THE PACIFIC COMMERCIAL ADVERTISER: HONOLULU, APRIL G, 1895.
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
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.
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
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
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-
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.
"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
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
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.
"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
Should you want a Corset
With SEAL WHALE BONE, get
Anyway come in and see
J. J. EG AN.
Sole Agent for Hawaiian
HOSTAGE & CiS.,
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.
Asbestos Paper !
Win8 for paper flower work now on
la our Hpeciaity for which we are con
stantly receiving new designs in
flflP We are now ottering something
iirst-elasH in Colored Photo.
K I N G
Tourists' Guide Through Hawaii.
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
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
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
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.
H. E. McINTYRE & BRO.,
EAST CORNER FORT AND KINO STREETS
IMMBfm AII DEALERS IN
Groceries, Provisions and Feed.
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.,
"THE LAHG KST IN THE WOKLD.H
Assets Januarv 1st. 1892, $42,432,174.00
Fire nsxs oa an a.'iiu of
Give the Baby
BENSON, SMITH & CO.,
ENTERPRISE PLANING MILL
PETER HIGH & CO., - - - Proprietors.
OFFICE AND MILL .
AUkea and Richards near Qneoa Straet, Honolulu E 1
Doors, Sash, Blinds,
rompt attention to all orders.
Geo. W. Lincoln
Is Burned Out, but Still Prepared to
Superintend or Build Anything from
a One-roomed House to a Nev
All Orders Left With John Not, King
Street, Will be promptly Attended to.
Flesh Worms, Hunburn, 8allownei, and
r . r A
TELEPHONE NO. 92.
in-ornhle property taken at Current
Agent lor Hawaiian Islands,
A Perfect Nutriment
Ton GROWING Child.
and tbe Acrd, and
In Arnte Illneaa and
ail Wanting DImmumb.
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.
BOSTON. MASS , U.S. A.
for the Hawaiian Island.
Screens, Frames. Etc
., . m.mmm "rr ,
7 s C-CDtS DGl 11101110
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