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the medicine you left had not the desired
effect on Mr. Alexander I gave him 3 doses of
salts in course of the night which did not
operate untill this morning he passed a
sleppless night I did not give him the pill
nor put the Blister on owing to the quantity
of bile he threw up he suffered a good deal
with the complaint you notised when you
see him send me what directions you
think proper - by james yoursE E Alexander
send me word how your little daughter is