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Mary Townsend was an author and close friend of Graceanna Lewis'. She has been ill for some time and has been attended by many doctors. She tells Lewis of a new physician who has been treating her, a woman named Miriam De Bonneville, and discusses the treatments De Bonneville uses. She also discusses Fredrika Bremer's travels in the United States, mentions a school that Lewis has been working at, and talks of paranormal phenomena reported at Rochester. The letter also includes several pages written in pencil by someone else, possibly Lewis's brother-in-law Dr. Edwin Fussell.