AN EARLY CASE REPORT OF INFANTILE DEHYDRATION IN COLONIAL AMERICA (1663)
In colonial America the outstanding members of the governing class who were acknowledged as physicians were the two John Winthrops, father and son. John Winthrop, Jr. (1606-1676), Governor of Connecticut, far surpassed his father in the extent of his medical activities. His medical advice was sought, usually by letter, by hundreds of people. Typical of the letters he received is the one below, sent to him by John Pynchon concerning his daughter's illness. I believe this is the first case report of dehydration in American medical literature and, to my knowledge, has never been published. Much Honored Sir- We are bold to crave your advice concerning our young daughter about or neere one yeare & three quarters old. God having pleased to visit her with Illness. She hath not bin welt these 3 or 4 days, but especially yesterday morning was taken with a greate looseness & vomiting which doth continue much & exceedingly weakens her. Shee is very restless & unquiet & sleepes litle & is exceding dry craving for drink: how the Lord may deale with her & us we know not, but desire in the use of meanes to submit to his good pleasure: desiring your helpfullness in what you conceive needfull. I comend you & your affaires to the guidance of God & humbly take leave to subscribe.