DEP/DUA/1/45/09 (Normalised version)

George Sim

(1788-1789)

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N^o28 George Sim. at 27.

In case of this patient have very manifestly an affection of paralytic kind.

And that too without any uncommon appearance or complication

For though pain of ankle & knee might be considered as indicating some degree of Rheumatic affection, yet these well known to be very frequent attendants of Paralysis.

And probably even more consequence of what may be called depraved sensation than anything else.

In circumstance of this palsy several particulars mentioned rather unfavourable as otherwise.

Particularly emaciation of leg & arm of affected side.

Diminishment of heat, & of impetus of circulation in these.

But on other hand to be observed that symptoms now much less considerable than once were.

And although disease of considerable standing, yet is by no means passed period of artificial recovery.

Hope therefore that by proper [means] use of left side if not completely restored may yet be brought to more perfect state than at present.

And with intent, although in certain circumstances of paralysis, both evacuation & stimulation [proposed] yet more now to be looked for from latter than former.

According to these is my intention here to have first & principal recourse.

But observations on practice refer till future opportunity.