3S0 AN ACCOUNT OF 



learned that when he coughed, he felt great pain 

 in the chest, that he expectorated very little, and 

 that he had in particular a painful sensation in the 

 epiglottis. The next day he told me that he had 

 had the same complaint at a former period, (about 

 a year before,) and had at that time spit blood. 

 But when Captain Von Kotzebue questioned him 

 on the subject, and reproached him for not having 

 mentioned his illness earlier, he denied what he 

 had said to me, and said he had spoken only of 

 being let blood. From this, I clearly perceived 

 that he was afraid to confess that he had come sick 

 on board the ship, because when the sailors were 

 selected, each was questioned respecting his health, 

 and this man had declared himself well. Pro- 

 fessional men will judge what hopes I had of 

 curing a patient who was labouring under a con- 

 firmed quinsey. The pains in the chest, to remove 

 which I was particularly anxious, in order to pre- 

 vent consumption, were in fact removed in about 

 three weeks, chiefly by the use of opium. But 

 the pain in the epiglottis, and the hoarseness, not 

 only remained, but continued to increase. 



A great advantage, with respect to the regimen, 

 would have been derived in this case from the 

 voyage, which our medical books recommend, only 

 that we cannot have the advantage of sailing always 

 between the tropics, but must be contented with 

 the air in the high latitudes, which is usually 

 cold and damp. I unhappily learned the effect of 

 the latter on our patient. 



