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Miss Mary Pearith

I am obliged to you for giving me the Dissection
of Miss B. Pearith. I think it shows matters very much
in the state we imagined them to be and that her disease
was absolutely measurable.

I heartily prey that Miss. Marys Case may not
turn out the same kind but I hope there is still more
opportunity for attempting a relief and I would be inconceavably
happy in contributing to it. I think both her own proposals
are very reasonable and I am clear for having them both
tired. The Seton in the place you mention can do no
harm and possibly may be of service. I cannot now
propose the Mercury on the same plan I did before
that is, on the supposition of having an abscess or Ulce¬
ration at the neck of the bladder but there is certainly
reason ↑to↑ suppose a topical affection there with respect
to which Mercury may be of service and let it be
kind but in the same cautious method she herself

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propose that is, in an alterative way only. While both those
measures are pursued I dont think we can with any pro¬
priety at the same time pursue any other. When the uneasy
fits she mentions of some difficulty in making water occur
attended with violent pains in different parts I would
certainly try Opiates and push them more or less as their
effects shall direct but as the disorder arise from a
topical affection which the opiate cannot remove I would
not push them violently but be satisfied with their mode¬
rating the Violence of the paroxysm. In case such [trouble
ling?] fits as happened on the Second and Sixteenth of last
month should again recur I would treat them in the
same manner by Opiates but in this case I would give
the Laudanum with a Saline draught. To a saline draught
made of a Scruple of Alkaline salt I would add fifteen
drops of Laudanum and this I would repeat if necessary
in an hour after and perhaps for a third time at the
same interval. If these doses shall bring out some

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mixture upon the skin I am persuaded they {illeg}
When you have had time and opportunity to {illeg}
the measures above mentioned I shall by {illeg}
and you need not be reasured in writing to {illeg}
from the family have been sufficiently fr{illeg}
and I would give twenty fees to be of use {illeg}
Present my most respectful Compliments to {illeg}
and believe to be always