"It is true that recurrences can usually be prevented by careful attention to diet, by securing daily free evacuations of the bowels, by avoiding over-work and above all things by abstaining from eating too freely, especially of indigestible food when tired. Notwithstanding these facts most patients will never be entirely well after recovering from an attack of appendicitis, and if this is the case I believe that the best treatment consists in the removal of the diseased appendix." "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." [This is my belief and treatment and has been since I began to practice my profession.] The above extracts were taken from Dr. Ochsner's Monograph on Appendicitis. When a patient has completely recovered from appendicitis he should learn to live correctly. Learn to eat properly and to know how to take care of the body in every way. There is much to learn on the subject of what to eat, what not to eat, what foods to combine and what combinations to shun, when to eat, when not to eat, etc. Appendicitis is caused by wrong eating; those who go through the disease and recover, will have another attack unless they change their style of eating. CHAPTER VII _Treatment: _I believe that contrasting treatments is the very best way to teach; however, this plan is not so good when carried on in writing as it would be clinically. In order to contrast my treatment with the best just now available I shall quote from one of the latest authorities, _"Modern Clinical Medicine--Diseases of the Digestive System."_ Edited by Frank Billings, M. D., of Chicago. An authorized translation from "Die Deutsche Klinik" under the general editorial supervision of Julius L. Salinger, M. D. Published by D. Appleton and Company, 1906. It is reasonable to believe that when one of our leading American physicians thinks enough of a foreign author to translate his productions the material must be pretty well up to the top of medical literature, and that is my only reason for selecting this particular contribution on which to make my comments for the purpose of contrast. The case I select is strictly in line and parallels a case of my own. It is a case of Diffuse and Circumscribed Peritonitis, treated and reported by O. Vierordt, M. D., of Heidelberg. _"Acute, Diffuse Peritonitus:_ As an introduction to the discussion of our present views of acute peritonitis I will relate the following clinical history: