JAMA. 1899;XXXIII(3):117-121. doi:10.1001/jama.1899.92450550001001.
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It seems strange when accurate knowledge is so easily accessible on the subject of appendicitis, that bad methods in the management of the disease still persist. I will briefly review some of these, and approximately in the order of their importance.

The worst method is that which treats the patients by various medical means. Many of these recover without further attacks, many die and a larger number have recurrent attacks and suffer more or less invalidism for months or for years. It is impossible to determine in advance which course will be followed by any one case. That is always determined afterward. Consequently the cases that are going to recover without further attacks, recover; the ones that are going to get into dangerous complications, get into dangerous complications; the ones that are going to have recurrent attacks, have recurrent attacks, under medical treatment. There is no way for determining in advance


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