same day to attend a patient of my own; and being anxious about the poor
fellow, I called again at Mrs. Phillips’, but did _not_ see the deceased.
The nurse said that she had used fomentation, but the man was in great
pain; I asked if Dr. Bell was there, and on her replying that he was not,
I said I would write to him, (and hence the letter which Dr. Bell has
thought proper to produce in his defence.) I then took my leave—Dr. Bell
continued to attend him, on the Monday and Tuesday, and on the Wednesday,
I received a note from him, asking me when I could attend, but I did not
immediately answer it, as I saw his motive for writing in such a way.
After this, Swann’s wife called upon me and I did attend, and I found the
man discharging mucous from every mucous surface. Mr. Crickmay who
happened to be in my house at the time went with me, and also saw the
deceased, and he enquired as to the remedies that had been adopted; we
both thought the man was sinking—his pulse was almost imperceptible at
the wrist—his eye was vacant—the surface of his skin was clammy, and
there were other indications of that general decline of power which
frequently precedes death. I naturally inquired what the man had been
taking, but before the nurse could answer, he said “he has been giving me
more poison, I know it was arsenic, because I have mixed arsenic and lime
with wheat, and know the smell and taste too.” This is the condition I
found him in—I prescribed for him, directing such treatment as I
conceived to be required to meet the exigencies of the case. He
continued much in the same state for four or five days, the principal
symptoms being diarrhoea, and a discharge of a small quantity of urine,
mixed with bloody mucous and pus, which he had great difficulty in
voiding. He then rallied somewhat, but relapsed in a day or two, and
fearing the threatened result, and being influenced by the remarks being
made out of doors, which were loud and condemnatory of the treatment the
man had received from Dr. Bell, I thought it necessary to call in Mr.
Gibson, a medical man, with whom I was not intimate. On the evening on
which Mr. Gibson saw the man, he supported him while I drew off his
water, and after Mr. Gibson had examined him, he came to the same
conclusion as myself, that abscesses were forming in the neck of the
bladder, and in the tissues connecting that organ with the adjacent
structures. Mr. Gibson said that he had nothing to suggest in addition
to my treatment. He saw the man the next day, and he said there was
evidence of abscesses having burst, both in the rectum and in the
urethra, for a great deal of pus had escaped. For a few days the man
rallied again, but we had no hope for him at that time; and those who
understand these cases, will tell you, that when abscesses form, as the
result of injury and irritation in structures adjacent to the bladder and
its connections, they will, by a continuous irritation in the absence of
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