DEP/DUA/1/41/04 (Transcript version)

Bell McKay

(1786-1787)

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Nelly Gordon delayed.

Bell McKay.

So little subj of pract that unnecss to add any thing to former obs.

For never returned after last spoke of case.

And therfore while entirely precluded from pract. have seen nothing which can lead in any degree to change of opin.

Then obs. that princip & most distress sympt of hyster kind.

Such for ex as sense of ball, headach, fits of deliq. &e.

These howevr consid as all proceeding from obst of menstruat.

For well known that prod of almost infin diver of [symp].

And here the rather to be inferrd as all comm upon [obst].

To this indeed age of patient may perhaps be consid as [obj.]

For had you will obs. already arrived at 46^th year.

A period by which menses [has] often ceased.

But to be obs. that this female on a former occas subj to simil sympt.

And that then on restorat of disch entirely ceased.

From this then reason to inferr, that now ind by [same] [cause]

And that on simil event same conseq would [ensue]

But after so long absence reckon it more probab. that will see no more of menstr dis

And should have expected to have been able to afford more relief to patient from obv. sym than from aiming at restor.

While at same time trusted chief hopes of radic cure on period arriv. when [menes] would naturally have ceased with this female.

A period varying consid in diff. females.

But probab. always connected with state of circulat though uter.

With view to diff sympt here various pract. might have been tried.

Partic for combat uneasiness from flatul. & deliq animi.

But consid acid at stomach as no less immed claiming atten.

For well known that acid pres. in stomach often supp & aggr other affect of alim canal.

Was with view to this, that had recourse to Magnes with Rhub.

But have not learnt what effect has resulted from it.

And as now no chance of seeing any thing more of this patient, farther conject or sugg respect treatment unnecss.