This item was written by William Keen for his children and includes genealogy, glimpses of his boyhood in Philadelphia, and reflections on his education at Jefferson Medical College and his medical career. There are accounts of memorable events and surgical cases, including the operation on President Grover Cleveland's jaw. There are mentions of S. Weir Mitchell and other physicians, with historical recollections of such Philadelphia institutions as the College of Physicians.

Fothergill writes to an English physician, J. Woodforde, from Bath and Bristol in England and from Philadelphia. The letters concern their common interests in medicine, with comments on current events, American and Philadelphia society, and medicine in the United States.

These letters of American Philosophical Society members and prominent early American scientists were selected from Carson's extra-illustrated draft of "A History of the Medical Department of the University of Pennsylvania" (Philadelphia, 1869).

In addition to extensive correspondence, there are numerous laboratory notes, lecture notes, drafts of published papers, reports. This material documents Long's career, with much on his work with diabetes, including the International Diabetes Federation. His 1950 trip to Japan as an advisor to Japanese medical schools on medical education is also documented. In addition, there is substantial material on the Yale University Department of Physiology and the School of Medicine.

Simon Flexner, born in 1863, one of the nation's leading experts in pathology and bacteriology, was most renowned for his research on cerebrospinal meningitis, polio and infantile paralysis. Arguably though, Flexner's stewardship of the Rockefeller Institute was his greatest contribution to medical and scientific research. His rise in the medical community began in the late nineteenth century in Louisville, Kentucky, where despite not having completed even the seventh grade, Flexner taught himself basic bacteriology by conducting experiments at home using a microscope borrowed from the pharmacy where he served as an apprentice. Granted a medical degree from the University of Louisville School of Medicine in 1889, he went on to a pathology fellowship at the newly opened John Hopkins School of Medicine. Within two short years of leaving Louisville, Flexner received an assistant of pathology appointment at Johns Hopkins. It was a quick ascent and the beginning of a long and brilliant career that included a prestigious appointment at the University of Pennsylvania and then a directorship at the new Rockefeller Institute where he realized his lifelong dream of creating a dynamic and productive research laboratory. The Rockefeller Institute became instantly famous worldwide as the preeminent research facility for virology and under Flexner's direction produced invaluable contributions in pathology, bacteriology, and immunology. This collection does not reflect the early phases of Flexner's career at Johns Hopkins but does document an early interest in meningitis and other infectious diseases with science-related correspondence, laboratory notebooks, and administrative correspondence with the New York City and State Departments of Health. There is abundant material on Flexner's directorship of the Rockefeller Institute for Medical Research, including Flexner's search for staff, an involved process which is detailed in correspondence with the scientists, many of whom became quite famous. Also included is material relating to the other institutions and Rockefeller philanthropies with which Flexner was involved. (Among the most significant correspondence, however, may be that which documents the support of the General Education Board and the Rockefeller Foundation in the development and subsequent reorganization of medical schools following brother Abraham Flexner's scathing report on medical education in the United States and Canada). This collection would be of great interest to anyone interested in the history of bacteriology, histology, and immunology or the general history of modern medicine and philanthropy.