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Doct.r Carmichael will do me the favor to examine
the Girl who will hand him this & do for her what he
may deem proper, her knee has been swelled [unclear] & much
inflamed & very painful for some time, & has within a few
days assumed a hardness which did not attend the case before

The case has been treated as the Rheumatism,-- Her face
has sometimes swelled.-- It may not be improper to add
that she is 15 years of age & has not as yet I am informd
had the monthly, [unclear] disease incidental to women

Uril. Taliaferro

23.d Dec.er 1819

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