Dr. Alexander Small was born c. 1710 in Perthshire, Scotland, the oldest son of Patrick Small of Leanoch and Magdalen Robertson of Straloch. Small and his father were members of the Smalls of Dirnanean.
Medical practitioner
Although it is not known where Alexander Small received his medical training, he served in the British army as a Field Assistance Surgeon. By 1733 he was serving as a surgeon for the British Royal Artillery in Menorca. In 1736 Small arrived in London and began practising as a private surgeon. His obituary indicates his arrival in London coincided with the celebratory arrival of Princess Augusta of Saxe-Gotha just prior to her marriage to Frederick, Prince of Wales.
Scholarly pursuits
Around 1777 Dr. Small authored an essay on the importance to patient recovery and disease control of having good hospital ventilation. Benjamin Franklin may have assisted in the editing of the paper. The essay was eventually presented in Edinburgh and France. In 1783, an elderly Dr. Small was working with Charles Spalding on his designs for an improved diving bell, when Spalding drowned in the Irish Sea diving in a bell of his design. Charles Spalding was married to Dr. Small's niece, Susan Small, the daughter of his brother James Small of Kinloch Rannoch.
Correspondence with Benjamin Franklin
Dr. Small and Benjamin Franklin were correspondents for at least thirty years, likely until Franklin's death. Franklin referred to them as "philosophers, who study and converse for the benefit of mankind." Alexander Small and Benjamin Franklin corresponded frequently, on topics as varied as agriculture, horticulture, apiculture, hospital ventilation, picklingsturgeon, new ways of uprooting trees, poor interest rates, and politics. At some point during their friendship, Dr. Small gifted a copy of the Iliad. Currently in the possession of the Library Company of Philadelphia, it is inscribed in Franklin's hand with the notation, "A Gift of Mr. Small, of London, Surgeon, to the Library." In one of their earliest known letters, a 12 May 1760 letter from Franklin to Small, Franklin addresses the formation of Northeast storms in North America. In a letter written on 22 July 1780, while Franklin was in Paris, Franklin reconciles himself to the fact that Dr. Small will not be accepting a dinner invitation because of his concern for appearance's sake of them dining together due their differing politics, then closes the letter with an update on his recurring battle with gout. In lieu of dinner on this particular occasion, Franklin sent his grandson to pay his respects to the surgeon. By a 19 February 1789, Franklin's letter to Small deals with the elderly pairs ailments and Franklin's limited social outings.
