is bad and is in opposition to the natural outlet through the
bowels. Of course if the unfortunate patient has fallen into the
hands of some one who believes it the prerogative of a physician to
manipulate in season and out of season, and who has converted a
typhlitic abscess into a perityphlitic one, or forced the pus to
burrow towards the groin, then a free opening with a let-alone after
treatment, except thorough drainage, may be followed in time by
restoration to health; however, if the patient fully recovers it
will be more from luck than from the usual management.





CHAPTER IV




_Pathology: _Formerly very little was written about the pathology of
the appendix, the writers describing more the lesions of the cecum
and surrounding structures. After the birth of the surgical craze,
the exciting cause was located, or supposed to be located in the
appendix, and the abnormal condition of the cecum was and is
considered to be secondary or due to the lesions found in the
appendix. The profession must evolve beyond its present tendency to
look for cause in the organ. First understand the general then the
special will be apparent.

The pathology of the appendix has now grown exceedingly voluminous,