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McHenry details reforms required within the Army's medical department and makes recommendations for restructuring of general and regimental hospitals, controlling fraud in the commissaries, increasing the numbers of nurses and surgeons, and improving the distribution of medicine.

Dickinson writes that he has purchased and perused all the doctor's works and requests his help in diagnosing and treating a child that is in excruciating pain.

Dickinson writes that he has read with pleasure Rush's essay on female education. He requests Rush's help with another project, "to prepare the public Mind for receiving…the proceedings of the Convention."

In a note, Dickinson comments on their health, and on the 4th part of an unidentified manuscript.

Adams writes regarding his presenting a copy of Rush's "Medical Inquiries and Observations" to the Emperor of Russia, who is sending Rush a ring in thanks.

Rush not only detailed her religious thoughts and practiced devotional exercises but also outlined her feelings regarding family matters, especially in regard to her bereavement following her husband's death. She requested intersession for family members, such as when her daughters emigrated to England and Canada and their later return, when they suffered serious illnesses, and blessings for the christenings of her grandchildren. She also noted her general physical and mental health as she aged. Entries are irregular, but often annually mark the New Year and her birthday on March 2nd.

Land deed for the Williamsburg tract purchased by Benjamin Rush, signed by Gov. Thomas Mifflin and Dep. Sec. James Trimble, with the Pennsylvania State seal, with notice that it was recorded in the state patent books.