Transcription completed according to Smithsonian transcription formatting standards by Woolcott Kelly, with second reader review by Dave Davis and third reader corrections by Victoria Chhang, under the direction of Phoebe Evans Letocha, 2022-2023. Howard Kelly often used his own shorthand to supply the endings of often repeated words and some other small marks to denote small missing words that are easily supplied in talking or reading. The transcription has supplied these words, such as ‘the’, ’to,’ ‘of’ ’,’a’, ’an’, ’are’, and others.