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Marietta, Ohio, Feb. 15, 1898.
To the Editor:
—I have been interested for some time past to learn how it happens that some doctors have so many cases of appendicitis, upon which they find it necessary to operate. Is it not a fact that most of the so-called cases of appendicitis are primarily impaction of the cecum and colon, which by proper medication can be relieved and avoid the operation? These thoughts come to my mind from the fact that I have been in a very active general practice, medical and surgical, for the past fifty-four years, and have never had but one case that needed operation, and that one in my early service, and far advanced. I lanced it and he soon made a good recovery. I think that with those in which I have been called in consultation, I have treated more than one hundred cases without the
Hart BF. Appendicitis. JAMA. 1898;XXX(9):502. doi:10.1001/jama.1898.02440610050015
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