The volume with Kirley’s notes has 181 pages, detailing Dr. John Arvid Ouchterlony’s 1874 lectures on asthma, Bright’s Disease, emphysema, gonorrheal rheumatism, heart disease, rheumatism, pneumonia and sciatica. The cases are identified by name. Dr. J.A. Ouchterlony taught at LMC in 1874, but he also held professorships at the University of Louisville Medical Department and KSM.