Social Diseases and Marriage: Social Prophylaxis

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Lea, 1904 - 390 pages
 

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Page 48 - A person duly authorized to practice physic or surgery, or a professional or registered nurse, shall not be allowed to disclose any information which he acquired in attending a patient in a professional capacity, and which was necessary to enable him to act in that capacity...
Page v - and the exercises of professional discretion in restraining improper marriages, and gives valuable hints for the ph> sician's guidance in many of the involved questions which so frequently arise. In dealing with these situations there is required not only a thorough knowledge of these diseases in all their recently revealed relations, but also a knowledge of human nature, and a professional sagacity which is not taught in the curricula of the medical schools. It is to furnish just this knowledge...
Page 53 - ... marriage, because they compromise the health of the wife, the existence of the children she might bring into the world, and through them the interests of society. But it would appear that the higher duty of the sanitarian to preserve others from infection falls below his duty as physician to protect a wretch in infecting them. Not only the interests of the many are sacrificed to the interests of the individual, but the innocent are made to suffer in order to advantage the guilty. The law which...
Page 24 - In the case of gonococcic infection, the individual risks the wife is made to incur are much more serious than those following syphilis. The infection may invade the cavity of the uterus and ascend to the annexial organs, causing salpingitis, ovaritis, peritonitis, etc., destroying her conceptional capacity and rendering her irrevocably sterile, to say nothing of the resulting dangers to life and the frequent necessity of surgical operations to remove her tubes and ovaries.
Page 22 - ... often does, receive unsuspectingly the poison of a disease which may seriously affect her health and kill her children, or, by extinguishing her capacity for conception, may sweep away all the most cherished hopes and aspirations of married life. She is an innocent in every sense of the word.
Page 23 - Who are responsible for the introduction of venereal diseases into marriage and the consequent wreckage of the lives of innocent wives and children ? As a rule, men who have presented a fair exterior of regular and correct living — often the men of good business and social position — the men who, indulging in what they regard as the harmless dissipation of ' sowing their wild oats,' have' entrapped the gonococci or the germs of syphilis.
Page v - ... circumscribe their spread. This protective duty, which has for its object the preservation of the helpless and innocent from infection, devolves upon the physician in his capacity as sanitarian and guardian of the public health. The fulfillment of this duty realizes the highest ideals of preventive medicine.
Page 358 - If my father had given me ten minutes of sound advice and warning, I should have been saved years of sickness. As it was, I knew nothing; it was a question of guessing. I kept on guessing until I found out by bitter experience.' What can be reasonably expected from this hygienic education? It will constitute a safeguard and a valuable safeguard against venereal exposure. Fournier says: 'Many young men thus instructed will expose themselves, but they will expose themselves less often, less readily,...
Page 64 - ... fear of disease. It is doubtful whether the distantly remote consequences are weighed at all. Finally, a system of moral control cannot overlook the fact that venereal disease is frequently transmitted to innocent persons. It is difficult to see how this evil can be remedied except by the requirement, as a preliminary condition to the issuing of a marriage license, of a certificate from an official physician showing the present state of health of each of the contracting parties. Such a requirement...
Page 23 - Venereal diseases respect no social position and recoil before no virtue ; they ramify through every class and rank of society. Like pallida mors, they approach with equal step the habitations of the poor and the palaces of the rich. They constitute the connecting link which unites the virtuous wife and the debased harlot in the kinship of a common disease.

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