Consists of a running account for physician Dr. Joseph H. Vincent's medical work on people enslaved at Colonel John McNeil's cotton plantations in Autauga and Coosa Counties, Alabama. McNeil was listed in the 1840 census for Nixburg, Coosa County, as a man in his 50s residing with one younger white woman (apparently his orphaned niece) and 46 enslaved people. Dr. Joseph H. Vincent made 34 visits to the plantations between May and November 1843, before the Colonel's death on December 7th. These visits are listed in detail, and include entries for interventions such as opening abscesses, treating blisters, pulling teeth, fitting a truss, and addressing gynecologic conditions. There is also an entry for the "treatment of gonorrhea," which may have been for McNeil as no name is listed. The running account was written in a ledger book but later cut out and submitted to the estate for payment, which was settled on January 30th, 1844, when it was docketed on the second page and signed by a justice of the peace.
