The sun. [volume] (New York [N.Y.]) 1833-1916, 1900-05-06

Ifl IlihiN 'lIll'"s wv WY v s'' ~ 80
opinion of sufficient Importance 10 Jiie'hy nm
IN calling n physician No appendix ever pc
comes xhngrenui,s without some Swl Oh
warning long beforehand, 4 safe course 10
follow, therefore. il 10 call "A physician wil'li-
ever on" "Xper'o r,. pam IN the region where
the appendix T.,
Il am u surgeon and fairy familiar with the
| history OF appendicitis and all thu, complicd,
! iion- resulting from .ol' ratI"i!N fui the removal
vi wo, ,hs d SpIr"p' ,6ou nH1 % had i' np S"%W or
something approaching ~ would lnileui-
I atrlv ,aI romie of IA" most eminent phN,l-
cians ia New York would ash them 10 nWlh"
aCarrrIl diagnosis and watch the progress ~ The
di-pa>c When they -lid an operation "h-
uec-s,ary I would have thal operation per.
formed ~ quickly "a possible, and wohlu
know ,hen ,ha, it had MOI been performed u mo- No
neui too soon or "A moment too lule. Inc
| trouble wish relying upon ia" sole Judgment OF
a sirgeoiI. IL that he may not. first hnN" made II
III, business 10 discover the condition Of all The
other organ, Of the system that might b" al
ieot-d by,au operation 10 rcu,oVei, Ne appendix
and then again, he may he on" OI mos" sur
geon- who believe 10 operating Whenever II Il
possible, or, to put II ia unpih-r way hr may
not br one of he surgeons Tho believe ~ opera'-
INK rs little a. possible. he opinion oil IN"
| eminent physician is, therefore, moi tlaSed a.
the Surgeons may he. Juneway or Delafield
| or Draper. Tor instance, would not desire to per,
form an operation under any circumstances aud
therefore YOU may depend upon II they Would
not order an operation unti II was aoNoln'"iS
Necessary.
| few years ago. and with many OF those
unfamiliar with the causes OF appendicitis 10.
day. the belief was that the disease was CAUSED
by secretions IN TIN. appendix, like seeds or Tor
cign substances akin 10 them. As Il nldt'cr oI
fact, OPERATIONS hay" shown that not per
cent. of the cases OF appendicitis hnye shown
foreign snbs'arcrs in me appeIdIa. re
something else than such foreign sub
stances. n, seeds. collar buttons, fieh
bonrs pins, and ,he Ike There : 40
who * fond Of fruit with seeds IN II should not
eat OF Il, providing he gives Ordinary attention
10 the condition Of his bowels.
In an article IN the Medical Record VI Mo-
veinber. 1899. DIR. George NJ. fdeboll- gave an
exhaustive review OF the history and literature
; OF appendicitis, In the course Of This article
il a barbari-lu, and i utterly ulscientl1c. lie
~avs that 'e%pityphlitiS, "-cphyadltis' and
'sculccu!dlu-" have been proposed by knrster.
Morris and GerStar, respectively, as synonyms
tor appendicitis, but tha, torn Is too firmly es-
tabliShed by long and universal usage. both
among the profession and the laity to be dis
OF the disease. DR.. Fdeholls says.
"Sarac"nls. in n letter dated Aug Is.
lilac region, with discharge of i"cal
matter and fourteen Iumbrirojd worms.
which is POSSIBLY the most ancient clear
case Of appendicular abscess on. record, A
more han a hundred years following before
MeSuvier, IN 1851. recOg nl2ed appendicitis as "A
distinct entity. Mesuvler messed an abscess IN
the right groin and found on autopsy, AT the
formis perforated by a pin Bur the dag
nosis Of acute APPENDICITIS was advanced more
than by all previous knowledge combined Dv
McBurney, When, in 1859, he discovered and 49,
iablished the value Of McBluney's point
" 10 the ~rela'tve ireQuencr Of Append!
cltiS In the Two ~aNrs DR.. EdeDOhls SAYS that
"tie most remarkable ard apparently i%rrecon-
cilable statements Bre made by various iuves-
tigators, While the belief j. current that
aUI-ndi,itls Affects males IN larger proportions
than female, EinhOtn, in $3.50 successive
mitop>le- found prrfornting appendicitis in
~ r"r cent. Of males and ~ per cent Of iema'es,
and Robinson. ~ ~ auIOJ-!es o. they came.
found wilderness OF pas, p.iiton,tis on Or abOu,
the appendix in 70 Ter cent. Of female and ~
per cent. Of male bodies" Dr. EdebohlS himself
APPENDICITIS. Di. Edebohls also say, that Fin
nell. in 1869, measured tit'y Irale and NIFTY re-
male app-rdlCr~ and found The APPENDIX aN-
-raged one-half Inch longer IN women than III
A. uthe cau-ative factor, in cases of appen-
dicitls. Or. Edebohls mentions one authority
as tracing a close analogy between Qulilsy and
appendicitis. and TWO others as having dls-
covered that the disease could be inherited.
rhi, discovery. accordins. To- Dr. fdebolls,
was made by Atkinson and Bloomfield in 1895,
and IN 1898 FHisans declared that there Mas
certainly such a thing ~ family. appendicitis.
Other authorities mentioned by EdehohlS, gave
gout. the grip and affections az the kidney
A. cOatributary causes TO the disease. As 10
foreign bodies IN the appendix, DR.. Edebohl,
saws.
dix We're Considered under the head OF the cause-
~ appendicitis. In the light Of modern view
the permanent Judgement OF foreign bodies 4
the appendix is more frequently the result
than the cause Of ~append!ctts.
OF the foreign bodies found, according 'C
Or. tdebohls Ne most frequently moi hayt
grape seeds. melon SEEDS, a grain Of oa', cherry
stones, prnne stones, date seeds. orange seeds
II bean. huckleberry sr%ds. blackberry seeds,
peanuts. a rifi8 cartridge and a glubule Of solder
DR.. Edebohls y evidently u believer IN The
removal II, . cur" for the discus. rather than
any other treatment. After reviewing the
Of GTN ,he appendis' tSsio JUS he says:
p-n tnH IIt14lr 'V wSs plan Dpe hy Dr. JD'! Mahoned
and executed on August -, 1881, by Symonds.
Mahoned demonstrated a stone IN the ap-
,hfrrea-quar,ers by, one-har inch in size.
tR ReO' as,-rnsI lilac artery. approaching The
appendix from behind Trough prr,,rra
the stone and then closing 'hr appendix The
patient recovered and wlsrursdof all Ills ~ mp-
brconrs prophetic in relation 10 the future
:. moval Of The appendix in similar cases. I
nave found hut three other Instances OF opera
lion upon he aprsnd,i r'"nl"nt short o is
larger part OF all appendix cOn,aln!nr n per
f%0ration' sand. on Dec 81. ~. closed u
p~l .r@. aTG OF t IT," aypt lnmHv ~ 81 T'', ,Rr amend,
wss performed hS Hell,. Oh NAV : 1883; IN Hu
otrrstion Tor 'h- relief Of " stranCula'ed 'n'nia
The appendix. Win an n access around " wH-
lied oil aud removed Morton. on March 10,
lsss. and Sands on April Il, 1855, performed
appendicitis. u correct diagnosis having been
uIni" in both cHIn, hcf, re operation To Mo"
ton belongs priority ot performance. To- SHrd.
n.."r1iBS .n ., 'a a@n;s appen 1ItrT x ssre'I per-.
formed during !SSS. in tho order named, by
nor,lsn, Mcburnc,, 'lilcr aud Weir Hon