Journal of the Medical Society of New Jersey . sunnecessary to subject the patient to theshock caused by extensive manipulation ofthe bowel, as indicated by the rather highmortality. By a careful regulation of dietand exercise, daily purging of the bowels,massage and support when necessary, many individuals suffering from minor pathologi-cal conditions, and whose condition is suchas to preclude operation, may be made com-paratively comfortable for the remainder oftheir days. In fact their lives may be pro-longed. The all-important point uponwhich such a course of treatment depends,and may be a
Journal of the Medical Society of New Jersey . sunnecessary to subject the patient to theshock caused by extensive manipulation ofthe bowel, as indicated by the rather highmortality. By a careful regulation of dietand exercise, daily purging of the bowels,massage and support when necessary, many individuals suffering from minor pathologi-cal conditions, and whose condition is suchas to preclude operation, may be made com-paratively comfortable for the remainder oftheir days. In fact their lives may be pro-longed. The all-important point uponwhich such a course of treatment depends,and may be adhered to, is the early recogni-tion of the exact seat of trouble, and thor-ough understanding with the patient as toits mature. If a realization can be instilledinto the mind, that while perhaps they willnever be perfectly well, much can be doneto relieve distressing symptoms, since theactual cause is known and can be treated,much good can be accomplished. Shouldsymptoms ever become unbearable, surgi-cal intervention can then be resorted Fiv. V. Resultant gastric ulcer. In this way, alone, can physicians everhope to do away with the drifting of theseold chronic cases from one physician toanother, with no credit to anyone and noaid to the patient. There is little wonderthat such individuals lose all faith in themedical profession. In cases which are of such nature as torequire operation, it is essential to recognizethe fact that certain bands and membranesthrown out by nature as a means of sup-port, are sometimes best left undisturbed,as they often assist that particular portionof the bowel in performing its severance of these bands or membranesmay lead to more severe kinks and angula-tions. On the other hand, points of greatest 340 Journal of the Medical Society of New Jersey. July, 1914 ing to keep posted as to the position of theimportance may be overlooked by the sur-geon in an exploratory laparatomy, owingto the difficulties encountered in investigat-ing
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