DEP/DUA/1/25/05 (Transcript version)

Pegy Nicolson

(1780-1781)

---

Pegy Nicolson

Course of this patients attend, as well as formr, very short here.

Still less to be said with regard to case.

For while under care hardly opp of judging of it.

Most urgent sympt of disease affect of throat.

And that appear under form of inflammat of fauces & Amygdala with diffic of deglut.

But in this except in duration nothing pecul

And indeed cheifly led to select this patient as sub of lect on [anoth] acct.

Viz. very consid degree of hoarsen to which subject.

This not indeed danger but alway inconven & often distress sympt.

And though in most inst very slight yet in others, will obstin resist every mode of cure.

Have in my own pract met with sever inst of [Paraphon.] [where] all endeav to no purpose.

And which both before & after under my care treated with equally little success by other pract.

Hence then consider subject as by no means unworthy of attent of pract

On this acct therfore selected pres.

And from contin for space of five weeks before came under care was inclind to think apprehensive that should not find it slight.

Now however hopeful that in this opin somewhat mist.

And that patients dissert has proceeded from finding that attend no longer necessary

This however merely conject.

And even suppos it to be the case, no less at loss to say how far treatm directed has had any share in it

Began treat by prescrib for patien an elect of Sulph & Crem of Tart

In this had prin in view the obv. costiv to which subject.

But imagind also that by gently open belly affect of throat might be dimin.

And that in as far as hoarsenss depended on this might have effect in dimin it.

Could not however expect great benef from it on better footing.

Directed therefore anoth med partic with view to this viz Mist Oleos.

Which in such cases often of great advant as lubric fauces.

Elect here employd full effect expected from it.

Not only obv. costiv but prod consid evac.

As this evac not prod of relief of affect of throat led to discontin. it med.

Still howevr with same interv as formerly persisted in use of oily mixt.

And with view of acting as [illegible] directed exten applic of volat [linm].

But what effect of applic as have since seen nothing of patien have not been able to learn.

And any farthr suggest therfore with regard to pract now unnecss.