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+The Time-treatment Principle and the Five-year Rule.+ In setting a modern standard for the fitness of syphilitics for marriage it may be said at the outset that there is little justification for making the mere fact of a previous syphilitic infection a permanent bar in the majority of cases.
The susceptibility to any syphilitic disease of the nervous system is hastened by the use of alcohol and by overwork or dissipation, so that the prevalence of them depends on the class of patients considered. It is evident, though, that only a relatively small proportion of the total number of syphilitics are doomed to either of these fates.
Very little is known about how many of the inmates of asylums for the deaf are hereditary syphilitics, but there is reason to suspect the percentage to be rather large. Deafness in hereditary syphilis is practically uninfluenced by treatment.
"Put that man on a diet. Write: diet, gargles, strong licorice tea." In that vein he passed all the sick in review, prescribing for all, the syphilitics and the wounded, the fevered and the dysentery patients his strong licorice tea.
Unfortunately, the news of the discovery of salvarsan, and with it Ehrlich's original idea that it would cure syphilis by a single dose, had gotten into the newspapers. Numbers of syphilitics treated with it have been deceived by this notion into believing themselves cured. In those whose symptoms came back in severe form, the trouble was, of course, found out.
The syphilitic woman has been in that room seven months. Cheerful mixing, isn't it? The place is alive with roaches, crawling all over the walls, everywhere. I found one in my bed the other day . . . ." "There is great excitement about my two syphilitics. Each nurse is being asked whether she told me.
Taking the population as a whole, the percentage of syphilitics who develop this form of late involvement probably does not greatly exceed 1 per cent.
To the casually minded, therefore, it is not at all unreasonable to ask why there should be so much agitation about it when so little of it is in evidence. It takes a good deal out of the graphic quality of the thing to say that most syphilis is concealed, that most syphilitics, during a long period of their disease, are socially presentable.
It's very pretty, you know." But about the syphilitics at La Ferte: they were, somewhat tardily to be sure, segregated in a very small and dirty room for a matter of, perhaps, two weeks. And the Surveillant actually saw to it that during this period they ate la soupe out of individual china bowls.
The first slowly hardens and destroys the spinal marrow, the second the brain. These diseases are only developed by previous syphilitics. As a rule they occur from 5 to 20 years after infection, usually 10 or 15 years after it. And they usually happen to persons who believed themselves completely cured.
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