Hoffman House,
New
York, 12th
Dear Mrs. Gleason:
It was a hard journey. Livy has taken all the care she could, since we have arrived. She has not been down stairs yet. Still, she began to flow this morning, had no appetite for breakfast, & is nauseated all the time. She is lying down all day, & Clara Spaulding will foment her tonight. She has her girdles on.
Now no doubt “treatment” is necessary again.1 If so, will you write & tell a reliable lady physician here to come ‸to the hotel‸ & administer it? We are most comfortably housed, here, & Livy shall not budge a peg till she is safe, if it be a year.
Many thanks for your letter. We send our kindest regards to all of you.2
Ys Truly
Samℓ L. Clemens
Explanatory Notes | Textual Commentary
Vaginal injections, taken while in the sitz
bath, and an enema for the bowels of half a pint of cool water, to
be retained as one lies down, are valuable where there is a tendency
to flooding. A girdle, made of two thicknesses of linen (not
very heavy), about one-third of a yard wide and long enough to pin
about the hips and around over the abdomen, wet, with two
thicknesses of heavy dry cotton over it, and all fitted comfortably
over the hips and pinned over the stomach and bowels, will, if
changed as often as it gets warm and dry, keep down the tendency to
heat in the pelvic region, and be very grateful to the patient. In
the absence of nicely-fitting girdles, towels, one wet and the other
dry, may be substituted, and worn in comfort. When the monthly period commences it is usually
safe to take sitz baths, the first day at ninety-five degrees; the
second day at ninety degrees; the third day at eighty-five degrees,
and so on, gradually reducing the temperature as heretofore
directed, and using the vaginal injection in the bath. The first day, if there be great pain, it may be
necessary to take a sitz bath at one hundred and five degrees, with
the usual vaginal injection, and then adopt the range of temperature
before indicated. Sometimes the hot sitz bath fails, and then
fomentations over the region of the pain, from half an hour to an
hour, hot as can possibly be borne, will prove effective. Let the food be nourishing, but not stimulating.
Let the head direct the hands in useful labor, or if the time be
employed in reading, let it be historic and scientific, rather than
the ideal and emotional, which reacts unfavorably on the uterus. Intense love of music, and excessive devotion to
the same, often induces too early and too profuse menstruation.
(Gleason, 32, 36–37)
Source text(s):
Previous publication:
L6, 231–232.
Emendations and textual notes:
olc • [SLC rotated the stationery clockwise 90 degrees, so that the monogram appears on its side in the upper right corner]