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Friday 27th. July 1821 Dear Sir - Mrs. B. is much worse than when 
 I saw you, she has frequent & most violent
 griping paines in her bowels - with sick sto
 =mach an entire loss of appetite, she
 discards phlegm intermixed with blood
 She took a dose of oil this morning
 which has operated without giving any
 relief - I wish you to see her this
 morning - I forgot to mention a choak
 =ing sensation which she constantly
 complains of -
 I am with respect yr obt & sevt Geo Banks 
