The earlier impression, first among physicians and now in the laity,
that appendicitis is an almost invariably fatal disease, is not well
founded, and we now know that a large percentage of cases recover, at
least from the first attack; so that it is quite possible for from half
to two-thirds of the cases of appendicitis actually occurring in a given
community to escape recognition, unless promptly reported, carefully
examined, and accurately diagnosed. Thirdly, in spite of the remarkable
notoriety which the disease has attained, the general dread of its
occurrence,--which has been recently well expressed in a statement that
everybody either has had it, or expects to have it, or knows somebody
who has had it,--the actual percentage of occurrence of grave
appendicitis is small. In the United States census of 1900, which was
the first census in which it was recognized as a separate cause of
death, it was responsible for only 5000 deaths in the entire United
States for the ten years preceding, or about one death in two hundred.
This rate is corroborated by the data, now reaching into thousands, from
the post-mortem rooms of our great hospitals, which report an average of
between a half and one per cent. A disease which, in spite of the
widespread terror of it, kills only one in two hundred of those who
actually die--or about one in every ten thousand of our population--is
certainly nothing to become seriously excited over from a racial point
of view.
While appendicitis is one of the "realest" and most substantial of
diseases, and, in its serious form, highly dangerous to life, there can
be little doubt that there has come, first of all, a state of mind
almost approaching panic in regard to it; and, second, a preference for
it as a diagnosis, as so much more _distingue_ than such plebeian names
as "colic," "indigestion," "enteritis," or the plain old Saxon
"belly-ache," which has reached almost the proportions of a fad. It is
certain that nowadays physicians have almost as frequently to refuse to
operate on those who are clamoring for the distinction, as to urge a
needed operation upon those unwilling to submit to it.
The satirical proposal that a "closed season" should be established by
law for appendicitis as for game birds, during which none might be
taken, would apply almost as often to the laity as to the profession,
even the surgical half.
Public-domain text, read in full here on John Shaqi.
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