R.D. (Robert Davidson) Hufford was born in Wythe County in 1850. He studied medicine at the Medical College of Virginia and established a practice in Smyth County. In 1891, he moved to Tazewell County where he practiced until his death in 1898. Following Hufford’s death, all of his estate papers and account books were exhibits in a chancery cause heard in Tazewell County Circuit Court. Titled Foote and Johnson and others versus Administrator of R.D. Hufford and others (Tazewell County Chancery Cause 1903-043), the purpose of the suit was to settle Hufford’s estate. The estate papers and account books remained at the courthouse following the resolution of the suit. One of the ledgers eventually made its way to the Library of Virginia as part of a records transfer in the 1970s.

I came across Doctor Hufford’s account book while cataloguing the business records of Tazewell County. Looking through the pages, most entries contained scant information, e.g. “to visit … $4” or “to Rx … $1”. There were a few entries that provided some detail on the services Hufford provided.  They included treatment for fevers, amputation of limbs, removal of teeth, and numerous pregnancies. And there was the odd entry such as using electricity to treat the wife of a patient and setting the leg of a horse that, for a nineteenth century doctor, perhaps … read more »