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3
Elixir Opium used pretty freely; and enemata
of same at times Bladder much paralyzed
great difficulty in getting flow of urine started
Fever & coated tongue at first; but fever left
& tongue improved after the medicine acted
Free bilious stools
Opened the abscess on Oct 29 It discharged
abundantly clear, healthy pus; ran all night
disch blood for some 48 hours after & then
healed right up
Opening on right side of raphe 3/4th inch
from it midway bet. anus & scrotum
Shd suppose from [ZIV] to [ZV] of pus disch in all.

Wednesday
Nov 3 Bright clear glorious cool in
morning Thermom 64 o at noon
Mr Wilson doing well Gums were slightly
touched as he has been for many
months past laboring under symptoms of
hepatic derangement portal sluggishness
& haemorrhoidal [piliuss] (had a threatened
attack of perineal abscess last Aug averted
by course of treatment above related)
I put him on an alterative & time course
to be followed for some time as follows

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