-
Dr Sir -
Mrs. B. has the Piles very bad, she was
not, incommoded until last night abought 8. Oclock
cince whichshethe Payne has been unceasing
and frequently most excruciating -
She has taken Cream Tartar, and applyed
a poultice, to the part, this seems to have
had no good effect, the Payne increases
and the part enlarges, - please inform
what had better be doneI am as ever
yr Fr-d & St
Geo. Banks
10h July 1823
Dr Carmichaele
Fredg