DEP/DUA/1/43/28 (Transcript version)

Ann Kennoway

(1787-1788)

---

Ann Kennoway, at 56 N^o 25.

When formerly spoke of case pron. it a decided ex of Cancer in Mamm.

And from evid affect of axill gland so far adv. that even danger of introd of Cancer [virus] into syst.

And when consid nature of disease could not be viewed as without imm danger.

Still however not in such a state as altog to precl hopes of recov.

For still in condit of occult cancer. And skin over surface had not even obt. [paind] or [corrig] state indic prog to open cancer.

Since came under care no reason to alter opin either of nature of affect or of prognos.

And if then some faint hopes of recov. now I think in place of being dimin may rather be encr.

For whether affect of med or not, under use at least, sympt somewhat dimin

This however will more partic app. from short view of pract.

With regard to pract may again rep. as formerly obs. that patient best chance of compl. recov. from remov. of Mam & [axil] glands.

But her own obj. to this which it must be allowed always a danger oper. left us only to attempt cure by other means.

When pat. first app. to us directed you will obs. equal parts of Cicut & Gly.

In this need hardly obs. that only activ artic. the Cicut.

The Liquor. used merely to cover taste & give form.

And powder taken to such extent that at each dose about ten gr of Cicut.

This artic long empl in med of late years partic celeb for cure of Cancer, by Dr Stork of Vienna.

And although has by no means [answ] expect raisd by him, yet for my own part inclind to consid it as not without use.

Sometimes at least tends to [resolut] of tumour evid tend to Cancr.

And where no other effect at least in genr. allev pain.

Here however with view to allev of pain thought something farther necess.

And accord at bed time had recour to opium under form of Pil. Theb. with view of secure easy nights.

From these med felt at least no incov. And from comm of use answ in partic the end of giving better rest.

Was only however from long contin that could here exp. much manif ben.

And after found that these born with ease resolved to try to hasten prog. by means of anoth artic.

The use viz of Belladonna. Of this artic. had in a former case occas to offer a few obs.

And for more full acct of use may refer you to treatise then alluded to writer by Dr Munch.

Has now had place in two success edit of Ednr Pharm.

But London College have not given place to it in edit of their work lately publishd.

An omiss in my opin much to be regret.

As in conseq. of this will not be gener. kept in shops of apoth

Hence pract disapp of opport of trial even in cases which from no other remed hopes of service.

Its being in list would not oblige any body to use it & could be prod of no inconv.

While would furnish pract with an active agent with which under prud manag. as have repeatedly seen in pres course may be empl with safety.

Here did not wish to multip med on pat.

And accord to avoid new formul conj. Bellad with Opium.

Taken to extent of gr at bed time had at least no effect in prev. influ of pills as procur sleep.

This contin to enjoy much better than before.

But on begining new pills from mistak direct. given she omitted [powr] of Cicut.

And upon this obs. that became affected through day with same pain in Mamma as formerly.

A circum giving at least presumpt that by use of Cicuta had been mitig.

And this presumpt encr. from relief which receivd on return to use.

While at same time was also obs. that on future accid omiss. renewal of pain took place.

After short use of Bellad. wishd grad to encr. dose.

And that rather by giving it freq. than by large dose at a time.

Hence [added] a portion of it to power as well as to pills.

And under these med contin with tolerab ease for some weeks.

At least when compar. with state in which formerly was.

Still however no evid of disease yeilding by any change on swelling.

Lead therefore to conj with these pract still anoth mode of cure

Use viz of electric under form of sparks drawn from Mamma.

This need hardly obs one of most powerful agents with which are acqu. both as renew. circulat & prom obs.

In both ways prom some use in remov of tumours.

And what of still more conseq. has in some cases at least been attended with desired effect.

On these grounds then empl it in pres inst.

Only obv. operat. that for about quart hour after use found sense of heat in breast.

But in other respects even from commen no inconv.

This therefore encourag to contin.

With this was wish to encr. Bellad & at same time to omit Cicut.

And in hopes that return of pain might be prev. by Opium given with Bellad both morin & evenin.

Accord directd two pills for dose at each of these periods.

And under this course not only relief from pain but some dimin of swelling.

During course however an accid loosenss superv.

This prob. would soon of itself have termin natur.

But to aid termin had recourse to a mixt with Elect. Japon.

And whether med any effect or not soon so swell that farther contin [illegible]

Now therefore goes on again with Belladon. & Electr.

And while app. that both may be used with perf. safety, here have given at least some hopes of success from dimin both of pain & swelling.

Is only however from long contin course that can expect much.

And after all no sanguine hopes of compl. cure