Cornelia Jefferson Randolph was Thomas Jefferson’s granddaughter, an artist and teacher who learned mechanical drawing from him. After Jefferson’s death, she taught at her sisters’ school at Edgehill and helped preserve family papers and memories. Unmarried, she left drawings and letters recording her own work. Randolph taught drawing, painting and sculpture at Edgehill. Randolph translated and edited The Parlor Gardener: A Treatise on the House Culture of Ornamental Plants: Translated from the French and Adapted to American Use, published in 1861. Following the American Civil War, Randolph lived at the home of her niece Martha Jefferson Trist Burke in Alexandria, Virginia, where she died on February 24, 1871. The available biographical account does not describe a continuous final medical course. It gives no dependable sequence of treatment and last symptoms from which to reconstruct a more detailed bedside narrative.