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January 26, 1901

Comments on Dr. Deaver's Article "Walled Off."

JAMA. 1901;XXXVI(4):270. doi:10.1001/jama.1901.02470040048019

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Melton, Del., Jan. 19, 1901.

To the Editor:  —Dr. Deaver's article in The Journal of A. M. A., of January 5, is interesting as well as instructive. We all appreciate an early diagnosis as much as early treat ment, and his statement "Let me insist that you have your cases of appendicitis operated on, yes, immediately after the onset of the initial pain," seems rather strong. For my own benefit and also for a large number of the profession, we would like the Doctor to give us the symptoms of the initial pain, its character and location. The symptoms of appendicitis are so varied and deceptive that I am sure many hesitate to operate, owing to the fact of being unable to arrive at an early positive diagnosis. We are inclined to think that should the Doctor's advice be taken many abdomens would be opened and normal conditions in relation

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