DEP/DUA/1/12/02 (Transcript version)

Robert Anderson

(1776-1777)

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Anoth patient whom may consid. as dismissd Robt Anderson.

At least have seen or heard nothing of him for some weeks past.

If however compl. removd cannot consid it as conseq. of any treatment under our care

For by us very little done.

And I own from view of his case should not be inclind to consid it as triffling.

From acct of his compl. indeed no evid marks of great sever.

Yet had much appear of compl. [affectn]

Most urgent part, pains of shoulder & side

From situat presum that these of rheum. kind.

Corrob. by being observed to be aggrav by heat of bed

And by cause from which prob. [induced] viz sleeping in a cold damp room.

To this rheum affection are perhaps also to referr diffic of breathing.

For by enlargement of chest parts here diseased in some meas. affected.

And this suppos as to cause rend probab by diff. of breathing being [agra] on motion.

And by occurring cheifly when patient lies on affected [side]

Contrary of which in gen. holds in Phth.

For there patient can breathe only when lies on side affected.

Must however observe that anoth circ to which probab. likewise that pres. affect may be referrd.

Patient for consid time affected with swelling of leg towards evening.

But again disappear. during night.

From this alone strong presumpt that of anasarc kind.

And although no other indic of hydrothor. gives reason at least to suspect some effus of water in breast.

Whether howevr effused water any [concen] in diffic of [brathing] or not, no question that as appearing under form of swelling in legs constit part of patients disease.

And when attend to other circum. perhaps to be viewd as not least import part.

For although urine not scanty, yet such change of colour observd as indic tend. to that state.

And conjoind with swelling of legs may be consid as giving evid marks of incip Anasarca.

An affection probab. origin from same cause as othr.

But while unconnected with it [requir] very diff. treatment.

Thus far then have I appreh. evid of diff. diseases

Must farther observe that consid it as not [imposs] might at same time be subj. to an affect more danger. than either.

viz Phthisis pulmonalis.

Of incip state of this cough, pain of side & diff. of breathing are most com sympt

And all there in inst. before us.

Although therefore consid. it as most prob. that to be explaind on prin. [mentiond].

Yet when consider lurking nature of this disease cannot be very possit.

From all circum taken togeth. then should I own have been very doubtful respecting prognos. here.

Yet from patients so soon leaving us some reason to imag. that appr. groundless

Partic when attend to relive which expressd his having [receivd] from first [prescr]

In state of uncertainty regarding disease was at first contented with ordering applic of blister to side.

This consid as in some meas. adap. both for rheum affect & cough.

And on suppos. that diffic breathin affect of water might also be serviceab in allev. it.

On whatever ground operated would appear that in this expect not disap.

For after free disch these sympt almost entirely removed.

Still however subj. to oedem swellings of legs.

By this determined to keep blister open & to order an emet.

What howevr affect of these meas. or future state of patient have had no opport of learning.