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Appendicitis by John Henry Tilden
page 83 of 107 (77%)
justly so. Among other factors in the treatment, the relief to the
intestine by the suspension of nourishment was of paramount
importance. The subcutaneous saline infusion had an obvious but,
naturally, only a transitory effect."

The subcutaneous saline infusion is another ridiculous habit. It
would really be amusing if it were not so tragic, to see patients
driven to the edge of the great divide and then see the innocent
doctor throw out an impotent life line.

The absolute innocence displayed by this professional man, from
first to last, his belief in himself and the mechanism of his theory
and practice exculpate him from the charge of carelessness, neglect
of duty or even that he didn't know what he is doing. He does know
what he is doing in a way. He works as exactly as a Waltham watch
and he thinks about as much as the stem that winds the watch.

I cannot agree to the summing up of this case. There was not at any
time, previous to the relapse and death of this patient, what we
understand as peritonitis. A post-mortem examination might have
shown the intra-peritoneal covering, of that portion of the cecum
involved in the inflammation, slightly inflamed, but it is not
reasonable to believe that the inflammation was of a toxic character
unless adhesive inflammations can be so called.

Inflammation is always the same, it matters not what the _exciting
cause _may be. It is an exaggerated physiological process. If there
is inflammation of any part of the body it means that there is an
exaggeration of function. Its intensity will be in keeping with the
exciting cause. If the cause is intense heat or cold, or a corroding
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