P. 291
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