DEP/DUA/1/25/12 (Normalised version)

George Robert

(1780-1781)

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Consideration of next [case], [could] now [overtaken], & shall therefore beg leave to delay till future lecture.

And shall now only add few words concerning case of [Graham] [Robertson] our patient affected with Taenia.

When formerly spoke of this patient had tried several remedies without affect

Or at least with no other consequence than removal of large fragments giving temporary remission.

When last spoke of case on [course] of Camphor pills.

At same time was apprehensive that these would not be affective & [expected] wish to try such practices as any of you might have seen used [with] [success]

Since that have to acknowledge my obligation to several Gentlemen for suggestions.

And these as far as different ones found necessary is my intention to try

One Gentleman has favoured me with [form] which has seen successful in similar cases, Pulveris Semen santonica & [illegible] with proportion of Sal. [Ment].

Another has informed me of cure by means of Mercury Flavio or [ Turpeth] Minerale

A third, who has not indeed been kind enough to favour me with his name, has suggested trial which still think very reasonable one

viz Conjunction of Calomel with Opium.

That Gentleman also proposed trial of Cicuta from which I own have but little expectation.

At same time have no objections to prudent trial.

A fourth has in way of suggestion proposed practice probably more affective.

Injection viz of smoke of Tobacco.

To some one or even all these practices may yet have recourse

But patient at present very much exhausted by evacuant employed & by [failure] of [attention] on husband [during] a [illegible] which proved fatal

Wishes therefore for remission from medicine for some time.

And this the rather as of late has observed no fragments

This indeed by no means proof that worms completely discharged.

Less reason to [suspect] now than on former occasions.

For no thread of worm or large fragment observed to be discharged.

At same not improper to give patient some remission from use of medicine & to wait till certain evidence of presence from discharge of fragments

While now mention the subject of worms may not perhaps be out of place to take notice here of another particular.

And especially as connected with remedies now mentioned use viz of Tobacco against insects.

What I allude to history of case with which lately favoured by Mr [Kelgard] an ingenious surgeon of Montego bay in the island of Jamaica.

This the rather take liberty of reading to you as respects a disease which do not introduce into practical [course] but which may occur [to] some of you who happen to practice in warm climates