the stomach, leeches to be applied on the abdomen over the
inflammation to relieve pain, rectal feeding, and operation in every
case after the acute attack is over. If a "competent surgeon" is
available he thinks the proper thing to do is to operate during the
acute attack, except in a class of very severe cases, which, he
says, have a better chance to recover without the operation. I will
quote a few paragraphs from his book, setting forth his views:

"Taking into consideration the pathological conditions described,
together with the clinical experience, the likelihood of a
recurrence after an attack if no operation is performed, and the
likelihood of a complete and permanent recovery if the diseased
organ is removed under favorable circumstances, we can come to but
one conclusion, namely, that if the desired condition can be
obtained the diseased appendix should be removed."

"Except in very rare cases in which the entire mucous membrane of
the appendix is destroyed during the first attack, it is doubtful
whether the patient ever completely recovers unless the appendix be
removed. It is more likely, from an anatomical and pathological
standpoint, and certainly more in accordance with my clinical
observations, that the patient usually suffers from disturbance of
his digestive apparatus after recovering from an acute attack of
appendicitis."

" Mynter does not deny the possibility of complete recovery from
appendicitis without removing the organ, but considers it an
exception or almost an impossibility, and I find that this view is
shared by a majority of clinical observers of wide experience."