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To the Editor:—
In your editorial "The Challenge of Appendicitis" (The Journal, May 20), education of the public is stressed as one of the means by which the mortality of acute appendicitis might be reduced. "Education of the public about appendicitis applies to the most important two factors responsible for the increasing mortality, i. e. the increasing use of cathartics for abdominal pain and the delay in the diagnosis and treatment."Efforts in this direction have been made over a considerable period of time, yet how common it is to find that they have failed of their purpose of warning the patient who falls ill of acute appendicitis. One serious misconception regarding the pain of appendicitis is remarkably prevalent among the public, namely that it is "a pain in the right side." Strangely, the press and the other avenues of public information have never stressed the fact that the pain
Nash J. "THE CHALLENGE OF APPENDICITIS". JAMA. 1939;113(12):1150. doi:10.1001/jama.1939.02800370066029
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