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Patients, Disability, Syphilis, and History.

Bulletin of the History of Medicine

|April 8, 2024

Summary

This study examines the struggles of working-class patients with tertiary syphilis, a condition causing irreversible physical damage. It highlights their experiences within historical medical settings.

Area of Science:

Medical History
Disability Studies
Neurology

Background:

Tertiary syphilis, a late-stage infection, caused significant, irreversible physical and neurological damage.
Working-class populations often faced unique challenges in accessing and receiving consistent medical care during this period.

Purpose of the Study:

To explore the patient experiences of working-class individuals diagnosed with tertiary syphilis.
To analyze these experiences through the perspectives of medical history and disability history.

Main Methods:

Historical analysis of patient records and institutional documents.
Examination of treatment and patient outcomes at two specific Philadelphia hospitals between 1878 and 1917.

Main Results:

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Patients faced significant physical limitations due to the irreversible nature of tertiary syphilis.
The study illuminates the intersection of socioeconomic status, disease progression, and medical care.

Conclusions:

The experiences of working-class patients with tertiary syphilis underscore the profound impact of chronic, untreatable conditions on individuals' lives.
This research emphasizes the importance of considering disability history in understanding past medical practices and patient care.