This autobiography relates Rush's experiences in college and medical school; his meetings with notable doctors; his life in Scotland, England, and France; his medical views; the military and politics during the Revolutionary War; and brief sketches of personalities of that period.

This collection includes letters, diaries, notebooks, and early photographs, relating primarily to the Wister family of Germantown and Philadelphia. Much of the correspondence concerns domestic news and consists of letters from or to Sarah Wister. These include interesting observations on Germantown and Philadelphia society from other families as well, such as the Bayntons and Bullocks. There are numerous letters from various Wisters, including Casper, Charles Jones, Elizabeth (including a journal of a trip to Bristol, 1783), Hannah, John, Owen Jones, and others. There is also poetry by Sarah.

The collection contains information on Fox family speculation in western lands, two manuscript maps from the 1790's and 1830's depicting the family's holdings in northwestern Pennsylvania, and a photograph album from the 1890's documenting Chestnutwold, the Fox estate adjacent to Andalusia. Chief correspondents are Samuel and George Fox.