Doctr.. Carmichael,

my servant girl that you visited 4 or
5 years since, is very ill indeed at this time, with the same
complaint, you recollect it was an ulcer of some description
on her thigh near the joint, the sore discharges a considerable
quantity of matter, and she complains of a most excrutiating
pain, from her thigh down to her ankle, I have been disposed
to think it was something of the Rheumatism, but I am
doubtful about it. I would be very glad for you to come
out to-morrow morning to see her, if possible.

Jane Mitchell

P.S. you will let me know by the [unclear]
you can come out in the morning [unclear]
girl is in great distress

you will let me know by
the Boy