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(written at top) Dr. Ward says he cannot see Lizzie's case very cleare, that is his is somewhat anxious about her lungs on account of Mothers' having the consumption, but thinks it looks more like the liver complaint etc and thinks if she continues to improve to act there is not much doubt but she will recover, if not she may sink gradually. I feel very anxious on that account but hope for the best.

Utica Thursday Oct 1857

Dear Aunt

    We received yours last evening, hope Sarah's uncle will soon be well, also received a small box from Jennie, they are well containing her likeness and Anna's she wished me to keep it untill we have an oportunity to send it to you.
    Lizzie passed a miserable night after you left on Tuesday.  Caughed nearly all night & sweat very much, and caughed very much all day Wednesday, untill nearly night, When the Dr came & gave her something to quiet her nerves and so relieve her caugh (he said) 

along the side Lizzie rode to Mr. Benters to day that farm to our large white [homey] feels rather [tiered offer it] I could! Lizzie received letter from Abbie Holt this evening & I am going to reply tomorrow.