Scope and Contents From the Collection: Medical ledger of James Keen, a physician in Mecklenburg County, Virginia. Notes about visits to patients which include treatments, medicines dispensed, prescriptions, notes, calculations, and payment records. There are over 60 entries for the treatment of enslaved individuals and several are named. One entry notes the removal of a tumor from a "Negro Woman." The last page of the ledger lists births of foals and their lineage.A handwritten note is on page two, “James...