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THE PACIFIC COMMERCIAL ADVERTISER: HONOLULU, APRIL G, 1895.
5 WE ALL HAVE THEM. BUT NOBODY KNOWS WHAT OUR AP PENDICES WERE MADE FOR. PMfMtn a. i. c. ski n.-. It i.. DaaerUwa th l-i.M IMrRf A ppeiwlloUU tnd I.x lUtnth Utala lMtthtrap That ( u It An Infrtlo Mlily. IsiKi iui On i innnlnro UuooKi YN, Kob. 25 If the ooneloatoai if modern ftoleaoa at" correct, mankind ro indebted to remote ancestors imuh lower in tho anlnml creation than them wives for a vory dangerous and not infre quent disease. It were quite enough to provoke violent protest to h held morally nooountable for tho sin of the reputed fa Iher of the ntv, but to be made llablo to bodily pains and penalties because ft per IIII. AlTiM'lX. son happened to have a simian or still knrar grade forefather Si sufficient to make one wish cither that evolution were not true, or, if so, that DSelesi organs, s in the case of tho tail, for example, had dis appcared when there was no i urtlier use tor them in the bodily economy. UeefaineM outlived. rufortunnttly tho vermiform appendix of tho cavuin was not. evolved out of ex istence, and In ceasing to bo useful it be i gone very troublesome. In surviving its funetion as a portion of the intestinal ranal it became a menace to health and a constant source of danger. The danger was also much increased by tho clrcum Btanoe that tho symptoms accompanying disorders of tho appendix would direct tho attention of the physician and patient to other portions of tho body rather than to the seat of the trouble. In this diseaso tho pain Is usually felt in tho neighborhood of the umbilicus, next in frequency la complained of in the epigastrium, very in frequently In the region below the um bilicus, and least often of all is it fell In the appendix Itself. This circumstance has been responsible for many errors which have boon mado in determining the character and location of tho trouble. Tho Inflammatory lesions of tho appen dix were formerly comprehended under tho terms typhlitis, perityphlitis and para typhlitis. The first was defined by Albers os Inflammation of tho caecum itself, tho :' nil d n inflammation of the parts im mediately surrounding tho ccecuin and the third as inflammation ot tne postperuoneai tissue of tho caecum. Grisollo understood tho true pathology of the disease and pub-i;i..-.i Ma vImm in 1839. but thoso of Al- iura ant. into the medical textbooks, and tho correct view wa disregarded for over half a century until brougnc to ngnc ami verified by Dr. FItz of 13oston ana ur. AfrRiiTnev of New York. Acute appendicitis is characterized from w initcpt, hv severe abdominal pain. Co- Jucldcntly with the attack of pain or Boon after it begins nausea and vomiting ire mMMttlw nrrnr. In casca where these are produced by indigestion and intestinal colic the nausea is more apt to precedo the pain than to follow it, as in appendicitis. The sudden occurrence of sharp, colicky pains should always direct the attention of tho sufferer and tho physician to th; appendix vcrmiformis, and a watchful caro should bo kept over this treacherous organ. As soon as the diagnosis of progre.-s-lvo appendicitis is assured tho abdominal cavity should bo opened and tho appendix removed. To operate too early may bo to operato unnecessarily, but it is hotter to do so than to operato too late and hence unsuccessfully. None but surgeons of ro pute and of assured skill should bo cm ployed to operato, for, thougli to remove the appendix is nnc fraught with great danger when tho operator is skillful it ruay"woll become so when the surgeon cm ployed does noi understand his DttBiess properly. Peeutauritiea of iho Trouble. Mild cases of appendicitis may recover without surgical treatment, but quite of ten mild coses develop into acuto and are of course much more difficult to euro than if operated upon before tho trouble becai.-e inteusfied In its character. Tho disease may pursue a rapid courso in some cases to a fatal termination in 33 hours from tho beginning of tho attack. In cases which have been successfully operated upon con valescence will usually occupy about thrco week.--. Appendicitis is much more freouont anions men than women, though the con trary is generally held to bo the case. The reason that women aro less liable to the disease is probably owing to tho fact that in them the appendix has an additional source of blood supply in the artery of the appendicular ovarian ligament and is in consequence better prepared to resist in fection than tho less liberally supplied ap pendix of tho male. In former times appendicitis was sup posed to be caused by the presence within tho vermiform appendix of cherry stones, grape seeds, lemon and orange pits, date stones, fish bones, pins, etc. So firmly was this idea fixed in tho lay and professional minds that children were carefully watch ed while eating fruit to prevent them from swallowing a stono or seed which would lodgo in this "deathtrap, " as the appendix was popularly called; and pro duce what was at that time regarded as an almost necessarily fatal malady. The came fallacy is still very prevalent among nonmedical people, and to assign such an origin to tho disease is much more com mon than to attribute it to its real causes. No doubt the presence of such foreign sub stances In the appendix might causo trou ble thoro. as they would in other parts of tho intestinal canal where they found lodgment and could not bo expelled. The instances in which appendicitis has been Induced by such lodgments in the appen dix have been so rare that they may bo with Safety excluded in any consideration of tho trouble. Another view that the pain in the appendix is produced by an attempt on the part of the appendix to rid Itself of fecal matter hi proved to bo wrong by the fact that fceal matter and even cdpro liihshav. been found In the organ when there was no pain or trouble with the ap pendix at all. A Home For Microbe. The generally too Ivcd opinion now is that appendicitis la canted by miero-or-anntams which are conveyed into the ap pendix by fecal matter or otherwise. These organisms may be and probably are the F-ame as those usually found in the in testinal canal, where their being present ta not regarded as a source of danger. YVoen they enter lb appendix, however, it. Is Himnosod to bo altoaether different. as the lower resisting power of tho organ makes it peculiarly sunjoct to inrection. Among the evolutionary changes tak ing place in tho appendix and tending to Its ultimate disapjx aranee may to altera tlons In tho eharaoter of its epithelial lin ing, which distinguishes It from the lin . m . 11 It Ing or the caecum and renuor it imuie 10 bacterial infection. So far as tho tissues of tho appendix aro concerned, a progressive ly lowered vital resisting power would no Mm first and inotft obvious change, result ing from tho dlsuaago of tho organ and its downward tendency toward iinai elimi nation from tho hotly as a useless apponu nge. The conclusion la now regarded by mad leal men as being almost irres.lbtlbl that infwt.inn id not onlv the principal ftnd Accessary causo of appendicitis, but that it. la Alan t.h nrimarv cause. Home infec tious inatorial enters the appendix and becomes llxed there, owing to tne very in efficient expulsive power possessed by the part. Tho low vitality and weak resisting power possessed by tho organ constitute it a good Held for propagating bacteria and developing thoso conditions constituting tho disease of appendicitis. Not a New Trouble. Diseases of tho amiendix are probably not more frequent than they wero hereto fore unless the evolutionary process wnieii tho vestigial organ is undergoing makes It more apt to bo diseased in modern times. This supposition is, however, very improb able, as the work of evolution is 60 slowly performed and is marKcu ny sucn sngni Increments of change that during tho en tiro period comprised in the history of the human race the organ has probably under gone no appreciable change. It is only within the last six years that disorders of the appendix have been refer red tcthoreal seat of i tie trouble. Though, as before stated, the truo pathology of :ip pundicitls was known more than i"0 years ago, this knowledge did not become gen erally diffused, and physicians almost in variably in their diagnoses referred the trouble to the o bp win or adjoining parte. This eiroumstauce, it is quite obvious, ac counts for the frequency with which wo have heard of diseases of the appendix In recent years a- compared with the paucity of mention previously. Investigations on the lubjooiof the ver lniform appendix have led to the opinion being almost invariably held by physhdo cists that the oruan i ! a useless one, while there cannot be any divorslty of opinion .... as to its oeing a aangeroua ou -j " science and natural theology of a few de cades ago held tho view that ( Very species was of Independent origin and every struc ture designed for use In tho organism in which it occurred. The student of com parative anatomy, however, who extends bis researches beyond a single species will become awaro that there aro structures in tho animal economy thepreaenoc of which cannot be accounted for or function dem onstrated by tlie study of tbem in relation to the organism in which fcboy exist. Tho vermiform appendix ot tho caecum, from ono to live Inches in length and one-third of on Inch In breadth, is in this category', and having survived its usefulness it has becomo dang rous. " Tho little rudimentary organ is not, howover, without its uses, as ir supplies the advocates of evolution wit!) a confir mation of their theory. Professor Drum mond in his recently published book, "Tho Ascent of Man," seizes upon tho appendix with avidity and parades it be fnrn hi renders with evident pride as a . . . 'IM... niece of evidence which would convict . a . . 1 1 ,. 1.1.. them in any court ot having a uisagreenuij close relationship with creatures of a very low grado in tho zoological scale. Appendicitis has been sometimes spoken of as a fashionablo disease, but why it is difficult to say. Gout and mecrim were long regarded as aristocratic disorders and as conferring a certain kind of dignity upon the sufferer, as tho first inforrcd rich wines and high living, hud tho sec ond presupposed a highly developed nerv- -nit THE SURGICAL TOOLS. ous organization which far removed the afflicted from the phlegmatic dullness and coarse nerves of the plebeians. No such reason, however, can be urged in bohalf of appendicitis as a fashionable disease, as it is in truth equally at home in the palace or in the hovel. Possibly its popularity may have been due to the fact that the nomenclature of the disease is only of re cent origin, and perhaps the mellifluous flow of the soft sounding word as uttered by a lady may have contributed to give the disease a species of fashionable notoriety. A. L C. Skene, M. D. Pie Crust. "I never was able to prevent the shells for pies which I baked beforo filling from puffing and rising in spots," said a house keeper the other day, "until I learned the secret from a pastry cook. When baking them for small, juicy fruits, like cherries, huckleberries or rhubarb, he covered the shell beforo putting it in tho ovon with a piece of oiled paper, and put in bits of bread that were needed to bo browned, and in this way perfectly preserved the even ness of the under crust. The fruit was cooked separately and thickened slightly with cornstarch before pouring into the shell. L , , Tho same cook advised tho sprinkling with salt of apples used In cooking, as it much improved their flavor and lessened tho amount of sugar needed to sweeten them. Ho frowned on any spices in apple pics as utterly ruinous to their delicacy. In tho lato winter, when the fruit is apt to bo rather tasteless, a little grated orange or lemon peel might be permitted, but the generous doctoring with cinnamon, nut meg, even cloves and allspice, practiced by pome cooks, bo regarded as barbarous." The Hawaiian Gazette Company manufacture robber stamps of all (1ecriptirofl. TV Ladies' Column. livery once in a while we have something that we feel like making a run on; not be cause we are overstocked, but because we recognize good value in the goods for the Purchaser. WHITE AND CREME COTTON DRESS GOODS, WHITE AND CREME COTTON DRESS GOODS. We find it pays us to often let such goods go for less than the market price; it brings trade and gives general satis faction to buyers. THIS WEEK and until Easter we are going to offer WHITE AND CREME COTTON DRESS GOODS, WHITE AND CREME COTTON DRESS GOODS, at 15 cents a yard. We have always sold this same line of goods at 25 cents a yard. We know of nothing that will make up prettier for Easter and are satisfied that if you will only look at some of the patterns, you will ap preciate our offer. New goods and good goods. B. F. JEHLERS & CO. SOMETTE ! "The best Corset in the world for the money. tgJ-Come and - LOOK AT THEM, TAKE THEM HOME, TRY THEM OK! And return them if they don't suit you. These Corsets are made in style to fit and suit every body and their purses. They are in forty-seven dif ferent styles and range in price from $1 to $5 per pair. Ask to see the Extra Long- Waist Sonnette for $2.25. They can't be beaten. If you can't get Corsets long enough, remember you can get the "Sonnette" with six HOOKS. Should you want a Corset With SEAL WHALE BONE, get the "Sonnette." Anyway come in and see them. J. J. EG AN. Sole Agent for Hawaiian Islands. 3819-tf HOSTAGE & CiS., DttALSfiS US WOOD AND COAL Also White and Black Hand hlch e U1 sell at the very lowest market ralea. y-BLi. TsfBPHOxa No. 414. 7"MrTCU TuFHCt No. 414. Old pieces of Furniture made highly decorative by an application of our ART ENAMEL PAINTS No skill is required and MM can get any lh ftdfl wanted. Tissue Paper, Asbestos Paper ! Win8 for paper flower work now on hand. Picture Framing la our Hpeciaity for which we are con stantly receiving new designs in mouldings. flflP We are now ottering something iirst-elasH in Colored Photo. K I N G 3857-1 y HOTEL STREET. NEW EDITION OV THU Tourists' Guide Through Hawaii. 2500 Copies. To Be Issued April 15th. A second edition of thin very popular band book descriptive of Hawaiian Scenes and Scenery is now running through the press, and will be published on or about April 15. It lias been carefully revised, and portions of it rewritten, bringing it down to the present date, making it an indispensible hand book. Besides a full description of each of the islands, it contains most val uable information for tourists relat ive to steamer travel, rates of passage, hotels, weather records, health resorts, the Government, exports and imports, a brief account of the revolution of 1895, interesting facts for inquiring tourists, notes on coffee, sugar, &c, &c , and all information sought by tourists regarding these islands. A full index accompanies it. The book will b9 beautifully illus trated with maps and some twenty five full page pictures. Can be obtained from the News dealers in Honolulu. Price 75 cts., per copy. H. M. WHITNEY, Editor and Publisher. P. O. Box 159. Telephone 75. 3947 1639 lm Note That the War Is over, and it is the duty of evry citizen to support the existing form of govern ment. Although things may not move with the cordialty that would insure an everlasting pece, still they may be al lowed to subside into that indifference without animosity, tuat Mould allow either party to work out their best interests All things considered it may be for the best, but time, the only arbitrator in such case?, must alone decide that. J. G. STEWART is a plumber, and will do your work in a shape aud at figures that will eive satisfaction. 3949-tf 15 BETHEL STREET. CHALK TALK ! Chalk marks properly made on cloth to conform with your figure, are sure to give you a fit. I guarantee to fit you in pants or suits or we don't want your trade. 0Give me a trial and you will come again. C. AK1MA, 3955-v 4fl Nunann wtreet. Nestlf's Milk Food for infants has, during 25 years, grown in favor with both doctors and mothers thronghout the world, and is now un questionably not only the best substitute for mothers' milk, but the food which agrees with the largest percentage of infants. It gives strength and stamina to resist the weakening effects of hot weather, and has saved the lives of thousands of infants. To any mother sending her address, and mentioning this paper, we will send samples and description of Nestlc's Food. Thos. Looming Jt Co., Sole Ag'ts, 89 Murray St, N. T. The Agency for KESTLE'S MILK FOOD IS WITH THI Hollister Bras Company, Limited .V23 Fort fctrepf. Honolulu, EL I. Jas. W. Berfrstrom, 1)'A:0, riPh ANU RPKl) ORGAN Toner and Repairer. Onler i-ft t l brum's Bookstore, will receive prompt attention. Seoo v i WRINKLED BEAUTIES SHOULD Use Lola Moktkz Cbjcmb. Skin Food and Tiaaue Builder. Doot not cover, but heals and cures blemiahea of tho skin. Make the tissues firm and builds up the worn-out muscle fibers, and make them nlump. Lowest in price and best in value. 75 ckmts lakok pot. Mkh Harkihon's Faci Bleach. Cures caoet aggravated aaee of Freckles. Blackhead. 3loih ratfJhtt Ciuirk in action and permanent in enecia. raica ?i. Mas. Haurihon'h Facb Powdkr. Pure adhesive and positively Invisible. Three shades white, flesh, bitinette. Will not clog the pores, stays on all day. Pkicb 50 cents. .... .... Mrs. Harrison's Hair Vigor. Stops Falling Hair in one or two applications.. Prevents Gray Hair and causes rich and luxuriant growth of Hair to grow on bald heads. Cases of vears standing specially invited to a trial. Pbjcr $1. Mrs. Harrison's Hair Kkstorkr. Only four to ten days required to restore hair to its natural color Is not a dye or bleach. No sediment or stickiness. Color is permanent when once your hair is restored to its natural shade. Hair become glossy and clean. Pricb $1. Mrs. Harrison's Frizz. For keeping the hair in curls a week at a time; not sticky ; don't leave a white deposit on the hair. Pricb 50 cairn. MRS. NETTIE HARRISON, America's ttenuty Doctor. US Geary Street, Ban Fnwclico, Cul. g$T'For sale by IIOLLIKTER DRUG COMPANY, 52JI Fort Street, Honolulu. fAny lady call at Hollister Drug Company will be given a Lady's Journal continuing a Beauty Lecture written by Mrs. Nettie Harrison. T . H. E. McINTYRE & BRO., EAST CORNER FORT AND KINO STREETS IMMBfm AII DEALERS IN Groceries, Provisions and Feed. o New and Fiesh Goods received by every packet from California, Eastern Ktates, and Euroi ean Markets. Standard grades of canned Vegetables. Fruits and I wh. Goods delivered fo any part of the city. Satisfaction guaranteed. Island trade solicited. P. O BOX 145. Royal Insurance Co., OF LIVERPOOL. "THE LAHG KST IN THE WOKLD.H Assets Januarv 1st. 1892, $42,432,174.00 Fire nsxs oa an a.'iiu of by T Give the Baby INFANTS INVALIDS. TRADE MARK. BENSON, SMITH & CO., Role Agonts ENTERPRISE PLANING MILL PETER HIGH & CO., - - - Proprietors. OFFICE AND MILL . AUkea and Richards near Qneoa Straet, Honolulu E 1 MOULDINGS, Doors, Sash, Blinds, TURNED AND rompt attention to all orders. MUTUAL 5R. EVERYBODY KNOWS Geo. W. Lincoln Is Burned Out, but Still Prepared to Superintend or Build Anything from a One-roomed House to a Nev City Hall. All Orders Left With John Not, King Street, Will be promptly Attended to. 5 . DaUV AaVGrfiSCr. I Flesh Worms, Hunburn, 8allownei, and r . r A TELEPHONE NO. 92. in-ornhle property taken at Current WALKER, Agent lor Hawaiian Islands, A Perfect Nutriment Ton GROWING Child. CONVALCeCCNT. Consumptives, dyspeptics. and tbe Acrd, and In Arnte Illneaa and ail Wanting DImmumb. THE Best Food for Hand-fed infants. OI R BOOK for th Inrtroctloa of mothers, "The Care aad Vrm tnc of InCnnta," will be mailed Va to any address, upon request. DOLIBER-GOOOALE CO BOSTON. MASS , U.S. A. for the Hawaiian Island. Screens, Frames. Etc SAWED WORK. BELL Mi. ., . m.mmm "rr , 7 s C-CDtS DGl 11101110 "