DEP/DUA/1/42/11 (Normalised version)

John Hume

(1787-1788)

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N^o11. John Hume at 15^months

Disease of this patient [evidently] [apparent] from inspection of head.

Can be little doubt that its increased size, as well as remarkable [opening] of [illegible] effect of water within Cranium.

And as little that this hydrocephalus of chronic kind.

For according to account patient now subjected to it from time of birth.

And without inducing symptoms analogous to apoplexy has given rise to a state of idiotism.

At least this may conclude from inability of patient to distinguish objects.

For in other respects at his period of life marks of much sense not to be expected.

With regard to prognosis can have no doubt in concluding that will prove fatal.

At least, have never for my own part, met with any instances, of this modification of hydrocephalus, where recovery either by natural, or artificial means.

That event however may not be sudden.

At least have known other cases where disease subsists even for several years.

Where head of much greater size in proportion to body than that of present patient.

And where notwithstanding these circumstances patient enjoyed senses could speak & could be amused.

In such circumstances hold [illegible [illegible] to cure not only justified but even commended.

Is on this ground that have selected case of present patient.

Is intention to try how far absorption can be promoted & how far discharge of water produced by mercury.

And if in this disappointed to see how far in this modification of dropsy of head, saliva can be excited by Mercury.

Must however add that very doubtful how far opportunity for any such trial, will here be afforded.

For mother of patient considers her child probably with justice as in irrecoverable state.

And is averse to anything which has least chance, of shortening life or of giving distress.

Not improbable therefore that apprehension she expressed when mercury first proposed may lead her entirely to desert us.

But if does continue is intention as have already said to try effects of Mercury.

And if in this disappointed may perhaps recommend trial of Electricity.

But must conclude with observation that can hardly say have from either slightest expectation of recovery.