Frost very keen this morning. Surgery and servants’ W.C.s frozen. Got them put right. I don’t think it was quite as hard in the evening. Much duller: no sunshine. Saw W [illegible] + Robert Scott, Mavisbank + motored to Bowhill. Lady Constance ‘phoned me about Mrs Ordish. Was in house all afternoon. Wrote Dora [Muir], Lady Napier, [illegible], Fauldshope (re October account). Was called out at 5.30 to Mrs Mack2, Chapel Street who [had] a faecal umbilical fistula3. Went to evening service: slight snow shower in afternoon.
1 Assume Lady Constance Montagu-Douglas-Scott (1877-1970)
2 Actually Mrs Margaret McNamara of 37 Chapel Street; she died on the 13th December 1919
3 The Editor cannot do better than quote a reader “This is a very rare condition and is associated with Crohn’s Disease or diverticulitis see https://www.hindawi.com/journals/cris/2013/925041/
[Source: Scottish Borders Archives & Local History Service SBA/657/22, Dr J S Muir of Selkirk, medical practitioner, journal for 1919]
Rumbling Clint's Scottish Notes 
I think it might be a “faecal umbilical fistula”. This is a very rare condition and is associated with Crohn’s Disease or diverticulitis. https://www.hindawi.com/journals/cris/2013/925041/
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Thank you for that. I read it as faecal but a superficial Google search didn’t show anything so I left it out. I greatly value your expertise. Paul
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