Dr Sir,

I have This moment left The bed
Side of your patient (Mr Waller) at whos'
instance I address you -- a material
change has taken place in his case
Since yesterday, he is now suffering
very much from an attack some
=thing resembling pleurisy -- his suffering
last night was great -- he has been but
little relieved during the day and is
most particularly anxious to See you
immediately -- do Doctor come to him
directly you Know his partiality for
you is such that he will take
medicine from no body else -- therefore
dear Sir Let no trivial circumstance [pre
ent your coming

Yrs Respectfully