There is one thing which particularly deserves thy notice and that is that this disease is in a majority of instances I believe preceeded by certain premonitory signs; such as flying pains about the chest or some other part, head ache, etc. A reasonable resort under such circumstances to one or two cathartics will pretty certainly avert a more serious attack.
I have directed Archy to forward thee a supply of salts and cathartic powder and I feel a persuasion that by the aid of the foregoing observations thou wilt be able to manage this disease to thy satisfaction. It indeed may be not expected that none should die of so formidible an epidemic, but I think I can with truth state to thee, that under this treatment 19/20s of those who fall under my care recover.
With regard to thy wife's present situation, I think it would be advisable for her to take occasionally a gentle laxative, and for that purpose I send a package or two of my saline purgative powders. Let her take one in a cup of gruel and repeat it as may be necessary.
Hoping that thou may be at least as successful as I have been in thy future management of this complaint, and that thy family may furnish no more victims is the sincere wish of
Thy friend
Elisha C. Dick
| Tobacco | 1 |
| Magnesia | 1.50 |
| Newspaper | 7 |
| Ginger Cake | 12 |
| Tavern | 1.50 |
| Turnpike | 18 |
| 4.37 |
Tablespoon vingar with 10 gns of salts of Tartar
in teacup swallowed in effervescent state—slight
sweat.
The Fawcett House where Dr. Dick lived