Rush lists those in the neighborhood who were not his patients that have died. He praises their "black friend," Marcus, for faithfully waiting on him. He has received letters from Europe, among them a letter from Granville Sharp, authorizing him to draw on contributions in London for the African Church of Philadelphia. Among the contributors was the Duke of Grafton. Rush points out that no doctors have inquired after his health, and that their confederacy against him in stronger than ever. The letter's signature has been excised.