the matter of treatment.

That the reader may understand that I have a very good foundation
for my strenuous objections to the usual _bimanual examinations
practiced upon all appendicitis cases, _I shall quote a description
of what one of America's recognized diagnosticians, Dr. G. M.
Edebohls, considers a correct examination and he declares that
anything short of such an examination is useless and untrustworthy:

"The examiner, standing at the patient's right, begins the search
for the appendix by applying two, three, or four fingers of his
right hand, palm surface downward, almost flat upon the abdomen, at
or near the umbilicus. While now he draws the examining fingers over
the abdomen in a straight line from the umbilicus to the anterior
superior spine of the right ileum, he notices successively the
character of the various structures as they come beneath and escape
from the fingers passing over them. _In doing this the pressure
exerted must be deep enough to recognize distinctly, along the whole
route traversed by the examining fingers, the resistant surfaces of
the posterior abdominal wall and of the pelvic brim. _Only in this
way can we positively feel the normal or the slightly enlarged
appendix; pressure short of this must necessarily fail.

"Palpation with pressure short of reaching the posterior wall fails
to give us any information of value; the soft and yielding
structures simply glide away from the approaching finger. When,
however, these same structures are compressed between the posterior
abdominal wall, and the examining fingers, they are recognized with
a fair degree of distinctness. _Pressure deep enough to recognize
distinctly the posterior abdominal wall, the pelvic brim and the