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Updated: May 12, 2025
"I find that many authors advise rectal feeding under certain conditions, but I am certain that the exclusive rectal alimentation is of greater importance in the treatment of appendicitis than any other single method, but I am equally certain that it must be carried out thoroughly, because even a small amount of food or the administration of a cathartic may suffice to bring about a fatal issue."
But with some friend being operated upon for appendicitis nearly every day I could not easily dismiss this disease from my mind. Yet I realized that it was a high-toned disease and also a high-priced one, and that most fellows with my commercial rating are immune from it. I happened to be visiting a friend in a small town, for a few days, and was acquiring a voracious appetite.
The pathology of appendicitis is necessarily touched upon more or less in going over the etiology, symptoms, and treatment of the disease, and variation is the rule, for how could it be otherwise when subject and environment must always vary? As soon as an inflammation starts, the first thing that nature does is in the line of enforcing the first law of cure, namely: rest.
Moving pictures, watermelons, pianolas, telephones, forks, flying machines and locomotives, appendicitis, Christianity and chewing gum, umbrellas and even babies have all been brought to pass by convincing other human beings that they do not know what they want, by a process which is essentially courting, that is: by a combination of fighting and affection which arrests, holds and enthralls people into adding new selves to themselves.
History: Appendicitis did not become popularly known until about twenty years ago not till it was christened and baptized in the blood of the surgical art. Of course the appendix has always been subject to inflammation, just as it is now, but in former years the disease we call appendicitis bore various names, depending upon the diagnostic skill of the attending physician.
A redeeming feature of appendicitis is that the appendix lies so to speak in a corner, or wide-mouthed pouch, of the great peritoneal cavity; and if the inflammation set up in it can be "walled off" from the rest of the peritoneal cavity, and limited strictly to this little corner or pouch, all will be well. This is what occurs in those cases of severe appendicitis which spontaneously recover.
He has diagnosed the case as chronic appendicitis and wants to operate. I have diagnosed it as pyorrhea which has infected the stomach from the mouth, and have suggested emetine treatment of the mouth as a cure for the stomach disorder. Of course, you don't understand, but the point is that I've persuaded Doctor Hadley to bring in Doctor Granville, who is a dentist and a pyorrhea expert.
As an illustration, my friend Dr. Bloodgood kindly had the statistics of the surgical patients treated in the great Johns Hopkins Hospital at Baltimore investigated for me, and found almost precisely the same percentage of cases of appendicitis among colored patients as among white patients.
It really appears that surgeons are innocent of the part they play in rupturing unsuspected abscesses and otherwise complicating this disease by much rough handling. The paroxysmal pain which is characteristic of the early stages of appendicitis may be accompanied by fever, sometimes low and sometimes high, nausea, vomiting and diarrhea. The vomiting may be severe and there may only be nausea.
Emil had been there when they carried him out of the field, and had stayed with him until the doctors operated for appendicitis at five o'clock. They were afraid it was too late to do much good; it should have been done three days ago. Amedee was in a very bad way. Emil had just come home, worn out and sick himself. She had given him some brandy and put him to bed. Marie hung up the receiver.
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