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
Of course, the surgeon declares that pus should be let out by
cutting into it, or it is liable to break into the peritoneal cavity
and cause death This is positively not the truth, for when an
abscess threatens, nature at once proceeds to throw a wall around in
order to avoid accidents. All around the point of prospective
abscesses, heavy walls of adhesions are built, and if nature is not
interfered with, the abscess will break into the gut, because it is
the point of least resistance, and it is also the point favored by
gravity. The surgeons when they operate in these cases work exactly
opposite to nature.
If these abscesses are allowed to open into the bowel and solid food
is kept away from the patient, full and uncomplicated recovery will
take place. If solid food is given too soon it is liable to find its
way into the abscess cavity and cause a blind fistula, which may
take on acute inflammation at any time. These cases then become
chronic and are called recurring appendicitis. It is sound surgery,
in dealing with abscesses, to find, if possible, the direction
nature is taking to evacuate pus and be guided by this suggestion in
evacuating a pus cavity.
In order to cure appendicitis you must remove the cause. Cutting off
the appendix, opening an abscess, withholding food till the acute
symptoms have passed; such treatment is not removing the cause.
Nothing short of changing the eating habits of the patient will
cure, so the surgeon who knows nothing about food and its
action--what part improper eating has to do with bringing on the
disease--will never be able to cure.
Operating for this disease will fall into disrepute in time, for
there are already cases recurring and the second and third operation
will be necessary among those who survived the first. There is not a
scintilla of logical reasoning in defense of the operation. Because
some get well after an operation is no proof that the operation was
necessary; fortunately for the operator there is no way to prove
that the case operated upon would have recovered without the
operation. If the case be not complicated by bungling treatment an
operation is uncalled for. If a case has been medicated and fed to
death--abused to the extent of causing a rupture into the peritoneal
cavity--surgery must be resorted to as the only hope.
If a case survive an operation the patient is no wiser than he was
before, and knows nothing about avoiding another attack, for let it
be said loud enough to be heard by all, and with no fear of
successful contradiction, that if every child at birth should have
the appendix removed there would not be one case less of
appendicitis than there is with the appendix intact. Of course,
technically there could be no appendicitis without an appendix, but
the cecum would become inflamed just as readily.
Public-domain text, read in full here on John Shaqi.
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