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.

An Irish-born non-commissioned officer in the 49th Regiment of Foot, Thomas Sullivan served with the British Army in North America from the siege of Boston in 1775 through the last days of the Philadelphia Campaign in 1778. He deserted in June, 1778, and became steward to Continental Army Quartermaster General Nathanael Greene.