Martha Laurens Ramsay died in Charleston on June 10, 1811, aged fifty-one. Her writings record illness, family responsibilities, financial pressures, and religious reflection, but the consulted biographical summary does not provide a securely identified cause or a continuous account of her own final medical decline. Her husband, physician and historian David Ramsay, published selections from her diary and correspondence within weeks of her death. That publication preserves her voice and the spiritual framework in which she understood suffering, while it should not be used to invent a specific treatment or bedside exchange absent from the evidence reviewed here. She was buried in the churchyard of Charleston's Circular Congregational Church. The later violent death of David Ramsay was a different event and not the manner of Martha's death. Her final date, city, and burial are established; the immediate disease and details of her final hours remain uncertain.