DEP/DUA/1/45/46 (Transcript version)

James Shulbread

(1789)

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Jas Shulbread at 59. N^o31.

When this patient first came under our care had some susp. of calcul.

But as no stone found on sound consid this as stronger argum that none existed, than sympt afford of pres.

Accord when last spoke of case repres it as example of Dysuria from some other cause.

And this conj. what afterw saw of case has tended to confirm.

For in very short time patient in such condit. that any farther attend became unnecess.

In short time had compl. recover.

But how far this in any degree conseq. of pract here empl. very doubtful.

Not improb. that were as much conseq of natural recov. as of any remed here directed.

Or at least if any thing were [direct] of service to him, was prob. merely what used to ascert. his disease

viz sounding.

This as have already obs. directed with view of determ whether any stone could be felt in bladder.

But not improb. that introd of sound removed removed cause both occas. diffic in disch of urine & prev its being disch in full stream.

For [after] introd of sound passed urine with [prof] facil.

And when Dysuria first comm. a viscid mucous matter observd to be disch.

Part of which adher to urethra, may readily conceive, to have given obstr.

Besides this indeed patient directed also to anoth med.

Use viz of mucil mixt cont prop of dulcif spt of Nitre & T. Theb.

This intend as a gentle diuret.

And to promote operat in that way, was also advised to drink freely of an infus of Jun. berries.

How far these any influence in altering state of secret. cannot pretend to say.

But during use no more app. either of bloody or muc. matter.

And in very few days was in every resp in state of perf. health.

Wishd howevr to see for some little time how far this relief [perm].

But at end of eight days more found that urine disch without inconv & perf of natur colour.

Hence as well as himself consid any father attend as unness.