Discusses his experience with influenza, the medical school, and the conditions of living in Lexington, which he states, "all is not right with us...even in paradise was found one serpent..." He mentions some tension happening between his wife and a Miss Cliffords.
Letter to Adam Beatty from James L. Armstrong, secretary of the Lexington Medical Society, inviting him to join and lists the questions and subjects they intended to focus on during the winter.