I yesterday recd a very discouraging letter from Mrs Washington from which I beg leave to trouble you with the following extracts. She says that the pain in her side encreases, and has for several days past been accompanied by a dull pain (as heretofore felt) in the shoulder; occasionally in the wrist and other Joints. She is certain she has night fevers– Wants appetite & sleeps badly. She has for some days discontinued the steel & bark being afraid, & very Justly she thinks, that those medicines have done injury to her side.

     I must here observe that she has never taken steel without its producing an encrease of pain in the side. I hope in her next she will inform me what effect if any, the dandelion has produced. I presume however that the benefit to be derived from that remedy, tho’ sure will be slow.

     I will communicate to her without loss of time such directions as you may think proper to give her. I am very respectfully Dear Sir yr mo. ob. Sert