DEP/DUA/1/38/34 (Normalised version)

Charles Riddell

(1785-1786)

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February 25^th

N^o35. Charles Riddell at 28.

In case of this patient have I am afraid another instance of Phthisis to combat.

And little reason to flatter ourselves that will terminate more successfully than those already treated.

Indeed in so many instances proves fatal that some look upon it as being altogether an incurable disease

Even in worst cases however am inclined to think that some chance of recovery.

And do not look upon present as of that kind.

For from fixed & severe pain of breast as well as preceding haemoptysis think that depends here on vomicae formed in lungs.

With this view of disease have put patient on use of Cream of Tartar & Nitre as a refrigerant.

And with this mean to conjoin a blister to pained part, supporting discharge under form of issue.

Under these at least possible to conceive that may be taken up by absorbing or discharged by expectoration & that ulcer may heal.

And if in prosecution of present plan, matters do not go on favourably may have recourse to such other remedies as appearance of affection at time may indicate.

But much afraid that notwithstanding all we can do, patient as is indeed generally case in such instances, will fall victim to affection.