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This small collection consists of a six ring binder with "Norman A. James, M.D." printed on the front cover. Inside on 6 x 3 1/2 inch ruled paper are handwritten notes on medical and therapeutic topics filed alphabetically within tab index dividers (eg. Acidosis and Alkalosis-Dr. Hartmann is filed under A; EKG filed under E, etc.). The notes included numerous literature citations. At the front of the binder is a section entitled "Flexible Rules for Practice" which outlines common sense guidlines for the smooth operation of a physician's office in private practice. At the back of the binder are preprinted cards with conversion tables, normal values for blood tests and lab results, and other quick reference cards useful for a physician. The last card lists "Some Important SKF Products" featuring pharmaceutical products from Smith, Kline, and French.

Found folded inside the binder were two blank Barnes Hospital forms used for notations during the physical examination and for taking a medical history.

Also found in the binder was a Washington University receipt card for the tuition payment for the 1949-1950 fall semester of Norman A. James's senior year at the Washington University School of Medicine.