Many mistakes are made in examining the intestine. Constipation with accumulation is often diagnosed as floating kidney (a very rare affection), appendiceal abscess, ovarian enlargement, uterus tumor, pregnancy, tumor or cancer of the intestine. It is true that such mistakes are ridiculous and do not occur often with skilled diagnosticians, but first class professional men do make these mistakes often enough to cause laymen to seek confirmation of a diagnosis before submitting to an operation. It is not proper to seek confirmation by calling upon a physician selected by the physician in charge; for he will pick one who will agree with him. Either call a physician, and do not allow him to know that a diagnosis has been made, or call a rival of the one making the diagnosis. At all costs, try to eliminate the subterfuges of medical ethics, which means all things to doctors, even if it spells ruin to patients.

Professional ethics is a medical Potter's Field where the mistakes of doctors are interred without publicity. Consultation is where two or more professional men gather together to enjoy a private smoke and to discuss the mistakes of Moses or anyone else who haplessly is not present.

A painful point in the intestine may be caused by inflammation, impaction, gas, tumor, or cancer.

If inflammation, there will be mucous with the stools, and an accumulation of fecal matter will cause pain from pressure, and gas will cause pain from distention. A pain at McBerney's point indicates inflammation, gas, or constipation. Colitic pain is peri-umbilical, or in the right or left iliac fossa. In dysentery the pain is in the left flank and extends to the anus.