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Jonathan Wesley Marshall kept this account book from 1857 to 1868 to record financial transactions related to his work as a physician in Middle Granville, New York. Most accounts include only a brief note, such as "1 Visit & Medicine," who Marshall attended, and the associated fees. Throughout the volume, however, Marshall occasionally provided more details about the nature of the ailments, revealing that he was working with his patients for obstetrical cases and follow up care, extracting teeth, lancing and dressing various wounds and burns, setting broken bones, offering vaccinations, and handling common ailments like diarrhea, sore throats, sore eyes, and coughs. Most of the accounts were settled with cash, but credits are documented throughout the volume that suggest some bartering was occurring.

Jonathan Wesley Marshall kept this account book from 1857 to 1868 to record financial transactions related to his work as a physician in Middle Granville, New York. Most accounts include only a brief note, such as "1 Visit & Medicine," who Marshall attended, and the associated fees. Throughout the volume, however, Marshall occasionally provided more details about the nature of the ailments, revealing that he was working with his patients for obstetrical cases and follow up care, extracting teeth, lancing and dressing various wounds and burns, setting broken bones, offering vaccinations, and handling common ailments like diarrhea, sore throats, sore eyes, and coughs. At least two entries refer to attending women for abortions (pp. 154 and 239).

Marshall also provided medicines, such as syrups, salves, pills, eyewash, ointments, and others. Some of the accounts also suggest Marshall was offering other services, including hairdressing and hair products (see pp. 102 and 122) as well as veterinary care as he tended to horses on several occasions. Most of the accounts were settled with cash, but credits are documented throughout the volume for fresh produce, meat, butter, oats and hay, labor, and occasional goods like four canaries (p. 205), a pair of yarn mittens (p. 275), a medicine box, small stove, furniture, and other such items, suggesting some bartering was occurring.