Charles Lukens writes to his father, John Lukens, about his health. He informs him that doctors have diagnosed him with a fistula "in the [Ana], or some such term." The issue has been going on for six months and has made is painful to walk, stand, or sit. The doctors, he informs his father, suggest that "some operation with the knife is the only sure remedy". Charles concludes the letter with a discussion of some land, presumably related to surveying.John Lukens replies to the letter on the back.; American Philosophical Society