MADISON, James, President. Letter signed ("James Madison") written in the hand of Dolley Madison, to Doctor Robley Dunglison, Montpelier, 17 May 1833. 1 page, 4to, lower portion neatly inlaid, clean partial fold separation, otherwise in fine condition. MADISON TO JEFFERSON'S MEDICAL ADVISOR. A letter to Dunglison, Professor of anatomy and medicine at the University of Virginia and Jefferson's doctor: "...I owe you much for the kind interest you take in my health. I cannot expect to gain either in flesh or strength, under the wear and tear of time and the maladies lurking in my constitution, but I am happily exempt from pain." He concludes: "I need not repeat, that I shall always feel a pleasure in seeing you...and that you will always have my best wishes that prosperous fortunes may attend you." Madison's health would decline steadily over the next three years. Crippled by rheumatism and confined to his room for the last six months of his life, Dunglison attended him during the last stages of his decline.