Believing that the results of experience constitute the only true guide to the wisdom and efficiency of any measure, especially one of a surgical nature I have, therefore, no hesitation in placing before you now for the purposes of thought and practice a record of four cases of appendicitis that have come recently under my observation, together with the lessons they teach:
Case 1.—That of E. B. J., M.D., of Pennsylvania, aged 28, and of good habits in all respects. This patient came to my office for consultation and treatment June 13, 1894, with the following history:
1. Had always been in good health up to the time of the first attack of appendicitis.
2. Had suffered from four attacks of this disease before coming to my notice, from the last of which he had just recovered.
The first attack happened without apparent cause, during the last week in November,