Dear Sir,

I have a boy that has his head very much
affected, which proceeded from the toothache one side
of his head is very [much] swell'd and face, and he cannot
open his jaws. I have given salts, had him bled, and
applied blisters, which has no good affect. The pain still
continues violent - and I am apprehensive of a lock jaw-
you will therefore delay no time, but come as soon as
practicable, and you will much oblige me

Most Respectfully Yours

Elizabeth C. Withers


Doctor Carmichael & Son

NB. The tooth has not ached for three weeks, the pain is in the
head. E.C.W.