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Appendicitis by John Henry Tilden
page 93 of 107 (86%)
mouth.

I called the second day; the patient had slept some--he thought
about three hours of broken rest--feeling fairly comfortable; pulse
120, temperature 101 degree F. at 9:00 a.m.; 102 degree F. at 5:00
p. m. Third day: Temperature 100 degree F. at 9:00 a. m.; 101 degree
F. at 5:00 p. m.; one-third of the tympanites gone; slept six hours;
hungry and demanding food. I said, "No, you get no food until the
bowels move." The ice was taken off the bowels; hot cloths were
substituted.

The fourth day the temperature in the morning was 100 degree F.; in
the afternoon 101 degree F., pulse 100; slept well, hungry, bowel
distention reduced fifty per cent. I touched him very lightly and
found enough to confirm my diagnosis of typhlitic abscess; this was
the first time I had felt that I was justified in attempting to
confirm my suspicions, and even this examination could not be called
a palpation, for I put no weight upon the abdomen. The patient was
very dissatisfied because I would not allow him food. I said, "No.
you can't eat until your bowels move." "How soon will they move!"
he asked in an irritating and ungracious manner, to which I replied,
"Your God only knows, and He won't tell."

Fifth day about the same, a little better; very ugly because I would
not allow him food. He said: "I don't believe there is anything the
matter with me; you are holding me down."

Sixth day about the same, feeling fine, sleeping fine and _starving
to death. _He made himself so unpleasant by his clamoring for food
that I permitted his wife to give him a half dozen Tokay grapes. He
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