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July 9, 1904


JAMA. 1904;XLIII(2):91-96. doi:10.1001/jama.1904.92500020002

A sufficient apology for the introduction of so timeworn a subject is found in the startling prevalence of the condition and the unnecessarily high mortality rate. So long as the daily press continues to record frequent deaths from a disease which, at some period of its course, is recognized by the medical profession to be distinctly curable, so long will there remain a justification for its most thoughtful and oft-repeated consideration. Although obviously a surgical condition, the discussion of appendicitis in a body of physicians appears particularly appropriate. The position occupied by the physician concerning this affection frequently is equivocal, compromising and most unsatisfactory. Although not diectly involved in the later surgical management of the disease, he is compelled, nevertheless, to assume an obligation fraught with infinitely greater responsibilities than can possibly obtain with the surgeon. It so happens that in appendicitis, unlike most surgical conditions, it is the physician

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