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APPENDICITIS
No acute disease has been dis
cussed before the lay public more
than appendicitis. Thousands of
articles on the subject, written by
leaders of the medical profession,
have appeared in newspapers and
magazines; countless discourses have
been made in Parent-Teacher Asso
ciation meetings and in other like
gatherings, and innumerable talks
have been given over the radio. The
urgent appeal in these well-meaning
addresses is always the same:
1. Take no food or medicine in the
presence of persistant abdominal pain.
2. Send for the doctor promptly,
and have the appendix removed im
mediately if he advises it.
In spite of this widely disseminat
ed advice, even intelligent people
refuse or forget to accept it, es
pecially in regard to giving purga
tives. The result is that the mor-
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TELEPHONE 26 BLAKELY, GA.
tality rate has improved but very lit
tle in recent years, and thousands of
patients continue to require many
weeks or months to recover after
operation because oil or salts rup
tured the appendix, or the operation
was delayed too long.
To illustrate the frequent occur
rence of the disease, in a study made
in the city of Atlanta a few years
ago it was estimated that one per
son in every 380 inhabitants is the
victim of acute appendicitis annual
ly. This does not include chronic
appendicitis, which is as common as
the acute variety, but which in itself
is not an emergency condition, but
may become acute at any time.
Acute appendicitis begins with
abdominal pain of more or less
severity, usually first located in the
“pit of the stomach”, or covering
more or less the whole abdomen,
and settling finally in the right low
er side. The so-called “typical case”
EARLY COUNTY NEWS, BLAKELY, GEORGIA
follows this course, but the pain may
be in the region of the appendix
from the beginning of the attack.
There is no rule in medicine which
does not have exceptions. This pain,
which is the characteristic and the
earliest sympton of appendicitis, gen
erally is followed sooner or later by
nausea with or without vomiting,
fever, tenderness and muscular
spasm over the appendix, and in
crease in the number of white blood
corpuscles.
When a person develops this ab
dominal pain, or “stomach-ache,” it
may seem logical to think that the
way to get rid of it is to take a big
dose of strong purgative medicine.
The bigger and stronger the better!
In the majority of cases the patient,
or some of his family or friends, im
mediately remembers something he
has eaten which is responsible for
his illness, and the offending food
must be purged out at once. Os
course sometimes spoiled food is re
sponsible for abdominal pain, but
usually such food produces more
GIRL SCOUT NEWS
The Girl Scouts met in the Baraca
room of the Methodist church at
three o’clock Tuesday afternoon.
Virginia Holman opened the meet
ing by calling the roll. Our Presi
dent, Mrs. Whitehead, and our sec
retary, Mrs. Raymond Singletary,
Jr., were absent at our meeting. We
missed them. We had an arrange
ment of a meeting on stars that is
to be at Mrs. Singletary’s house next
Tuesday night.
Miss Dillard gave us a very in
teresting talk on first aid which
we all enjoyed.
We closed the meeting by singing
taps.
JANE BONNER, Scribe.
LAST WEEK’S SOUTHERN
COLLEGE FOOTBALL
Mississippi 0, Temple 0.
Army 21, Clemson 6.
Pennsylvania 28, Maryland 21.
Princeton 26, Virginia 0.
Navy 32, Citadel 0.
Georgia 13, S. Carolina 7.
Tennessee 27, Va. Poly 0.
Ga. Tech 28, Mercer 0.
Duke 34, Davidson 6.
N. Carolina 20, N. C. State 0.
Washington & Lee 6, Richmond 0.
vomiting than appendicitis in the
early stages, soon to be followed by
diarrhea which is not present in ap
pendicitis. Again, indigestible food
such as green apples may cause
severe “stomach-ache”. This pain
remains general over most of the
abdomen, or the central portion, and
does not localize on the right side
like appendicitis. The pain is re
lieved by pressure, whereas pressure
increases the pain of appendicitis.
Also, intestinal colic due to indiscreet
eating does not cause fever or in
crease in the number of white blood
corpuscles, and generally is relieved
by vomiting.
If the pain in the abdomen happens
to be due to appendicitis, temporary
relief may be afforded by vomiting,
or by giving a small enema, and no
harm done thereby. Such emesis
may be induced by salt water or soda
water, or simply by putting a finger
down the throat. The so-called high
enema should not be administered,
in other words it is safe to empty
the two ends of the alimentary
canal, but do not try to force any
thing through it with active cathartic
medicine.
What is the objection to taking
cathartic medicine in appendicitis?
The contents of the alimentary canal
are propelled downward toward the
rectum by a muscular movement of
the canal called peristalsis. Castor
oil, epsom salts and like drugs hasten
the emptying of the canal by increas
ing markedly the speed and power of
the peristaltic wave. Food also stimu
lates peristalsis, but of course not so
violently as purgatives. Since the
appendix is a pouch with a closed
end, attached to the beginning of the
large intestine, or colon, the per
istalsis which affects the intestine
also affects the appendix. It is easy
then to see a wave of peristalsis
augmented many times in strength
by purgative medicine can, and does,
rupture an appendix the walls of
which are weakened by appendicitis.
Taking purgative medicine in ap
pendicitis does not always rupture
the organ, but such treatment is
proved every day to be most hazard
ous. The death rate in all the 4270
cases of the acute form of the dis
ease surveyed in a five-year period
in Atlanta was 4.4 per cent, whereas
the rate in a group of 475 patients
who were known to have taken purga
tive medicine before sending for the
doctor was 15 per cent. Why does
a ruptured appendix increase the mor
tality rate? Because the rupture
allows pus and intestinal contents to
escape into the general abdominal
cavity, and thus causes that terror
to the surgion, peritonitis. This com
plication may or may not terminate
fatally, depending upon whether or
not the peritonitis remains local or
becomes general. Even if the patient’s
life is spared, it means drainage
tubes, and a long, painful, expen
sive convalescence.
But the patient is not expected to
diagnose his own case, and tell
whether or not he has appendicitis.
The pain and other symptoms may
be due to a multitude of things,
such as kidney or gallstone colic, or
in women to some derangement of
the sex organs. Therefore the doc
tor should be summoned at once, and
the problem put up to him. If his
verdict is acute appendicitis, and he
urges immediate operation, let there
be no unnecessary delay in accept
ing his advice. Among 219 patients
in the Atlanta series subjected to
operation within six hours after the
onset of the attack, there was not a
single death. Among 578 patients
operated upon from six to twelve
hours after the onset, there were
six deaths, while among 1004 patients
operated upon from twelve to thirty
six hours after the attack began,
there were 46 deaths.
It is not simply appendicitis which
kills patients or causes long conva
lescence; it is the complications of
appendicitis, such as rupture, abscess
formation and intestinal obstruction,
peritonitis, or “locked bowels.” In
the mortality of 4.4 per cent record
ed in Atlanta, only the four-tenths
per cent was attributed to appendi
citis; the larger figure of four per
cent was ascribed to complications
caused mainly by purgatives and de
lay in operating. The matter may be
summed up thus: If you have acute
appendicitis, and avoid purgatives,
and have the appendix removed
promptly, the probability of recovery
is about four hundred to one. but if:
you try to relieve the pain by taking.
salts or oil or like medicine, and:
postpone operative treatment, your
chances of getting well may not be
better than twenty-five to one.
If your wants
are in the
Grocery and Market
Line—
we try and carry them.
It is not economy to buy anything except
the first quality when supplying your table;
there is less waste and more nourishment
value in good Groceries and choice Meats—
and we have only the best.
Cur prices are as cheap as you will
find in Blakely. Come in to see us.
FRYER’S MARKET
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BLAKELY CHAPTER 44 R. A. M
Blakely Chapter 44
® Royal Arch Mason*
I meets on the second
and fourth Monday
I nights of each monti I
’ at 8 o'clock. Visiting
companions invited.
C. E. Martin,
High Pries
J. G. Standifer,
Secretary.
000 MALARIA
ODD COLOS
Liquid, Tablet* first day
Salve, Nose Drops Headache, 30 min.
Try *Rub-My-Tism*—World’s Best Liniment
Drink Milk from Primrose Dairy.
Every bottle steam sterilized.—advt.