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Updated: May 12, 2025
This constantly loaded condition of the lower bowels is relieved occasionally by a sharp, irritative diarrhea, accompanied by nausea and vomiting or not. The diarrhea is often preceded by a few hours of acute pain that causes some talk of appendicitis and operation but, much to the discomfiture of the doctor, the bowels start up and relieve all suffering.
There is no small pox and little phthisis, and it is interesting to learn that appendicitis is unknown in Africa. Rupture is very common among the natives and venereal diseases are frequent. As I was destined to become well acquainted with the Croix rouge, the hospital for Europeans, I will describe this institution later.
The movements were small and accompanied with much griping; the patient said that if she could have a good cleaning out of the bowels she felt that she would be well. I informed her that she had appendicitis and that she would be compelled to remain very quiet in bed, with ice applied locally until the temperature was reduced to 101 degree F., or less, and then substitute hot applications.
Children troubled with constipation will sometimes be taken with fever and pain in the right iliac fossa and, on examination, a fullness will be found; the sensitiveness will not be so great but that an examination can be made and a sausage shaped tumor may be outlined; of course, the disease will be named appendicitis and this is enough to scare a whole neighborhood, and the child will be carted off to a hospital and operated upon for appendicitis.
He understood typhoid fever, pneumonia, and appendicitis one had them, and either died or got over them and went back to work but when the word "nervous" appeared in a diagnosis he became honestly suspicious: he had the feeling that there was something contemptible about it, that there was a nigger in the wood-pile somewhere. "Look at me," he said. "Look at what I did at his age!
Several women who, years ago, were confronted with removal of the ovaries, are today the joyful mothers of children. Many of our former patients, who were treated by "Old School" physicians for acute or chronic appendicitis and were strongly urged to have the offending organ removed, are today alive and well and still in possession of their vermiform appendices.
This hypothesis explains the loss of weight, the lassitude, the indigestion, the constipation, and the many alterations in the functions of the various glands and organs of the digestive system in chronic appendicitis.
"In conclusion I will say that the most important lesson my experience has taught me is the fact that more harm is done to the patient suffering from acute appendicitis by the administration of any kind of nourishment or cathartics by mouth than in any other way, and that more lives can be saved by prohibiting this and by removing any food which may be in the stomach at the beginning of the attack by gastric ravage than by all the other methods of medical and surgical treatment combined."
"Because," I replied, putting my hand on my left side, where the pain was, "I have appendicitis and I supposed " "My friend," said this well-seasoned physician, "you are perhaps not aware of the fact that the appendix is on the right side." My knowledge of anatomy had betrayed me. The old doctor then gave me this homely advice, which may or may not be correct. At any rate I never forgot it.
You have appendicitis symptoms in spite of there being no pain, and you might do yourself no end of harm by getting up now. I wouldn't let any man go out of doors after taking that belladonna for the world. It would be suicidal." "But, Doctor, I'm not sick, I tell you; I feel out of sight," and Van threw off the clothes and was about to spring out, plaster and all. Dr. Mead thought it time to act.
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