The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
Hereditary transmission is certainly a cause also of many diseases
of the nervous system. Friedrich's ataxia is hereditary. It is an
incurable progressive incoördination of the limbs, tongue, larynx,
and eyes, which attacks commonly between the tenth and the twentieth
year, and the patient dies from some intercurrent disease, usually
an infection. Progressive muscular dystrophy is also hereditary
and incurable. The legs and trunk atrophy, and death comes from
an intercurrent disease. Related to this malady are hereditary
progressive neurotic muscular atrophy, progressive spinal muscular
atrophy in infants, and progressive spinal amyotrophy in adults.
Amaurotic (_amaurosis_, blindness) family idiocy is hereditary,
and the child dies at about two years of age. Huntington's chorea
appears in every generation of an affected family. Its symptoms show
between the ages of thirty and forty years, and it progresses from
choreic and ataxic signs to dementia and death. The death is often
by suicide. In eastern Long Island, southwestern Connecticut, and
eastern Massachusetts 962 cases were all traced back to six persons,
three of whom were probably brothers, who came to America in the
seventeenth century. In the 3000 relatives of these choreics were
39 cases of epilepsy, 51 cases of cerebral inflammation, 41 cases
of hydrocephaly, 73 feeble-minded children, and other evidences of
neuroses. The heredity in this disease is apparently Mendelian.
Besides the diseases enumerated here, there are several pathologic
conditions of the eyes which are hereditary--presenile cataract,
stationary night blindness, and retinitis pigmentosa. If the persons
who have these diseases are sexually sterile, evidently the heredity
so far as they are concerned will be cut across; hence the advocates
of legal sterilization wish to have these patients sterilized to
protect society.
The surgical operation by which the man is sterilized according to
the State laws mentioned above is an interruption of the continuity
of the vasa deferentia near the testicles. This interruption may be
a severing of each vas, a cutting out of a part of each vas, or a
ligation of the vasa. The term vasectomy is now used loosely to cover
all these methods. The vas deferens, or seminal duct, passes from the
testicle up along the groin on each side, in through the belly-wall
by the inguinal canal, down along the pelvis and under the bladder,
where it opens into the bottom of the urethra a short distance in
front of the bladder exit. Each vas is about two feet in length, and
it has a diameter of one-tenth of an inch throughout the greater part
of its length, but its lumen is extremely narrow.
Public-domain text, read in full here on John Shaqi.
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