Tom smiles winsomely at the conceits of man, fussing as he does over his bowels. Yes, there are three gut treatments here - but what really sticks out is "Impressment conflicts with England 'Chesapeake' affairl."

You can read all about it here. It led to the Non-Intercourse Act of 1809.

Probably a remedy for that in the booklet, but not this page.

Tom also has a small teardrop tattoo, which indicates that he killed a man in prison.