The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
Wolff[155] studied a group of nine syphilitic women and their
children. There were sixty-six pregnancies, but only thirty-three
viable children were born. Of these last fourteen died in childhood,
three committed suicide at twelve, twenty, and twenty-eight years
of age; and of the thirteen still living only two were normal. The
others are all feeble-minded, epileptic, hysteric, or otherwise
neurotic. Post[156] tabulated the mortality in thirty syphilitic
families in which there were 168 pregnancies. Of these fifty-three
ended in still-birth or miscarriage and there were forty-four early
deaths--a total loss of 57 per cent. Of the children that were born
alive 38 per cent. are now dead, and of the seventy-one that are
alive only thirty-nine are apparently healthy. There are very many
cases of diseased children and adults with serious lesions of obscure
etiology, and in a great number of instances of anemia, malnutrition,
extreme nervousness, aortitis, bone diseases, vague pain, and similar
conditions, the origin is congenital syphilis. Stoll,[157] in
sixty-eight such cases, found a positive luetin syphilitic reaction,
and a positive Wassermann in 17 per cent.
[155] _Zeitschr. f. klinisch. Med._, vol. lxxvi. Berlin.
[156] _Boston Med. and Surg. Jour._, vol. clvii, n. 4.
[157] _Jour. Amer. Med. Assoc._, October 31, 1914.
Gottheil,[158] professor of dermatology and syphilography in Fordham
University, holds that if a man has gone through a modern treatment
for syphilis, given by a competent physician and extended over
three years, and if during the fourth year, without treatment, he
repeatedly shows a negative Wassermann reaction, he may marry. That
is the common opinion of physicians, but it is decidedly erroneous.
[158] _Forchheimer's Therapeusis of Internal Diseases_, vol. ii,
p. 421. New York, 1913.
In one series of 562 cases of hereditary syphilis observed by the
great syphilographer Fournier, sixty children, or over 10 per
cent., were infected more than six years after the primary parental
inoculation. He tells of one woman who had nineteen consecutive
still-births from syphilis. Gowers[159] says: "There is no evidence
that the disease ever is or ever has been cured, the word 'disease'
being here used to designate that which causes the various
manifestations of the malady." This statement is too sweeping, but it
is very near the truth.
[159] _Syphilis and the Nervous System_, 1892.
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