Examining Letters to Understand Medical History: The Samuel Preston Moore Papers

– by Wood Institute travel grantee Molly Nebiolo*

 

Samuel Preston Moore was a physician in Philadelphia in the mid-eighteenth century whose surviving letters reveal some of the deep connections physicians had within the Pennsylvania colony. In these letters, we can visualize the networks urban physicians had with more rural areas of the colony. Moore, who later became the provincial treasurer from 1754 to 1768 and was the treasurer of the Pennsylvania Hospital in 1767-1768, is a good example of this because of the rich detail he includes in some of the letters housed at the Historical Medical Library at the College of Physicians of Philadelphia (HML).[1]

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What Can (and Can’t) We Learn From 19th Century Physicians’ Account Books?

– by Wood Institute travel grantee, Jonathan Jones*

 

What sources can tell us the most about the health of nineteenth-century Americans, their aches and ailments, malaise and medicines? Diaries might come to mind, or letters between family members. These narrative sources are familiar to historians, and are more-than-commonplace in archives. On the one hand, narrative sources can be windows into the health of nineteenth-century Americans, revealing how they coped with the horrifying sicknesses and symptoms that plagued them. On the other hand, letters and diaries are impressionistic, better for figuring out how people felt about their health than the fine details of healthcare.

But what about the other stuff, the nitty-gritty details of medical history? Where can historians turn if, for instance, we want to find out how often the average nineteenth-century American saw a doctor? Or how much he charged them for lancing a boil or delivering a baby? What if we needed to know the most commonly prescribed medicines in nineteenth century America, like mercury, calomel, or opium? How can we investigate these questions with numbers and not just with quotes? Historians using only narrative sources would likely be unable to. Luckily for us, most nineteenth century American physicians kept account books, which contain invaluable quantitative data that historians can use to illuminate historical health patterns, supplementing impressionistic sources with hard data.
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