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December 18, 1897


JAMA. 1897;XXIX(25):1284. doi:10.1001/jama.1897.02440510046014

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Evansville, Ind., Dec. 3, 1897.

To the Editor:  —The alarming mortality rate following operative measures for the cure of appendicitis in this city has caused considerable comment of a questionable nature, recently and in the daily papers this morning the Board of Health has taken the matter into consideration. A recent case of operation during convalescence, and the patient's death in less than thirty-six hours, has opened the way to adverse criticism. In the case mentioned the operation seems to have been done through jealous rivalry, with a large fee as an incentive, which only too plainly demonstrates the fact that the surgeon above all others should be a man of unbiased mind.During my twenty-six months of hospital work in Louisville, Chicago and this city, I have carefully observed the medical and surgical diagnosis and treatment of this disease and noted the difficulty in differentiating between it and typhlitis,

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