davidaulloa/AmericanStories huggingface dataset:
Decorah-posten og ved arnen., 1907-05-31
geS en- 9pufersns | oct hpiSe Su

geS en- apufersns | Oct bpibe SltS
8aibington itofte uge meIlem BrG'
iioent Rooiepelt os Speafer Cannon
m. f. TOM man efter SorIpoenoe til
oct Reiultat, at Chen enbnu life er
inbe for Ell Geoiiion al SoIbIoper,
og at Der / uPite acngreSieSiion in.
tet bsr foretages meb Senipn til Den.
ne Gag. Wauge bapoe baabet, al
8rRii6enten, nanr BET fom iii Stpf.
Yet, oiIoe tage Srbet for en- g@ubring
al Soriteu og ipecieIt beuIe0e Sp'
mprfiombeOen paa bette SpsrgS.
mail | fit @uoifob til 9onercSieu,
men oct Ter aItioo no til, at man bill
bIioe ifuifet beri. Get iigeS, at Rooic.
belt er fuIOitpnOig enig meb Speofer
Cannon l. at oct piIoe pPre poerit
IrbeIbigt at bringe oenne Sag paa
@une poa bette Gio$puutt. SiGr
fremboI6eS, al et iaa0aut Stri0t uiISc
faa Fo0eIige 6sIeer pao @runo al
BET rationale &uIg upite Mar. Son,
ereS'en bill Ocrfor rimeIigpi4 intet
fOumue til at gIere fcr @aarcn 1909.
st Torlpoeuoe oil oaioo uioe, at Bro,
%iiocntcn bar en- egcu Gpiatning al sc
Sroo pun CnriircforuL ION ! Sen ic,
mere (i0 hor Ipot ira ioomnrqe San.
Ter al Houoct. San bar, bc0er set,
G. mcaCt itTrtt Enotruf al, at Bette
&raD life CT iuo aIOorliQt mcnt ionl
oct fan ie no til. oQ at set UpicrtliJ
itpIoc9 ct / pisiC &rcoic nUrct Enifl
ON at aIpcnoe Characterization ira
ben I8itotion, TOM mc0 Stgttc hos
Niegiertr8en III Oripc5 moo SauOctS
SernbGre' % Observation-Disclosures
@ieO andre Cr0, man nil bape set til.
at @rUiioCnten / (ariiogitotiouclj
Ter ct fle8tt8t Erpt al 3erubducr.
mes 9cnner, iom tror, at set tan IaoC
fig 9iDrc al iptte en- Chopper ioy
poerIt9erc SernbaneIopgipniug / Soon.
gresier, ioufremt man fan fau 0cunc
beitiGitigrt meS nogct ioa brpNiomt
90 DiOtlsftigt Tom Ell Repiiton a.
GoIoIoocn. arapct ON en- 5orauorirn
al SarifcH ItuI6e efter bette oItiaa
fonme fra Rr9iiOenten5 SLENDER
SnproiOt bette / nogeu @raO fan ur,
re SiIiGloet, tor Oct for gicbIiffc
barre oauiteligt at ubtaIe noaet be
iiemt ON; men iitfert er BET Del, a
Sarifaeitationen oainn bar andre o.
rpbere aariager. Soreorigt or oft
bisie n~nsipeIiae @eobeIeIier fra BE-
buioe S,ts life abioIut at itoIe paa
Decorah-posten og ved arnen., 1907-05-31

Ger ioreIisser insen officieI llbta.
IeIie al grGiioent RooiepeIt ON SoIo.
reoiiion 90 mango bill foretr9ffe at
tro, at SpsrssmaaIet trobs alt bill
faa en- Iioen 9Iaos | Oct gnbffab, ban
ienoer aonsresien | December.
Decorah-posten og ved arnen., 1907-05-31
SpprlGit burtr. On 8 gar aon

SpprlGit burte. On 8 aar gam.
mel @lt. Sobn SbeppGrh foriponot
iorrige SreSas poa eu aanite ufor.
HarIig gaaaoe fra lit Siem to Dill
st for Solpap, Itmeinta. Der bar
bGret giort itore auftalter for at I'm.
oe igien Sorret. Ser bar eaSOg pr.
ret 8lohbumSe noe; men alt forgie-
hes. @ou frpgter for, at ct eIlcr
.auSet RooSpr bar toget set.
Decorah-posten og ved arnen., 1907-05-31
Speoenbores Sig.

Sra StocfboIm tcIegrdieres Sen
29oe Rat, at ben ipenife Regiering
bar poaIagt fin @tiniitcr / 9ouSou at
ouHuSe ben brittle &eaiering ON
9Rtan0 til at fan ltSeuepet GmameI
StpeSenbore8 Sig, iom inu IhtESe
cperNsreS til StocfhoIm bpur ct fort
RauiuIGlm oil ht opfsrt for ba4m
Decorah-posten og ved arnen., 1907-05-31

Saris, @nfefru 8eoeI.Sarlsberg /
Sriftiania og gnfefru Salporien,
Sarpsborg og 8rSbrene Sfibsfap-
tein Sieners og Sanatorteeier
Sierper8, SonSaoien, gaIorts.
gegraoeIien foregaar Sre6ag Ct
termiooag.
Decorah-posten og ved arnen., 1907-05-31

Srpnprins 8nitaf CAB Ssnbaa af.
ten paa &uneens @egne en- Stor Sri.
luftsfeit StocfboIm til sgre for
2iune. SttbiIaets @iaiter fra ollie
Santer af gerben og for oct bipIomo.
tiife &orps, teIesraferes fra Stocf.
bolm. 8Ianbt @iRIterne bar oeiaa
Srofesiorerne SO. S. SarIop fra
Sarparb, 80. 90. Seen fra gennioI.
pania ll~uiperiitet og s. q. llooen fra
auguItuna College.
Decorah-posten og ved arnen., 1907-05-31

Song Sreberif af Damarf gap |
Ssnoags Gftes en- afffebsmiobug for
ben aftreoenbe amerifanife @iniiter
S'9rien og Srue, t~eIegraferes fra
&isbenbapn. S'8rien er iom be.
fjenot fo~rfrenunet til ~anrerifnnF @e.
ianbt Soffo. 8ronning 2oiiie OF
ale De andre Weolemmer Of aonge-
famiIien bar tiliteoe. 8onsen notaI-
te i'm 9eflageIie Ooer Of SCR. og @rs.
S'8rien iaa mart ffltIbe forlabe &is-
benbaon.
Decorah-posten og ved arnen., 1907-05-31

Speratipnertnri. On Snee t Ser.
lin og Weotem al 8pens Sunbbeos-
Commission, Or. @i6nrb 2Iein, orbe-
faler paa bet fterfeite, at Der maa
eisres noget for at faa iat en- Stop-
per for BEN ftabtg ornftsgribenbe 0an-
nj angonenoe Sperntioner for 8ltnb-
tarmsbetenSelie. San erfl9rer, at
Der neres n~perbreone oe rrigttge
SoreItiltn9er ON beune Spebom, og
ban oenter fig ct gobt Reiultat Of en-
llnberiseelie at benne Gag, ion net
op er ioerfiat | Berlin. Oh. 9letn er
af oen Soerbebisning, at mango 9e.
ger / bore 9ase er altfor otlige til at
gribe til &nioen, afainart be bar en-
liben Ristanfe ON EtlfteoepGrelien
of MISUNDERSTANDING. SsIgeu er
ogioa, flyer ban, at Sclf tror, oct er
MISUNDERSTANDING iaa mart oct
er noget ipeien meb Rapen, og iau
forlanger De itrar at BIZ opereret.
Decorah-posten og ved arnen., 1907-05-31
Sra uoIanoet.

Rp &esent. Oct brimspi6fe
SronfsIeeiperesmaaI er MI erbeIia
aigiort, ibet 2onooaeen enitemunia
bar poIst Sertiig Sobdn aIbredt al
Wsecflenbnrg. Sdtperin til giegent /
grimswid. Sans appanaee er fait.
lat til en- Miaion @arf ON aaret.
Decorah-posten og ved arnen., 1907-05-31
Gn fterf SsrbrnarIie merfenes Sc.

en teri S~srbrbitcIic merfebes 6ea
2Soe @fai omfrins 2uled og anors
Sfeoer ! Oct norbIise Sberige, teIe.
eraferes fra StocfboIm. gepnaeI.
len bar fra Spopeit til Norosit oa
l~eoiageoes at iterte unberioroiffe
gren. 5oIf fipgteoe i~fraffasne no
al fine $uie, men ineen tom tiIffobe.
Decorah-posten og ved arnen., 1907-05-31

Granger Se en- S~pmaifins? "$us.
pennen" cr iua goo iom roeen anSen
Spmaifine til ben oobbeIte gris.
Decorah-posten og ved arnen., 1907-05-31

Gn ipenff @illiunsabe. Sra Stocf.
bolm te~Iegraferes, at ben afosbe @ig-
mano 4oniitl Gilman / fit Eeitnmen-
tie bar ffienfet ialt to RiIIioler &ro-
ner til aImenuDttise SornmaI. Der.
iblanbt mar alt9uftuna College t
Rocf Sslmo, Sliuois, 10000 &ro-
tter. Den afhsbe Rnce1rat bar ogiaa
ffienfet 100000 &roner til Spret-
teIfe og Drift at ct frit Splpsninas-
og Observation-Disclosures I ame.
rita iii Sremme at bet panbeepnbte
arbeibe for of opmuntre Soenff-
amerifanere th at benbe biem til
Soerige og Tau fig tiIro Der.
Decorah-posten og ved arnen., 1907-05-31

81
RoeIe Elmer efterat grofeSior
III. 8otbnes 8sosbubifab / Strs.
bags bar naaet no ODER gpen, oper.
raifebes man neo Den gfterretning,
at g~rofesior Siepers, 8otbnes no.
get albre 9oaesa fra 2ittber College,
osiaa bar afgaaet beo OGDEN / tit
Siem Der | 8pen.
OGDEN fom / bette Silf9lbe pIi6.
ielig % iibeutet = iaa meeet mere
lIpentet iom Siepers olti6 bap0e
Babt en- Sernbelbreo og tiItrobs for
fin respectable SLIDER enonu bar raif
og rsrig. Som iaa ofte eIlers tog
Decorah-posten og ved arnen., 1907-05-31

SeHo "Gccorab.9 oiien" til SI9gi
gcnuer ! bet samIe 2auS.
Decorah-posten og ved arnen., 1907-05-31

for, bpao ban bap6e ppret for oenne
Sfole. grof. glefen bar iom Breft
4 Gbirogo ieID itanet 8otbne nar
lRngere Sio, os ban taIte pnffert oa
forftooeliesfuIot ON bom og bans
8irfe.
profesior 8. g. Neque taffeoe paa
Samiliens gegne for al iiopiit Delta.
seIie uriber afosbes Speoom.
Rrof. gotbnes Suitru beoe | Obi.
cago for CO. 4 aar iioen. San ef.
terIaoer fig TO 9stre, Rifs anna og
Msiis Marie @otbne / Chicago, FAINT
Ssnnerne Raitor S. 9. 9otbne I
SitteroaI, Rtnn., @erbaro gotbne |
Gbicago, Rrofesior @isIe gotbue peo
2utber College / Secorab og Or. CT.
ling 8otbne. ltIen Minn. en- Ssn,
Carl, bsbe for mango gar fiben.
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27

Summing up the cardinal points In
appendicitis, we have pain, rigid mus
cles or tenderness over McBurney's
point, the pain beginning as a colicky
pain around the umbilIcus, and we u.s.
ually have vomiting.
The Preparation for an Operation
sepsis, antisepsls and asepsls. You
can be as clean with your work In
the country as in the city. It takes
more work to convert a living room
into an operating room, especially
when we have not the assistance Of a
trained nuprse, but we can and must
do 1t. When we have a septic condi
ton it takes a whole lot Of antiseptlCs
to render it aseptlc, If you can indeed
do 1t then. So the best thing to do ts
to clean up, rendering your hands, the
area Of operation of the patient, and
everything you use about the opera
ton surglcally clean.
We now select a room In the house
best adapted to our purpose; take
broom, brush down the cob-webs and
dust from the ceiling, as we cannot
AFFORD to have dead flies falling In the
wound. The floor should be without
carpet and should be wiped up with
1900 bichloride solution; all the
tables and stands should be treated ID
the same way. Then wiring towels gu,
Of 1900 bichloride and spread them
on the table. Pans. bowls and mill
crooks should be scrubbed with sand
and soap, and afterward boiled in
large boiler, or instead OF boiling
water they may be rlnsed out with
bichloride solution. after which thel
are ready for use. Now, e you have
not sterile sponges ready, you can gu
9 sheet into pieces ana bon ten min 3 ll
|ntes A piece 81 boiled sheet NM
come very handy any time 50 4
81 good plan 10 hase L ready Ycu
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27

y . I Z fa Z ! i
formidable cases OF general peritonltlsi
with ruptured pds sack and the tenn
perature below normal The pulse5Is
not a safeguard as TO the condition d
your patient. as 1t has no significance
whatever as a reason to defer your
operation, unless your patient Is mort
sbund, when you will find arapid pulse
140 to $50. Then you mayor may not
operate, as the chances are nearly all
against your patient for recovery.
However, I have made it rule to
operate even in these extreme cases
and give the patient the only chances
for life, regardless Of the effect upon
my reputation as an operator. In sew
eral instances I have saved a life IN,
lust such cases. AS in one OF my
cases, when opened up the greatly
distended abdomen in a boy seven
years old, found the abdominal cav.
ity full Of pus. The bowels rolled out
and they were so full OF gas I could
not return them without great force,
l cut a small opening in the gut, let out
the gas, and lot Of fecal matter;
then I irrigated as quickly as possible
with a large amount OF hot normal salt
solution; then 1 introduced another
quart Of hot salt solution into the
bowel, which I left in; then | intro.
duced, also, a large dose Of salts
through this opening and sutured the
gut, cleaned out the abdominal cavity
and drained, so when 1 got my pa
tient in bed, he only had a slight caro-
It'd autter, but in spite Of this he got
we'll.
In advanced cases you will find inI
the thin abdomen a fullness on the
right side, just within the crest OF the
ilium, at which point you will also feel
an induratlon. Were I to attempt to,
enter into the dlfferential diagnosis
where the lines seemed hard to draw,
say that from typhoid fever, a micro
scopic examination Of the blood, show
ing a greatly increased leucocytsls will
qulkly decide that 1t is appendicitis
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27
COOK HOSPITAL and TRAINING SCHOOL

der anesthesia. The bowels should be
emptied by a high enema before the
operation and the patient should have
a hypo. of strychnine. On opening the
abdomen in strangulation Of the gut
you will have to cut the band Of ad.
hension Of the gut; and If the gut is
gangrenous you will have to excise the
dead portion and make an anastomo-
sis. In strangulated hernia the ring
lis enlarged; the circulation of the
bowel is returned to the abdominal
cavity. If, on the other hand, the gut
is dead, more serious condition exists
and an exclsion and anastomosts may
again have to be performed; or in
some cases it would be we'll to estab-
|lish flstula and let the patient get in
better condition before the operation
is completed.
In appendicitis we have different
conditions to deal with; the time Of
operation is as soon as you make your
diagnosis, which should be early. We
then cut down over the region Of the
appendix, and as a rule We find a sack
full Of pus, and perhaps the sack has
already been ruptured, and we have a
general peritonitis to deal with. When
/ find this condition I proceed to mop
1t out as clean as possible; then I irri-
gate with many gallons Of sterile
water, or With Abnormal salt solution,
one level teaspoonful to pint; mop
clean again, and in this way I get rid
of the most Of the poison, and u my
patient has not already absorbed too
much Of 1t With good drainage he has
far chance for secoy After wip-
ling on on O the lymph from the ID;
ltsstine IS possible 70 remove aud
INipsng the paretal wall Of the peFi-
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27

or calls you in consultation you can,
as a rule, rely on This diagnosis. This
diagnosis, however, must be made
early IN many cases to be Of much
value to the patient, II he calls for
you to see a case with him in which
he says It Is appendicitis, you might
as well pack your grip for an opera.
ton.
with the present knowledge Of
asepsls everything In surgery becomes
as possible in the rural district as
in the cities and happily so; we're II
not the case, what would become OF
our emergency cases?
There are some conditions which
are Of such an urgent character that
each physician should be a specialist
in their recognition: volvulus, twist
ing of the bowel upon itself, strangu-
lated hernia; ectoplc pregnancy; post
partum hemorrhage, and the last, but
not least, a disease from which more
people die throughout the country
and cities than this enlightened day
should allow-appendicitis.
volvulus Symptoms. sudden pain
in the belly, vomiting and inability to
get the bowels to move. If the twist
is low down, we have great distensIon
from gas.
.strangulated HernIa-Protrusion Of
the gut, with pain, vomiting and In
ability to get the bowels to move.
Ectoplc Pregnancy-C Collapse, rapid
feeble pulse, with pallor; history Of
having missed a period; presence Of a
tumor in the lower abdomen.
Post.Partum Hemorrhage 1T is
strange to say that these cases do not
come to us all, but when they do come
they wash the life of our patient away
almost in the twinkle Of an eye; and
the most rational thing to do when we
see case Of bleeding Is to grasp the
uterus from without with one hand,
while we Introduce the other hand and
turn out the clot. You may give ergot
Immediately, but keep up kneeding the
uterus, one or more hours If neces-
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27
airy, until you get the proper contrao.

sary, until you get the proper contrac'
ton.
Appendicitis There is not a physk
clan present who could not easily
make the diagnosis, and I want to say
that, Notwithstanding we have McBur-
ney's point to guide US as a rule, we
do find in anomalous cases the appen-
dix situated sometimes up under the
liver, sometimes over to the left side.
And l want to say that the usually
supposed cherry seeds and other
fruit stones are not found In the ap.
pendix, but this foreign substance Is
made up Of focal matter, which enters
through the minute canal Of the appen-
dix in a liquid state, the water OF the
same being absorbed by the appendix,
leaving a reslduum which increases in
size from time to time, and thus dllates
the canal, producing the Inflammation.
There is no telling how many Of US
today sit here with the ball Of focal
matter accumulated in the appendix,
which is as a volcano, ready to de-
stroy our lives by an eruption at any
moment
symptoms-The sudden appearance
OF colicEy pains around the umbIlicus
and in the right lilac, with some ten.
derness over McBurney's point, rigid
muscles over the same area. Vomit.
ing is usually present, but l have seen
it absent from the history in many
cases that came to my hands. In all
acute cases Of the first attack, how
ever, we have the more violent yomit-
ing, but in many OF the chronic ones
we may not get any history Of the
vomiting stall. The temperature US
ually runs from ssss to 1902, rarely
above. Unless we have . general per
itopitls sths3tempe rature g not 9 con.
slant guide, for have seen lie niost
needles yot may select yoaFselt but
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27

as q rule a patient In the country has
pus already formed, aud the wound
does not have to be closed. You must
have a small needle to close up the
stump Of the appendix. Your instru-
ments should be a knife. a pair Of scis-
sors, six pairs Of haemostats, needle
forceps, two thumb forceps. You may
have a pair Of ctors-these are
not necessary-but you need one lone
scoop.llke retractor for opening up so
that you may eyacuate the pus from
the cavity, and which enables you to
slide your spoages easily to any point
In the abdominal cavity. 1t is also
well to provide yourself with some silk
worm gut, should you happen to have
a case that you can close up. Even
then l always sleep. better for four or
five nights If l leave small drain
down to the suture in the appendix
stump. All instruments, silk and silk
worm gut are boiled five minutes in
water with a pinch OF soda IN It.
Scrub your hands and arms Up above
your elbows for ten minutes In soap
and warm water. Then, as TO other
solutions there are several methods
that are good. I am in the habit Of
next using permanganate potash sat
urated solutions, 100, then sterile
water; then I operate, having cleaned
area Of operation same as my hands.
DR.. Joseph Price, of Philadelphia, sim.
ply using soap and water with mus,
tard, then alcohol and sterile water,
and I don't know of an operator who
has better results. DR.. McNaughton.
Jones, of London. uses after soap and
water 1900 blchloride in alcohol and
water, then follows with sterile water.
This detail is merely to show you what
is absolutely necessary.
Your patient should not have even
a glass of milk within four hours of
the operation, as it is dangerous to the
air passages because OF vomiting un-
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27
Read Before the West Virginia State
Medical Association at Charleston,
W. vay May 1858, 1908.
tsy John R. Cook, M. 0, Falrmont.)

The specialist as a money-maker, a
SPECTATOR, or quack, who stays but
a short time in one community, and
fools the people part of the time, is
not the man to whom refer.
Nor is it the country doctor as a
horse.trader, cattle dealer or fox-hunt-
err; but the man who is absorbed in his
profession and Is determined to get
there. It is the man who has the re-
spect Of the people of the community
aud whose opinion is taken as that OF
a matured judgment and an honest de.
cision; the man ip the community
who would rather have the confidence
of the people, and to have them re-.
spect his opinion, than to have great
riches.
Several hundred years ago there was
a man who fell among thieves, was
beaten and robbed, and lay out by the
roadside unable to move. There hap
pened to pass a Levite and priest,
each OF whom paid no heed to the
mans groaning and sutferIngs. But
the good Samaritan, or the first evJ.
dences Of the country doctor, came
along with his dinner bucket, and re-
cognlzing the mans condition, he
poured part Of his dinner on the
mans bruises, and bound him up, with
what I do not know, but perhaps a part
OF his own shirt; and had this man
taken care Of at neighbours hotel and
paid for his keeping out Of his own
pocket. That sounds great deal like
the blg.heartedness of the country doc
tor Of today. Whatever he finds to do
for the suffering, he does 1t in the
same generous way. = II he did not,
many patients would go untreated.
If you want to find doctor who Is
practical, self.reliant and self.sacritic.
Ing, you will find him in the country
practitioner.
He should be the autocrat Of his
community, the backbone Of society
and the adviser in the home. His ser.
vices to the poor, as we'll as to those
who fairly pay him, Will make for him
q crown that should cover him all
over with glory. Put energy and hus-
tie into the country doctor and he can
accomplish as much as. and In many
\ cases excel; his city brother. II IS
true tiiat ne might not be doing 50
much sargic work AS the many IA the
clty but when 81 sends q case you
The Fairmont West Virginian. (Fairmont, W. Va.) 1904-1914, 1907-07-27

etoneum as far as 4. can reach, TYusuatly
place ganze wick or two down into
the pelvic cavity; then vail Oh the
general peritoneum as well as posi-.
bic all around the incision, leaving q
stump Of the appendix. as 1t were, in
the base of my cotEer.dam.
Show me the man who Is a success
as specialist, and win show you d,
man whois familiar with general prac-
tlce. I know Of no better illustration
of the opportunities and possibilities Of
the country doctor than to cite you the
case Of a man born In Virginia, Rock.
bridge county, November 11th, It'll,
who had a little country practice down
in Kentucky; and on the 18th day OF
November, 1909, performed the first
oyaritomy and thus became the
father OF abdominal surgery Of the
world. He did not know but in those
days he might lose his own life had
his patient died after the operation.
Then, too, he did not have the ad.
vantage OF anaesthesia as we have to-
day, but he was so thoroughly salts.
fed Of his diagnosis and that his pa,
tlent needed this service. he risked
everything to save the woman. The
man OF whom l, speak is the world
famed DR.. Ephriam Mcdowell. We
are free to acknowledge the fact that
we owe much to our city teachers in
medicine and surgery: 1t was from
them we got our first inspiration and
get continuously much Of what we
know. We cannot all be teachers in
universities; We cannot alhbe mellow.
ellis; we cannot all be Mayor OF today.
He is a country practitioner Of Mime
sofa, and / venture to say he is one
OF the biggest surgeons OF the world.
Who OF us have performed five hun
dred operations on the gall bladder?
Let each Of us famillarize ourselves
with the subject OF diagnosis, in or
der that we may sound the alarm at
an early date, and ere twelve months
have elapsed, we will have saved hun
dreds of our West virginlans, both
young and old.