Appendicitis: The Etiology, Hygenic and Dietetic Treatment — John Shaqi
Appendicitis: The Etiology, Hygenic and Dietetic TreatmentTilden, J. H. (John Henry)
Science
Appendicitis: The Etiology, Hygenic and Dietetic Treatment
Tilden, J. H. (John Henry)
Appendicitis
The fact that a diagnosis was made in spite of the tympanitic
distention is proof that a dangerous force was used in doing so,
converting a typhlitic abscess into a perityphlitic one, and
doubtlessly causing premature rupture into the bowel. Any
professional man, with the right regard for his patient's welfare,
and the judicial understanding that qualifies him for taking the
responsibility of directing the treatment of so important a case,
would scarcely have laid the weight of his finger on an abdomen in
such a dangerous condition. The symptoms and course of the malady up
to that time should have told the real diagnostician that there was
an abscess and that the abscess would rupture into the cecum if it
were not meddled with.
No one with a proper understanding of his responsibility in such a
case would have thought of undertaking an operation with a patient
in the physical condition that this man was reported to be in. "The
long continuance of the severe symptoms" is proof positive that the
"severe symptoms" were false or man-made.]
"Morphine was ordered subcutaneously, Priessnitz compresses to the
abdomen, pellets of ice and meat jelly by mouth; eventually gastric
ravage."
[Under the circumstances this was positively murderous.
Acknowledging to such treatment forces me to declare that the
witness is incompetent, on the ground that no one has a right to
incriminate himself. Nothing but the most positive malpractice could
have brought a case of this kind to need gastric ravage, at this age
and stage of the disease.]
_"Upon the sixth day of the disease the picture changed."_
[It is impossible for any case to arrive at this state of maturation
in six days, if allowed to take its own course.]
"The complexion became sallow, the face elongated, the eyes hollow;
the pulse was 140, small, but quite regular; the temperature was
101.3 degree F.;"
[The great discrepancy between the pulse and temperature was caused
by the opium.]
"there was clammy perspiration and a cool skin, the hands were cold;
frequently slight eructations occurred and, now and then,
ineffectual or mild paroxysms of vomiting of a greenish yellow
material with a slight fecal odor."
[All these symptoms were positively unnecessary. They were built by
food end drugs.]
"The mind was clear; there was little pain."
[There was no reason why the mind should not be clear, and there
should have been no pain after the third day.]
"The abdomen became somewhat softer, much less painful, and was
readily palpated and percussed; there was a distinct resistance
about the size of a hand, quite firm, and not fluctuating, and
accompanied by marked dullness, around McBurney's point and
downward, and only in this region severe stabbing pain; in other
areas no dullness."
Public-domain text, read in full here on John Shaqi.
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