DEP/DUA/1/21/20 (Transcript version)

Mary Cook

(1779-1780)

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Mary Cook

Sympt in case of this patient leave us I think in some meas in state of doubt as to nature.

May venture however at least to say that all her sympt either Catarrh or Phthis.

And from many reasons which if time would admit of it might here be urged am inclind to latter opin.

Am disp. to consider vomica in lungs as giving rise to purul expector. & in [comm] of absorpt to all the hectic sympt which here take place.

In this case will evid conclude that prognos. can by no means be favour.

And notwith relief which patient seem to have receivd yet look upon recov as being extremely precar.

Would even consider chance as being much against her.

Yet no doubt that more prospect of recovery when free disch by expect than if vomica shut.

And from appear of expector. matter does not seem to be that sanies which gives worst hectic fever.

Hence then by no means entirely [witht] hopes of recov.

This I imag. would best be aided by promot as far as we could a free disch of expect. matter. in way of expect.

And was with this intent that had here recourse to freq. repeated emet.

These consider as operat in prom expect on princip entirely mechan.

That is from actions which prod & from gener. [commot] thus excited.

Whether on these prin or not to [me] appear in inst before us to have been prod of best affect.

And indeed nature of expect matter so far changed that now reason to pres. vomica completely disch.

Have therfore put her on use of [mucil] mixture that may have opport of observ how she contin.

And if no farther return may dismss her cured at least for pres.