Was knocked up last night about Willie [?] Shank (postman’s son), Tower Street. Saw him early + asked D [Dr David Graham, co-partner) to see him. We decided it was a case for immediate operation + he was taken down to Mauldsheugh. It was the worst case D has done yet. The appendix was enormously enlarged + contained a hard mass of faeces which I thought at first was an orange pip. I saw 16 town cases afterwards. D went to Sunderland Hall + S Common. Got a letter from Wm. Harvey re Pilot which does not tend to improve remove the suspicion I have formed about him.

[Source: Scottish Borders Archives & Local History Service SBA/657/22, Dr J S Muir of Selkirk, medical practitioner, journal for 1919]