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Gates indicates that he will try the remedies Rush suggested. He believes that England is likely to become a despotism, and notes that there is a rumor in New York City that England will defeat America's treaty with France regarding Louisiana.

Henderson replies to Rush's letter regarding the debts of a Mr. Carter, assuring Rush that he is in error, all costs for the preparation of coffin and grave have been paid.

Rush writes that deaths from fever are decreasing, and he will soon end his engagement with city hospital. He outlines activities in the family, and their preparations for her return the following week. The signature to this letter has been excised.

Rush discusses his appointment to the Army, the support of doctors Shippen and Brower for that appointment, his concerns about the medical system and the numbers of deaths the army has experienced, dispatches that have arrived from France, and that John Adams is on his way there.

Rush rejoices in Read's recovery and safe return to South Carolina and sends greetings to Read's family. He outlines family news, including that Julia has given birth to another girl and Mrs. Boudinott has spent the winter. He adds that the women humanize their friend, Dr. Ramsay, in preparation for his finding a wife.

Rush outlines the work that will keep him from visiting Julia, after all. He points out that there have been four deaths from fever, so unless there is a frost, she should not return to Philadelphia on the date they agreed upon. He repeats more of the "slander" against him.

Rush is confined to his house, and has been prescribing based on the reports of his pupils. He remains weak, but otherwise healthy. He finds it strange when men write to propose business or contractual dealings at this point in time. Part of the final page of the letter is missing.

Rush announces he is contemplating moving into a new house before her return and considers a few locations. He adds that his day no grave was opened in the Quaker graveyard and their were no admissions or deaths in the Bush Hill hospital.

Rush reports that he has had a relapse of the fever, but is still seeing patients as he can. He adds that the poor, children, and servants have been hardest hit by the fever. Nursing wages are now $4 a day. The signature for the letter has been excised.

Rush seeks to reassure his wife that he is fully recovered and well cared for. He notes the numbers of those who oppose his treatments that have now left the city. He adds that it is cold, and that he hopes this will check the fever.