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Updated: June 27, 2025
It is important also to realize that when mercury has to be the only reliance, the risk of infection cannot be entirely controlled by treatment. Contagious sores may develop even during a course of mercurial injections, especially in early cases. It requires the combination of mercury and salvarsan to secure the highest percentage of good results.
The physician who is put in a position like this is at a disadvantage in caring for his patient, and the patient in the end pays for his mistaken idea that he knows what is good for himself. The only judge of the necessity of giving salvarsan, and the amount and the frequency with which to give it, is the expert physician, and no patient who is wise will try to take the thing into his own hands.
This is especially true of the grayish patches in the mouth and about the genitals, which have already been described as the most dangerously contagious lesions of syphilis. It is evident, therefore, that to give salvarsan in a case of contagious syphilis is to do away with the risk of spreading the disease in the quickest and most effective fashion.
The granting of patent rights which make possible the present exploitation for gain of such vital agents in the protection of the public health is a mistake which we should lose no time in remedying. While salvarsan does not mean the cure of syphilis, it does mean a large part of its control as an infectious disease.
Simpson who, in defending this humanitarian practice, asserted that opposition, particularly on theological grounds, had been presented against every humane innovation in the past. When Paul Ehrlich, in 1910, announced his discovery of salvarsan for the treatment of syphilis, the clergy again were horror-struck that man should interfere with a visitation of the Lord.
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 patient is not incapacitated for carrying on his usual work. The intervals of rest between courses of salvarsan and mercury are short. In the third year the intervals of rest grow longer, and in the absence of symptoms the patient has more chance to forget the trouble.
It has recently been ably summarized again, and with commendable conservatism, by Hoffmann in the rule that a syphilitic who has been efficiently treated by modern standards, with mercury and salvarsan, over a period of two to three years, and who has remained free from all symptoms and signs of the disease for two years after all treatment was stopped, including negative blood and spinal fluid tests, may marry in from four to five years from the beginning of his infection.
It will rid the blood of your victims of the Asiatic relapsing fever germs in forty-eight hours. In these tubes I have the now famous salvarsan." With a piercing shriek of rage at seeing her deadly work so quickly and completely undone, Nevsky flung herself into the little laboratory behind her and bolted the door.
To bring about such a revision of our patent law every thinking man and woman may well devote a share of personal energy and influence. The manner of giving salvarsan is as important for the patient as the correct performance of an operation, and the safeguards which surround it are essentially the same.
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