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Appendicitis by John Henry Tilden
page 80 of 107 (74%)
analysis and explanation of symptoms to fit the diagnosis and
treatment and before he is through with the subject he declares that
the _diffusion is confined _to the focus of infection.

If I did not know something of the worth of words I am not sure but
such an excellent explanation might persuade me!! If I did not know
from experience that all this is _theory, beautiful theory, _it
might be very hard to resist!]

"After the symptoms of local and general inflammation with their
secondary signs in the stomach and intestine had lasted for six
days, suddenly a complete change took place: The nervous, anxious,
extremely distressed patient became feeble and scarcely complained
at all; his formerly congested face was pale and elongated, the nose
pointed and cool; the skin lost its turgescence and warmth and was
covered with a cold sweat; the bodily temperature also fell, the
pulse became small and frequent but remained quite regular, the
abdomen became softer and to a great extent lost its sensitiveness;
the vomiting decreased to a few painless attacks,"

[Wholly due to the opium and morphine given]

"and singultus disappeared: A picture which, to a certain extent, is
a combination of collapse and narcosis although not to the degree of
profound loss of consciousness, being the picture of an intoxication
in sharp contrast to the preceding febrile state."

[That is exactly what I stated above--a case of narcotism. How is it
possible that the author, recognizing the narcotism, feels it
incumbent to give other explanations?]
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