Roxana thanks Carra (who she always called Carria) for her recent birthday present. She mentions ""the grippe"" bothering her right arm which was a sign of her illness to come. She suffered a stroke later that month and would die on May 2, 1891
This is Roxana's last surviving letter to Emily before her stroke in April 1891. She writes mostly about family matters, especially of her sons Chapin and Lynn and stepchildren Mary, Joe and Jane White