On the back of first blank page Dr. Spence has written an inscription to Dr. Sam Jagoda, Jr. M.D. Dr. Jagoda passed away a couple of years ago, and Dr. Spence in 1994 at the age of 88. A Doctor of Urology, he was pretty famous and achieved a lot in his life. Book has 4 pages of B&W photos, the center page. Pretty much a detailed history of The Dallas Medical & Surgical Clinic at 4105 Live Oak St. in Dallas, which is still there.